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Date of Award

Spring 2025

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Lisa Akselrad

Abstract

Elective infant male circumcision requires parents to commit their child to a lifelong decision without that child’s consent. Healthcare providers should be educated on the social pressures parents face in their religious and community sectors to better understand the process ahead for their patients. Additionally, provider education on circumcision practices allows for conversations focused on risk mitigation regarding ritual practices, surgical practices, and age of circumcision. Additionally, The decision to circumcise comes with medical risk, but overall has research supporting long term medical benefit and disease prevention from the absence of the prepuce. Furthermore, research supports stigma rather than the presence or absence of the prepuce correlate to both sexual and psychological satisfaction for the patient. In the absence of this, satisfaction with circumcision status was similar among both circumcised and uncircumcised patients. Overall, the role of the healthcare provider is navigating the conversation with research supported evidence to provide informed care without perpetrating stigma.

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The efficacy and ramifications of elective prophylactic infant male circumcision

Elective infant male circumcision requires parents to commit their child to a lifelong decision without that child’s consent. Healthcare providers should be educated on the social pressures parents face in their religious and community sectors to better understand the process ahead for their patients. Additionally, provider education on circumcision practices allows for conversations focused on risk mitigation regarding ritual practices, surgical practices, and age of circumcision. Additionally, The decision to circumcise comes with medical risk, but overall has research supporting long term medical benefit and disease prevention from the absence of the prepuce. Furthermore, research supports stigma rather than the presence or absence of the prepuce correlate to both sexual and psychological satisfaction for the patient. In the absence of this, satisfaction with circumcision status was similar among both circumcised and uncircumcised patients. Overall, the role of the healthcare provider is navigating the conversation with research supported evidence to provide informed care without perpetrating stigma.