Circoncisione Infantile Maschile

Cassazione: “Circoncisione, mancato ricorso al medico è scusabile”

La Cassazione, con la sentenza 43646/11 ha sancito che è un “errore scusabile” non ricorrere al medico per far circoncidere un bambino causando a quest’ultimo una emorragia grave. La Corte ha trattato il caso di una donna di origine africana che ha fatto praticare la circoncisione del figlio ad un uomo, che non era medico. Il neonato, di otto mesi, aveva perso molto sangue ed era stato portato all’ospedale. Dove la donna aveva candidamente ammesso le sue responsabilità.

Ma la Cassazioe non ha ritenuto la madre colpevole del reato di esercizio abusivo della professione medica. La donna era stata condannata anche in appello. Ha fatto quindi ricorso in Cassazione, che le ha dato ragione, scriveva ieri Il Sole 24 Ore. Per la Corte, la donna non aveva la percezione né un grado di cultura tale da farle comprendere che stava compiendo un reato. Occorre inoltre considerare il “difettoso accordo che si determina in una persona di etnia africana, che migrata in Italia, non è risultata essere ancora integrata nel relativo tessuto sociale e l’ordinamento giuridico del nostro Paese”.

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La circoncisione: “ci vuole il consenso del bambino”

Una sorta di “consenso informato”: è’ quanto occorrebbe chiedere ai figli di genitori ebrei o musulmani, prima di imporre loro la circoncisione. La proposta è dell’associazione Norm-UK, che da anni si batte contro l’imposizione della mutilazione: un articolo pubblicato sul sito del Guardian ha riproposto all’opinione pubblica il suo impegno. La circoncisione viene normalmente praticata nei primissimi giorni di vita del neonato.

Religious circumcision needs child consent, charity says

Jewish and Muslim parents should wait until sons are old enough to agree to ritual circumcision, Norm-UK to tell conference

Parents should not circumcise a son on the grounds of faith without the child's consent, a conference will hear today.

Norm-UK, a charity opposed to male circumcision, said the practice was harmful and subjected children to surgery that was non-consensual, irreversible and unnecessary.

It meets today at a Keele University conference addressing the issues of male and female circumcision, in addition to examining the physical and psychological impact of these practices.

Laura MacDonald, a trustee of Norm-UK, said: "We are not calling for a ban on Jewish or Muslim parents circumcising their sons, but we're asking them to reconsider and wait until the child is old enough to give his consent.

"If it is a religious requirement then it has more value if carried out when someone has chosen to do it. It is unlawful for anyone under the age of 18 to be given a tattoo even if they want it. There's an anomaly here."

FONTE: www.guardiannews.com/uk-home

New York, neonato muore per herpes dopo la circoncisione

NEW YORK – Morire per una circoncisione: è quello che è successo ad un piccolo di due settimane di Brooklyn, New York, lo scorso settembre. Secondo quanto scrive il New York daily News il neonato sarebbe morto al Maimonides Hospital per aver contratto l’herpes dopo l’operazione di circoncisione.

Più esattamente si sarebbe trattato di un virus dell’herpers simplex di tipo 1. Ancora oggi, scrive il quotidiano di New York, non si sa chi abbia eseguito la circoncisione.

Nel 2004 gli operatori sanitari della città avevano rivelato che un altro bambino era morto per una circoncisione effettuata dal rabbino della contea di Rockland. In quel caso, infatti, seguendo il rito ultraortodosso il rabbino aveva cercato di fermare il sangue dalla ferita del piccolo con la propria bocca. Una pratica poco igienica, con possibili conseguenze nocive.

Già in quell’anno si verificarono tre casi di neonati colpiti da herpes contratto in seguito ad una circoncisione.

Fonte:http://247.libero.it/focus/21214313/22/new-york-neonato-muore-per-herpes-dopo-la-b-circoncisione-b/

AAP: Need to Re-Do Circumcision Rises, Reasons Unclear

BOSTON -- An unexplained increase in the number of revision circumcisions has pediatric urologists wondering whether the finding is real and, if so, what caused it. Data contributed by pediatric hospitals nationwide showed a 119% increase in the rate of revision circumcision procedures from 2004 to 2009.

Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner


Action Points
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■Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.

■Explain that nationwide data from 2004-2009 have shown an unexplained 119% increase in the rate of revision circumcisions.

■Note that the rates of primary circumcision and lysis of penile adhesions did not increase during the study period.


In contrast, the rate of primary circumcision increased by 19%, and procedures to remove penile adhesions rose by 37%.

Closer inspection of the data showed wide variation by hospital in the rate of revision circumcision during the study period, Paul J. Kokorowski, MD, reported here at the American Academy of Pediatrics meeting.

"We found that certain hospitals had dramatic rises in revision circumcision procedures [approaching 1,000% in some cases] while others had more modest increases," said Kokorowski, of Children's Hospital Boston.

"Only three hospitals showed stable rates or slight decreases," he said.

Anecdotal evidence has suggested that an increased frequency of revision circumcision in recent years, despite historically low rates. Published data have consisted largely of small case series, some spanning several years (Int Braz J Urol 2006; 32: 454-458, Pediatr Surg 2002; 37: 1343-1346, J Urol 1995; 153: 180-182).

Seeking to provide more informative data on the subject, Kokorowski and colleagues searched the Pediatric Health Information Systems (PHIS) database, which comprises 28 hospitals that contribute data on outpatient pediatric surgical services.

They identified pediatric patients who underwent one of three types of specific penile procedures during 2003 to 2009:

•Revision circumcision
•Primary circumcision
•Lysis of penile adhesions

The analysis included 34,568 patients who underwent one of the targeted procedures. The total consisted of 5,632 revision circumcisions, 25,768 primary circumcisions, and 3,168 procedures for lysis of penile adhesions.

The 119% increase in the volume of revision circumcision at the participating hospitals stood out as significantly greater than the increases in the other two procedures (P<0.001).

The rate of revision procedures increased in a near-linear manner over the period reviewed, starting with a 17% rise from 2004 to 2005 and then to 47% for 2006, 71% for 2007, 91% for 2008, and 119% for 2009.

In contrast, the rate of primary circumcisions peaked at 22% to 23% during 2007 and 2008 before declining to 19% above the baseline level.

The rate of adhesion-lysis procedures declined by 11% from 2004 to 2005, peaked at 45% above baseline in 2007, and then descended to 37% in 2009.

In an effort to determine factors contributing to the increased rate of revision circumcision, investigators performed an analysis limited to 13 hospitals that provided complete data on the three penile procedures for every year of the study period. They found no consistent patterns.

The findings left unanswered the question of what caused the large increase in revision circumcision procedures over a five-year period.

"Revision circumcision does seem to be more common at specific PHIS hospitals and this might represent a more overall increase in revisions," said Kokorowski. "Unfortunately, due to the limitations of our dataset, we can't speculate on the reasons for this change."

Primary source: American Academy of Pediatrics
AAP 2011; Abstract 13760.

www.medpagetoday.com/MeetingCoverage/AAP/29075

Circumcision 3-D view.

Circoncision et traumatisme



David Chamberlain, Docteur en philosophie membre de "Association for Pre and Perinatal Psychology and Health" et James W. Prescott, également Docteur en philosophie, parlent du traumatisme lié à la circoncision infantile.

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Le saviez-vous ?

Le prépuce est une peau unique qui joue un rôle important dans la sexualité de l'homme et se voit irrémédiablement perdue lors de la circoncision !

Le prépuce est construit comme les lèvres, par une double couche. D'un côté, il y a la peau, vers l'extérieur, de l'autre une muqueuse. Cette partie interne est plus solide qu'elle n'en a l'air : elle résiste sans problème aux fréquentes frictions que le décalottage et le recalottage - le glissement du prépuce sur la verge - entraînent. La muqueuse est également imperméable, pour résister à l'humidité.

Enfin, le prépuce comporte une fine couche de muscles, à l'intérieur de la peau, comme le scrotum, la membrane qui entoure les testicules. Ces muscles jouent un rôle sur le plan sexuel.

Le prépuce est également doté d'un tissu sexuel très particulier, que l'on appelle la "bande striée" (ridged band en anglais). Il s'agit d'un tissu composé de nervures, cachées à l'intérieur du prépuce. De nombreux nerfs rendent cette zone particulièrement sensible, c'est pourquoi elle est essentielle dans la sexualité.

Doctor's used to believe babys couldn't feel pain?!



Link Diretto http://youtu.be/C9C6T9QoLTM

Even if it could be performed with zero pain, that still leaves open the ethical discussion of removing a healthy body part without the consent of the person whose body it is, and the medical discussion of what the functions of natural genitalia are. This wasn't just with circumcision but with any procedure on hospitalized newborns, from preemies to babies up to 18 months of age, have been routinely operated upon without benefit of pain-killing anesthesia. This has been the practice for decades but was unknown to the general public until 1985 when some parents discovered that their seriously ill premature babies had suffered major surgery without anesthesia. Up to this time, babies were typically given a form of curare to paralyze their muscles for surgery, making it impossible for them to lift a finger or make a sound of protest! This is an excerpt from the PBS-broadcast film "Whose body? Whose rights?".

Gli Attivisti dal Mondo




Amber Craig



One of the most influential people in the intactivist movement, Amber Craig, Director of NOCIRC North Carolina, has spent the last two decades educating people about the risks and harms of circumcision. The proud mother of four beautiful children and a licensed speech therapist, Amber was involved in the creation of Intact America, and she serves on the organization's Steering Committee. At the impressionable age of 11, Amber was shocked when she learned about circumcision. It was clear to her from the beginning that it is simply wrong to cut a body part of a healthy, normal child. Amber was equally horrified 15 years later when she became pregnant with a boy and was asked by medical professionals if she wanted her son circumcised. From that day on, Amber has been committed to ending the practice of infant circumcision in this country. In addition to leading NOCIRC of North Carolina, Amber has been active in the Medicaid defunding project—focused on eliminating the use of taxpayer dollars to circumcise baby boys. She has also written several articles countering the current hysteria claiming circumcision prevents HIV/AIDS.


Leonard Glick



Leonard Glick, MD, PhD, is a cultural anthropologist with a medical degree and author of Marked in Your Flesh: Circumcision from Ancient Judea to Modern America. He is also one of the most outspoken intactivists in the movement to end the ritual cutting of baby boys.


Gillian Longley



Gillian Longley, a neonatal nurse and devoted intactivist, has been co-coordinator of the Colorado chapter of the National Organization of Circumcision Information Resource Centers (NOCIRC) since 2005, and is a member of Intact America’s Board of Health Professionals. She speaks out frequently in defense of infants and their right to genital integrity, and has discussed circumcision and the intact penis with nurses, doctors, doulas, midwives, parents, legislators, and academic audiences. Her two-part "Mother Nurse Intactivist" video, which tells the story of how she became involved in intactivism, brings a loving, empathetic voice to the plight of nurses and mothers forced to deal with this barbaric practice.


Dr. Michelle Storms



A family physician and mother of three, Dr. Michelle Storms is an outspoken proponent of genital integrity. She witnessed her first circumcision while in her residency in Milwaukee. “I was appalled,” she says. “The baby writhed and screamed while being strapped down and cut.”
In 1988, Dr. Storms stopped performing circumcisions.


Amy Callan



Amy Callan is one of the main forces behind Intact America, but she wasn't always an intactivist. Amy has been a tireless proponent of babies' rights, attending conferences, organizing fundraising campaigns, and helping drive Intact America to the forefront of the pro-intact cause. She has become the face of Intact America, and an incredible resource of information, activism, and enthusiasm. "So many people have never thought about this issue before," she says. "When I mention it to my friends, they're surprised—but as soon as they listen to what I have to say, they understand why it's such a critical issue. That's my goal, to get people talking about it and thinking about it."


Shelton Walden



Shelton Walden is a media producer, videographer, and host/producer of "Walden's Pond," a weekly radio program on health, culture and politics that's been airing on New York's WBAI/Pacifica Radio since 1989. Shelton is also a long-time intactivist, donating his time and skills to helping Intact America in its efforts to reach the public with the message that circumcision is harmful and wrong.


Martha Roth



Martha Roth, an activist and midwife from Nyack, New York, says she doesn't deliver babies; rather, she "catches them." As a firm believer that, whenever possible, babies should be born at home, Martha has helped mothers bring more than 500 babies into the world. The Journal News recently featured an article about Martha and the practice of midwifery in New York’s Hudson Valley. Martha’s non-interventionist caregiving philosophy extends to keeping infant boys intact: she's been an intactivist and supporter of Intact America from the organization’s beginnings. Both she and her husband, actor and IA Board of Advocates member Bill Irwin, are outspoken proponents of the fight to end circumcision. “We embraced circumcision in America because of gross misinformation given to parents by doctors, says Martha. “It was easy to implement, little by little, but it’s become such a part of the medical industry that it’s difficult to eradicate. Those of us who do patient care have to re-educate parents one-by-one—to persuade them that the natural male body is just fine. I am so grateful that there is an organization—Intact America—that is doing the work to educate people on a national level."

Le mamme vogliono sempre il meglio per i propri figli, ma quando questo diventa un’ossessione non è di certo una cosa buona per i bimbi, che crescono in maniera veramente non sana.

L’agenzia americana Associated Press dà infatti notizia di una mamma di Portland in Oregon ha provato ad eseguire una circoncisione da sola, verso il figlioletto di tre mesi, usando un taglierino e una pinza da elettricista. La signora Keemonta Peterson, di 29 anni ha spiegato alla polizia che era suo dovere eseguire la circoncisione perchè lo aveva letto sulla Bibbia.

Su YouTube ha eseguito la procedura, ma ha generato un’emorragia al bimbo che è stato fortunatamente portato subito in ospedale dove è stato curato.

La pratica della circoncisione è infatti molto pericolosa se non eseguita da specialisti. Come ogni operazione chirurgica ha i suoi rischi e non si può improvvisare, perchè c’è sempre bisogno degli strumenti necessari per superare i problemi che si possono generare durante l’intervento.
Naturalmente volere il bene dei figli è una cosa positiva, ma è sempre meglio non scambiare quello che vorremo noi con quello che è meglio per i nostri bambini, perchè molto spesso le cose non coincidono, anzi rischiamo di creare danni alle persone che amiamo facendogli del male.

Sempre meglio ragionare e riflettere prima di agire, perchè se poi il danno è irreparabile rimpiangeremo per sempre la nostra azione malsana.

Circoncisione aumenta rischio di Uretriti

Uno studio su quasi 4300 uomini, effettuato dai ricercatori della "Trobe University di Victoria" e dell'Università del New South Wales ha scoperto che la circoncisione non riduce il rischio di contrarre la maggior parte delle infezioni trasmesse sessualmente, ma aumenta significativamente il rischio di uretriti e aumenta il rischio di candidosi al pene. L'incidenza osservata di HIV e Sifilide sono state così basse che non è stato possibile concludere che la circoncisione ha avuto alcuna protezione contro tali malattie sessualmente trasmissibili. Anzi, studi americani del 2010 hanno dimostrato una maggiore incidenza di MST o STD's in soggetti circoncisi dalla nascita.

The authors of the study, published in the Australian and New Zealand Journal of Public Health, comment that findings from an earlier Australian survey showing slightly higher rates of sexual performance difficulties among older uncircumcised men had been used to support the procedure. ….

E’ stato inoltre rilevato che i circoncisi hanno una maggiore difficoltà a mantenere l'erezione ed avvertono maggiore dolore durante i rapporti sessuali rispetto a un uomo non circonciso. Tale incidenza è maggiore al di sotto dei 30-50 anni d’età.

OBJECTIVE: To report on the prevalence and demographic variation in circumcision in Australia and examine sexual health outcomes in comparison with earlier research.

METHODS: A representative household sample of 4,290 Australian men aged 16–64 years completed a computer-assisted telephone interview including questions on circumcision status, demographic variables, reported lifetime experience of selected sexually transmissible infections (STIs), experience of sexual difficulties in the previous 12 months, masturbation, and sexual practices at last heterosexual encounter.

Jason A. Ferris, Juliet Richters, Marian K. Pitts, Julia M. Shelley, Judy M. Simpson, Richard Ryall, and Anthony M. A. SmithAustralian and New Zealand Journal of Public Health, Vol. 34 (2),160-64