Current Opinion in Urology

Skip Navigation LinksHome > November 2010 - Volume 20 - Issue 6 > Male circumcision: Africa and beyond?
Current Opinion in Urology:
doi: 10.1097/MOU.0b013e32833f1b21
Andrology, sexual dysfunction and infertility: Edited by Peter N. Schlegel

Male circumcision: Africa and beyond?

Kim, Howard Ha; Li, Philip Sb; Goldstein, Marcb,c

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Purpose of review: Male circumcision has become an important component of HIV prevention strategies in Africa. Results of recent trials have renewed interest in this ancient procedure and its potential application in the reduction of sexually transmitted infections (STIs). With renewed interest comes controversy, which has always been a close companion to circumcision.

Recent findings: Following the three randomized trials in Africa demonstrating the protective effects of male circumcision on HIV infection, studies have reported other benefits of circumcision including protection from certain STIs, including human papillomavirus and herpes simplex virus 2. With data accumulating on the public health benefits of circumcision and the endorsement of circumcision from WHO, investigators have begun to evaluate the feasibility, safety and cost of implementation of large-scale circumcision programs. Limitations of circumcision have also been explored.

Summary: Male circumcision will likely play an important role in HIV/STI prevention programs in Africa; the inclusion of circumcision in the health policy of developed countries will require further investigation.

© 2010 Lippincott Williams & Wilkins, Inc.


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