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Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis

The claim that circumcision reduces the risk of sexually transmitted infections has been repeated so frequently that many believe it is true. A systematic review and meta-analyses were performed on studies of genital discharge syndrome versus genital ulcerative disease, genital discharge syndrome, n...

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Autor principal: Van Howe, Robert S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3654279/
https://www.ncbi.nlm.nih.gov/pubmed/23710368
http://dx.doi.org/10.1155/2013/109846
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author Van Howe, Robert S.
author_facet Van Howe, Robert S.
author_sort Van Howe, Robert S.
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description The claim that circumcision reduces the risk of sexually transmitted infections has been repeated so frequently that many believe it is true. A systematic review and meta-analyses were performed on studies of genital discharge syndrome versus genital ulcerative disease, genital discharge syndrome, nonspecific urethritis, gonorrhea, chlamydia, genital ulcerative disease, chancroid, syphilis, herpes simplex virus, human papillomavirus, and contracting a sexually transmitted infection of any type. Chlamydia, gonorrhea, genital herpes, and human papillomavirus are not significantly impacted by circumcision. Syphilis showed mixed results with studies of prevalence suggesting intact men were at great risk and studies of incidence suggesting the opposite. Intact men appear to be of greater risk for genital ulcerative disease while at lower risk for genital discharge syndrome, nonspecific urethritis, genital warts, and the overall risk of any sexually transmitted infection. In studies of general populations, there is no clear or consistent positive impact of circumcision on the risk of individual sexually transmitted infections. Consequently, the prevention of sexually transmitted infections cannot rationally be interpreted as a benefit of circumcision, and any policy of circumcision for the general population to prevent sexually transmitted infections is not supported by the evidence in the medical literature.
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spelling pubmed-36542792013-05-24 Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis Van Howe, Robert S. ISRN Urol Review Article The claim that circumcision reduces the risk of sexually transmitted infections has been repeated so frequently that many believe it is true. A systematic review and meta-analyses were performed on studies of genital discharge syndrome versus genital ulcerative disease, genital discharge syndrome, nonspecific urethritis, gonorrhea, chlamydia, genital ulcerative disease, chancroid, syphilis, herpes simplex virus, human papillomavirus, and contracting a sexually transmitted infection of any type. Chlamydia, gonorrhea, genital herpes, and human papillomavirus are not significantly impacted by circumcision. Syphilis showed mixed results with studies of prevalence suggesting intact men were at great risk and studies of incidence suggesting the opposite. Intact men appear to be of greater risk for genital ulcerative disease while at lower risk for genital discharge syndrome, nonspecific urethritis, genital warts, and the overall risk of any sexually transmitted infection. In studies of general populations, there is no clear or consistent positive impact of circumcision on the risk of individual sexually transmitted infections. Consequently, the prevention of sexually transmitted infections cannot rationally be interpreted as a benefit of circumcision, and any policy of circumcision for the general population to prevent sexually transmitted infections is not supported by the evidence in the medical literature. Hindawi Publishing Corporation 2013-04-16 /pmc/articles/PMC3654279/ /pubmed/23710368 http://dx.doi.org/10.1155/2013/109846 Text en Copyright © 2013 Robert S. Van Howe. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Van Howe, Robert S.
Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis
title Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis
title_full Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis
title_fullStr Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis
title_full_unstemmed Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis
title_short Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis
title_sort sexually transmitted infections and male circumcision: a systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3654279/
https://www.ncbi.nlm.nih.gov/pubmed/23710368
http://dx.doi.org/10.1155/2013/109846
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