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BioMed Research International
Volume 2017, Article ID 4957348, 8 pages
Research Article

Reported Male Circumcision Practices in a Muslim-Majority Setting

1Department of General Surgery, The Indus Hospital, Korangi Crossing, Karachi 75190, Pakistan
2Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital & Research Centre, 7-A Block R-3, Johar Town, Lahore, Pakistan
3Department of Pediatric Surgery, The Indus Hospital, Korangi Crossing, Karachi 75190, Pakistan
4Indus Hospital Research Center, The Indus Hospital, Korangi Crossing, Karachi 75190, Pakistan

Correspondence should be addressed to Lubna Samad; gro.hcraeserdri@damas.anbul

Received 10 August 2016; Revised 30 November 2016; Accepted 15 December 2016; Published 17 January 2017

Academic Editor: Pere Domingo

Copyright © 2017 Abdul Wahid Anwer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Male circumcision is a recommended practice in Muslim tradition. It is important to ensure that this procedure is performed as safely as possible in these communities. Methods. Five hundred adult men and women with at least one male child less than 18 years were interviewed in Karachi, Pakistan, regarding details of their child’s circumcision. The survey focused on actual and perceived delays in circumcision and perceptions about appropriate age and reasons and benefits and complications of the procedure. Circumcisions done after two months of age were defined as delayed. Results. Religious requirement was the primary reason for circumcision in 92.6% of children. However, 89.6% of respondents were of the opinion that circumcision had medical benefits as well. Half of the children (54.1%) had delayed circumcision (range 2.5 months to 13 years), even though 81.2% of parents were of the opinion that circumcisions should be done within 60 days of birth. Facility-delivered babies had less delay in circumcisions (49.1%) as compared to home-delivered babies (60.5%). Conclusion. Understanding the perceptions and practices around male circumcision can help guide national strategies for designing and implementing safe circumcision programs in Muslim-majority settings, with the potential to benefit an annual birth cohort of 20–25 million boys worldwide.