We critically evaluate arguments in a recent Journal of Law, Medicine & Ethics article by Svoboda, Adler, and Van Howe disputing the 2012 affirmative infant male circumcision policy recommendations of the American Academy of Pediatrics. We provide detailed evidence in explaining why the extensive claims by these opponents are not supported by the current strong scientific evidence. We furthermore show why their legal and ethical arguments are contradicted by a reasonable interpretation of current U.S. and international law and ethics. After all considerations are taken into account it would be logical to conclude that failure to recommend male circumcision early in infancy may be viewed as akin to failure to recommend childhood vaccination to parents. In each case, parental consent is required and the intervention is not compulsory. Our evaluation leads us to dismiss the arguments by Svoboda et al. Instead, based on the evidence, infant male circumcision is both ethical and lawful.

References

1. Svoboda, J.S., Adler, P.W., Van Howe, R.S., “Circumcision Is Unethical and Unlawful,” Journal of Law, Medicine & Ethics 44, no. 2 ( 2016 ): 263 - 282 .

Google Scholar SAGE Journals

2. American Academy of Pediatrics . Task Force on Circumcision, “Circumcision Policy Statement,” Pediatrics 130, no. 3 ( 2012 ): e756 - e785 .

Google Scholar Medline

3. Morris, B.J., Wamai, R.G., Henebeng, E.B., Tobian, A.A. R., Klausner, J.D., Banerjee, J., “Estimation of Country-specific and Global Prevalence of Male Circumcision,” Population Health Metrics 14, article 4 ( 2016 ): 1 - 13 .

Google Scholar Medline

4. Morris, B.J., Wamai, R.G., Krieger, J.N., Banerjee, J., Klausner, J.D., “Male Circumcision to Prevent Syphilis in 1855 and HIV in 1986 is Supported by the Accumulated Scientific Evidence to 2015: Response to Darby,” Global Public Health 12, no. 10 ( 2017 ): 1315 - 1333 .

Google Scholar Medline

5. Kigozi, G., Wawer, M., Ssettuba, A., Kagaayi, J., Nalugoda, F., Watya, S., “Foreskin Surface Area and HIV Acquisition in Rakai, Uganda (size matters),” AIDS 23 ( 2009 ): 2209 - 2213 .

Google Scholar Medline

6. Werker, P.M., Terng, A.S., Kon, M., “The Prepuce Free Flap: Dissection Feasibility Study and Clinical Application of a Super-thin New Flap,” Plastic and Reconstructive Surgery 102, no. 4 ( 1998 ): 1075 - 1082 .

Google Scholar Medline

7. Darwin, C. . The Origin of Species by Means of Natural Selection ( London, UK : John Murray , 1859 ).

Google Scholar

8. Cox, G., Krieger, J.N., Morris, B.J., “Histological Correlates of Penile Sexual Sensation: Does Circumcision Make a Difference? (Systematic review),” Sexual Medicine 3 ( 2015 ): 76 - 85 .

Google Scholar Medline

9. Morris, B.J., Krieger, J.N., “Does Male Circumcision Affect Sexual Function, Sensitivity, or Satisfaction? A Systematic Review,” Journal of Sexual Medicine 10 ( 2013 ): 2644 - 2657 ; Tian, Y., Liu, W., Wang, J.Z., Wazir, R., Yue, X., Wang, K.J., “Effects of Circumcision on Male Sexual Functions: A Systematic Review and Meta-Analysis,” Asian Journal of Andrology 15, no. 5 ( 2013 ): 662 - 666 ; Homfray, V., Tanton, C., Mitchell, K.R., Miller, R.F., Field, N., Macdowall, W., “Examining the Association Between Male Circumcision and Sexual Function: Evidence From a British Probability Survey,” AIDS 29, no. 11 ( 2015 ): 1411 - 1416 .20; Shabanzadeh, D.M., During, S., Frimont-Moller, C., “Male Circumcision Does Not Result in Inferior Perceived Male Sexual Function — A Systematic Review,” Danish Medical Journal 63 ( 2016 ): A5245 .

Google Scholar Medline

10. See Cox et al., supra note 8.

Google Scholar

11. Rappaport, B., Mellon, R.D., Simone, A., Woodcock, J., “Defining Safe Use of Anesthesia in Children,” New England Journal of Medicine 364, no. 15 ( 2011 ): 1387 - 1390 .

Google Scholar Medline

12. Taddio, A., Katz, J., Herisch, A.L., K.G., “Effect of Neonatal Circumcision on Pain Response During Subsequent Routine Vaccination,” Lancet 349 ( 1997 ): 599 - 603 .

Google Scholar Medline

13. Schlosberger, N.M., Turner, R.A., Irwin, C.E.., “Early Adolescent Knowledge and Attitudes About Circumcision: Methods and Implications for Research,” Journal of Adolescent Health 13 ( 1992 ): 293 - 297 .

Google Scholar Medline

14. Calnan, M., Douglas, J.W. B., Goldstein, H., “Tonsillectomy and Circumcision: Comparison of two Cohorts,” International Journal of Epidemiology 7 ( 1978 ): 79 .

Google Scholar Medline

15. Fergusson, D.M., Boden, J.M., Horwood, L.J., “Neonatal circumcision: Effects on Breastfeeding and Outcomes Associated with Breastfeeding,” Journal of Paediatrics and Child Health 44 ( 2008 ): 44 - 49 .

Google Scholar Medline

16. Stenram, A., Malmfors, G., Okmian, L., “Circumcision for Phimosis — Indications and Results,” Acta Paediatrica Scandinavica 75 ( 1986 ): 321 - 323 .

Google Scholar Medline

17. Williams, N., Kapila, L., “Complications of Circumcision.,” British Journal of Surgery 80, no. 3 4 ( 1993 ): 1231 - 1236 ; Moses, S., Bailey, R.C., Ronald, A.R., “Male Circumcision: Assessment of Health Benefits and Risks,” Sexually Transmitted Infections 74 ( 1998 ): 368 - 373 .

Google Scholar Medline

18. McIntosh, N. , “Pain in the Newborn, A Possible New Starting Point,” European Journal of Pediatrics 156 ( 1997 ): 173 - 177 .

Google Scholar Medline

19. Taddio et al., supra note 12; Taddio, A., Stevens, B., Craig, K., Rastogi, P., Bendavid, S., Shennan, A., “Efficacy and Safety of Lidocaine-Prilocaine Cream for Pain During Circumcision,” New England Journal of Medicine 336 ( 1997 ): 1197 - 1201 .

Google Scholar Medline

20. Taddio, A., Pollock, N., Gilbert-Macleod, C., Ohlsson, K., Koren, G., “Combined Analgesia and Local Anesthesia to Minimize Pain During Circumcision,” Archives of Pediatrics and Adolescent Medicine 154 ( 2000 ): 620 - 623 .

Google Scholar Medline

21. Taddio, A., Chambers, C.T., Halperin, S.A., Ipp, M., Lockett, D., Rieder, M.J., “Inadequate Pain Management During Routine Childhood Immunizations: The Nerve of It,” Clinical Therapeutics 31, Suppl 2 ( 2009 ): S152 - S167 ; Taddio, A., Gurguis, M.G., Koren, G., “Lidocaine-prilocaine Cream Versus Tetracaine Gel for Procedural Pain in Children,” Annals of Pharmacotherapy 36 ( 2002 ): 687 - 692 .

Google Scholar Medline

22. Frisch, M., Simonsen, J., “Ritual Circumcision and Risk of Autism Spectrum Disorder in 0- to 9-Year-Old Boys: National Cohort Study in Denmark,” Journal of the Royal Society of Medicine 108, no. 7 ( 2015 ): 266 - 279 .

Google Scholar SAGE Journals

23. Morris, B.J., Wiswell, T.E., “‘Circumcision Pain’ Unlikely to Cause Autism,” Journal of the Royal Society of Medicine 108, no. 8 ( 2015 ): 297 ; Sneppen, I., Thorup, J., “Fore-skin Morbidity in Uncircumcised Males,” Pediatrics 137, no. 5 ( 2016 ): e20154340 ; Bauer, A.Z. . PubMed Commons, Comment ( 2015 ), available at <http://www.ncbi.nlm.nih.gov/pubmed/25573114> ( ).

Google Scholar

24. See Sneppen and Thorup, supra note 23.

Google Scholar

25. Bauer, A.Z., Kriebel, D., “Prenatal and Perinatal Analgesic Exposure and Autism: An Ecological Link,” Environmental Health 12 ( 2013 ): 41 .

Google Scholar Medline

26. See Bauer et al., supra note 25.

Google Scholar

27. Banieghbal, B. , “Optimal Time for Neonatal Circumcision: An Observation-Based Study,” Journal of Pediatric Urology 5, no. 5 ( 2009 ): 359 - 362 .

Google Scholar Medline

28. See Banieghbal et al., supra note 27.

Google Scholar

29. Overgaard, C., Knudsen, A., “Pain-Relieving Effect of Sucrose in Newborns During Heel Prick,” Biology of the Neonate 75, no. 5 ( 1999 ): 279 - 284 ; Lago, P., Tiozzo, C., Boccuzzo, G., Allegro, A., Zacchello, F., “Remifentanil for Percutaneous Intravenous Central Catheter Placement in Preterm Infant: A Randomized Controlled Trial,” Paediatric Anaesthesia 18, no. 8 ( 2008 ): 736 - 744 .

Google Scholar Medline

30. Damassa, D.A., Cates, J.M., “Sex Hormone-Binding Globulin and Male Sexual Development,” Neuroscience & Biobehavioral Reviews 19, no. 2 ( 1995 ): 165 - 175 .

Google Scholar Medline

31. See Banieghbal, supra note 27.

Google Scholar

32. Russell, C.T., Chaseling, J., “Topical Anaesthesia in Neonatal Circumcision: A Study of 208 Consecutive Cases,” Australian Family Physician 25, suppl 1 ( 1996 ): 30 - 34 .

Google Scholar

33. Smith, C., Smith, D.P., “Office Pediatric Urologic Procedures From a Parental Perspective,” Urology 55, no. 2 ( 2000 ): 272 - 276 .

Google Scholar Medline

34. Freeman, J.J., Spencer, A.U., Drongowski, R.A., Vandeven, C.J., Apgar, B., Teitelbaum, D.H., “Newborn Circumcision Outcomes: Are Parents Satisfied With the Results?” Pediatric Surgery International 30, no. 3 ( 2014 ): 333 - 338 .

Google Scholar Medline

35. Auvert, B., Taljaard, D., Lagarde, E., Sobngwi-Tambekou, J., Sitta, R., Puren, A., “Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial,” PLoS Medicine 2, article e298 ( 2005 ): 1112 - 1122 .

Google Scholar

36. Gray, R.H., Kigozi, G., Serwadda, D., Makumbi, F., Watya, S., Nalugoda, F., “Male Circumcision for HIV Prevention in Men in Rakai, Uganda: A Randomised Trial,” Lancet 369 ( 2007 ): 657 - 666 .

Google Scholar Medline

37. Bailey, R.C., Moses, S., Parker, C.B., Agot, K., Maclean, I., Krieger, J.N., “Male Circumcision for HIV Prevention in Young Men in Kisumu, Kenya: A Randomised Controlled Trial,” Lancet 369 ( 2007 ): 643 - 656 .

Google Scholar Medline

38. Thorup, J., Thorup, S.C., Ifaoui, I.B., “Complication Rate After Circumcision in a Paediatric Surgical Setting Should Not be Neglected,” Danish Medical Journal 60, no. 8 ( 2013 ): A4681 .

Google Scholar Medline

39. Joudi, M., Fathi, M., Hiradfar, M., “Incidence of Asymptomatic Meatal Stenosis in Children Following Neonatal Circumcision,” Journal of Pediatric Urology 7, no. 5 ( 2011 ): 526 - 528 .

Google Scholar Medline

40. Van Howe, R.S. , “Incidence of Meatal Stenosis Following Neonatal Circumcision in a Primary Care Setting,” Clinical Pediatrics (Philadelphia) 45 ( 2006 ): 49 - 55 .

Google Scholar SAGE Journals

41. Schoen, E.J. , “Critique of Van Howe RS. Incidence of Meatal Stenosis Following Neonatal Circumcision in a Primary Care Setting,” Clinical Pediatrics (Phila) 45 ( 2006 ): 49 - 54 ; Clinical Paediatrics 46 ( 2007 ): 86 .

Google Scholar SAGE Journals

42. El Bcheraoui, C., Zhang, X., Cooper, C.S., Rose, C.E., Kilmarx, P.H., Chen, R.T., “Rates of Adverse Events Associated with Male Circumcision in US Medical Settings, 2001 to 2010.,” JAMA Pediatrics 168, no. 7 ( 2014 ): 625 - 634 .

Google Scholar Medline

43. Cathcart, P., Nuttall, M., van der Meulen, J., Emberton, M., Kenny, S.E., “Trends in Paediatric Circumcision and its Complications in England Between 1997 and 2003,” British Journal of Surgery 93 ( 2006 ): 885 - 890 .

Google Scholar Medline

44. Simforoosh, N., Tabibi, A., Khalili, S.A., Soltani, M.H., Afjehi, A., Aalami, F., “Neonatal Circumcision Reduces the Incidence of Asymptomatic Urinary Tract Infection: A Large Prospective Study with Long-term Follow Up Using Plastibell,” Journal of Pediatric Urology 8 ( 2012 ): 320 - 323 .

Google Scholar Medline

45. Yegane, R.A., Kheirollahi, A.R., Salehi, N.A., Bashashati, M., Khoshdel, J.A., Ahmadi, M., “Late Complications of Circumcision in Iran,” Pediatric Surgery International 22 ( 2006 ): 442 - 445 .

Google Scholar Medline

46. See El Bcheraoui et al., supra note 42.

Google Scholar

47. See Cathcart et al., supra note 43.

Google Scholar

48. See El Bcheraoui et al., supra note 42.

Google Scholar

49. Pieretti, R.V., Goldstein, A.M., Pieretti-Vanmarcke, R., “Late Complications of Newborn Circumcision: A Common and Avoidable Problem,” Pediatric Surgery International 26, no. 5 ( 2010 ): 515 - 518 .

Google Scholar Medline

50. Bollinger, D. , “Lost Boys: An Estimate of U.S. Circumcision-Related Infant Deaths,” Thymos: Journal of Boyhood Studies 4 ( 2010 ): 78 - 90 .

Google Scholar

51. Morris, B.J., Bailey, R.C., Klausner, J.D., Leibowitz, A., Wamai, R.G., Waskett, J.H., “Review: A Critical Evaluation of Arguments Opposing Male Circumcision for HIV Prevention in Developed Countries,” AIDS Care 24 ( 2012 ): 1565 - 1575 .

Google Scholar Medline

52. See El Bcheraoui et al., supra note 42.

Google Scholar

53. See El Bcheraoui et al., supra note 42.

Google Scholar

54. Royal Australasian College of Physicians, Paediatrics & Child Health Division, Circumcision of infant males, 2010, available at <http://www.racp.edu.au/index.cfm?objectid=65118B16-F145-8B74-236C86100E4E3E8E> ( ).

Google Scholar

55. Morris, B.J., Wodak, A.D., Mindel, A., Schrieber, L., Duggan, K.A., Dilly, A., “The 2010 Royal Australasian College of Physicians Policy Statement ‘Circumcision of Infant Males’ is Not Evidence Based,” Internal Medicine Journal 42, no. 7 ( 2012 ): 822 - 828 .

Google Scholar Medline

56. See Shabanzadeh et al., supra note 9.

Google Scholar

57. Frisch, M., Aigrain, Y., Barauskas, V., Bjarnason, R., Boddy, S.-A., Czauderna, P., “Cultural Bias in the AAP’s 2012 Technical Report and Policy Statement on Male Circumcision,” Pediatrics 131 ( 2013 ): 796 - 800 .

Google Scholar Medline

58. Warren, J.P., Bigelow, J., “The Case Against Circumcision,” British Journal of Sexual Medicine 21, no. 5 ( 1994 ): 6 - 8 .

Google Scholar

59. Solinis, I., Yiannaki, A., “Does Circumcision Improve Couple’s Sex Life?” 5th Biennial World Congress on Men’s Health & Gender, Journal of Men’s Health & Gender 4, no. 3 ( 2007 ): 361 .

Google Scholar

60. Frisch, M., Lindholm, M., Grønbeck, M., “Male Circumcision and Sexual Function in Men and Women: A Survey-Based-Cross-Sectional Study in Denmark,” International Journal of Epidemiology 40 ( 2011 ): 1367 - 1381 .

Google Scholar Medline

61. See Shabanzadeh et al., supra note 9.

Google Scholar

62. Harbour, R., Miller, J., “A New System for Grading Recommendations in Evidence Based Guidelines,” BMJ 323, no. 7308 ( 2001 ): 334 - 336 .

Google Scholar Medline

63. See Morris et al., supra note 9.

Google Scholar

64. Mao, L.M., Templeton, D.J., Crawford, J., Imrie, J., Prestage, G.P., Grulich, A.E., “Does Circumcision Make a Difference to the Sexual Experience of Gay Men? Findings from the Health in Men (HIM) Cohort,” Journal of Sexual Medicine 5 ( 2008 ): 2557 - 2561 .

Google Scholar Medline

65. Morris, B.J., Waskett, J.H., Gray, R.H., “Does Sexual Function Survey in Denmark Offer Any Support for Male Circumcision Having an Adverse Effect?” International Journal of Epidemiology 41 ( 2012 ): 310 - 312 .

Google Scholar Medline

66. Task Force on Circumcision . “Cultural Bias and Circumcision: The AAP Task Force on Circumcision Responds,” Pediatrics 131 ( 2013 ): 801 - 804 .

Google Scholar Medline

67. Dias, J., Freitas, R., Amorim, R., Espiridiao, P., Xambre, L., Ferraz, L., “Adult Circumcision and Male Sexual Health: A Retrospective Analysis,” Andrologia 46, no. 5 ( 2014 ): 459 - 464 .

Google Scholar Medline

68. Bronselaer, G.A., Schober, J.M., Meyer-Bahlburg, H.F., T’sjoen, G., Vlietinck, R., Hoebeke, P.B., “Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort,” BJU International 111 ( 2013 ): 820 - 827 .

Google Scholar Medline

69. See Morris et al., supra note 9.

Google Scholar

70. Morris, B.J., Krieger, J.N., Kigozi, G., “Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort . [Critique of Bronselaer et al. BJU International 111 ( 2013 ): 820 - 827 ]; BJU International 1 1 1 ( 2013 ): E269 - E270 .

Google Scholar Medline

71. Schober, J.M., Meyer-Bahlburg, H.F., Dolezal, C., “Self-Ratings of Genital Anatomy, Sexual Sensitivity and Function in Men Using the ‘Self-Assessment of Genital Anatomy and Sexual Function, Male’ Questionnaire,” BJU International 103 ( 2009 ): 1096 - 1103 .

Google Scholar Medline

72. See Tian et al., supra note 9.

Google Scholar

73. See Mao et al., supra note 64.

Google Scholar

74. Hegarty, P.K. , “Male Circumcision Decreases Penile Sensitivity as Measured in a large Cohort, (Editorial),” BJU Int. 111 ( 2013 ): 695 - 696 ; Tian, Y., Wazir, R., Wang, K., “Letter re: ‘Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort’,” BJU International 112, no. 1 ( 2013 ): E2 - E3 .

Google Scholar Medline

75. Krieger, J.N., Mehta, S.D., Bailey, R.C., Agot, K., Ndinya-Achola, J.O., Parker, C., “Adult Male Circumcision: Effects on Sexual Function and Sexual Satisfaction in Kisumu, Kenya,” Journal of Sexual Medicine 5 ( 2008 ): 2610 - 2622 .

Google Scholar Medline

76. See Frisch et al., supra note 60; Mao et al., supra note 64; Krieger et al., supra note 75; Richters, J., Smith, A.M., de Visser, R.O., Grulich, A.E., Rissel, C.E., “Circumcision in Australia: Prevalence and Effects on Sexual Health.,” International Journal of STDs and AIDS 17 ( 2006 ): 547 - 554 ; Kigozi, G., Watya, S., Polis, C.B., Buwembo, D., Kiggundu, V., Wawer, M.J., “The Effect of Male Circumcision on Sexual Satisfaction and Function, Results from a Randomized Trial of Male Circumcision for Human Immunodeficiency Virus Prevention, Rakai, Uganda,” BJU International 101 ( 2008 ): 65 - 70 ; Laumann, E.O., Masi, C.M., Zuckerman, E.W., “Circumcision in the United States. Prevalence, Prophyactic Effects, and Sexual Practice,” JAMA 277 ( 1997 ): 1052 - 1057 .

Google Scholar SAGE Journals

77. See Tian et al., supra note 9.

Google Scholar

78. See Frisch et al., supra note 60.

Google Scholar

79. See Morris et al., supra note 70.

Google Scholar

80. Barros, A.J., Hirakata, V.N., “Alternatives for Logistic Regression in Cross-Sectional Studies: An Empirical Comparison of Models that Directly Estimate the Prevalence Ratio,” BMC Medical Research Methodology 3 ( 2003 ): 21 ; Savu, A., Liu, Q., Yasui, Y., “Estimation of Relative Risk and Prevalence Ratio,” Statistics in Medicine 29 ( 2010 ): 2269 - 2281 .

Google Scholar Medline

81. See Morris et al., supra note 9.

Google Scholar

82. Kigozi, G., Lukabwe, I., Kagaayi, J., Wawer, M.J., Nantume, B., Kigozi, G., “Sexual Satisfaction of Women Partners of Circumcised Men in a Randomized Trial of Male Circumcision in Rakai, Uganda,” BJU International 104, no. 11 ( 2009 ): 1698 - 1701 .

Google Scholar Medline

83. Cortés-González, J.R., Arratia-Maqueo, J.A., Gómez-Guerra, L.S., “[Does Circumcision Has an Effect on Female’s Perception of Sexual Satisfaction?] (Article in Spanish),” Revista de Investigacion Clinica 60 ( 2008 ): 227 - 230 .

Google Scholar Medline

84. See Kigozi et al., supra note 82; Cortés-González et al, supra note 83; Williamson, M.L., Williamson, P.S., “Women’s Preferences for Penile Circumcision in Sexual Partners.,” Journal of Sex Education and Therapy 14 ( 1988 ): 8 - 12 ; Badger, J. , “Circumcision. What You Think,” Australian Forum 2, no. 11 ( 1989 ): 10 - 29 ; Badger, J. , “The Great Circumcision Report Part 2,” Australian Forum 2, no. 12 ( 1989 ): 4 - 13 ; Bailey, R.C., , Muga, , Abicht, H., “The Acceptability of Male Circumcision to Reduce HIV Infections in Nyanza Province, Kenya,” AIDS Care 14, no. 1 ( 2002 ): 27 - 40 ; Cortés-González, J.R., Arratia-Maqueo, J.A., Martínez-Montelongo, R., Gómez-Guerra, S., “[Does Circumcision Affect Male’s Perception of Sexual Satisfaction?]. [Article in Spanish],” Archivos Espanoles Urologia 62 ( 2009 ): 733 - 736 ; Adam & Eve, AdamAndEve.com Asks Women: Do You Prefer a Circumcised or Uncircumcised Penis? available at< http://www.prnewswire.com/news-releases/adamandevecom-asks-women-do-you-prefer-a-circumcised-or-uncircumcised-penis-246386151.html>. Adam & Eve. Hillsborough , North Carolina, USA ( 2014 ).

Google Scholar

85. See Laumann et al., supra note 76; Kigozi et al., supra note 82; Cortés-González et al, supra note 83; Williamson and Williamson, supra note 84.

Google Scholar

86. Collins, S., Upshaw, J., Rutchik, S., Ohannessian, C., Ortenberg, J., Albertsen, P., “Effects of Circumcision on Male Sexual Function: Debunking a Myth?” Journal of Urology 167, no. 5 ( 2002 ): 2111 - 2112 .

Google Scholar Medline

87. Kafka, M.P. , “The DSM diagnostic criteria for paraphilia not otherwise specified,” Archives of Sexual Behavior 39, no. 2 ( 2010 ): 373 - 376 .

Google Scholar Medline

88. American Psychiatric Association . “Diagnostic & Statistical Manual 5th Revision (DSM-5), available at <http://www.dsm5.org/Pages/Default.aspx> ( 2013 ) ( ).

Google Scholar

89. Mohl, P.C., Adams, R., Grier, D.M., Sheley, K.A., “Prepuce Restoration Seekers: Psychiatric Aspects,” Archives of Sexual Behavior 10 ( 1981 ): 383 - 393 .

Google Scholar Medline

90. Schultheiss, D., Truss, M.C., Stief, C.G., Jonas, U., “Uncircumcision: A Historical Review of Preputial Restoration.,” Plastic and Reconstructive Surgery 101 ( 1998 ): 1990 - 1998 .

Google Scholar Medline

91. Koyle, M.A., , Barqawi, , Wild, Passamaneck, M., Furness, P.D., “Pediatric Urinary Tract Infections: The Role of Fluoroquinolones,” Pediatric Infectious Diseases Journal 22, no. 12 ( 2003 ): 1133 - 1137 ; To, T., Agha, M., Dick, P.T., Feldman, W., “Cohort Study on Circumcision of Newborn Boys and Subsequent Risk of Urinary Tract Infection,” Lancet 352 ( 1998 ): 1813 - 1816 .

Google Scholar Medline

92. Chon, C.H., Lai, F.C., Shortliffe, L.M., “Pediatric Uri-nary Tract Infections,” Pediatric Clinics of North America 48 ( 2001 ): 1441 - 1459 .

Google Scholar Medline

93. Rushton, H.G., Majd, M., “Pyelonephritis in Male Infants: How Important is the Foreskin?,” Journal of Urology 148 ( 1992 ): 733 - 736 ; Stull, T.L., LiPuma, J.J., “Epidemiology and Natural History of Urinary Tract Infections in Children.” Medical Clinics of North America 75 ( 1991 ): 287 - 297 .

Google Scholar Medline

94. Sureshkumar, P., Jones, M., Cumming, R.G., Craig, J.C., “Risk Factors for Urinary Tract Infection in Children: A Population-Based Study of 2856 Children,” Journal of Paediatrics and Child Health 45 ( 2009 ): 87 - 97 .

Google Scholar Medline

95. Morris, B.J., Wiswell, T.E., “Circumcision and Lifetime Risk of Urinary Tract Infection: A Systematic Review and Meta-Analysis,” Journal of Urology 189, no. 6 ( 2013 ): 2118 - 2124 .

Google Scholar Medline

96. See El Bcheraoui et al., supra note 42.

Google Scholar

97. Chessare, J.B. , “Circumcision: Is the Risk of Urinary Tract Infection Really the Pivotal Issue?” Clinical Pediatrics (Philadelphia). 31, no. 2 ( 1992 ): 100 - 104 .

Google Scholar SAGE Journals

98. See Frisch et al., supra note 57.

Google Scholar

99. Jagannath, V.A., Fedorowicz, Z., Sud, V., Verma, A.K., Hajebrahimi, S., “Routine Neonatal Circumcision for the Prevention of Urinary Tract Infections in Infancy,” Cochrane Database Systematic Reviews 11 ( 2012 ): CD009129 .

Google Scholar Medline

100. Nayir, A. , “Circumcision for the Prevention of Significant Bacteriuria in Boys,” Pediatric Nephrology 16 ( 2001 ): 1129 - 1134 .

Google Scholar Medline

101. Morris, B.J., Tobian, A.A., “Legal Threat to Infant Male Circumcision,” JAMA Pediatrics 167, no. 10 ( 2013 ): 890 - 891 .

Google Scholar Medline

102. Bryce, A., Hay, A.D., Lane, I.F., Thornton, H.V., Wootton, M., Costelloe, C., “Global Prevalence of Antibiotic Resistance in Paediatric Urinary Tract Infections Caused by Escherichia coli and Association with Routine Use of Antibiotics in Primary Care: Systematic Review and Meta-Analysis,” BMJ 352 ( 2016 ): i939 .

Google Scholar Medline

103. Anyanwu, L.J., Kashibu, E., Edwin, C.P., Mohammad, A.M., “Microbiology of Smegma in Boys in Kano, Nigeria,” The Journal of Surgical Research 173, no. 1 ( 2012 ): 21 - 25 .

Google Scholar Medline

104. Iwamoto, M., Mu, Y., Lynfield, R., Bulens, S.N., Nadle, J., Aragon, D., “Trends in Invasive Methicillin-Resistant Staphylococcus aureus Infections,” Pediatrics 132, no. 4 ( 2013 ): e817 - e824 .

Google Scholar Medline

105. Looke, D.F.M., Gottlieb, T. Thomas, Jones, C.A., Paterson, D.L., “Gram-Negative Resistance: Can We Combat the Coming of a New ‘Red Plague’?” Medical Journal of Australia 198 ( 2013 ): 243 - 244 .

Google Scholar Medline

106. Pallett, A., Hand, K., “Complicated Urinary Tract Infection: Practical Solutions for the Treatment of Multiresistant Gram-Negative Bacteria,” The Journal of Antimicrobial Chemotherapy 65, Supplement 3 ( 2010 ): iii25 - iii33 .

Google Scholar Medline

107. Arshad, M., Seed, P.C., “Urinary Tract Infections in the Infant,” Clinics in Perinatology 42, no. 1 ( 2015 ): 17 - 28 , vii.

Google Scholar Medline

108. Prais, D., Shoov-Furman, R., Amir, J., “Is Ritual Circumcision a Risk Factor for Neonatal Urinary Tract Infections?” Archives of Diseases in Childhood 94 ( 2009 ): 191 - 194 .

Google Scholar Medline

109. Toker, O., Schwartz, S., Segal, G., Godovitch, N., Schlesinger, Y., Raveh, D., “A Costly Covenant: Ritual Circumcision and Urinary Tract Infection,” Israel Medical Association Journal 12, no. 5 ( 2010 ): 262 - 265 .

Google Scholar Medline

110. Christakis, D.A., Harvey, E., Zerr, D.M., Feudtner, C., Wright, J.A., Connell, F.A., “A Trade-off Analysis of Routine Newborn Circumcision,” Pediatrics 105 ( 2000 ): 246 - 249 .

Google Scholar Medline

111. National Weather Service, National Oceanic and Atmospheric Administration, US Department of Commerce , “ How dangerous is lightening?” available at <http://www.lightningsafety.noaa.gov/odds.shtml> ( ).

Google Scholar

112. Malek, R.S., Goellner, J.R., Smith, T.F., Espy, M.J., Cupp, M.R., “Human Papillomavirus Infection and Intraepithelial, In Situ, and Invasive Carcinoma of Penis,” Urology 42, no. 2 ( 1993 ): 159 - 170 ; Schoen, E.J. , “The Relationship Between Circumcision and Cancer of the Penis,” CA: A Cancer Journal for Clinicians 41 ( 1991 ): 306 - 309 ; Schoen, E.J. , “Neonatal Circumcision and Penile Cancer. Evidence That Circumcision is Protective is Overwhelming,” BMJ 46 ( 1996 ): 313 ; Schoen, E.J., Oehrli, M., Colby, C.J., Machin, G., “The Highly Protective Effect of Newborn Circumcision Against Invasive Penile Cancer,” Pediatrics 105, article e36 ( 2000 ): 1 - 4 ; Larke, N.L., Thomas, S.L., Dos Santos Silva, I., Weiss, H.A., “Male Circumcision and Penile Cancer: A Systematic Review and Meta-Analysis,” Cancer Causes Control 22 ( 2011 ): 1097 - 1110 ; Daling, J.R., Madeleine, M.M., Johnson, L.G., Schwartz, S.M., Shera, K.A., Wurscher, L.A., “Penile Cancer: Importance of Circumcision, Human Papillomavirus and Smoking in In Situ and Invasive Disease,” International Journal of Cancer 116 ( 2005 ): 606 - 616 .

Google Scholar Medline

113. Bosch, F.X., Albero, G., Castellsagué, X., “Male Circumcision, Human Papillomavirus and Cervical Cancer: From Evidence to Intervention,” Journal of Family Planning and Reproductive Health Care 35 ( 2009 ): 5 - 7 .

Google Scholar Medline

114. Morris, B.J., Gray, R.H., Castellsague, X., Bosch, F.X., Halperin, D.T., Waskett, J.H., “The Strong Protection Afforded by Circumcision Against Cancer of the Penis,” Advances in Urology Article ID 812368 ( 2011 ): 1 - 21 .

Google Scholar

115. See Moses et al., supra note 17.

Google Scholar

116. Tsen, H.F., Morgenstern, H., Mack, T., Peters, R.K., “Risk Factors for Penile Cancer: Results of a Population-Based Case-Control Study in Los Angeles County (United States),” Cancer Causes & Control 12 ( 2001 ): 267 - 277 .

Google Scholar Medline

117. Micali, G., Nasca, M.R., Innocenzi, D., Schwartz, R.A., “Penile Cancer,” Journal of the American Academy of Dermatology 54 ( 2006 ): 369 - 391 .

Google Scholar Medline

118. Kochen, M., McCurdy, S., “Circumcision and Risk of Cancer of the Penis. A Life-Table Analysis,” American Journal of Diseases of Childhood 134 ( 1980 ): 484 - 486 .

Google Scholar Medline

119. See Schoen et al. (2000), supra note 112.

Google Scholar

120. Morris, B.J., Mindel, A., Tobian, A.A. R., Hankins, C.A., Gray, R.H., Bailey, R.C., “Should Male Circumcision be Advocated for Genital Cancer Prevention?” Asian Pacific Journal of Cancer Prevention 13 ( 2012 ): 4839 - 4842 ; Morris, B.J., Waskett, J.H., “Circumcision Reduces Prostate Cancer Risk,” Asian Journal of Andrology 14 ( 2012 ): 661 - 662 ; Wright, J.L., Lin, D.W., Stanford, J.L., “Circumcision and the Risk of Prostate Cancer,” Cancer 118 ( 2012 ): 4437 - 4443 ; Spence, A.R., Rousseau, M.C., Karakiewicz, P.I., Parent, M.E., “Circumcision and Prostate Cancer: A Population-Based Case-Control Study in Montreal, Canada,” BJU International 114, no. 6b ( 2014 ): E90 - 98 .

Google Scholar Medline

121. Pabalan, N., Singian, E., Jarjanazi, H., Paganini-Hill, A., “Association of Male Circumcision with Risk of Prostate Cancer: A Meta-Analysis,” Prostate Cancer and Prostatic Diseases 18, no. 4 ( 2015 ): 352 - 357 .

Google Scholar Medline

122. Wachtel, M.S., Yang, S., Morris, B.J., “Countries with High Circumcision Prevalence Have Lower Prostate Cancer Mortality,” Asian Journal of Andrology 18 ( 2016 ): 39 - 42 .

Google Scholar Medline

123. Drain, P.K., Halperin, D.T., Hughes, J.P., Klausner, J.D., Bailey, R.C., “Male Circumcision, Religion, and Infectious Diseases: An Ecologic Analysis of 118 Developing Countries,” BMC Infectious Diseases 6 ( 2006 ): article 172: 171 - 110 .

Google Scholar Medline

124. Castellsague, X., Bosch, F.X., Munoz, N., Meijer, C.J., Shah, K.V., de Sanjose, S., “Male Circumcision, Penile Human Papillomavirus Infection, and Cervical Cancer in Female Partners,” New England Journal of Medicine 346, no. 15 ( 2002 ): 1105 - 1112 .

Google Scholar Medline

125. Wawer, M.J., Tobian, A.A. R., Kigozi, G., Kong, X., Gravitt, P.E., Serwadda, D., “Effect of Circumcision of HIV-Negative Men on Transmission of Human Papillomavirus to HIV-Negative Women: A Randomised Trial in Rakai, Uganda,” Lancet 377 ( 2011 ): 209 - 218 .

Google Scholar Medline

126. Viens, L.J., Henley, S.J., Watson, M., Markowitz, L.E., Thomas, C.C., Thompson, T.D., “Human Papillomavirus-Associated Cancers — United States, 2008-2012,” MMWR Morbidity Mortality Weekly Report 65, no. 26 ( 2016 ): 661 - 666 .

Google Scholar Medline

127. Morris et al ., supra note 4; Morris et al., supra note 51; Moses, S., Nagelkerke, N.J. D., Blanchard, J.F., “Commentary: Analysis of the Scientific Literature on Male Circumcision and Risk for HIV infection,” International Journal of STDs & AIDS 10 ( 1999 ): 626 - 628 ; O’Farrell, N., Egger, M., “Circumcision in Men and the Prevention of HIV Infection: a ‘Meta-Analysis’ Revisited,” International Journal of STDs & AIDS 11 ( 2000 ): 137 - 142 ; Morris, B.J. , “Boyle and Hill’s Circumcision ‘Phallusies,’” BJU International 110 ( 2012 ): E153 - E154 ; Morris, B.J. , “Scientific Evidence Dispels False Claims About Circumcision,” Canadian Urological Association Journal 8, no. 11-12 ( 2014 ): 396 - 397 ; Morris, B.J. , “Commentary on Article by Earp Entitled: Do the Benefits of Male Circumcision Outweigh the Risks? A Critique of the Proposed CDC Guidelines,” Frontiers in Pediatrics 3 ( 2015 ): 88 ; Morris, B.J., Barboza, G., Wamai, R.G., Krieger, J.N., “Circumcision is a Primary Preventive Against HIV Infection: Critique of a Contrary Meta-Regression Analysis by Van Howe,” Global Public Health ( 2016 ): 1 - 11 (Epub ahead of print Apr 4); Morris, B.J., Hankins, C.A., Tobian, A.A., Krieger, J.N., Klausner, J.D., “Does Male Circumcision Protect Against Sexually Transmitted Infections? Arguments and Meta-Analyses to the Contrary Fail to Withstand Scrutiny,” ISRN Urology 2014 ( 2014 ): article 684706, 684701-684723; Morris, B.J., Tobian, A.A. R., Hankins, C.A., Klausner, J.D., Banerjee, J., Bailis, S.A., “Veracity and Rhetoric in Pediatric Medicine: A Critique of Svoboda and Van Howe’s Response to the AAP Policy on Infant Male Circumcision,” Journal of Medical Ethics 40 ( 2013 ): 463 - 470 ; Morris, B.J., Krieger, J.N., “The Literature Supports Policies Promoting Neonatal Male Circumcision in North America,” Journal of Sexual Medicine 12, no. 5 ( 2015 ): 1305 ; Morris, B.J., Waskett, J.H., Gray, R.H., Halperin, D.T., Wamai, R., Auvert, B., “Exposé of Misleading Claims that Male Circumcision will Increase HIV Infections in Africa,” Journal of Public Health in Africa. 2 e281 ( 2011 ): 117 - 122 ; Wamai, R., Morris, B.J., “‘How to Contain Generalized HIV Epidemics’ Article Misconstrues the Evidence,” International Journal of STD & AIDS 22 ( 2011 ): 415 - 416 ; Wamai, R.G., , Morris, Bailey, R.C., Klausner, J.D., Boedicker, M.N., “Male Circumcision for Protection Against HIV infection in Sub-Saharan Africa: The Evidence in Favour Justifies the Implementation now in Progress,” Global Public Health 10, no. 5-6 ( 2015 ): 639 - 666 ; Wamai, R.G., Morris, B.J., Bailey, R.C., Klausner, J.D., Boedicker, M.N., “Debating Male Circumcision for HIV Prevention: A One-sided Argument Does not Represent a Legitimate ‘Controversy’ Analysis—Reply to de Camargo et al.,” Global Public Health. 10, no. 5-6 ( 2015 ): 672 - 678 ; Wamai, R.G., Morris, B.J., Waskett, J.H., Green, E.C., Banerjee, J., Bailey, R.C., “Criticisms of African Trials Fail to Withstand Scrutiny: Male Circumcision does prevent HIV Infection,” Journal of Law & Medicine 20, no. 1 ( 2012 ): 93 - 123 ; Wamai, R.G., Weiss, H.A., Hankins, C., Agot, K., Karim, Q.A., Shisana, O., “Male Circumcision is an Efficacious, Lasting and Cost-effective Strategy for Combating HIV in High-prevalence AIDS Epidemics: Time to Move beyond Debating the Science,” Future HIV Therapy 2 ( 2008 ): 399 - 405 ; Banerjee, J., Klausner, J.D., Halperin, D.T., Wamai, R., Schoen, E.J., Moses, S., “Circumcision Denialism Unfounded and Unscientific [Critique of Green et al., “Male Circumcision and HIV Prevention: Insufficient Evidence and Neglected External Validity”],” American Journal of Preventive Medicine 40 ( 2011 ): e11 - e12 ; Bates, M.J., Ziegler, J.B., Kennedy, S.E., Mindel, A., Wodak, A.D., Zoloth, L.S., “Recommendation by a Law Body to ban Infant Male Circumcision has Serious Worldwide Implications for Pediatric Practice and Human Rights,” BMC Pediatrics 13 Article 136 ( 2013 ): 1 - 9 ; Morris, B.J., Krieger, J.N., Klausner, J.D., “Critical Evaluation of Unscientific Arguments Disparaging Affirmative Infant Male Circumcision Policy,” World Journal of Clinical Pediatrics 5, no. 3 ( 2016 ): 251 - 261 .

Google Scholar Medline

128. See Morris et al., supra note 51; Sansom, S.L., Prabhu, V.S., Hutchinson, A.B., An, Q., Hall, H.I., Shrestha, R.K., “Cost-Effectiveness of Newborn Circumcision in Reducing Lifetime HIV Risk Among U.S. Males,” PLoS One 5 ( 2010 ): e8723 ; Warner, L., Ghanem, K.G., Newman, D.R., Macaluso, M., Sullivan, P.S., Erbelding, E.J., “Male Circumcision and Risk of HIV Infection Among Heterosexual African American Men Attending Baltimore Sexually Transmitted Disease Clinics,” Journal of Infectious Diseases 199 ( 2009 ): 59 - 65 ; Chemtob, D., Op de Coul, E., Van Sighem, A., Mor, Z., Cazein, F., Semaille, C., “Impact of Male Circumcision Among Heterosexual HIV Cases: Comparison Between Three Low Prevalence Countries,” Israel Journal of Health Policy Research 4, article 36 ( 2015 ): 31 - 38 .

Google Scholar Medline

129. See Bates et al., supra note 127.

Google Scholar

130. Rivin, B.E., Diekema, D.E., Mastroianni, A.C., Krieger, J.N., Klausner, J.D., Morris, B.J., “Critical Evaluation of Adler’s Challenge to the CDC’s Male Circumcision Recommendations,” International Journal of Children’s Rights 24 ( 2016 ): 265 - 303 .

Google Scholar

131. Kelishadi, R. , “To the Readers,” International Journal of Preventive Medicine. 1, no. 1 ( 2010 ): I ; Johns Hopkins University , “Hippocratic Oath,” Modern version, available at <http://guides.library.jhu.edu/c.php?g=202502&p=1335759)> ( ).

Google Scholar

132. Morris, B.J., Waskett, J.H., Banerjee, J., Wamai, R.G., Tobian, A.A. R., Gray, R.H., “A ‘Snip’ in Time: What is the Best Age to Circumcise?” BMC Pediatrics 12, article20 ( 2012 ): 1 - 15 .

Google Scholar Medline

133. See Morris et al. (2016), supra note 132.

Google Scholar

134. YouGov US . Young Americans Less Supportive of Circumcision at Birth , available at <https://today.yougov.com/news/2015/02/03/younger-americans-circumcision/> ( ).

Google Scholar

135. Introcaso, C.E., Xu, F., Kilmarx, P.H., Zaidi, A., Markowitz, L.E., “Prevalence of Circumcision Among Men and Boys Aged 14 to 59 Years in the United States, National Health and Nutrition Examination Surveys 2005-2010,” Sexually Transmitted Diseases 40, no. 7 ( 2013 ): 521 - 525 .

Google Scholar Medline

136. See Morris et al. (2016), supra note 127.

Google Scholar

137. See Rivin et al., supra note 130.

Google Scholar

138. Svoboda, J.S. . “A Treatise From the Trenches: Why are Circumcision Lawsuits so Hard to Win?” in Denniston, G. , etc., ed . Circumcision and Human Rights, ( Berlin, Germany : Springer ; 2009 ): 201 - 217 .

Google Scholar

139. Geffen, N. . SAMA’s Position on Circumcision, Quackdown , available at <http://www.quackdown.info/article/getting-circumcision-science-right-media/> ( ); Real Facts about Male Circumcision , available at <circfacts.org/sloppylogic/#slog22> ( ).

Google Scholar

140. Queensland Law Reform Commission (QLRC), Circumcision of Male Infants Research Paper, Brisbane, 1993, available at <http://www.cirp.org/library/legal/QLRC/09.html> ( )

Google Scholar

141. Bates, B., Morris, B.J., “Legal Arguments Opposing Infant Male Circumcision Are Flawed,” Internal Medicine Journal 42 ( 2012 ): 1281 - 1282 .

Google Scholar Medline

142. See Bates et al. (2013), supra note 127.

Google Scholar

143. Department of Health and Community Services v JWB and SMB (Marion’s Case) [1992] HCA 15; 175 CLR 218 96, May 1992. High Court of Australia, available at <http://www.austlii.edu.au/cgi-bin/sinodisp/au/cases/cth/high_ct/175clr218.html?stem=0&synonyms=0&query=title> ( ).

Google Scholar

144. Svoboda, J.S., Van Howe, R.S., “Out of step: fatal flaws in the latest AAP policy report on neonatal circumcision,” Journal of Medical Ethics 39 ( 2013 ): 434 - 441 ; Adler, P.W. , “The Draft CDC Circumcision Recommendations: Medical, Ethical, Legal, and Procedural Concerns,” International Journal of Children’s Rights 24 ( 2016 ): 237 - 262 .

Google Scholar Medline

145. See Morris et al. (2013), supra note 127; Rivin et al., supra note 130.

Google Scholar

146. Cologne Regional Court , “Decision of May 7, 2012, Docket No. Az. 151 Ns 169/11, Landgericht Köln Cologne,” available at <http://adam1cor.files.wordpress.com/2012/06/151-ns-169-11-beschneidung.pdf> [in German] [English translation, Durham University, U.K.: <http://www.dur.ac.uk/resources/ilm/CircumcisionJudgmentLGCologne7May20121.pdf>] ( ).

Google Scholar

147. Bundestag, Deutscher , “ Drucksache 17/11295. Gesetzentwurf der Bundesregierung. Entwurf eines Gesetzes über den Umfang der Personensorge bei einer Beschneidung des männlichen Kindes,” available at <http://dipbt.bundestag.de/dip21/btd/17/112/1711295.pdf> ( ). The right of parents to consent to a medically not indicated circumcision of a minor who cannot consent himself has been inserted into the family law section of the German Civil Code, § 1631d. (2012) (last visited November 27, 2017); DW news-service, Circumcision Remains Legal in Germany, available at <http://www.dw.de/circumcision-remains-legal-in-germany/a-16399336> ( ).; Chambers, M. , “Circumcision Ban Overturned in Germany,” Germany , available at <http://www.theglobeandmail.com/news/world/circumcision-ban-overturned-in-germany/article6288050/> ( ).

Google Scholar

148. Stafford, N. , “German Ethics Council Backs Religious Circumcision if Specific Conditions Met,” BMJ 345 ( 2012 ): e5789 .

Google Scholar Medline

149. See Bates et al. (2013), supra note 127; Rivin et al., supra note 130; Jacobs, A.J. , “The Ethics of Circumcision of Male Infants,” Israel Medical Association Journal 15 ( 2013 ): 60 - 65 .

Google Scholar Medline

150. United Nations Human Rights Office of the High Commissioner for Human Rights, Convention on the Rights of the Child. 44/25 20 November 1989, available at <http://www.ohchr.org/en/professionalinterest/pages/crc.aspx> ( ).

Google Scholar

151. See Bates et al.; Rivin et al.; Jacobs et al., supra note 149.

Google Scholar

152. Cornell University Law School, Legal Information Institute , “18 U.S. Code 116 — Female Genital Mutilation , available at <https://www.law.cornell.edu/uscode/text/18/116> ( ).

Google Scholar

153. See Rivin et al., supra note 130.

Google Scholar

154. See Morris and Tobian, supra note 101; Rivin et al., supra note 130.

Google Scholar

155. See Jacobs, supra note 149; Benatar, D., Benatar, M., “How Not to Argue About Circumcision,” American Journal of Bioethics 3 ( 2003 ): W1 - W9 ; Clark, P.A., Eisenman, J., Szapor, S., “Mandatory Neonatal Male Circumcision in Sub-Saharan Africa: Medical and Ethical Analysis,” Medical Science Monitor 13, no. 12 ( 2007 ): RA205 - 213 ; Benatar, D. , “Evaluations of Circumcision Should be Circumscribed by the Evidence,” Journal of Medical Ethics. 39, no. 7 ( 2013 ): 431 - 432 ; Mazor, J. , “The Child’s Interests and the Case for the Permissibility of Male Infant Circumcision,” Journal of Medical Ethics 39 ( 2013 ): 421 - 428 ; Jacobs, A.J., Arora, K.S., “Ritual Male Infant Circumcision and Human Rights,” American Journal of Bioethics 15, no. 2 ( 2015 ): 30 - 39 ; Bester, J.C. , “Ritual Male Infant Circumcision: The Consequences and the Principles Say Yes,” American Journal of Bioethics 15, no. 2 ( 2015 ): 56 - 58 .

Google Scholar Medline

156. Brusa, M., Barilan, Y.M., “Cultural Circumcision in EU Public Hospitals — An Ethical Discussion,” Bioethics 23, no. 8 ( 2009 ): 470 - 482 .

Google Scholar Medline

157. Royal Courts of Justice, Sir James Mumby, “In the matter of B and G (Children) (No 2), Neutral Citation number: [2015] EWFC 3, Case Number LJ13C00295, 14 January 2015, available at <https://www.judiciary.gov.uk/wp-content/uploads/2015/01/BandG_2_.pdf> ( ).

Google Scholar

158. High Court of Justice, Family Division, “Re L and B (children), Neutral Citation Number: [2016] EWHC 849 (Fam), 5 April 2016, Mrs Justice Roberts, available at <http://www.bailii.org/ew/cases/EWHC/Fam/2016/849.html> ( )

Google Scholar

159. See U.N. CRC, supra note 150.

Google Scholar

160. Fidler, D.P. , “Challenging the Classical Concept of Custom: Perspectives on the Future of Customary International Law,” German Lawbook of International Law 39 ( 1996 ): 198 ; Goldsmith, J.L., Posner, E.A., “A Theory of Customary International Law,” University of Chicago Law Review 66 ( 1999 ): 1113 ; Chinen, M.A. , “Game Theory and Customary International Law: A Response to Professors Goldsmith and Posner,” Michigan Journal of International Law 23 ( 2001 ): 143 , 178; Goldsmith, J.L., Posner, E.A., “Understanding the Resemblance Between Modem and Traditional Customary International Law,” Virginia Journal of International Law 40 ( 2000 ): 639 - 640 ; Kelly, P. , “The Twilight of Customary International Law 40,” Virginia Journal of International Law 40 ( 2000 ): 449 - 450 ; Guzman, A.Y. , “Saving Customary International Law,” Michigan Journal of International Law 115 (2005-2006): 27 ; Kadens, E., Young, E.A., “How Customary is customary International Law?” William & Mary Law Review 54 (2012-2013): 885 .

Google Scholar

161. See Rivin et al., supra note 130.

Google Scholar

162. United Nations , “ The Universal Declaration of Human Rights , available at <http://www.un.org/en/universal-declaration-human-rights/> ( ).

Google Scholar

163. United Nations, Human Rights, Office of the High Commissioner, Human Rights Committee , “Monitoring Civil and Political Rights ., available at <http://www.ohchr.org/EN/HRBodies/CCPR/Pages/CCPRIndex.aspx> ( ).

Google Scholar

164. International NGO Council on Violence Against Children , available at <https://www.crin.org/en/home/what-we-do/working-partnership/working-others/international-ngo-council-violence-against> ( ).

Google Scholar

165. See United Nations, supra note 162.

Google Scholar

166. See United Nations, supra note 163.

Google Scholar

167. See International NGO, supra note 164.

Google Scholar

168. Stemple, L. , “Health and Human Rights in Today’s Fight Against HIV/AIDS,” AIDS 22, Supplement 2 ( 2008 ): S113 - S121 .

Google Scholar Medline

169. Prince vs. Massachusetts, 321 U.S. 158, 169 (1944), available at <https://supreme.justia.com/cases/federal/us/321/158/case.html> ( ).

Google Scholar

170. See Introcaso et al., supra note 135; Centers for Disease Control and Prevention , “Trends in In-Hospital Newborn Male Circumcision — United States, 1999-2010” Morbidity and Mortality Weekly Report (MMWR) 60 ( 2011 ): 1167 - 1168 .

Google Scholar Medline

171. Reynolds v. United States, “98 U.S. 145 (1878), at 166-167, available at <https://supreme.justia.com/cases/federal/us/98/145/case.html> ( ).

Google Scholar

172. Alanis, M.C., Lucidi, R.S., “Neonatal Circumcision: A Review of the World’s Oldest and Most Controversial Operation,” Obstetrical and Gynecological Survey 59 ( 2004 ): 379 - 395 .

Google Scholar Medline

173. See Jacobs, supra note 149.

Google Scholar

174. Tortorella v. Castra, “140 Cal.App.4th 1, 43 Cal.Rptr.3d 853, Cal.App. 2 Dist (2006), available at <http://www.lawlink.com/research/CaseLevel3/83392> ( ).

Google Scholar

175. Giannetti, M.R. , “Circumcision and the American Academy of Pediatrics: Should Scientific Misconduct Result in Trade Association Liability,” Iowa Law Review 85, no. 4 ( 2000 ): 1507 - 1568 .

Google Scholar Medline

176. Morris, B.J., Bailis, S.A., Wiswell, T.E., “Circumcision Rates in the United States: Rising or Falling? What Effect Might the New Affirmative Pediatric Policy Statement Have?” Mayo Clinic Proceedings 89, no. 5 ( 2014 ): 677 - 686 .

Google Scholar Medline

177. See Cox et al., supra note 8; Morris and Krieger, supra note 9; Shabanzadeh et al., supra note 9; Tian et al., supra note 9; Homfray et al., supra note 9.

Google Scholar

178. See Cox et al., supra note 8.

Google Scholar

179. See Kafka et al., supra note 87; American Psychiatric Association, supra note 88.

Google Scholar

180. See Mohl et al., supra note 89.

Google Scholar

181. See El Bcheraoui et al., supra note 42.

Google Scholar

182. Leibowitz, A.A., Desmond, K., Belin, T., “Determinants and Policy Implications of Male Circumcision in the United States.,” American Journal of Public Health 99, no. 1 ( 2009 ): 138 - 145 .

Google Scholar Medline

183. Morris, B.J., Bailis, S.A., Waskett, J.H., Wiswell, T.E., Halperin, D.T., “Medicaid Coverage of Newborn Circumcision: A Health Parity Right of the Poor,” American Journal of Public Health 99 ( 2009 ): 969 - 971 .

Google Scholar Medline

184. Gutwein, L.G., Alvarez, J.F., Gutwein, J.L., Kays, D.W., Islam, S., “Allocation of Healthcare Dollars: Analysis of Non-neonatal Circumcisions in Florida,” The American Surgeon 79, no. 9 ( 2013 ): 865 - 869 .

Google Scholar Abstract

185. See Morris et al., supra note 132.

Google Scholar