Traditional Circumcision
by Rabbi Boruch Mozes
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Inflammatory dermatoses

Note: The following information is contained in the website http://www.circinfo.net/, and it has been copied with permission. This is not an exact copy of all the information found on the website http://www.circinfo.net/. For an exact text of the information contained in that site, please go onto the above mentioned site.

Balanitis and posthitis: To paediatric surgeons, the most obvious medical reasons for circumcision are balanitis (inflammation of the glans) and posthitis (inflammation of the foreskin). Both are very painful conditions. The latter is limited to uncircumcised males. Balanitis is seen in 11-13% of uncircumcised men, but in only 2% of those who are circumcised [104, 190]. In uncircumcised diabetic men it is 35% [190]. In boys the incidence of balanitis is twice as high in those who are uncircumcised [116, 156]. In babies, balanitis is caused by soiled diapers, playing and sitting in dirty areas, antibiotic therapy, as well as yeast and other micro-organisms. Balanitis caused by the group A haemolytic variety of Streptococcus is present exclusively in uncircumcised boys [256].

Penile skin diseases also include psoriasis, those arising from penile infections, lichen sclerosis, lichen planus, schorrheic dermatitis, and Zoon balanitis. The various conditions have been extensively reviewed [99, 190] and are either much more common in, or totally confined to, uncircumcised males. For example, all patients with plasma cell (Zoon) balanitis, bowenoid papulosis, and non-specific balanoposthitis were uncircumcised [218]. Mycobacterium smegmatis has been implicated in Zoon balanitis [99]. Typical symptoms of the latter include erythrema (in 100%), swelling (in 91%), discharge (in 73%), dysuria (in 13%), bleeding (in 2%) and ulceration (in 1%) [190]. Lichen sclerosis is found in 4-19% of all foreskins, and in older patients progressive Lichen sclerosis or other inflammatory changes lead to phimosis [24]. Phimosis in older men is, moreover, associated with 80% of cases of penile cancer.

Balanoposthitis: (inflammation of the foreskin and glans) is common in uncircumcised diabetic men, owing to a weakened shrunken penis [104]. Diabetes is common, inherited and rising in incidence, so this, especially when there is a family history of diabetes, may add to considerations about whether to circumcise an infant at birth.

Most cases of inflammatory dermatoses are diagnosed in uncircumcised men (overall odds ratio 3.2). Thus circumcision is protective [218]. The disorders include psoriasis, penile infections, lichen sclerosus, lichen planus, schorrheic dermatitis, and Zoon balanitis (referred to above). All patients with Zoon balanitis, bowenoid papulosis, and nonspecific balanoposthitis were uncircumcised. Lichen sclerosis is found in 4-19% of all foreskins. In older patients progressive Lichen sclerosis or other inflammatory changes lead to phimosis [24]. For a more extensive account on diseases of the penis see the references [99, 190].



"I have had the occasion of working with Rabbi Boruch Mozes on urological surgery. Rabbi Mozes has impressed me with his professionalism and judgment."
Dr. Howard M. Snyder-a world renowned urological surgeon. Children’s Hospital Of Philadelphia
I am happy to confidently recommend Rabbi Boruch Mozes as an experienced and highly skilled mohel. Many families have been extremely satisfied with his services as a mohel. I wish him continued success.
Dr. Batya Wagner Pediatrician NY

As both a parent and a medical professional, I was extremely impressed with the Bris that Rabbi Boruch Mozes performed on my son. I have in the past and will continue to recommend him to all as an outstanding mohel.
Dr. Isaac Braverman Pediatrician NJ

When our third son was born on a Shabbos and the mohel that we had used for our previous two sons was going to Israel, I was concerned. Rabbi Mozes made the several hour trip to our community and spent Shabbos away from his family so that the bris could be performed on the proper day. He was highly qualified and his manner was reassuring. I would recommend Rabbi Mozes to any family desiring an experienced and skilled mohel for the circumcision of their son.
Dr. Daniel Eisenberg Radiologist PA

Dr.Daniel Eisenberg Radiologist PA

Bris in University Surgery Center - 2013

"…my personal experience with Rabbi Boruch Mozes allows me to highly recommend him to you for the performance of circumcision (Brit Milah). Please feel free to contact me ... if I may be of further assistance in recommending this excellent mohel to you in the future."
MICHAEL H. FLEISHER, M.D., FAAP, FACS
Pediatric Urologist New Jersey

Michael H. Fleisher, M.D., FAAP, FACS

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