Surgical Guide To Circumcision

Surgical Guide to Circumcision is a compendium of the who, what, where, why, and most importantly, the how of circumcision. Given that one third of the world’s males have undergone this most ancient of surgical procedures, a contemporary resource on the subject is in order. Most circumcisions are elective with no acute medical necessity; that is, most are done for cultural reasons. Thus, in addition to being a standard surgical guide for those who perform circumcision, this book is an anthology of circumcision, from its prehistoric roots to its present day admixture of religion, culture, and medicine. Surgical Guide to Circumcision is a fully illustrated, step-by-step guide to the most common techniques of circumcision and addresses aspects such as informed consent, religious and cultural sensitivities, pre-exam, post-care, pain control, and prevention and management of potential complications. Written by experts in the field, Surgical Guide to Circumcision will appeal to family physicians, pediatricians, obstetricians, midwives, nurses, urologist, and anyone with a general interest in circumcision.

In the eighteenth century, the Western world viewed circumcision as an embarrassing disfigurement peculiar to Jews. A century later, British doctors urged parents to circumcise their sons as a routine precaution against every imaginable sexual dysfunction, from syphilis and phimosis to masturbation and bed-wetting. Thirty years later the procedure again came under hostile scrutiny, culminating in its disappearance during the 1960s. Why Britain adopted a practice it had traditionally abhorred and then abandoned it after only two generations is the subject of A Surgical Temptation. Robert Darby reveals that circumcision has always been related to the question of how to control male sexuality. This study explores the process by which the male genitals, and the foreskin especially, were pathologized, while offering glimpses into the lives of such figures as James Boswell, John Maynard Keynes, and W. H. Auden. Examining the development of knowledge about genital anatomy, concepts of health, sexual morality, the rise of the medical profession, and the nature of disease, Darby shows how these factors transformed attitudes toward the male body and its management and played a vital role in the emergence of modern medicine.

Although circumcision is the number one surgical procedure, up to date information on this controversial subject is hard to find. All too often juried studies and peer review have been replaced with hysteria and hype delivered by lay ?experts? lacking medical credentials. Now Ed Schoen, M.D., chair of an American Society of Pediatrics Study Group on Circumcision and Clinical Professor of Pediatrics at the University of California, San Francisco, offers straightforward answers to questions about this vital newborn health issue. Drawing on the latest research findings, Schoen presents the facts parents and practitioners need to know to make an informed decision on circumcision. Dr. Edgar Schoen's new book is a fair, honest and insightful account of the extensive health benefits of this simple procedure. It is so good to have an authoritative book like this to turn to."-Dr. Brian J. MorrisSchool of Medical SciencesUniversity of Sydney"It is a delight to read a comprehensive overview of circumcision unfettered by emotional testimonials or zealous diatribes."Tom Wiswell, MDNeonatalogist and Medical Researcher"An honest, informative review of circumcision by one of the wrold's leading authorities that will help anyone who is open-minded wade through the sea of disinformation to reach the truth."Samual A. Kunin, MD, FACSAuthor of Circumcision: Its Pace in Judaism, Past and Present"Dr. Schoen does a terrific job of telling the 'Circumcision Story from a fresh perspective."Thomas Snyder, MDRetired Chief of Urology, Kaiser Medical Center, Martinez, CA."Avoiding medical jargon and obscure technical terms, this book attempts to rise above the high emotional pitch surrounding this practice. I recommend it to any expecting parent or famly physician."Robert D. Bailey, PhD, MPHProfessor of Epidemiology, School of Public HealthUniversity of Illinois at Chicago

Guide to Pediatric Urology and Surgery in Clinical Practice addresses the surgical and urological problems in children that may be encountered in the primary care clinic. Divided into two sections on urology and surgery, the chapters give a synopsis of a particular condition, its management in primary care, indications for referral and timing of referral. Complications of a particular procedure and its management if presenting to primary care is also discussed. The book is illustrated throughout and key points are provided at the beginning of each chapter for quick and easy reference. A concise assemblage of all those pediatric surgical and urological conditions commonly encountered in primary care, this book provides a quick reference guide for use in clinical practice.

Acknowledging the fact that hypospadiology has become a true subspecialty, this unique book highlights and explores current philosophy and different principles and techniques of hypospadias repair. It offers an excellent practical guide to all surgeons involved in the management of this common, but troublesome disease. The aim is to help interested surgeons to develop vision, philosophy and talent rather than just enumerate techniques. It is well illustrated with ample colour diagrams and photographs of various operations together with many technical tips. All surgeons in training will benefit by reading this book in preparing for their higher examinations and their surgical training. There is a wide diversity of opinions, and a large number of operations have been described. Here, the team of world class authors present an expert overview on the management of this condition.

Surgery inevitably inflicts some harm on the body. At the very least, it damages the tissue that is cut. These harms often are clearly outweighed by the overall benefits to the patient. However, where the benefits do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery. When, if ever, do the benefits of these surgeries outweigh their costs? May a surgeon perform dangerous procedures that are not clearly to the patient's benefit, even if the patient consents to them? May a surgeon perform any surgery on a minor patient if there are no clear benefits to that child? These and other related questions are the core themes of this collection of essays.