Talk:Circumcision surgical procedure

Clamp devices

Is every "surgical" circumcision worldwide conducted using one of these 3 clamp devices ?--— ⦿⨦⨀Tumadoireacht ^Talk/_Stalk 20:45, 16 May 2013 (UTC)

To aid readers and responders, could you please clarify what you mean by "surgical" circumcision? How does it differ from surgical circumcision? Jayjg ^(talk) 22:47, 19 May 2013 (UTC)

No. "Surgical" refers to "cut and sew" without any clamp devices. There are at least 3 different types of devices (sometimes referred to as collar compression, in situ, and guillotine) ,possibly 4 (depending on how you categorize Prepex). There are also several variations in how the circumcision is performed with these devices (sutures vs glue, different types of anesthesia, foreskin cut or left for 7 days....) Petersmillard (talk) 02:47, 14 February 2017 (UTC) — Preceding unsigned comment added by Petersmillard (talk • contribs) 12:22, 10 February 2017 (UTC)

See my comment below. You are right --it is confusing! Petersmillard (talk) 02:47, 14 February 2017 (UTC) — Preceding unsigned comment added by Petersmillard (talk • contribs) 14:35, 12 February 2017 (UTC)

POV Check

This article seems to heavily favor routine circumcision. The general tone suggests that it a positive procedure, and counterpoints are not raised and immediately re-edited to delete any points that can be used to cause doubt of the safeness of the procedure. Whether or not one agrees with this, you should admit that the article is heavily biased. The article should focus solely on the procedure itself, not whether someone thinks it's safe, rapid, or not. Also the HIV section, which I mentioned before, has no place in this article. This is no place to justify the procedure. If you're looking at this article you should be concerned with what is happening during the procedure not whether or not you should have it done. The main article already addresses this issue. — Preceding unsigned comment added by Cipherclump (talk • contribs) 19:08, 24 May 2017 (UTC)

Merge specific devices here

IMO it is better to talk about them all here. Will make it easier to compare. Once the unreffed stuff is trimmed there is not that much on any of the subarticles. Doc James (talk · contribs · email) 02:54, 10 February 2017 (UTC)

There are several circumcision device articles: Gomco, Plastibell, Mogen clamp, Prepex, Shang Ring, Unicirc (and perhaps others that I am missing). They have very different uses. Gomco, Mogen and Plastibell for infant (and small boys) circumcision; Unicirc for all ages; Prepex and Shang Ring for males >= 13 years of age. The latter 3 are used exclusively in the 13 high HIV prevalence countries to prevent HIV. Therefore, IMO there would need to be more than one article Petersmillard (talk) 02:46, 14 February 2017 (UTC) Petersmillard (talk) 02:46, 14 February 2017 (UTC)Petersmillard (talk) 02:45, 14 February 2017 (UTC) — Preceding unsigned comment added by Petersmillard (talk • contribs) 12:17, 10 February 2017 (UTC)

Another thought: Prepex calls their procedure "non-surgical," so do you include it? Unicirc calls theirs "minimally invasive" so do you include it under Minimally invasive procedures? Petersmillard (talk) 02:47, 14 February 2017 (UTC) Petersmillard (talk) 02:46, 14 February 2017 (UTC) — Preceding unsigned comment added by Petersmillard (talk • contribs) 12:44, 10 February 2017 (UTC)

I made some changes, but the title is really wrong. "Surgical" and "Device" are different. I suggest 2 different articles: "Circumcision surgical procedure" and "Circumcision instruments and devices." "Circumcision surgical procedure" should describe the surgical procedure and "Circumcision instruments and devices" should be this article (which would include info on surgical instruments like Gomco/Mogen/Unicirc and "in situ" devices like Plastibell, Prepex, and Shang Ring).Petersmillard (talk) 02:45, 14 February 2017 (UTC)

HIV prevention

The HIV prevention issue is already raised in the main article. There is no reason to discuss this issue in this article, as the main focus is on the specific surgical techniques used. In an effort to consolidate this article and put it more on topic, I believe we should move this section to the main article on circumcision. — Preceding unsigned comment added by 155.247.134.113 (talk) 04:20, 18 April 2017 (UTC)

Agree. This is dealt with already in the main article. No need to repeat here. Doc James (talk · contribs · email) 21:54, 1 June 2017 (UTC)

"Male circumcision can be performed either for religious/cultural reasons, medical indications, or to prevent future illnesses.

Male Medical Circumcision (MMC) reduces female-to-male HIV/AIDS transmission by approximately 60% and is a key element in the UNAIDS plan to end the global AIDS epidemic by 2030. In 2011, UNAIDS prioritized 14 high HIV prevalence countries in eastern and southern Africa, with a goal of circumcising 80% of men (20.8 million) by the end of 2016. In parallel, WHO developed a Framework for evaluating new, simpler circumcision techniques, which gave impetus to the development of two new devices (Prepex and Shang Ring) that are currently being scaled-up in the 14 high HIV prevalence countries. UNAIDS' Fast-Track Plan for ending the AIDS Epidemic by 2030 calls for an additional 25 million MMC in these high-priority countries by 2020, which will require increasing circumcisions to 5 million per year, nearly double the current rate. To reach this goal, UNAIDS is counting on advances in circumcision techniques.

The WHO and UNAIDS recommendations emphasize that male circumcision should be considered an efficacious intervention for HIV prevention in regions with heterosexual epidemics, a high prevalence of HIV, and low prevalence of male circumcision.

Male circumcision provides only partial protection and is therefore only one element of a comprehensive HIV prevention package which includes the provision of HIV testing and counseling services, treatment for sexually-transmitted infections, the promotion of safer sex practices, and the consistent use of male and female condoms. Overall, 11.6 million males were circumcised as of the end of 2015.

Newly circumcised men must refrain from sexual activity until the wounds are fully healed. Some circumcised men might have a false sense of security that could lead to increased risky sexual behavior."

References