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Circumcision & Vasectomy Jelena Marinković Mentor: A. Žmegač Horvat 1.

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Presentation on theme: "Circumcision & Vasectomy Jelena Marinković Mentor: A. Žmegač Horvat 1."— Presentation transcript:

1 Circumcision & Vasectomy Jelena Marinković Mentor: A. Žmegač Horvat 1

2 Definition removal of some or all of the foreskin (prepuce) from the male reproductive organ 2

3 History religious sacrifice rite of passage marking a boy's entrance into adulthood form of magic to ensure virility means of suppressing sexual pleasure increasing a man's attractiveness to women aid to hygiene Ancient Egyptian carved scene of circumcision Family circumcision set and trunk, eighteenth century Circumcision being performed in central Asia, (most likely Turkestan) c. 1865-1872 3

4 Cultures and religions commonly practised in the Jewish and Islamic faiths the Catholic Church condemned circumcision as a mortal sin and ordered against its practice Jewish ritual circumcision Illustrated account of the circumcision ceremony of Sultan Ahmed III's three sons Circumcision of Jesus. Illumination from a missal, ca 1460 4

5 Prevalence the proportion of males that are circumcised worldwide vary from one-sixth to a third 70% Muslim most prevalent in the Muslim world, parts of South East Asia, Africa, United States, Philippines, Israel, South Korea 5 Grey = No data; Yellow = 80% prevalence

6 Circumcision procedures in some African countries, male circumcision often performed by non-medical personnel under unsterile conditions in parts of Africa, the foreskin may be dipped in brandy and eaten by the patient, eaten by the circumciser, or fed to animals according to Jewish law the foreskin should be buried after hospital circumcision, the foreskin may be used in biomedical research, consumer skin-care products, skin grafts, or β-interferon-based drugs 6

7 Controversy ethical issues psychological and emotional consequences legal issues Protest against routine infant circumcision Group advocating stopping infant circumcision demonstrates on the U.S. Capitol lawn in Washington, D.C., in March 2008 7

8 Medical aspects medical cost-benefit analyses of circumcision vary pain and pain relief sexual effects complications (0.06% to 55%) sexually transmitted diseases hygiene, infectious and chronic conditions penile cancer 8

9 Vasectomy minor surgical procedure wherein the vasa deferentia of a man are severed, and then tied or sealed in a manner such to prevent sperm from entering the seminal stream first use in 1899 (experiments from 1785) 9

10 Types typically done in outpatient setting no-scalpel method "open-ended" "Vas-Clip" method 10

11 Benefits prevention of pregnancy no need for general anesthesia lower cost compared to other surgical sterilization procedures bleeding with formation of hematoma chronic testicular pain infection failure of the vasectomy to prevent pregnancy (1 in 2000) regret and a desire to reverse the vasectomy formation of a sperm granuloma Risks 11

12 Tubal ligations vs. vasectomy 12

13 Reversal - vasovasostomy effective at achieving pregnancy in only 50%- 70% of cases $7,000 frequently impermanent higher rates of aneuploidy and diploidy in the sperm cells 13

14 in 1976, a huge government campaign for sterilization was launched - responsible for the sterilization of millions of Indian couples 14

15 THE END 15 “Vasectomy means not ever having to say you are sorry” Larry Adler, an American musician

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