Category Archives: medical

Circumcision

Writing my Thirteen Things post for Flickr the other day set me thinking …

I made the comment that I am glad my parents didn’t have me circumcised. I won’t say that their decision was great foresight: from my observations the rate of male circumcision of my generation in the UK is somewhere around 30-40% (amongst Americans it is more like 80%), and moreover my father was also entire so probably didn’t feel there was any “precedent” to follow. So my parents weren’t exactly bucking a trend (medical or otherwise). But I’m still glad that I’m entire; I like being entire; I’m comfortable with my “male apparatus” and I would never have inflicted circumcision on any son I might have had.

But there is one thing I do not understand about our western culture. Female circumcision, as still practiced in many parts of Africa especially, is considered barbarous, a violation of a woman and abuse. And I have to agree; it is all of these. And yet, male circumcision is considered much more (though not universally) acceptable; even those who are against male circumcision don’t generally have “screaming fits” about it the way they do over female circumcision. It is even being advocated as a way of constraining the spread of HIV, as I’ve blogged before. Why is this? I do not understand how one can be considered barbarous and the other acceptable.

OK, so before anyone screams at me let’s be clear. Male circumcision (at least as we practice it in the western world) is generally performed on the very young, by a surgeon, often with anaesthetic, in a sterile surgical environment; hence immediately post-operative complications are rare, although no-one seems to agree about the long-term effects on sexual function. Even if performed later in life male circumcision is a proper medical procedure. This contrasts with the vast majority of female circumcision in the developing world, where the operation is mostly performed by the medically unskilled, without a sterile environment, seldom any anaesthetic and mostly against the will of the female concerned who often has to be physically restrained. Needless to say post-operative complications appear to be the norm rather than the exception and death is not uncommon. The UN and WHO now use the term Female Genital Mutilation (FGM) when referring to female circumcision, but make no comment on male circumcision

But I still don’t see how it is acceptable for parents to have an infant boy routinely circumcised without any immediate medical necessity – as is still widely practiced in the USA. And I include in that the religious practices of both Judaism and Islam – albeit I can understand how male circumcision may have originally arisen in an ancient, hygienically-challenged, desert community, even if this was based on a false premise.

Having started writing this I found a good couple of paragraphs at the History of Circumcision which sum up my dilemma:

Given the similarities between the male and female genitals, the nature of the surgery and the justifications offered, it is surprising that male and female circumcision enjoy such strikingly different reputations, at least in Anglophone societies: the first, a mild and harmless adjustment which should be tolerated, if not actively promoted; the second, a cruel abomination which must be stopped by law, no matter how culturally significant to its practitioners. If you call circumcision of boys male genital mutilation, you are accused of emotionalism; if you fail to call circumcision of women or girls female genital mutilation you are accused of trivialising the offence. While the United Nations, Amnesty International and other international agencies spend millions on programs to eradicate FGM, they have never uttered a word against circumcision of boys.

It might be thought that the reason for this double standard lies in the greater physical severity of female circumcision, but this is to confuse cause with effect. On the contrary, it is the tolerant or positive attitude towards male circumcision and the rarity of female circumcision in western societies which promote the illusion that the operation is necessarily more sexually disabling, and without benefit to health, when performed on girls or women. It is, of course, also true that the term female circumcision is vague, referring to any one or more of a number of surgical procedures.
… …
But it should be remembered that the most extreme forms of FGM are rare, and that male circumcision in general is far more common on a world scale than female: about 13 million boys, compared with two million girls annually.
… …
Given the respective numbers of victims involved and the fact that some circumcisions are worse than some instances of FGM, there is no justification for perpetuating the gender discrimination which has characterised discussion of these issues.
… …
To compare female and male circumcision is not to trivialize the enormity of the first, as some feminists seem to fear, but to recognise that the physical and moral similarities between the two are very real.

So here we have it. The two “procedures” while different are the same. So why is it OK for males to be circumcised but not females? Even after reading a number of worthy websites on the subject I still do not understand.

PS. Anyone who wishes to delve a little deeper might like to start with:

Drugs to be Legal in 10 Years?

Yes, you read it right! This was the thrust of a BBC News item yesterday. Richard Brunstrom, Chief Constable of North Wales, believes that in about 10 years time drugs which are currently illegal will be legalised. His logic is impeccable:

  • Over 50% of all recorded crime is caused by people feeding a drugs habit.
  • Despite drug misuse falling (slowly) because of better treatment programmes it is still causing a £20bn a year hole in the country’s finances.
  • Portugal has already gone the legalisation route
  • And it is being talked about elsewhere in the world (although the article doesn’t specify where!).

All that is needed is a shift in public opinion (as has happened against drink-driving in the last 20 years or so) and the change will become inevitable, Brumstrom appears to believe.

But interestingly there is one argument which hasn’t been used – and which is sometimes used for the legalisation of cannabis: if it is legal you can regulate the supply (by licencing sellers) and you can tax the proceeds. That has to be powerful: stop large swathes of crime, save £20bn a year, and generate income as well.

Even so, personally, I can’t see it happening. I cannot see any politician sticking their neck out and advocating such a policy, let alone voting for it. The legalisation of cannabis I think will come, although it may take a while yet. However I’m not sure that the legalisation of heroin, cocaine, etc. isn’t a step too far even for me, at least at present. But it is an interesting idea, and one worthy of discussion. And hoorah for a senior plod who has enough foresight to be able to think outside the box!

Dr Alice Roberts

In the latest issue (January 2008) of BBC Focus magazine (science for the intelligent 10-year-old) there’s a mini-interview with one of the few females on TV who really do make my heart beat faster: Dr Alice Roberts, “clinical anatomist, archaeologist, TV presenter and author”, also a very talented artist and a qualified medic. Those of you in the UK who’ve watched either Time Team (Channel 4), Coast (BBC2) or Don’t Die Young (BBC2) will know Alice Roberts as the slightly off-the-wall girlie with the dyed red hair. The interview includes:

What’s the greatest threat to humanity?
Humanity.

Who would you clone?
I wouldn’t. Sexual reproduction is much more exciting.

What would your epitaph say?
Boadicea, Queen of the Iceni. And I’d be buried in a chariot just to fool future archaeologists.

Seriously Zen Mischief!

Friday Five: The only nasty thing I like

1. What’s the last movie you saw?
At the cinema: probably Emerson, Lake & Palmer’s Pictures at an Exhibition in 1973. On TV probably some Lord of the Rings-ish thing last Christmas. See, I keep telling you I don’t do films.

2. Are you gentle?
Me? Gentle? Oh do be realistic, I’m about as gentle as a clumsy hippo!

3. Do you sleep with your bedroom door shut?
Nope, not at home, not usually even when we have people staying; we both hate shut doors. Tend to shut the door at other peoples’ (except my mother’s) but really only ‘cos most of them do. And when I was a student, although I shut my room door at night it was never locked, and often left ajar when I was in during the day. In this house shut doors are really only for one thing: to keep a cat penned in – and even so most of the doors can’t shut ‘cos there are things (like a pile of books) in the way.

4. What’s your middle name?
Cullingworth — my mother’s maiden name. Not many around and none now in my line of the family as my mother was one of four sisters. Cullingworth is a small village in Yorkshire, so the family come from there originally.

5. Friday fill-in:
I could learn to like
not having to work to eat.

[Brought to you courtesy of Friday Fiver]

Friday Five: Attack of Randomosity

What is something you collect? Why?
I don’t really collect anything these days. Although I suppose you could count books. But the book collecting is fairly random apart from a couple of areas of interest, but even these aren’t collected fanatically.

If you could make one ice cream flavor, what would the ingredients be and what would be the name?
1. Avocado. If it could be made green enough then call it “Green Slime”.
2. Grapefruit, Clementine and Lime. “Citrus Burst”

What can’t you go a day without?
Sleep. Lots of sleep.

What position do you sleep in? [back, right side, left side, stomach …]
Difficult one. I prefer to sleep on my stomach and I usually (until recently) used to go to sleep on the right side of my front. But I need to (re)train myself to sleep on my back or side — I have Obstructive Sleep Apnoea which means I need a CPAP machine and mask at night, and sleeping on my front disturbs the seal between mask and face.

What is your typical morning routine before work?
Wake up. Try to ignore the day. Eventually get up. Shave (if going in the office), wash and dress. Breakfast (fresh fruit or muesli with fruit juice). Try to remember to take tablets. Work. All condensed into as little time as possible so I get the maximum time in bed. 🙂

[Brought to you courtesy of Friday Five.]

Microbes for Christmas Without Being Ill


So here we are. Just what every Just William schoolboy always wanted. Giant Microbes for Christmas. And you don’t get sick.

Thanks to a top off from Noreen it seems that quite a lot of gift outlets are selling soft toys this Christmas made by Giant Microbes. They have a wonderful array of bugs from Black Death to Syphilis by way of Typhoid and Ebola. They’re a snip at around £6 or $8 each. Just the present for the young science geek.

But there is a serious point to this. The toys are actually made in the shape of the eponymous organism, only around a million times bigger. And they they come with information about the bug they depict. So they do have educational value. And some of them, like E. coli (pictured above), are actually quote cute.

Go have a look at Giant Microbes and give yourself the ‘flu for Christmas! (Well actually maybe not, it’s a nasty pastel apple green colour.)