9. Background
Many countries practice circumcision, including Indonesia. The reason encourage this procedure could be medical, cultural, religion, and others. In December 2006, WHO estimated >50% of male population got circumcised In Indonesia where it is usually done in childhood particularly in between age 1-11 years old.1 Previously, the preputial skin is discarded in circumcision. However, nowadays it can be use as a skin graft for example following burns.2
Recently, pluripotent stem cell has been found in the preputial skin using Oct4 expression (usually the prepuce is discarded).3 Stem cell, a major discussion these past few years, is believed to be the key of future medicine, for instance stem cell is thought to help degenerative
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In fact, it is also one of the oldest and most popular procedures in the world, WHO stated that one third of males are circumcised. Males from wide range of ages undergo this procedure; for examples, in the United States of America, majority of people get circumcised in the neonates period, some section of Asia including the Middle East perform circumcision to young boys, and parts of Africa perform this procedure when patients has reached their teenage years. The benefits of practising circumcision in young age are lower complication risk, faster healing time, and less expense. Although, due to some reason (religious, cultural, and wanting their child to give his/her own consent) circumcision is done at older age. The reason for the booming interest in circumcision could be medical reason (reducing risk of infection by HIV), social, religious, and cultural background. Unfortunately, the circumcision providers in Indonesia are sometimes not medically …show more content…
The circumcision complications are infrequent; the median frequency is 1.5% (the most reported being haemorrhage and infection). On top of that, the severe adverse effects are found to be none until rare.1 However, Frisch and Simonsen’s controversial study in Denmark (2015) found that early childhood surgery (circumcision) might increase the risk of getting ASD (Autism Spectrum Disorder).6
Some parts or the entire penis’ foreskin is removed in circumcision. Foreskin/prepuce is the skin extending from the penis’ shaft and covering the glans and urethral meatus. The development of penis intrauterine causes a fusion between the stratified squamous epithelium of the prepuce and glans penis. These squamous cells keratinize, and later will degenerate causing a split, which further separates both of the epithelium. In neonates, the separation of the epithelium is usually unfinished causing the circumcision provider to separate it during the
In Althaus’ article, she provides in-depth information about female circumcision; a highly controversial cultural ritual that is practiced in at least 28 countries
The cells unique nature has scientists intrigued to do research with the focus of finding a way that these cells can be used to replace patients’ injured or diseased tissues. Advancement is made to all the three types of stem cells namely embryonic stem cells, adult stem cells in addition to induced pluripotent cells. Embryonic cells are the building blocks of an embryo that is developing, and can develop into almost all body cell types. Somatic cells are found in the body tissues. They renew and regenerate in healthy bodies. The third type which is induced pluripotent is genetically modified embryo cells from skin cells.2 Research on these cells are geared towards saving humanity; a noble course.
Some fear that the removal of the healthy part of an organ is a purely
Afterwards, the parents sign a surgical consent giving the provider the approval to perform the procedure. The purpose of the circumcision is to remove the foreskin from the head of the penis, and allow the head of the penis to be exposed. The provider will use various supplies during the procedure such as an topical or injection anesthetic, a scapula to cut the foreskin, and one of three different clamps to hold the foreskin. According to Bcheraoui et al. (2014), studies have revealed that male circumcisions have an overall side effects rate of 0.5% if performed during the child’s first year of life, but increase up to 20 times that if performed after
Descriptions of ritual circumcision span across cultures, and have been described in ancient Egyptian texts as well as the Old Testament. With this being said, “The American Academy of Pediatrics believes that circumcision has potential medical benefits and advantages, as well as risks. Evaluation of current evidence indicates that the health benefits of newborn male circumcision outweigh the risks and that the procedure's benefits justify access to this procedure for families who choose it, however, existing scientific evidence is not sufficient to recommend routine circumcision.” (n.d.).
Freedom of choice is a desire for most, but as we are young we depend on the decision of our parents. With this dependent nature of a child the freedom of choice is limited, for males this can lead to a life long consequence. Male circumcision is the surgical removal of the foreskin; the skin covering the head of the penis. Circumcision is practiced for religious purposes in Jewish and Muslim communities. Normally, the boy’s age varies from 4 to 11 years old. In the United States, this procedure is also done but without a religious purpose. The boys in this case are commonly newborn. This practice became popular after medical groups claimed that there were many health benefits that came with circumcision. Though it has been proven otherwise, it is still a common practice in the U.S. fueled by ignorance. Circumcision is an unnecessary surgery that leads to psychological problems, issues with sexual activities and lasting physical damage.
Certainly, in the United States (and much of the Western world), female circumcision is illegal; however, male circumcision is utterly legal. In fact, in 2007, the Center for Disease Control reported that almost eighty percent of men in the United States were circumcised (Morris): legally, zero percent were females. Yet, several nations, where the culture is absolutely polar from the West, have prohibited male circumcision (Evans). The predominant factor, of course. The ideologies of culture make the laws, including morals; thus, these laws represent each region’s civilization, morals, and culture. Again, doctors must conform—this time to the law, not the parent. So, any decision doctors make, regarding circumcision, is due to cultural restrictions and their own
Most Americans view circumcision as a solution to a problem which it is not. Circumcision has not been scientifically proven to prevent, solve, or improve any health condition or state. One of the most common reasons people circumcise infants is because they believe it will make cleaning babies easier. This is a common misconception. Parents for generations have been taught that uncircumcised babies need to have the underside of their foreskin cleaned, but this is physically impossible to do without permanently damaging the organ. When a baby is born the foreskin is fused to the head of the penis, thus no additional care is needed. The organ is very self-cleaning just like it’s female
Through an ethical point of view, circumcision should be a choice; the government should not be against it. This cannot be made illegal because it will leave people to perform FGC in barbershops using non-medical facilities, which creates more risk. Like male circumcision, female circumcision should be allowed and welcomed in hospitals. This culture cannot be abandoned and forgotten in a fortnight, however studies reveal the decline of this procedure throughout West Africa, for example, Tostan in Senegal aim at eradication this practice.
Unlike male circumcisions which were practice for religious purposes, female circumcision is done for social convention and is practiced as a way to prepare girls for marriage, as well as conform to societal norms of femininity. Female circumcisions are often motivated by what would be considered proper female behavior and as a way to promote virginity as well as cause pain during intercourse to uphold these beliefs. Much like male circumcision these societal beliefs about sex and purity, have affected these cultures in their convictions that circumcision must be performed to be pure and free of
“Stem Cells: The Future of Medicine.” Medschool.umaryland.edu. University of Maryland School of Medicine Web 14 Nov 2013
Those who favour stem cell research are optimistic about the continued developments in stem cell research will open doors to many breakthrough discoveries in biomedical science. The scientific and ethical questions arise as rapidly as the reaching of milestones in stem cell research. There are two main types of stem cells, namely embryonic stem cells and adult stem cells. Adult stem cells are undifferentiated cells in our body. But they have restricted-range of cells that they can further differentiate. On the contrary, embryonic stem cells have the ability to differentiate into nearly two hundred cell types in the human body, called pluripotency. The process of harvesting embryonic stem cells involves destruction of embryos (Mooney, 2009).
Throughout our research, we have discovered that circumcision plays a big role in the prevention of sexually transmitted infections. After coming across this article, it became clear that the benefits of circumcision are not widely known, even in doctors and nurses who play a role in performing the neonatal male circumcisions. This article is important to our project because it shows that even though circumcision is effective in the prevention against sexually transmitted infections, along with promoting proper hygiene, 62% of health care workers did not think that neonatal circumcision would help in the prevention of HIV.
Exploring the role of stem cells in cutaneous wound healing: Katherine Lau, Ralf Paus, Stefan Tiede.
Female genital mutilation (FGM) is an ancient traditional non-therapeutic surgical procedure that involves total or partial removal of the external parts of female genitalia. This paper aimed to define and classify FGM, identifies the prevalence, describes reasons for performing the practice, and concentrates on the problems associated to this practice with regard to women’s health, religious beliefs, and socio-cultural, behavioral and moral consequences. Researches and survey reports that the global actions have been taken to reduce or abolish the prevalence of the practice will be assessed.