“Circumcision also reduces the risk of HIV infection two to eight times.
HIV infection can appear during have sex and HIV transmission in men, usually through the penis”.
Said Director of Health Services Kusuma Buana Foundation, Adi Sasongko in meeting with the media in the Empu Sendok Restaurant, in Jakarta.
So far, various studies have been conducted to determine the extent to which male circumcision may reduce the risk of HIV infection.
According to Carlos R Estrada and colleagues from the Health Center Rush Presbyterian St. Lukes in Chicago, Illinois, about 80 percent of HIV infection usually appear during the intimate touch.
The World Health Organization (WHO) and the Secretariat for the World AIDS (UNAIDS) bring together international experts in a consultation to determine whether male circumcision should be recommended in the efforts for the prevention of HIV infection.
After the research is done, the results on circumcision men are able to reduce the risk of HIV infection through heteroseksual on 60 percent of men. Then, what the relationship with the circumcision reduced the risk of transmission of HIV / AIDS?
Head of the penis,is an important factor in viral transmission of HIV / AIDS. Epidermis or the tip of the penis head play an important role in the way the HIV virus.
On the outside skin of the head or the tip of the penis there are cells that are very sensitive to the HIV virus. The section cut in the process of circumcision is coated very thin skin. This section is easily injured during intercourse.
Therefore, the virus can spread from a wounded skin. Uncircumcised penis is more easily spread HIV virus to the spouse because the skin on the tip of the penis or prepuce is usually damp and wet, and the place is suitable for the HIV virus to live.
Wet foreskin also potential of other sexually transmitted diseases. With circumcision, skin will automatically open so can lower the risk of HIV infection.
According to data from research Halperin and Bailey, as quoted by Adi, countries of Asia and Africa with a population prevalence of circumcised male less than 20 percent have HIV prevalence several times higher than countries with a population of circumcised men that more than 80 percent.
Similar results,also found in research in South Africa, Kenya, and Uganda. In fact the risk of HIV transmission is lower in circvumcised men compared with uncircumcised men.
South Africa 76 percent lower, Kenya, 60 percent lower, while Uganda 55 percent lower. "Why Africa, because there are in the area of HIV / AIDS at most, the 22 million people," he said.
However, circumcision does not automatically make men immune to the HIV / AIDS. "Circumcision only reduces the risk of transmission of HIV / AIDS," specifically.
Circumcision is not the only method of prevention of HIV transmission that can be done. Prevention of HIV must also be done in various ways, one is through the use of condom promotion and activities that do not transmit HIV risk to others.
"Campaigns and the socialization of transmission and prevention of HIV / AIDS must be accompanied by an increase sustainable access of the examination and treatment for people with HIV," said program manager at the AIDS high-risk group Yayasan Kusuma Buana Rediscoveri, Nitta. High-risk group of contracting sexually transmitted diseases and HIV are sex workers and drug users with needle.
TaraKlamp
Dr. T. Gurcharan Singh invented the
Taraklamp. It was used widely around the
world in 1990's.
Taraklamp. It was used widely around the
world in 1990's.
It is made of plastic designed for single use
only. It can be used for infants and adults
with varying sizes.
The tara klamp is a plastic with two parts which are uniting at the distal
end. Those are the tube and the outer clamp.
The tube is cylinder in shape. Its proximal end is a circular opening for
protecting the glans penis during circumcision.
Its distal end is also circular shape matching the distal part of the outer
clamp. It has two 'wings' that lock inside the hole provided by the outer
clamp.
The outer clamp has two distinct openings, two arms and two locks at
left and right sides of its distal end.
To lock the clamp, the upper part of the arm is pressed into the distal
part of the outer clamp until two clicks are heard and felt.
Same as plastibell, the size is important.
The correct size can avoid unnecessary
complications.
When the glans is cleared of adhesions,
insert the tube of the tara klamp into the
foreskin. The foreskin is pulled over the rim
of the tube underneath the clamp. Amount
of foreskin is adjusted.
The two arms are brought closer to the lock the clamp. The rim of the
clamp grips the foreskin on the tube. Further pressure applied to the
arms so two clicks are heard and felt. Lock is complete.
The skin has been clamp well to cut off any homeostasis. Use a tissue
cutter or scalpel to cut the excess foreskin.
It is a good practice to check the clamp and the penis before excise the
foreskin. Make sure the lock is fixed and position of the urethral meatus
is in the central of the tube.
When the clamp is locked and fixed, it cannot be undone. The Tara
klamp can be separated by cutting through the plastic in the hole at
distal end of the outer clamp. However, the clamp cannot be reused. To
continue circumcision, use a new tara klamp with the same size.
The clamp can be removed easily with some
discomfort. If the tube cannot be removed
from its attachment on the necrotic skin,
then it is better to let the boy home with the
tube intact. Advice for regular wash and
shower, the tube will be detached by a few
days.
Aftercare of circumcision is easy. Regular wash and shower with pain
killers whenever is necessary. Apply ointment or petroleum jelly over
the wound area.
The device is allowed to remain on the penis for the next few days.
Urine is easily voided through the distal opening.
Removing the device after 5-7 days:
Using a curve blade provided, the clamp is separated from the tube by
cutting the thin plastic at distal end of the tara klamp as shown.
The clamp can be removed easily with some
discomfort. If the tube cannot be removed
from its attachment on the necrotic skin,
then it is better to let the boy home with the
tube intact. Advice for regular wash and
shower, the tube will be detached by a few
days.
Does Circumcision Affect Your Sex Life?
Two studies present opposite findings, providing evidence to support both sides of the debate surrounding the procedure.
In one study, University of North Carolina researchers led by Dr. Kenneth Fink showed that adult men who underwent circumcision reported a decrease in both erectile functioning and penile sensitivity after the procedure.
In the other study, based on results from a much smaller group of patients, Dr. Sean Collins of Louisiana State University and his team found that newly circumcised adult men reported no difference in sexual functioning after the procedure.
Fink and his team also noted that, despite reporting a decrease in their sexual pleasure, 62% of men said they were satisfied with the results of the procedure.
In both studies, most of the men underwent the procedure for the treatment of a medical condition, such as phimosis, a condition in which the foreskin cannot be pulled back over the head of the penis.
Around 77% of American-born men in the US are circumcised, although that number appears to be declining rapidly in some regions of the country. In one Washington state study, only 37% of baby boys born between 1987 and 1996 were circumcised in the hospital.
In recent years, a debate has risen over the merits of the procedure, with one side citing the decreased rate of infections and sexually transmitted diseases among circumcised men, and the other stressing the pain and stress inflicted on a baby during circumcision, as well as the complications that can arise from the procedure.
The current policy of the American Academy of Pediatrics is that the potential medical benefits of male circumcision are not substantial enough to recommend that all boys become circumcised.
Despite anecdotal evidence that circumcised penises are less sensitive than uncircumcised penises, no studies have examined the effect of adult male circumcision on sexual functioning and pleasure--that is, until the appearance of these two studies, both published in the May issue of the Journal of Urology.
In the study conducted by Fink and his team, the authors asked 123 men who were already circumcised as adults to compare their sexual functioning and pleasure from before and after the procedure. The study by Collins and his colleagues was based on surveys of 15 men conducted both before and 12 weeks after the procedure.
Commenting on the Collins study to Reuters Health, Fink explained that talking to patients both before and after the procedure is a better way to measure changes, but that 15 patients is simply too small a group to detect anything other than large differences.
Fink added that both studies are flawed in that they examine sexual functioning changes in adults undergoing circumcision who, in most cases, opt for the procedure to correct medical problems. Consequently, Fink explained that a man's report of his sexual enjoyment and functioning could be influenced by the medical condition that prompted circumcision.
Based on this reasoning, Fink said, one would expect study participants to report an increase in sexual functioning after the procedure, which could be attributed to an improvement in the medical condition. However, a decrease in sexual functioning, as reported in Fink's study, shows there is likely some other factor influencing the change, he said.
As an explanation for why the men in his study reported high satisfaction despite a decrease in sexual functioning, Fink said that some were happy to have lower sensitivity, which enabled them to postpone orgasm, and better please their partners.
Fink noted that a man's report of sexual satisfaction depends on a number of factors.
"It means different things to different men," he said. "Overall, it looked like it was worth it to them to have the procedure."
Fink stressed that studies of circumcised adults cannot be directly applied to newborns, but that parents may wish to consider these findings when deciding whether to circumcise their children.
In one study, University of North Carolina researchers led by Dr. Kenneth Fink showed that adult men who underwent circumcision reported a decrease in both erectile functioning and penile sensitivity after the procedure.
In the other study, based on results from a much smaller group of patients, Dr. Sean Collins of Louisiana State University and his team found that newly circumcised adult men reported no difference in sexual functioning after the procedure.
Fink and his team also noted that, despite reporting a decrease in their sexual pleasure, 62% of men said they were satisfied with the results of the procedure.
In both studies, most of the men underwent the procedure for the treatment of a medical condition, such as phimosis, a condition in which the foreskin cannot be pulled back over the head of the penis.
Around 77% of American-born men in the US are circumcised, although that number appears to be declining rapidly in some regions of the country. In one Washington state study, only 37% of baby boys born between 1987 and 1996 were circumcised in the hospital.
In recent years, a debate has risen over the merits of the procedure, with one side citing the decreased rate of infections and sexually transmitted diseases among circumcised men, and the other stressing the pain and stress inflicted on a baby during circumcision, as well as the complications that can arise from the procedure.
The current policy of the American Academy of Pediatrics is that the potential medical benefits of male circumcision are not substantial enough to recommend that all boys become circumcised.
Despite anecdotal evidence that circumcised penises are less sensitive than uncircumcised penises, no studies have examined the effect of adult male circumcision on sexual functioning and pleasure--that is, until the appearance of these two studies, both published in the May issue of the Journal of Urology.
In the study conducted by Fink and his team, the authors asked 123 men who were already circumcised as adults to compare their sexual functioning and pleasure from before and after the procedure. The study by Collins and his colleagues was based on surveys of 15 men conducted both before and 12 weeks after the procedure.
Commenting on the Collins study to Reuters Health, Fink explained that talking to patients both before and after the procedure is a better way to measure changes, but that 15 patients is simply too small a group to detect anything other than large differences.
Fink added that both studies are flawed in that they examine sexual functioning changes in adults undergoing circumcision who, in most cases, opt for the procedure to correct medical problems. Consequently, Fink explained that a man's report of his sexual enjoyment and functioning could be influenced by the medical condition that prompted circumcision.
Based on this reasoning, Fink said, one would expect study participants to report an increase in sexual functioning after the procedure, which could be attributed to an improvement in the medical condition. However, a decrease in sexual functioning, as reported in Fink's study, shows there is likely some other factor influencing the change, he said.
As an explanation for why the men in his study reported high satisfaction despite a decrease in sexual functioning, Fink said that some were happy to have lower sensitivity, which enabled them to postpone orgasm, and better please their partners.
Fink noted that a man's report of sexual satisfaction depends on a number of factors.
"It means different things to different men," he said. "Overall, it looked like it was worth it to them to have the procedure."
Fink stressed that studies of circumcised adults cannot be directly applied to newborns, but that parents may wish to consider these findings when deciding whether to circumcise their children.
SmartKlamp Removal
Klamp removed after five days or according an advice from a doctor. We can do it by ourself or a doctor.
Step by step to release the klamp:
1. First is to open the klamp lock with the nail cutter.
2. After we cut both sides of the klamp we can start release the klamp fastener. When it is difficult we can put a few drops of baby oil on klamp.
3. Next is to release the tube. Usually it is stick to the head of the penis. To soften the necrotic tissue it is recommended to soak in warm water mixed with antiseptic solution for 30 minutes. Then we can turn the tubes left and right as we open a bottle cover.
4. After the tube can be moved left and right then we can remove the tube by making a movement such as “picking something”.
5. Do not pull the tube!.
The tube is removed
After the tube is removed we do not need to take special care because the injury has become dry. Circumcision scar will form a ring like black color and the dead tissue / necrotic will heal in a few days.
Keep the circumcision wounds remain clean and dry by taking a bath regularly and dry it well.
Use tight underwear and put the penis upwards. In some patients may arise a swelling or inflammation. This is normal if not accompanied by infection, swelling, and will heal by itself.
Step by step to release the klamp:
1. First is to open the klamp lock with the nail cutter.
2. After we cut both sides of the klamp we can start release the klamp fastener. When it is difficult we can put a few drops of baby oil on klamp.
3. Next is to release the tube. Usually it is stick to the head of the penis. To soften the necrotic tissue it is recommended to soak in warm water mixed with antiseptic solution for 30 minutes. Then we can turn the tubes left and right as we open a bottle cover.
4. After the tube can be moved left and right then we can remove the tube by making a movement such as “picking something”.
5. Do not pull the tube!.
The tube is removedAfter the tube is removed we do not need to take special care because the injury has become dry. Circumcision scar will form a ring like black color and the dead tissue / necrotic will heal in a few days.
Keep the circumcision wounds remain clean and dry by taking a bath regularly and dry it well.
Use tight underwear and put the penis upwards. In some patients may arise a swelling or inflammation. This is normal if not accompanied by infection, swelling, and will heal by itself.
Try to reduce activities such as running and other activities that affect the swelling. Consult the doctor if the swelling persists in a few days.
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