The Barbarity of Circumcision as a Remedy for Congenital Abnormality — John Shaqi
The Barbarity of Circumcision as a Remedy for Congenital AbnormalitySnow, Herbert
Philosophy
The Barbarity of Circumcision as a Remedy for Congenital Abnormality
Snow, Herbert
Circumcision; Penis -- Abnormalities
The parts being extremely vascular, and in very intimate relation with
the central nervous system; we very naturally find that congenital
phimosis, interfering with the normal growth of the glans penis, is
prone to develop various reflex neurotic disorders or diseases; of which
some have been minutely described by Dr. Sayre.[10] Thus forms of
_paralysis_ may ensue; either confined to a single group of muscles, and
simulating club-foot, or of a more general character. _Epilepsy_,
_reflex cough_, _convulsions_, _choreic movements of the limbs_, are
extreme examples; but a milder instance of the same causes in operation
shows itself in young infants, as _nocturnal restlessness with defective
nutrition_. _Hip-joint disease_ and _spinal caries_ may be simulated,
and the mal-assimilation of food may eventually produce such gross
deformities as _bowing of the legs_. Chronic _priapism_ is a not
uncommon occurrence.
Obstruction to the free discharge of urine may produce symptoms of
severe _vesical irritation_, occasionally supposed to indicate stone in
the bladder. The straining efforts at micturition may cause _hernia_ or
_prolapse of the rectum_; the _nocturnal incontinence_ of children is
not unfrequently traceable to the same source. _Epistaxis_ has been
described. Retention of urine in the folds of the elongated foreskin,
together with the child's habit of pulling this, induce a condition of
soreness which causes great smarting whenever micturition takes place,
and induces the patient to defer that act as long as possible. Hence may
in time result _dilatation of the bladder, cystic kidneys, and death_.
Even _eczema_ of the abdominal wall has been thus produced; and has
disappeared when the cause was removed, as in a case cited by Dr. Hayes
Agnew (_Principles of Surgery_, 1881).
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