DR. MED. F. SAITMACHER
"Sozialhygienische Betrachtung zu einer
routinemässigen Zirkumzision männlicher Säuglinge"
Das Deutsche Gesundheitswesen Jahrgang 15 Heft 23 Pages 1217-1220
Routine Infant Male Circumcision
From the Standpoint of Community Health and Welfare
Translation: R. Stuart
(Introduction : Schoeberlein says "Keil states only 1% and
Koester 0.5% to 1%, without giving any references for these figures"on
p 376 (28))
Extract from Saitmacher on p.1218
Keil states the frequency of phimosis is 1%. This figure may be correct
for extreme cases. However, if one takes into consideration cases where
the foreskin could not be retracted without difficulty or pain, it
appears too low. We found among our 229 youths that 20 had these problems.
This corresponds to a frequency of 8.7%. Among a further 64 examined
cases we observed a long extension of the foreskin, which however could
be retracted more or less without difficulty (27.6%).
Discussing hygiene: "We must conclude that in 33.2% of the examined
cases the preputial area was incredibly unclean" The reasons given
were "shyness", "laziness" and that "It was completely unknown to some
of the examined boys that the foreskin could be retracted."
. . . R.S. Only 8.7% of these boys had a phimosis. Therefore, it appears,
an unawareness of the possibility of retracting the foreskin, is not
limited to young men with genital disabilities.