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January 2006 · Vol. 18, No. 1

LETTERS

Circumcision risks are lowest in infancy

Fast Track

“Every week at our hospital, several boys undergo circumcision at their own or their parents’ request”

In his November editorial, “Does male circumcision cut risk of HIV infection?” Dr. Robert L. Barbieri encouraged readers to share their circumcision practices. I tell parents the decision is influenced by many considerations, which include cultural, religious, hygienic, and medical factors, and I explain that the risks are relatively minor when the procedure is performed by a skilled physician. I also point out that every week at the local children’s hospital, several boys undergo circumcision at their own or their parents’ request; these procedures usually involve general anesthesia and carry a greater risk of bleeding and infection than does neonatal circumcision.

Russ Jelsema, MD
Grand Rapids, Mich

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