HAEMOPHELIA & CIRCUMCISION

"Haemophelia is an absolute contraindication with conventional circumcision.."


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Why adult men are getting circumcised

adult002Men who want to get circumcised, particularly when it’s not deemed to be medically necessary, have dwindling options as fewer hospitals and clinics in Malaysia offer the service of conventional circumcision.
                                                                                                                                                    
More men are being circumcised at a Adult Circumcision  specialty clinic for reasons that include religious identification, improved hygiene, sexual performance and esthetics. The main attraction at our centre is the unique “Non Surgical Technique of Circumcision” where no cut of life skin, no blood, no pain, no infection and no down time.
“People are just very appreciative that we offer this,” says Dr. Zul, medical director of Adult Circumcision Clinic . “It can be tough for a lot of guys.”
“We always ask them: Why?” says Dr Zul. “I want to make sure they have a good reason. We’re certainly not out there trying to get people to do it. It’s not something we’re encouraging.”
Most men who show up at the Adult Circumcision Clinic have thought long and hard about their decision and many feel an intense sense of “relief” after it’s over.
Religion is a powerful motivator. For many Jews and Muslims, circumcision is seen as an initiation rite and introduction to the faith, so some men who are converting will seek to have the procedure done.
Dr Zul  notes that his clients have also included Jewish and Muslim men who were never circumcised as babies because they had pressing medical issues that needed to be tended to. But now, as adults, it’s important they have it done to better identify with their faith.
Majority of his clients are Chinase, Indian, Sabahan and Sarawakian male  who are concern about hygiene and health. Some of them is doing it for a specific medical reasons likes phimosis and Balanoposthitis.
According to the World Health Organization, male circumcision is one of the oldest and most common surgical procedures worldwide. About 30 per cent of the world’s male population, aged 15 and older, is circumcised. Most have been snipped for religious reasons: 69 per cent of the world’s circumcised men are Muslim, with an additional 1 per cent belonging to the Jewish faith.
Vanity can factor into decision-making, says Dr Zul, adding “some men think it’ll make them more attractive” — a perception he chalks up to popular culture. Some men will even undergo a second circumcision as an adult if they’re unhappy with the results of the first one.
 
In the United States, where nearly 80 per cent of the men are circumcised, the issue — cut versus uncut, or turtleneck versus crew neck — has surfaced in popular TV shows including Cheers, Seinfeld and South Park.
 
In one episode of Sex and the City, the character Charlotte begins dating a man who, much to her disappointment, is uncircumcised.

“There was so much skin. It was like a Shar-Pei,” she tells her friends, referring to a breed of dog known for its wrinkles. The new beau decides to get circumcised but following the procedure discovers a new sexual prowess and breaks up with her.
“I can’t be tied down. There’s a whole new me happening, I feel like I should get out there and share it,” he tells Charlotte. “I feel like I owe it to myself to take the doggie out for a walk around the block.”
Dr Zul says some men believe being hoodless will boost sexual performance and stop premature ejaculation. And if that’s a client’s main reason for seeking the procedure, he’ll discourage them.
“It’s like rolling the dice. You don’t know what’s going to happen,” he says, adding it can either increase or decrease sensitivity. “Most of the time it’ll probably make (the penis) less sensitive because there’s a lot of nerve endings in the foreskin.”malefemale
Hygiene can also factor into some choices, says Dr Zul. Clients have expressed concern after watching their grandfathers, or other elderly relatives, suffer from urinary incontinence (bladder control) and struggle with personal hygiene to the point of needing a caregiver to help them keep their foreskin clean. Those men figure that a circumcision now will spare some them some grief in their later years.
There are, however, areas in the world, namely in Africa, where low rates of circumcision are on the rise. Medical trials conducted in South Africa, Uganda and Kenya suggested that being cut could actually decrease heterosexually transmitted HIV by about 60 per cent. That prompted the World Health Organization and the Joint United Nations Programme on HIV/AIDS to recommend in 2007 that male circumcision be carried out in countries where there’s an epidemic and low incidence of circumcision.
Thirteen nations were identified: Botswana, Kenya, Lesotho, Malawi, Mozambique, Namibia, Rwanda, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. Estimates suggest if they can ramp up adult medical male circumcision to reach 80 per cent of males aged 15 to 49 by 2015, and maintain those levels until 2025, about 4 million HIV infections could be averted, with a total cost savings of about $20 billion.

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Clamp Method

Circumcised Men Take Longer to Reach Ejaculation, but That May Be OK

Adult circumcision affects a guy's sexual performance -- but not in a bad way, according to a new study.

Circumcised men take longer to reach ejaculation, which can be viewed as "an advantage, rather than a 

complication," writes lead researcher Temucin Senkul

When is Adult Circumcision Necessary

Adult circumcision is not uncommon, though its also not something a doctor will advise unless a man is  

experiencing certain health problems, such as balanoposthitis, inflammation of the head of the penis and 

overlying foreskin, or phimosis, difficulty retracting the foreskin. Both problems are seen more commonly in diabetics, but can occur in any uncircumcised man. They are caused by chronic irritation and scarring and can usually be prevented with careful cleaning beneath the foreskin

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