TY - CHAP T1 - Male circumcision: Impact on human immunodeficiency virus and other sexually transmitted infections T2 - Urogenital Infections and Inflammations AU - Krieger, John N. AU - Morris, Brian ED - Naber, Kurt G. AD - John N. Krieger MD, PhD, University of Washington, Section of Urology, 1959 NE Pacific St., Box 356510, 98195-6510, Seattle, United States, E-mail: jkrieger@u.washington.edu N2 - High-quality data show that male circumcision reduces the risk of human immunodeficiency virus type 1 (HIV) infection by approximately 70% during heterosexual intercourse. Three major lines of evidence support this conclusion: biological data suggesting that this concept is plausible, data from observational studies supported by high-quality meta-analysis, and three randomized controlled trials involving more than 11,000 participants, also supported by high quality meta-analyses. The evidence from these biological studies, observational studies, randomized controlled clinical trials, meta-analyses, and cost-effectiveness studies is conclusive. Besides reducing risk of HIV infection, male circumcision also reduces the risk of a number of other sexually transmitted infections, including: high-risk human papillomavirus types, genital herpes, Trichomonas vaginalis, Mycoplasma genitalium, syphilis, chancroid and genital ulcer disease. These strong data reinforce policy statements promoting male circumcision as an important public health measure. PY - 2018 DA - 2018/10/26 DO - 10.5680/lhuii000024 LA - en L1 - https://books.publisso.de/en/system/getFile/150 UR - https://dx.doi.org/10.5680/lhuii000024 L2 - https://dx.doi.org/10.5680/lhuii000024 KW - Male circumcision KW - HIV infection KW - sexually transmitted infections KW - complications PB - German Medical Science GMS Publishing House CY - Berlin ER -