Quick Answer
Circumcision reduces the risk of UTIs, STIs (including HIV), balanitis, phimosis, and penile cancer. It makes hygiene easier and is associated with reduced risk of certain infections for female partners. Medical evidence supports circumcision as beneficial in specific contexts.
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Circumcision is one of the most studied surgical procedures in the world. Here is an evidence-based guide to the health benefits of circumcision.
Uncircumcised men have a 3 to 10 times higher risk of UTIs compared to circumcised men. This is because bacteria can accumulate under the foreskin and ascend into the urinary tract. In men with recurrent UTIs circumcision is often recommended.
Multiple randomised controlled trials in Africa showed that male circumcision reduces the risk of HIV acquisition from female partners by approximately 60%. It also reduces the risk of HPV, herpes (HSV-2), and syphilis. While the Indian context is different these findings have influenced WHO recommendations on circumcision in high-prevalence areas.
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Penile cancer is rare but virtually never occurs in circumcised men. The warm, moist environment under the foreskin (especially with poor hygiene) is associated with HPV infection which can cause penile cancer. Circumcision virtually eliminates this risk.
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In uncircumcised men smegma (a build-up of secretions) can accumulate under the foreskin requiring careful daily cleaning. Circumcision makes hygiene simpler and more reliable. This is particularly relevant in hot climates like India where sweating increases smegma production.
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Studies suggest that circumcised male partners are associated with lower rates of cervical cancer and BV (bacterial vaginosis) in female partners. This is believed to be related to lower HPV transmission.
While circumcision has documented benefits it is also an irreversible procedure. The decision should be made after careful consideration of medical necessity, personal values, and cultural or religious factors. MySurgery provides non-directive counselling to help you make an informed decision.
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Dr. Anant Kumar
MCh (Urology), FRCS, 30 years experience, Max Hospital Delhi
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