Surgical Guide to Circumcision PDF
Preview Surgical Guide to Circumcision
Surgical Guide to Circumcision David A. Bolnick (cid:129) Martin Koyle Assaf Yosha Editors Surgical Guide to Circumcision Editors David A. Bolnick, Ph.D. Assaf Yosha, M.D. Department of Urology Department of Family Medicine University of Washington – Seattle University of Rochester Children’s Hospital Rochester, NY Seattle, WA USA USA Martin Koyle, M.D. Department of Surgery University of Toronto Toronto, ON Canada Department of Pediatric Urology Hospital for Sick Children Toronto, ON Canada ISBN 978-1-4471-2857-1 ISBN 978-1-4471-2858-8 (eBook) DOI 10.1007/978-1-4471-2858-8 Springer Dordrecht Heidelberg New York London Library of Congress Control Number: 2012939624 © Springer-Verlag London 2012 This work is subject to copyright. 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Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Foreword This volume is being written at the same time as the independent production of statements by both the American Academy of Pediatrics and the Center for Disease Control regarding circumcision, its ef fi cacy, and advisability. I fi rst became embroiled in the circumcision debate in 1971 when I was interviewed by a reporter from the Chicago Tribune following the report of the Task Force of the AAP that stated “there is no medical indication for routine circumci- sion.” Shortly thereafter I was asked to write a monograph about circumci- sion, its methodology, and complications. The research that I did in preparing that piece convinced me that there probably is no procedure that has produced as much emotion and rhetoric as circumcision. Twenty fi ve years later I was appointed a member of the AAP Task Force on Circumcision that produced its report in 1999. By then, there was some evidence that urinary infections in infants were less frequent after circumci- sion and that penile cancer was less frequent as well. For that reason the state- ment that was prepared did not recommend routine circumcision nor did it condemn newborn circumcision. However, the rhetoric that surrounded those deliberations and even more vociferously following the report is, in my opin- ion, truly astounding. Since that time there is solid evidence that the incidence of HIV infections, other sexually transmitted diseases, and human papilloma virus carriage rates are all substantially reduced after circumcision. Is that reason enough to rec- ommend routine newborn circumcision? For those who are strongly opposed to circumcision whether for cultural reasons, xenophobic reasons, fi nancial reasons, or blind bias, I am sure the answer will be a resounding NO! Because there is increased evidence that circumcision does provide some small but de fi nite health advantages, the debate will continue. This volume has attempted to produce a balanced view of the subject. The chapter authors have been prominent on both sides of the debate. Only time will tell whether this volume will help to settle the ongoing arguments or perhaps only further stoke the fi res of passion and debate. CA , USA George Kaplan , M.D. v About the Authors Award, seven Telly Awards, California Governor’s Media Access Award, Easter Seals’ Special EDI Award, two Aurora Awards, AEGIS Award of Excellence, and many others. From 1973, Bolnick’s early research interest was in coronary artery fl ow dynamics followed by vision and reti- nal physiology. In 1984 he completed his Ph.D. in physiology with a focus on photoreceptor physiology at the University of California, Davis. From 1984 to 1988 Dr. Bolnick undertook post- doctoral studies in photoreceptor membrane bio- physics at the University of California, San Francisco. Bolnick switched from basic research to computers/software and in 1990 took a posi- tion at Microsoft for the following 10 years. There he designed software, helped redesign software for use by people with disabilities, served on federal committees on accessible technology compliance, and testi fi ed before the US Senate, the US House of Representatives, and the Federal Communications Commission on accessible technology for people with dis- David A. Bolnick abilities. Currently, Dr. Bolnick is co-owner of a small media production company and is direc- Dr. Bolnick is an amalgam of scholar, scientist, tor of its medical media division, M edicoLens. technology design guru, media producer, and com . In addition, he has served the Paci fi c photographer. Bolnick’s contributions have been Northwest Jewish community as a certi fi ed recognized by numerous achievement awards mohel (Jewish ritual circumciser) for nearly a including seven US Patents (most recent, March quarter century. Dr. Bolnick is an af fi liate fac- 2010), United Nations Outstanding Achievement ulty in the Department of Urology, University Award, US Vice President Gore’s Hammer of Washington, Seattle. vii viii About the Authors Seattle Children’s Hospital (2008–2011). During his almost three decades in academic urology, Dr. Koyle has been known for his multiple inno- vations and contributions to the fi elds of pediatric urology and transplantation. He was the fi rst to publish on laparoscopic nephrectomy in infants, introduced the MACE (Malone Antegrade Continence Enema), the Bianchi technique (single incision orchidopexy), and the Bracka hypospadias repair to North America, and also one of the fi rst surgeons to gain experience in the tubularized incised urethral plate hypospadias repair (Snodgrass technique) and to demonstrate its applicability beyond North America to Europe and Asia. He invented and patented the Koyle stent (Cook Inc), which is used around the world for hypospadias and urethral surgery. To date, he has contributed over 200 major publications and chapters to the literature. Recently he has been a co-editor to the textbooks, P ediatric Urology – Surgical Complications and Management and Guide to Martin Koyle Pediatric Urology and Surgery in Clinical Practice . He is Associate Editor of D ialogues in Martin Koyle is a pediatric urologist, currently Pediatric Urology and serves on the editorial living in Toronto, Canada. There he serves as boards of P ediatric Surgery International and the Professor of Surgery and Program Director, Journal of Pediatric Urology . Dr. Koyle is past Pediatric Urology at the University of Toronto president of the Rocky Mountain Urology and the Hospital for Sick Children. After grow- Society, the Society for Pediatric Urology, and ing up in Canada where he received his medical the American Association of Pediatric Urologists. degree (1976), he trained in surgery at Los He is a Fellow of the American College of Angeles County+USC Medical Center and in Surgeons, Fellow of the American Academy of urology at Harvard Program centered at the Pediatrics, and Fellow of the Society for Pediatric Brigham and Women’s Hospital in Boston Urology. In January, 2010, he was elected “on (1980–1984). He then advanced through aca- merit” as Fellow of the Royal College of Surgeons demic posts at UCLA (1984–1989), University for his contributions to urology, pediatric surgery, of Colorado, and The Children’s Hospital (1989– and pediatric urology internationally, and in par- 2008), and the University of Washington and ticular in the British Isles. About the Authors ix He is skilled in operative obstetrics and cares for common high risk perinatal conditions. His focus throughout his career has been to provide inner- city underserved residents access to quality healthcare. Dr. Yosha attended Albany Medical College and in 2005 completed his Family Medicine training at NY-Presbyterian Hospital, Columbia . He then spent a year working in tan- dem with his wife in rural New Zealand and at Indian Health Service facilities in America. In 2007 Dr. Yosha completed an Obstetrics Fellowship training program for family physi- cians in Seattle, WA, where he established a cir- cumcision clinic which included resident physician training. Now, as a Senior Instructor at the University of Rochester, in the Highland Family Medicine Department, Dr. Yosha teaches residents in the three common circumcision tech- Assaf Yosha niques. Besides good technique and cosmetic out- come, he is always aiming to perform and teach a painless procedure with minimal anxiety to the Dr. Assaf Yosha is known for his emphasis on parents. Dr. Yosha also serves the greater patient and community centered care. He is a fam- Rochester region as a mohel to reform and con- ily physician at the Woodward Health Center, a servative families. In his spare time he enjoys run- Community Health Center that is part of the ning, watching fi lms, and spending time with his Anthony Jordan Health Center in Rochester, NY. wife and young daughters.
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