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Foreskin removal is the surgical amputation of the male prepuce. This process is often called circumcision, particularly when performed for non-urgent purposes at birth or ritualistically later in life. Reasons why males undergo foreskin removal include religious, medical, military, and sanitary rationales, though there are many personal reasons why men are circumcised.
In the United States and many other countries, infant foreskin removal is usually performed under local anesthesia, while older males are usually given general anesthesia with the surgery performed while the patient is asleep. It is not obligatory that adults and older males be put to sleep for the procedure, as it can easily be performed under local anesthetic. Adults do typically have a longer recovery time and a more complicated foreskin removal surgery than infants, usually requiring stitches and taking around three weeks to heal. Men must be sure to abstain from erections of any origin and also to limit contact with the penis. Infants heal in five to ten days, requiring no special abstentions.
While adult foreskin removal is usually performed using only surgical tools and thus requiring stitches, there are specially designed devices used for hospital circumcisions of infants. These devices clamp down on the skin cutting off blood flow to the foreskin, and some remain on the penis until the wound has completely healed. Designed to prevent accidents in the detailed foreskin removal process, such as severing the infant's penis, these devices are usually used in conjunction with a restraining board to which the infant is strapped to limit movement.
In religious ceremonies, the procedure is much the same, particularly in countries with readily available medical equipment to be used. Even in areas without these benefits, the procedure is still typically performed by a community specialist who is generally responsible for the procedure for more than just one male over his or her career as circumciser. Exact amounts of foreskin removed may vary, some leaving part of the foreskin attached. In some traditions, the foreskin is ritually eaten or buried. Removed foreskins may also be used for skin grafts or medical research.
There are conflicting reports about the medical advantages of foreskin removal surgeries. Arguments have been made that removing the foreskin makes the penis more sanitary, which is often refuted by anti-circumcision activists by demonstrating that with proper cleaning there is no difference. Reports claiming that the surgery reduces risks of HIV have also been contested, some going so far as to argue the opposite case. The same claims have been made for other sexually transmitted diseases, with equally convincing arguments refuting those claims. Questions of medical benefits are often tied up in concerns over when the surgery is best implemented, as it is often performed on infants even though the majority of purported benefits would not be relevant until the boy reaches sexual maturity.
Almost all anti-circumcision advocates argue against the circumcision of infants and minors, as well as legally or medically mandated circumcision of males in general, but not against circumcision chosen freely by consenting adults. Whether the surgery is good or bad for the body, the question of whether a parent or institution has the right to elect for a child to have surgery that is not medically necessary is an ethical concern.
The most clear common ground between the two sides is that it is easy to perform foreskin removal on an adult but impossible to reverse it when performed on a child who later despises that this choice was made on his behalf. Medical, social, and ethical opinions on this topic continue to develop as conventional wisdom is questioned, often leading to changes in policy and cultural practice.
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