[Printed in August 1997 issue]
Secondary megaprepuce is not a recognized legitimate diagnosis listed in the International Classification of Diseases . Recognized legitimate diagnoses include sexual abuse of a child, mental abuse, emotional abuse, physical abuse and types of perpetrators. Recognized legitimate diagnoses listed in the Diagnostic and Statistics Manual of Psychiatry include fetish, penis envy and voyeurism .
According to the authors, adults inspected the child's penis for 6 to 9 years of his life. In the operating theatre, the circumcisers masturbated the child's penis to a full erection. They sustained the child's erection and made close-up, colour photographs of the child's erect intact penis between the fingers of his circumciser. Perhaps the circumcisers have a full-length video showing this technique that they might enjoy sharing. I doubt the parents or the child gave signed, legal, informed consent or refusal to publish the colour photographs of the child's erect, intact penis in an international journal. The circumciser's erection photographs have now gained international attention. The sight of his penis in the grip of his circumciser would certainly repulse and enrage the disendowed child.
This report demonstrates a case of the wrong procedure on the wrong organ, of the wrong patient, for the wrong diagnosis. The child's parents need family and sexual counselling. The wounded child needs the intervention of child protection services. Child circumcisers Gomez, Puyol, and Menendez need a circumcision of their professional permits to perpetrate irreversible surgical sexual acts upon unwilling children under the legal age of informed consent or informed refusal. Please publish a denunciation of this inappropriate childhood non-consensual surgical sexual act.
Eileen Marie Wayne, MD
Rock Island [Moline], IL
1 Gomez J, Puyol M, Menendez V. Secondary megaprepuce. Br J Urol 1996:78:959-60.
2 Cansever G. Psychological effects of circumcision. Br J Med Psychol 1965:38:321-31
3 International Classification of Diseases 1997
4 American Psychiatric Association. Diagnosis and Statistical Manual
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