Assaulted and Mutilated

A Personal Account of Circumcision Trauma
  • Shane E. Peterson
Chapter

Abstract

The excessive removal of skin and mucosa is one of the most common complications of neonatal circumcision, yet the true frequency of this complication and its adverse effects on physical and psychological development has not been adequately documented. A personal account is presented of the lifelong trauma associated with a routine neonatal circumcision in which almost all penile shaft skin was removed in addition to the preputial skin and mucosa. The trauma of this iatrogenic injury exerted a negative effect on physical and psychological development, including sexuality, perceived place in society, and career. Reconstructive surgery to resolve the physical injury yielded disappointing results. Partial resolution of the psychological trauma has been achieved through a combination of ongoing counseling, successful litigation, and an emphasis by the victim on public education in regard to the detrimental effects of routine neonatal circumcision.

Keywords

Male Circumcision Female Genital Mutilation Compression Bandage Penile Skin Australian Medical Association 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Szabo R, Short RV. How does male circumcision protect against HIV infection? BMJ 2000;320(7249): 1592–4.PubMedCrossRefGoogle Scholar
  2. 2.
    Kanawati N, Hassan A. The Teti Cemetery at Saqqara. vol. II. The Tomb of Ankhmahor. The Australian Centre for Egyptology: Reports 9. Warminster: Aris & Phillips Ltd. 1997. pp. 49–50.Google Scholar
  3. 3.
    Bailey E. Circumcision in ancient Egypt. The Bulletin of the Australian Centre for Egyptology. 1996; 7:15–28.Google Scholar
  4. 4.
    Roth AM. Egyptian Phyles in the Old Kingdom: The Evolution of a System of Social Organization. Chicago: Oriental Institute of the University of Chicago; 1991. pp. 62–75.Google Scholar
  5. 5.
    Spiegelman M. The circumcision scene in the tomb of Ankhmahor: the first record of emergency surgery. The Bulletin of the Australian Centre for Egyptology 1997;8:91–100.Google Scholar
  6. 6.
    See the discussion in: Hodges FM. The ideal prepuce in ancient Greece and Rome: male genital aesthetics and their relation to lipodermos, circumcision, foreskin restoration, and the kynodesmē. Bulletin of the History of Medicine 2001;75:375–405.PubMedCrossRefGoogle Scholar
  7. 7.
    Duckett JW. The neonatal circumcision debate. In: King LR, editor. Urologic Surgery in Neonates & Young Infants. Philadelphia: Saunders; 1988. pp. 291–9.Google Scholar
  8. 8.
    Broecker BH. Circumcision. In: Glen JE, Graham SD, Boyce WH, Turner-Warnick R, Brendler CB, et al., editors. Urologic Surgery. Philadelphia: Lippincott; 1991. pp. 841–4.Google Scholar
  9. 9.
    Clark P. On the penis. In: Operations in Urology. New York: Churchill Livingstone; 1985. pp. 107–112. [here, p. 111.]Google Scholar
  10. 10.
    Kaplan GW. Complications of circumcision. Urol Clin North Am 1983;10(3):543–9.PubMedGoogle Scholar
  11. 11.
    Redman JF. Rare penile anomalies presenting with complication of circumcision. Urology 1988;32(2):130–2.PubMedCrossRefGoogle Scholar
  12. 12.
    Wiswell TE, Geschke DW. Risks from circumcision during the first month of life compared with those for uncircumcised boys. Pediatrics 1989;83(6):1011–5.PubMedGoogle Scholar
  13. 13.
    Berman W. Letter: Urinary retention due to ritual circumcision. Pediatrics 1975;56(4):621.PubMedGoogle Scholar
  14. 14.
    Bennett HJ, Weissman M. Circumcisions: knowledge isn’t enough. Pediatrics 1981;68(5):750.PubMedGoogle Scholar
  15. 15.
    Ritchey ML, Bloom DA. Re: Skin bridge-a complication of paediatric circumcision. Br J Urol 1991;68(3):331.PubMedGoogle Scholar
  16. 16.
    Talarico RD, Jasaitis JE. Concealed penis: a complication of neonatal circumcision. J Urol 1973;110(6):732–3.PubMedGoogle Scholar
  17. 17.
    Sussman SJ, Schiller RP, Shashikumar VL. Fournier’s syndrome. Report of three cases and review of the literature. Am J Dis Child 1978;132(12):1189–91.PubMedGoogle Scholar
  18. 18.
    Menahem S. Complications arising from ritual circumcision: pathogenesis and possible prevention. Isr J Med Sci 1981;17(1):45–8.PubMedGoogle Scholar
  19. 19.
    Kaplan GW. Circumcision — an overview. Curr Probl Pediatr 1977;7(5):1–33.PubMedGoogle Scholar
  20. 20.
    Kaplan GW. Circumcision — an overview. Curr Probl Pediatr 1977;7(5):1–33.PubMedGoogle Scholar
  21. 21.
    Lackey JT, Mannion RA, Kerr JE. Urethral fistula following circumcision. Jama 1968;206(10):2318.Google Scholar
  22. 22.
    Limaye RD, Hancock RA. Penile urethral fistula as a complication of circumcision. J Pediatr 1968;72(1):105–6.PubMedCrossRefGoogle Scholar
  23. 23.
    Redman JF. Rare penile anomalies presenting with complication of circumcision. Urology 1988;32(2):130–2.PubMedCrossRefGoogle Scholar
  24. 24.
    McGowan AJ. A complication of circumcision. JAMA 1969;207(11):2104–5.PubMedCrossRefGoogle Scholar
  25. 25.
    Vyas PR, Roth DR, Perlmutter AD. Experience with free grafts in urethral reconstruction. J Urol 1987;137(3):471–4.PubMedGoogle Scholar
  26. 26.
    Hanash KA. Plastic reconstruction of partially amputated penis at circumcision. Urology 1981;18(3):291–3.PubMedCrossRefGoogle Scholar
  27. 27.
    Palmer JM, Link D. Impotence following anesthesia for elective circumcision. JAMA 1979;241(24):2635–6.PubMedCrossRefGoogle Scholar
  28. 28.
    Ball JR, Grounds AD. Head injury, hypopituitarism and paranoid psychosis: Circumcision for the “Singapore virus”. Med J Aust 1974;2(11):403–5.PubMedGoogle Scholar
  29. 29.
    Flaherty JA. Circumcision and schizophrenia. J Clin Psychiatry 1980;41(3):96–8.PubMedGoogle Scholar
  30. 30.
    Rosefsky JB. Glans necrosis as a complication of circumcision. Pediatrics 1967;39(5):774–6.PubMedGoogle Scholar
  31. 31.
    Sterenberg N, Golan J, Ben-Hur N. Necrosis of the glans penis following neonatal circumcision. Plast Reconstr Surg 1981;68(2):237–9.PubMedCrossRefGoogle Scholar
  32. 32.
    St Margaret’s Hospital for Women (Sydney) vs McKibben. Hearing before the Supreme Court of New South Wales, Court of Appeal. BC8701368. 14 May 1987.Google Scholar
  33. 33.
    Gearhart JP, Rock JA. Total ablation of the penis after circumcision with electrocautery: a method of management and long-term followup. J Urol 1989;142(3):799–801.PubMedGoogle Scholar
  34. 34.
    Hanash KA. Plastic reconstruction of partially amputated penis at circumcision. Urology 1981;18(3):291–3.PubMedCrossRefGoogle Scholar
  35. 35.
    Izzidien AY. Successful replantation of a traumatically amputated penis in a neonate. J Pediatr Surg 1981;16(2):202–3.PubMedCrossRefGoogle Scholar
  36. 36.
    Gairdner DM. The fate of the foreskin: A study of circumcision. BMJ 1949;2:1433–7.PubMedCrossRefGoogle Scholar
  37. 37.
    Gee WF, Ansell JS. Neonatal circumcision: a ten-year overview: with comparison of the Gomco clamp and the Plastibell device. Pediatrics 1976;58(6):824–7.PubMedGoogle Scholar
  38. 38.
    Gearhart JP, Rock JA. Total ablation of the penis after circumcision with electrocautery: a method of management and long-term followup. J Urol 1989;142(3):799–801.PubMedGoogle Scholar
  39. 39.
    Money J. Ablatio penis: normal male infant sex-reassigned as a girl. Arch Sex Behav 1975;4(1):65–71.PubMedCrossRefGoogle Scholar
  40. 40.
    Diamond M, Sigmundson K. Sex Reassignment at Birth: Long-term Review and Clinical Implications. Arch Pediatr Adolesc Med 1997;151(3):298–304.PubMedCrossRefGoogle Scholar
  41. 41.
    Patel H. The problem of routine circumcision. Can Med Assoc J 1966;95(11):576–81.PubMedGoogle Scholar
  42. 42.
    Gee WF, Ansell JS. Neonatal circumcision: a ten-year overview: with comparison of the Gomco clamp and the Plastibell device. Pediatrics 1976;58(6):824–7.PubMedGoogle Scholar
  43. 43.
    Clark P. On the penis. In: Operations in Urology. New York. Churchill Livingstone; 1985. pp. 107–112. [here, p. 111.]Google Scholar
  44. 44.
    Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized mucosa of the penis and its loss to circumcision. Br J Urol 1996;77(2):291–5.PubMedCrossRefGoogle Scholar
  45. 45.
    Jordan GH. Grafts and flaps in urology. In: Glen JE, Graham SD, Boyce WH, Turner-Warnick R, Brendler CB, et al., editors. Urologic Surgery. Philadelphia. Lippincott; 1991. pp. 1085–97.Google Scholar
  46. 46.
    Jordan GH, Schlossberg SM, Devine CJ. Surgery of the penis and urethra. In: Walsh PC, Retick AB, Vaughan ED, Wein AJ. Campbell’s Urology, 4 vols., 7th ed. Philadelphia: W.B. Saunders; 1998. vol. 2. pp. 3316–33.Google Scholar
  47. 47.
    Jordan GH, Schlossberg SM, Devine CJ. Surgery of the penis and urethra. In: Walsh PC, Retick AB, Vaughan ED, Wein AJ. Campbell’s Urology, 4 vols., 7th ed. Philadelphia: W.B. Saunders; 1998. vol. 2. pp. 3316–33.Google Scholar
  48. 48.
    Hermans MH. Duoderm E in the treatment of donor sites: a report. Annals of the MBC 1990;3(3):166–9. [September 1990]Google Scholar
  49. 49.
    Stanley D. Shane’s circumcision nightmare: I wish I’d never been born. Woman’s Day (Sydney, Australia), (1 May 2000): pp. 24–5.Google Scholar
  50. 50.
    A report to the Attorney-General prepared by the Family Law Council. Sterilisation and Other Medical Procedures on Children. Commonwealth of Australia 1994.Google Scholar
  51. 51.
    Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized mucosa of the penis and its loss to circumcision. Br J Urol 1996;77(2):291–5.PubMedCrossRefGoogle Scholar
  52. 52.
    Siegel-Itzkovich J. Baby’s penis reattached after botched circumcision. BMJ 2000;321(7260):529. [2 September 2000]PubMedCrossRefGoogle Scholar
  53. 53.
    Siegel-Itzkovich J. Israel’s health ministry ends circumcisers’ monopoly. BMJ 2001;322(7277):10. [6 January 2001]CrossRefGoogle Scholar
  54. 54.
    Weiss GN, Weiss EB. A perspective on controversies over neonatal circumcision. Clin Pediatr (Phila) 1994;33(12):726–30.CrossRefGoogle Scholar
  55. 55.
    Taddio A, Pollock N, Gilbert-MacLeond C, Ohlsson K, et al. Combined analgesia and local anesthesia to minimize pain during circumcision. Arch Pediatr Adolesc Med 2000;154(6):620–3.PubMedGoogle Scholar
  56. 56.
    Anand KJ, Hickey PR. Pain and its effects in the human neonate and fetus. N Engl J Med 1987;317(21):1321–9. [19 November 1987]PubMedCrossRefGoogle Scholar
  57. 57.
    Rickwood AM, Kenny SE, Donnell SC. Towards evidence based circumcision of English boys: survey of trends in practice. BMJ 2000;321(7264):792–3. [30 September 2000]CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Shane E. Peterson
    • 1
  1. 1.John Curtin School of Medical ResearchAustralian National UniversityAustralia

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