University Hospital Clínico San Carlos C/ del Prof Martín Lagos, 28040, Madrid, Spain.
Int J Impot Res. 2023 May;35(3):252-255. doi: 10.1038/s41443-022-00608-x. Epub 2022 Aug 30.
Tye and Sardi present an extensive critical overview of the sparse and inconsistent literature on the psychological, psychosocial, and psychosexual impact of penile circumcision (PC) with a clear aim of achieving a framework for policy considerations and future research. With this perspective I humbly propose to step back and ask some deeper questions about PC, being this a politicized topic we should ask ourselves whether we can engage with a literature so full of polemical publications and polarized opinions. Even when presenting “straightforward” empirical data we can stimulate very different interpretations based on the previous beliefs or convictions of the reader, generating an undesirable sociocultural division. While PC is becoming a hot topic, we are falling far from reaching a consensus towards a medical policy framework to counsel families and individuals searching for answers; it actually seems to become a politicised philosophical battle between medical and health providers, researchers, psychologists, anthropologists, and activists. At this point, can we disentangle this ball of twine, asking the same questions and searching for the same answers—or should we call for a time-out and revaluate what we want to figure out about human sexuality in relation to cultural modifications of the genitals?
泰伊和萨迪对阴茎环切术（PC）的心理、社会心理和性心理影响的文献进行了广泛而深入的批判性回顾，目的明确，为政策考虑和未来研究制定框架。带着这种观点，我谦卑地建议退后一步，对 PC 提出一些更深入的问题，因为这是一个政治化的话题，我们应该问问自己，我们是否可以参与到这样一个充满争议性出版物和两极化观点的文献中。即使呈现“直接”的实证数据，我们也可以根据读者先前的信仰或观念产生非常不同的解释，从而产生不良的社会文化分裂。虽然 PC 正成为一个热门话题，但我们在为寻求答案的家庭和个人制定咨询医学政策框架方面远远没有达成共识；它实际上似乎已经成为医疗和健康提供者、研究人员、心理学家、人类学家和活动家之间一场围绕医学和健康的哲学化政治斗争。在这一点上，我们能否理清这团乱麻，提出相同的问题并寻求相同的答案——或者我们是否应该暂停一下，重新评估我们想要从与生殖器文化改变相关的人类性方面了解什么？
