The Strong Protective Effect of Circumcision against Cancer of the Penis

Male circumcision protects against cancer of the penis, the invasive form of which is a devastating disease confined almost exclusively to uncircumcised men. Major etiological factors are phimosis, balanitis, and high-risk types of human papillomavirus (HPV), which are more prevalent in the glans pe...

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Main Authors: Brian J. Morris, Ronald H. Gray, Xavier Castellsague, F. Xavier Bosch, Daniel T. Halperin, Jake H. Waskett, Catherine A. Hankins
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2011/812368
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author Brian J. Morris
Ronald H. Gray
Xavier Castellsague
F. Xavier Bosch
Daniel T. Halperin
Jake H. Waskett
Catherine A. Hankins
author_facet Brian J. Morris
Ronald H. Gray
Xavier Castellsague
F. Xavier Bosch
Daniel T. Halperin
Jake H. Waskett
Catherine A. Hankins
author_sort Brian J. Morris
collection DOAJ
description Male circumcision protects against cancer of the penis, the invasive form of which is a devastating disease confined almost exclusively to uncircumcised men. Major etiological factors are phimosis, balanitis, and high-risk types of human papillomavirus (HPV), which are more prevalent in the glans penis and coronal sulcus covered by the foreskin, as well as on the penile shaft, of uncircumcised men. Circumcised men clear HPV infections more quickly. Phimosis (a constricted foreskin opening impeding the passage of urine) is confined to uncircumcised men, in whom balanitis (affecting 10%) is more common than in circumcised men. Each is strongly associated with risk of penile cancer. These findings have led to calls for promotion of male circumcision, especially in infancy, to help reduce the global burden of penile cancer. Even more relevant globally is protection from cervical cancer, which is 10-times more common, being much higher in women with uncircumcised male partners. Male circumcision also provides indirect protection against various other infections in women, along with direct protection for men from a number of genital tract infections, including HIV. Given that adverse consequences of medical male circumcision, especially when performed in infancy, are rare, this simple prophylactic procedure should be promoted.
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spelling doaj-art-9b22f589d5e4405b81b271b74b5e3fc22025-02-03T01:32:14ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/812368812368The Strong Protective Effect of Circumcision against Cancer of the PenisBrian J. Morris0Ronald H. Gray1Xavier Castellsague2F. Xavier Bosch3Daniel T. Halperin4Jake H. Waskett5Catherine A. Hankins6School of Medical Sciences and Bosch Institute, Sydney Medical School, The University of Sydney, Sydney, NSW 2006, AustraliaPopulation and Family Planning, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USAInstitut Català d'Oncologia (ICO), IDIBELL, CIBERESP, RTICC, 08908 L'Hospitalet de Llobregat, Catalonia, SpainInstitut Català d'Oncologia (ICO), IDIBELL, CIBERESP, RTICC, 08908 L'Hospitalet de Llobregat, Catalonia, SpainDepartment of Global Health and Population, Harvard School of Public Health, Boston, MA 02115, USACircumcision Independent Reference and Commentary Service, Radcliffe, Manchester M261JR, UKJoint United Nations Programme on HIV/AIDS, 1211 Geneva, SwitzerlandMale circumcision protects against cancer of the penis, the invasive form of which is a devastating disease confined almost exclusively to uncircumcised men. Major etiological factors are phimosis, balanitis, and high-risk types of human papillomavirus (HPV), which are more prevalent in the glans penis and coronal sulcus covered by the foreskin, as well as on the penile shaft, of uncircumcised men. Circumcised men clear HPV infections more quickly. Phimosis (a constricted foreskin opening impeding the passage of urine) is confined to uncircumcised men, in whom balanitis (affecting 10%) is more common than in circumcised men. Each is strongly associated with risk of penile cancer. These findings have led to calls for promotion of male circumcision, especially in infancy, to help reduce the global burden of penile cancer. Even more relevant globally is protection from cervical cancer, which is 10-times more common, being much higher in women with uncircumcised male partners. Male circumcision also provides indirect protection against various other infections in women, along with direct protection for men from a number of genital tract infections, including HIV. Given that adverse consequences of medical male circumcision, especially when performed in infancy, are rare, this simple prophylactic procedure should be promoted.http://dx.doi.org/10.1155/2011/812368
spellingShingle Brian J. Morris
Ronald H. Gray
Xavier Castellsague
F. Xavier Bosch
Daniel T. Halperin
Jake H. Waskett
Catherine A. Hankins
The Strong Protective Effect of Circumcision against Cancer of the Penis
Advances in Urology
title The Strong Protective Effect of Circumcision against Cancer of the Penis
title_full The Strong Protective Effect of Circumcision against Cancer of the Penis
title_fullStr The Strong Protective Effect of Circumcision against Cancer of the Penis
title_full_unstemmed The Strong Protective Effect of Circumcision against Cancer of the Penis
title_short The Strong Protective Effect of Circumcision against Cancer of the Penis
title_sort strong protective effect of circumcision against cancer of the penis
url http://dx.doi.org/10.1155/2011/812368
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