Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (abridged version).

Circumcision is the oldest planned operative procedure in the history of human civilization, but there continues to be a lack of consensus and strong opposing views on whether universal neonatal circumcision should be adopted as a public health measure. The American Academy of Pediatrics 2012 guideline on male circumcision (MC), reversed its prior stand, stating that the “health benefits of newborn male circumcision outweigh the risks” and justify access to the procedure if the parents so choose.1 The following set of guidelines will investigate and provide evidence regarding the benefits of neonatal MC, its potential complications and the care of the normal foreskin in early childhood, adapted for the Canadian population and healthcare system. A more comprehensive version of this guideline describing the detailed evidence to support the proposed recommendations and including sections on MC trends, indications of pediatric MC, cost analyses, and training implications is provided in the online version of this guideline (available at cuaj.ca). The evidence presented is classified according to the Oxford system of evidence-based medicine, with a summary using the GRADE system.2