In a circumcision, part or all of the foreskin of the penis is removed in an operation. This article explains what circumcision involves, how it is performed, why people choose it and what the advantages and disadvantages are.
What does circumcision mean exactly?
The medical term for the procedure is circumcision. The word comes from the Latin circumcidere, which literally means "to cut around". In Dutch the term 'besnijdenis' is generally used, which means the same thing.
How is a circumcision performed?
A circumcision can be performed in several ways, depending on age, the chosen method and the clinic. Below you can read how the procedure works in broad terms and which techniques are most commonly used.
A general explanation of the procedure
A circumcision is a relatively minor medical procedure that is usually carried out under local anaesthetic. During the procedure the doctor removes the foreskin around the glans, after which the wound is stitched or closed in another way. Healing usually takes one to two weeks, depending on age and the technique used.
Different methods (for example the clamp technique or surgical)
There are several methods for performing a circumcision. At Vatan Kliniek we use two: the classic method and the clamp method.
With the classic method the foreskin is removed by hand and stitched.
With the clamp method we at Vatan Kliniek use our own certified Genco Clamp to carry out the procedure. With the clamp method, a ring or clamp is placed around the part of the foreskin that needs to be removed. This clamp presses the skin together and holds the wound edges closed. The foreskin is then removed safely. As a result, stitches are unnecessary and the wound edge is closed straight away.
Which method is used depends on the patient's individual situation.
Why is a circumcision performed?
There are three main reasons why people choose circumcision: medical, religious and personal. Medically it helps with complaints such as a foreskin that is too tight (phimosis), recurring inflammation or hygiene problems. Religiously, circumcision is an important ritual within Judaism and Islam, where it is often performed at a young age. In addition, some men or parents deliberately choose it for aesthetic, hygienic or sexual reasons.
Circumcision worldwide: how common is it?
Circumcision occurs all over the world, but how often it happens and why differs greatly from country to country and culture to culture. Factors such as religion, tradition and healthcare play a major role in this.
Differences by country or region
How often circumcision is performed varies considerably between countries. In the United States circumcision is fairly common, mainly for hygienic or medical reasons. In Western Europe it is less common and is usually only carried out on medical or religious grounds. In many African and Islamic countries the percentage of circumcised men is very high, often above 80%.
The role of religion, culture and healthcare
Religion and culture play a large part worldwide in how common circumcision is. In countries where Judaism or Islam is widespread, circumcision is part of the norm. Healthcare policy also has an influence: in some countries the procedure is reimbursed or offered as standard, while elsewhere it is discouraged without medical necessity. Social expectations, religious traditions and access to medical care together determine how common circumcision is in a given region.
Conclusion
Circumcision is carried out for a wide range of reasons and is common throughout the world. The choice to have the procedure is often personal and can be medically, religiously or culturally motivated. Which method is most suitable depends on the individual situation. By informing yourself properly about the procedure, the reasons behind it and the possible effects, you can make a considered decision together with a doctor.
