A Short History of Circumcision in the U.S.
1860: 0.001% of the U.S. male population circumcised
"In cases of masturbation we must, I believe, break the habit by inducing such a
condition of the parts as will cause too much local suffering to allow of the
practice being continued. For this purpose, if the prepuce is long, we may
circumcise the male patient with present and probably with future advantage; the
operation, too, should not be performed under chloroform, so that the
pain experienced may be associated with the habit we wish to eradicate."
Athol A. W. Johnson, On An Injurious Habit Occasionally Met with in Infancy and
Early Childhood, The Lancet, vol. 1 (7 April 1860): pp. 344-345.
1871: 1% of the U.S. male population circumcised
"I refer to masturbation as one of the effects of a long prepuce; not that this
vice is entirely absent in those who have undergone circumcision, though I never
saw an instance in a Jewish child of very tender years, except as the result of
association with children whose covered glans have naturally impelled them to
the habit." M. J. Moses, The Value of Circumcision as a Hygienic and
Therapeutic Measure, NY Medical Journal, vol. 14 (1871): pp. 368-374.
1887: 10% of the U.S. male population circumcised
"Hip trouble is from falling down, an accident that children with tight
foreskins are especially liable to owing to the weakening of the muscles
produced by the condition of the genitals." Lewis L. Sayer, Circumcision For
the Cure of Enuresis, Journal of the American Medical Association, vol. 7
(1887): pp. 631-633.
"There can be no doubt of [masturbation's] injurious effect, and of the proneness to practice it on the part of children with defective brains. Circumcision should always be practiced. It may be necessary to make the genitals so sore by blistering fluids that pain results from attempts to rub the parts." Angel Money, Treatment of Disease in Children. Philadelphia: P. Blakiston. 1887, p. 421.
1888: 15% of the U.S. male population circumcised
"A remedy [for masturbation] which is almost always successful in small boys is
circumcision. The operation should be performed by a surgeon without
administering an anesthetic, as the pain attending the operation will have a
salutary effect upon the mind, especially if it be connected with the idea of
punishment." John Harvey Kellogg [the breakfast cereal tycoon], Treatment for
Self-Abuse and Its Effects, Plain Facts for Old and Young, Burlington, Iowa: P.
Segner & Co. 1888, p. 295.
1891
"In consequence of circumcision the epithelial covering of the glans becomes
dry, hard, less liable to excoriation and inflammation, and less pervious to
venereal viruses. The sensitivity of the glans is diminished, but not
sufficiently to interfere with the copulative function of the organ or to
constitute an objection ... It is well authenticated that the foreskin ... is a
fruitful cause of the habit of masturbation in children ... I conclude that the
foreskin is detrimental to health, and that circumcision is a wise measure of
hygiene." Jefferson C. Crossland, The Hygiene of Circumcision, NY Medical
Journal, vol. 53 (1891): pp. 484-485.
1891
"Measures more radical than circumcision would, if public opinion permitted
their adoption, be a true kindness to many patients of both sexes." Jonathan
Hutchinson, On Circumcision as Preventive of Masturbation, Archives of Surgery,
vol. 2 (1891): pp. 267-268.
1895
"In all cases in which male children are suffering nerve tension, confirmed
derangement of the digestive organs, restlessness, irritability, and other
disturbances of the nervous system, even to chorea, convulsions, and paralysis,
or where through nerve waste the nutritive facilities of the general system are
below par and structural diseases are occurring, circumcision should be
considered as among the lines of treatment to be pursued." Charles E. Fisher,
Circumcision, in A Hand-Book On the Diseases of Children and Their Homeopathic
Treatment. Chicago: Medical Century Co., 1895. p. 875.
1895: 15% of the U.S. male population circumcised
"In all cases of masturbation circumcision is undoubtedly the physicians'
closest friend and ally ... To obtain the best results one must cut away enough
skin and mucous membrane to rather put it on the stretch when erections come
later. There must be no play in the skin after the wound has thoroughly healed,
but it must fit tightly over the penis, for should there be any play the patient
will be found to readily resume his practice, not begrudging the time and extra
energy required to produce the orgasm. It is true, however, that the longer it
takes to have an orgasm, the less frequently it will be attempted, consequently
the greater the benefit gained ... The younger the patient operated upon the
more pronounced the benefit, though occasionally we find patients who were
circumcised before puberty that require a resection of the skin, as it has grown
loose and pliant after that epoch." E. J. Spratling, Masturbation in the
Adult, Medical Record, vol. 24 (1895): pp. 442-443.
1896
"Local indications for circumcision: Hygienic, phimosis, paraphimosis,
redundancy (where the prepuce more than covers the glans), adhesions,
papillomata, eczema (acute and chronic), oedema, chancre, chancroid, cicatrices,
inflammatory thickening, elephantiasis, naevus, epithelioma, gangrene,
tuberculosis, preputial calculi, hip-joint disease, hernia. Systemic
indications: Onanism [masturbation], seminal emissions, enuresis, dysuria,
retention, general nervousness, impotence, convulsions, hystero-epilepsy."
Editor, Medical Record, Circumscisus, Medical Record, vol. 49 (1896): p. 430.
1897
"The prepuce is an important factor in the production of phthisis
[tuberculosis]. This can be proven by the immunity of the Jewish race from
tubercular affections." S. G. A. Brown, A Plea for Circumcision, Medical
World, vol. 15 (1897): pp. 124-125.
1898
"Clarence B. was addicted to the secret vise practiced among boys. I performed
an orificial operation, consisting of circumcision ... He needed the rightful
punishment of cutting pains after his illicit pleasures." N. Bergman, Report
of a Few Cases of Circumcision, Journal of Orificial Surgery, vol. 7 (1898): pp.
249-251.
1899
"Not infrequently marital unhappiness would be better relieved by circumcising
the husband than by suing for divorce." A. W. Taylor, Circumcision - Its
Moral and Physical Necessities and Advantages, Medical Record, vol. 56 (1899):
p. 174.
1900: 25% of the U.S. male population circumcised
"Finally, circumcision probably tends to increase the power of sexual control.
The only physiological advantages which the prepuce can be supposed to confer is
that of maintaining the penis in a condition susceptible to more acute sensation
than would otherwise exist. It may increase the pleasure of coition and the
impulse to it: but these are advantages which in the present state of society
can well be spared. If in their loss, increase in sexual control should result,
one should be thankful." Editor, Medical News. (A Plea for Circumcision)
Medical News, vol. 77 (1900): pp. 707-708.
1900
"It has been urged as an argument against the universal adoption of circumcision
that the removal of the protective covering of the glans tends to dull the
sensitivity of that exquisitely sensitive structure and thereby diminishes
sexual appetite and the pleasurable effects of coitus. Granted that this be
true, my answer is that, whatever may have been the case in days gone by,
sensuality in our time needs neither whip nor spur, but would be all the better
for a little more judicious use of curb and bearing-rein." E. Harding
Freeland, Circumcision as a Preventive of Syphilis and Other Disorders, The
Lancet, vol. 2 (29 Dec. 1900): pp. 1869-1871.
1901
"Another advantage of circumcision ... is the lessened liability to
masturbation. A long foreskin is irritating per se, as it necessitates more
manipulation of the parts in bathing ... This leads the child to handle the
parts, and as a rule, pleasurable sensations are elicited from the extremely
sensitive mucous membrane, with resultant manipulation and masturbation. The
exposure of the glans penis following circumcision ... lessens the sensitiveness
of the organ ... It therefore lies with the physician, the family adviser in
affairs hygienic and medical, to urge its acceptance." Ernest G. Mark,
Circumcision, American Practitioner and News, vol. 31 (1901): pp. 121-126.
1901
"Frequent micturition [urination], loss of flesh, convulsions, phosphatic
calculus, hernia, nervous exhaustion, dyspepsia, diarrhea, prolapse of rectum,
balanitis, acute phimosis and masturbation are all conditions induced by the
constricted long prepuce, and all to be rapidly remedied by the simple operation
of circumcision." H. G. H. Naylor, A Plea for Early Circumcision, Pediatrics,
vol. 12 (1901): p. 231.
1902
"I have repeatedly seen such cases as convulsions, constant crying in infants,
simulated hip joint diseases, backwardness in studies, enuresis, marasmus,
muscular inco-ordination, paralysis, masturbation, neurasthenia, and even
epilepsy, cured or greatly benefited by the proper performance of circumcision."
W. G. Steele, Importance of Circumcision, Medical World, vol. 20 (1902): pp.
518-519.
1912: 35% of the U.S. male population circumcised
"The little sufferer lay in his mother's lap. The dropsy ... had taken the form
of hydrocephalus ... I then circumcised the child ... The head diminished in
size and in two weeks the condition of hydrocephalus had disappeared and the
child was once more dismissed as cured." E. H. Pratt, Circumcision, Orificial
Surgery: Its Philosophy, Application and Technique. Edited by B. E. Dawson.
Newark: Physicians Drug News Co. 1912. pp. 396-398.
1912
"Circumcision promotes cleanliness, prevents disease, and by reducing
oversensitiveness of the parts tends to relieve sexual irritability, thus
correcting any tendency which may exist to improper manipulations of the genital
organs and the consequent acquirement of evil sexual habits, such as
masturbation." Lydston G. Frank, Sex Hygiene for the Male. Chicago: Riverton
Press, 1912.
1914
"It is generally accepted that irritation derived from a tight prepuce may be
followed by nervous phenomena, among these being convulsions and epilepsy. It is
therefore not at all improbable that in many infants who die in convulsions the
real cause of death is a long or tight prepuce. The foreskin is a frequent
factor in the causation of masturbation ... Circumcision offers a diminished
tendency to masturbation, nocturnal pollutions, convulsions and other nervous
results of local irritation. It is the moral duty of every physician to
encourage circumcision in the young." Abraham L. Wolbarst, Universal
Circumcision, Journal of the American Medical Association, vol. 62 (1914): pp.
92-97.
1915
"Circumcision not only reduces the irritability of the child's penis, but also
the so-called passion of which so many married men are so extremely proud, to
the detriment of their wives and their married life. Many youthful rapes could
be prevented, many separations, and divorces also, and many an unhappy marriage
improved if this unnatural passion was cut down by a timely circumcision." L.
W. Wuesthoff, Benefits of Circumcision, Medical World, vol. 33 (1915): p. 434.
1915
"The prepuce is one of the great factors in causing masturbation in boys. Here
is the dilemma we are in: If we do not teach the growing boy to pull the prepuce
back and cleanse the glans there is the danger of smegma collecting and of
adhesions and ulcerations forming, which in their turn will cause irritation
likely to lead to masturbation. If we do teach the boy to pull the prepuce back
and cleanse his glans, that handling alone is sufficient gradually and almost
without the boy's knowledge to initiate him into the habit of masturbation ...
Therefore, off with the prepuce!" William J. Robinson, Circumcision and
Masturbation, Medical World, vol. 33 (1915): p. 390.
1920: 50% of the U.S. male population circumcised
"Circumcision is an excellent thing to do; it helps to prevent hernia due to
straining, and later it helps in preventing masturbation. The ordinary schoolboy
is not taught to keep himself clean, and if he is taught he thinks too much
about the matter." I. Solomons, For and Against Circumcision, British Medical
Journal, 5 June 1920, p. 768.
1928
"Phimosis may be a predisposing cause of masturbation in some cases ...
Hemorrhage following circumcision at birth cannot be considered seriously as a
contraindication. Meatal ulcer due to ammoniacal diapers in the circumcised is
not a contraindication ... Routine circumcision at birth is warranted."
Editor, Routine Circumcision at Birth?, Journal of the American Medical
Association, vol. 91 (1928): p. 201.
1935: 55% of the U.S. male population circumcised
"I suggest that all male children should be circumcised. This is 'against
nature', but that is exactly the reason why it should be done. Nature intends
that the adolescent male shall copulate as often and as promiscuously as
possible, and to that end covers the sensitive glans so that it shall be ever
ready to receive stimuli. Civilization, on the contrary, requires chastity, and
the glans of the circumcised rapidly assumes a leathery texture less sensitive
than skin. Thus the adolescent has his attention drawn to his penis much less
often. I am convinced that masturbation is much less common in the circumcised.
With these considerations in view it does not seem apt to argue that 'God knows
best how to make little boys.'" R. W. Cockshut, Circumcision, British Medical
Journal, vol. 2 (1935): 764.
1941
"[Routine Circumcision] does not necessitate handling of the penis by the child
himself and therefore does not focus the male's attention on his own genitals.
Masturbation is considered less likely." Alan F. Guttmacher, Should the Baby
Be Circumcised?, Parents Magazine, vol. 16 (1941): pp. 26, 76-78.
1971: 90% of the U.S. male population circumcised
"There are no valid medical indications for circumcision in the neonatal
period." Committee On Fetus and Newborn. Standards and Recommendations for
Hospital Care of Newborn Infants, 5th edition. Evanston, IL: American Academy of
Pediatrics. 1971. p. 110.
1994: 60% of newborn males in the U.S. circumcised
"Circumcision causes pain, trauma, and a permanent loss of protective and
erogenous tissue ... Removing normal, healthy, functioning tissue for no medical
reason has ethical implications: circumcision violates the United Nations'
Universal Declaration of Human Rights (Article 5) and the United Nations'
Convention on the Rights of the Child (Article 13)." Leo Sorger, To ACOG
[American College of Obstetrics and Gynecology]: Stop Circumcisions, Ob Gyn
News, 1 Nov. 1994, p. 8.
1998
"Circumcision is not a medical decision. Preventing an improbable future
infection is a spurious indication. The standard of care is antibiotics, not
amputation." Eileen Marie Wayne, MD, Letters (Nothing to debate on
circumcision), American Medical News, 27 July 1998, p. 27.
"As editor of a newspaper dedicated to infectious diseases, you know that
antibiotics are the standard of care for infection and that surgery is a last
resort for body parts for which there is no other cure. Perpetrating sexual
surgery on healthy non-consenting minors, under the legal age of informed
consent or refusal, to purportedly prevent an unlikely and curable future
infection, is unacceptable. Intentionally amputating healthy erogenous genital
tissue from tethered, protesting infants is a surgical act of sexual sadism.
"Kaiser Foundation's Edgar Schoen ignores the erogenous benefits of the
foreskin and a man's birthright to the sexual fulfillment he was born to
experience. He would do well to stop promoting and perpetrating sexual surgery.
He withholds from parents, who have no ethical right to consent to unnecessary
sexually disendowing surgery on their children, the fact that the foreskin has
sexual and erogenous functions. He contends that circumcision protects against
sexually transmitted disease!
"Dr. Schoen's failed attempt to justify surgical genital abuse is a
willful act of misrepresentation. It is a disgrace and discredit to the medical
profession and Infectious Diseases in Children. It is imperative that you
also remove this tainted material to minimize liability to this publication from
harmed patients, especially circumcised victims who developed AIDS in spite of
being circumcised. Beyond patient harm, beyond medical ethics, publishing
misinformation is a licensing and disciplinary issue of grave import to all
involved."
Eileen Marie Wayne, MD, Letters (Circumcision -- sexual sadism?),
Infectious Diseases in Children, Vol. 11, No. 2, February 1998.