Circumcision or removal of penile foreskin
- Cancer of the penis
- Certain sexually transmitted diseases including HIV
- Infections of the penis
- Phimosis (tightness of the foreskin that prevents it from retracting)
- Urinary tract infections.
Risks of circumcision:
- Infection. Injury to the penis.
- Redness around the surgery site.
- Easier hygiene. Circumcision makes it easy to wash the penis — although it's simple to clean an uncircumcised penis, too.
- Decreased risk of urinary tract infections. The risk of urinary tract infections in the first year is low, but these infections may be up to 10 times as common in uncircumcised baby boys. Severe infections early in life can lead to kidney problems later on.
- Prevention of penile problems. Occasionally, the foreskin on an uncircumcised penis may be difficult or impossible to retract (phimosis). This can also lead to inflammation of the head of the penis.
- Decreased risk of penile cancer. Although cancer of the penis is rare, it's less common in circumcised men.
- Decreased risk of sexually transmitted diseases. Safe sexual practices remain essential, but circumcised men may have a slightly lower risk of certain sexually transmitted diseases — including HIV, the virus that causes AIDS.
- Surgical risks. Excessive bleeding and infection are uncommon, but possible. The foreskin may be cut too short or too long or fail to heal properly. If the remaining foreskin reattaches to the end of the penis, minor surgery may be needed to correct it.
- Pain. Circumcision hurts. Local anaesthesia can block nerve sensations during the procedure.
- Your son doesn't urinate normally within six to eight hours after the circumcision.
- There's persistent bleeding or redness around the tip of the penis.
- There's foul-smelling drainage from the tip of the penis or crusted sores fill with fluid.
When I was a kid I had adhesions between the glans and the foreskin, and they took off my foreskin to "solve" this problem. They didn't ask me what I wanted, though. Anyway, they took it off, and the adhesions were torn away. Normally they separate by the age of five, but they can hang around till puberty. It is possible to separate them more gently but mine were torn, and the result has been an extremely sensitive coronal ridge, which in fact is so sensitive that it can be downright uncomfortable in cold weather, especially if my underwear is rubbing on it.
I recently saw some men's undies made from some special cotton fabric designed to help reduce eczema. I am going to see if that helps. When I was a teenager the stimulation of fabric on my glans seemed to give me loads of spontaneous erections, which I always enjoyed. Or maybe I was just very horny. Now the stimulation of underwear is just a pain in the ass....or something....
Why is a foreskin an advantage?
Well, for one thing it is full of nerve endings that heighten sexual pleasure. For another it makes masturbation easier. The back and forth movement of the foreskin over the glans and shaft is eased by a naturally lubricated mucous membrane. And women who have sex with uncircumcised men say that the sensation of having an uncut penis in their vagina, moving inside its own natural skin sheath as the man thrusts, is very different to that produced by a "cut" penis in the vagina. You'd expect that, I guess. I'd like to know what I'm missing, but short of restoring my foreskin (a stretchy process which takes ages - I don't have the patience) I am going to have to be happy with what I've got. Actually, this is one area where I would like things to be different.
The question, though, is does not having a foreskin actually matter? There is a huge body of work on the web, all devoted to the campaign to stop routine circumcision. And quite right too: it is abusive to cut off any part of a person's body - especially without its owner's consent. I ask you! How could anyone put a baby through such an ordeal? The answer is probably because we've been conditioned to believe that the demi-gods of the medical profession know better than we do.......
I remember a scene in that mildly amusing drama "Thirty-something’s" - a few years ago now - in which the two main characters (whose names I have completely forgotten) agonize over whether or not to have their baby circumcised. I remember at the time thinking that if this was the program's best effort at representing a white middle class dilemma, then I had no time for it, and yet now I see how much of an issue it really is.
I mean - there you are, as a new parent, with the entire responsibility for the whole being of your new baby boy - and you have to decide whether to have his penis put in a clamp, have a doctor tear off the natural adhesions between the glans and foreskin, pull the skin harshly upwards and then slice through the most sensitive part of his body with a scalpel blade - and all without an anesthetic. Now, that sure is a dilemma.
I speak strongly on this matter because my penis - without its foreskin - has given me a lot of problems over the years. It is so sensitive in cold weather that even just the gentle rubbing of the softest cotton underwear is almost painful: this is probably because the glans was damaged by the tearing of the adhesions when they took my foreskin off. (When these adhesions are prematurely torn, some scar tissue forms on the glans.) There is however, one strange advantage that I have. When they removed my foreskin, they did it so unevenly and loosely that the remaining skin bunches up around the coronal rim of my penis. And when I put a condom on, there is, in fact, a real ridgey, bumpy, lumpy protrusion of skin around the upper surface of the penis head just below the corona.
Why is this so interesting, you ask?
Well, my penis also bends upwards somewhat (it is one of those which curves upwards rather than downwards), and the combination of these two quirks of nature means that when I push my penis into my girlfriend's vagina, it is exactly the right shape to produce the most exquisite stimulation of her G-spot. Indeed, she pretty quickly goes into G-spot mode, characterized by - so she tells me - waves of sexual energy coursing outwards from her G-spot through her whole body, producing long lasting pre-orgasmic plateaus of almost unbearable ecstasy. I have to admit she has not yet come from my penis thrusting inside her - I can't quite last long enough, Dammit, but I am sure it is only a matter of time before she does. Judging by the bliss she is currently experiencing, when she does it will be the most wonderful experience imaginable. For both of us.
There is certainly something very different about Jan's G spot orgasm - different to her clitoral orgasm, I mean. She can come with my finger on her G spot, and her whole experience of this orgasm is different to the orgasm produced by having her clit stimulated - it is much more whole body-centered, for one thing, and it involves a different kind of sexual energy - the experience is almost spiritual, in fact. And her vagina behaves differently, as well: when a G spot orgasm is approaching, instead of gripping tightly, as it does when she comes with her clit, her vagina balloons out and exerts an outward pressure, almost as if it is expelling my finger.
All of the differences between clitoral and vaginal orgasm have left us in no doubt that there are some very different things going on here: that Freud's distinction between the vaginal and clitoral orgasm is actually correct, and despite some efforts to rubbish the idea of vaginal orgasm by the medical profession, our experience as a couple tells us it is a real thing, different to a clitoral orgasm. But students of Tantric Sex have known this for ages, of course.
So I suppose your question might be: If my penis is so good for stimulating her G spot, what do I do with it? Well. Why? Because the best techniques that I have found for stimulating her G spot also just happen to be the ones which help me - and very possibly you as well, dear reader - to last longer.
By the way, you can see pictures of all these types of penises, cut and uncut, at Images of Size You can read about penile anatomy, circumcision and foreskin restoration at The-penis.com. This has good information on circumcision, or at least it lists loads of other sites you can follow to get information. Some other good sites on circumcision are: CIRP and Circumstitions
Now, what about the merits of circumcision versus no circumcision? My simple view is that anything which evolved on the human body - except the appendix - must have a function. And since I don't see the foreskin as an appendix, we must ask - what is its function? The foreskin, I mean, not the appendix. First, both inside and out, the foreskin is covered with sensitive nerve endings, all of which have a direct role in sexual stimulation and the orgasmic response of the man.
It is composed of sensitive mucosal tissue, protected from the atmosphere and full of sexual glands that produce smegma - which, far from just being a smelly substance turns out to have a vital role in sexual mating. And it makes sex more satisfying for the female partner. Sorry guys, but there you are.
Some eager scientists, pushing back the boundaries of knowledge as a good scientist should, interviewed women with experience of both circ'd and non-circ'd men. The researchers were looking for vaginal orgasms produced through intercourse in all these studies. What they found was very clear: with circumcised men, women were more likely to experience vaginal dryness, discomfort, and to want "to get the experience over with" because "they weren't really into it" than with uncirc'd men. As if that weren't discouraging enough, women were significantly less likely to have a vaginal orgasm with a cut man. And worst of all, at least for the men, the women reported that circumcised men were more likely to ejaculate prematurely (defined as coming within 3 minutes of penile insertion in more than half of the times the partners had sex).
Women with more than ten partners in their sexual history were more likely to achieve orgasm with their circumcised partners than those women with fewer partners, but they still had less frequent orgasms than they had with their uncircumcised partners. So clearly female choice and sexual experience are important factors, but they are not important enough to alter the fact that circ'd men seem to produce less satisfying feelings for a woman during lovemaking than a man with a foreskin.
And women who preferred their orgasms to come through vaginal intercourse rather than oral sex or masturbation preferred uncut men and they also preferred being on top during sex. They were also more likely to have an unaltered man as their most recent partner. And get this, guys: women with uncircumcised partners had a higher rate of orgasms with them, and they rated circumcised partners lower as lovers.
And the women overwhelmingly agreed that making love to circ'd and uncirc'd men was different: circumcised men tend to thrust harder and deeper, using long strokes, while unaltered men tend to thrust more gently, to have shorter thrusts, and tend to be in contact with the mons pubis and clitoris more.
All in all, conclude our intrepid scientists, it's clear that women prefer vaginal intercourse with an anatomically complete penis over sex with a circumcised penis. There may be many reasons for this. First, when the anatomically complete penis thrusts in the vagina, it does not slide, but rather glides on its own 'bedding' of movable skin.
Third, circumcision removes 33-50% of the penile skin. With this skin missing, there is less tissue for the swollen corpus cavernosa and corpus spongiosum to slide against. Instead, the skin of the circumcised penis rubs against the vaginal wall, increasing friction, abrasion and the need for artificial lubrication. Because of the tight penile skin, the corona of the glans (which works as a one-way valve in the vagina) pulls the vaginal secretions from the vagina when the shaft is withdrawn.
Unlike the anatomically complete penis, there is no sensory input to limit withdrawal. Because the vast majority of the fine-touch receptors are missing from the circumcised penis, their role as ejaculatory triggers is also absent. The loss of these receptors creates an imbalance between the deep pressure sensed in the glans, corpus cavernosa and corpus spongiosum and the missing fine touch.
To compensate for the imbalance, to achieve orgasm, the circumcised man must stimulate the glans, corpus cavernosa, and corpus spongiosum by thrusting deeply in and out of the vagina. As a result, coitus with a circumcised partner reduces the amount of vaginal secretions in the vagina, and decreases continual stimulation of the mons pubis and clitoris.
Although this was not directly measured, some women commented that unaltered men appeared to enjoy vaginal sex more than circumcised men. Men with a foreskin certainly had less fellatio, masturbation and anal sex than circ'd men.
As the scientists say: "Clearly, the anatomically complete penis offers a more rewarding experience for the female partner during coitus......the negative effect of circumcision on the sexual enjoyment of the female partner needs to be part of any discussions providing 'informed consent' before circumcision."
There may be other ways in which circumcision can affect a man's enjoyment of intercourse. This is an email I received:
I previously suffered from partner Anorgasmia [that means he couldn't come during sex]. I could masturbate and ejaculate without a problem but during unprotected vaginal sex I could last usually indefinitely. The few times where I was able to ejaculate during intercourse I had to expend so much effort as to leave myself exhausted and my partner sore. This wasn't a problem when I was younger but as the years go by my glans seemed even less sensitive than it used to be. The urologist I spoke to told me there was nothing wrong with me physically and that I should go see a sex therapist. Because of the quality of the sexual banter and openness within the relationship I knew this wasn't the problem. I began reading about circumcision (btw your section on the subject is excellent) and I learned that my situation is much more common than previously thought.
After communicating with others who had trouble ejaculating during vaginal sex I decided I to go through the arduous process of foreskin restoration. Now most of my sensitivity has returned to the point and now I am able to ejaculate during intercourse again and with much more control over when too. All I can say is thank God for the internet because otherwise I would have believed my doctor and thought the problem was me when really it was the result of being circumcised leaving my glans to be desensitized. I suspect this might also explain some the others with a similar problem.
know more about circumcision
Circumcision is a unique medical procedure in that the majority of circumcisions are not performed for medical reasons or by qualified medical practitioners. The historical origins of circumcision are unclear, but the practice is found throughout the world - in Native Americans, Australian Aboriginals, African and Middle Eastern tribesmen, and in the earliest Egyptian mummies. Almost all of these circumcisions were carried out for cultural or religious reasons, and in much of the world this continues to the present day, with circumcision a part of defining religious or tribal identity.
A wonderful example of this can be found in the autobiography of Nelson Mandela, in which he describes his own circumcision as part of his rite of passage to adulthood. In the USA, circumcision remains the cultural norm, and 70-90% of all male babies are circumcised. In this chapter we detail the medical indications for circumcision and the complications of surgery. Some of the issues that govern circumcision for religious purposes are discussed, and we examine the ethical and legal implications that are pertinent to the circumcision of minors. Medical practitioners need to be familiar with all these aspects of circumcision, to be able to advise on the wide range of questions that can arise when counselling parents and patients.
Medical considerations in circumcision
Medical indications for circumcision
Surgical procedures and complications in circumcision
The penile and inner preputial layers of skin are then approximated with a fine absorbable suture material. Ventrally the inner layer of the prepuce should be closed longitudinally for a distance of a few millimetres, before commencing a circumferential closure. This will ensure that there is no tight band ventrally, which can be uncomfortable on erection and intercourse. Recognized complications occur both early and late. If the frenular artery or a significant penile vein is not secured, significant bleeding can occur, necessitating ligation of the vessel under general anesthesia. Infection can develop, most commonly at the level of the corona, particularly if there has been balanitis at the time of the circumcision. Systemic antibiotics and cleaning the infected area with saline will usually result in an acceptable cosmetic and functional result, though this may take several weeks. In patients with BXO the external urethral meatus may be affected, resulting in meatal stenosis, which can be a difficult problem to resolve. Erections may be impaired if too much penile skin is removed. The most devastating complication of all can occur if the 'guillotine' technique is used for circumcision. The practitioner pulls on the end of the prepuce and with a swift motion cuts across what is thought to be prepuce, but which in reality is glans and prepuce. The resulting distal penile amputation is an irretrievable disaster.
Sexually transmitted disease (STD’S) and circumcision
The right to be circumcised
A child's right to protection from circumcision