NOTE: Primary author is Lillian Dell’Aquila Cannon (see her blog)
When I was pregnant with my first child, I just thought that circumcision was what you did, no big deal, and that every man was circumcised. Then one day I saw a picture of a baby being circumcised, and everything changed. Just one tiny, grainy photo was enough to make me want to know more, and the more I knew, the worse it got. It turns out, circumcision really is a big deal.
Part 1 – Circumcision Surgery Myths
Myth 1: They just cut off a flap of skin.
Reality check: Not true. The foreskin is half of the penis’s skin, not just a flap. In an adult man, the foreskin is 15 square inches of skin. In babies and children, the foreskin is adhered to the head of the penis with the same type of tissue that adheres fingernails to their nail beds. Removing it requires shoving a blunt probe between the foreskin and the head of the penis and then cutting down and around the whole penis. Check out these photos: http://www.drmomma.org/2011/08/intact-or-circumcised-significant.html
Myth 2: It doesn’t hurt the baby.
Reality check: Wrong. In 1997, doctors in Canada did a study to see what type of anesthesia was most effective in relieving the pain of circumcision. As with any study, they needed a control group that received no anesthesia. The doctors quickly realized that the babies who were not anesthetized were in so much pain that it would be unethical to continue with the study. Even the best commonly available method of pain relief studied, the dorsal penile nerve block, did not block all the babies’ pain. Some of the babies in the study were in such pain that they began choking and one even had a seizure (Lander 1997).
Myth 3: My doctor uses anesthesia.
Reality check: Not necessarily. Most newborns do not receive adequate anesthesia. Only 45% of doctors who do circumcisions use any anesthesia at all. Obstetricians perform 70% of circumcisions and are least likely to use anesthesia – only 25% do. The most common reasons why they don’t? They didn’t think the procedure warranted it, and it takes too long (Stang 1998). A circumcision with adequate anesthesia takes a half-hour – if they brought your baby back sooner, he was in severe pain during the surgery.
Myth 4: Even if it is painful, the baby won’t remember it.
Reality check: The body is a historical repository and remembers everything. The pain of circumcision causes a rewiring of the baby’s brain so that he is more sensitive to pain later (Taddio 1997, Anand 2000). Circumcision also can cause post-traumatic stress disorder (PTSD), depression, anger, low self-esteem and problems with intimacy (Boyle 2002, Hammond 1999, Goldman 1999). Even with a lack of explicit memory and the inability to protest – does that make it right to inflict pain? Ethical guidelines for animal research whenever possible* – do babies deserve any less?
[hat tip: Louise Koster]
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