The Importance Of Circumcision In Indonesia

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9. Background
Many countries practice circumcision, including Indonesia. The reason encourage this procedure could be medical, cultural, religion, and others. In December 2006, WHO estimated >50% of male population got circumcised In Indonesia where it is usually done in childhood particularly in between age 1-11 years old.1 Previously, the preputial skin is discarded in circumcision. However, nowadays it can be use as a skin graft for example following burns.2
Recently, pluripotent stem cell has been found in the preputial skin using Oct4 expression (usually the prepuce is discarded).3 Stem cell, a major discussion these past few years, is believed to be the key of future medicine, for instance stem cell is thought to help degenerative …show more content…

In fact, it is also one of the oldest and most popular procedures in the world, WHO stated that one third of males are circumcised. Males from wide range of ages undergo this procedure; for examples, in the United States of America, majority of people get circumcised in the neonates period, some section of Asia including the Middle East perform circumcision to young boys, and parts of Africa perform this procedure when patients has reached their teenage years. The benefits of practising circumcision in young age are lower complication risk, faster healing time, and less expense. Although, due to some reason (religious, cultural, and wanting their child to give his/her own consent) circumcision is done at older age. The reason for the booming interest in circumcision could be medical reason (reducing risk of infection by HIV), social, religious, and cultural background. Unfortunately, the circumcision providers in Indonesia are sometimes not medically …show more content…

The circumcision complications are infrequent; the median frequency is 1.5% (the most reported being haemorrhage and infection). On top of that, the severe adverse effects are found to be none until rare.1 However, Frisch and Simonsen’s controversial study in Denmark (2015) found that early childhood surgery (circumcision) might increase the risk of getting ASD (Autism Spectrum Disorder).6
Some parts or the entire penis’ foreskin is removed in circumcision. Foreskin/prepuce is the skin extending from the penis’ shaft and covering the glans and urethral meatus. The development of penis intrauterine causes a fusion between the stratified squamous epithelium of the prepuce and glans penis. These squamous cells keratinize, and later will degenerate causing a split, which further separates both of the epithelium. In neonates, the separation of the epithelium is usually unfinished causing the circumcision provider to separate it during the

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