May 22, 2024

The Link Between Diabetes and the Need for Circumcision in Adults

Written by
Edward Calleja
Foreskin Conditions
Wave Blue

What Is Circumcision and Why Is It Performed?

Circumcision involves the surgical removal of the foreskin covering the tip of the penis, a procedure with deep roots in cultural and religious practices across many societies. Some claim that its medical advantages include improved hygiene and decreased risks of urinary tract infections, sexually transmitted diseases, and particular types of cancer. Conversely, critics highlight the risks of surgical complications and ethical concerns regarding the autonomy of the patient, particularly in non-consensual infant circumcisions.

How Is Circumcision Connected to Type 2 Diabetes?

New research shows a strong connection between T2DM and conditions like balanitis xerotica obliterans (BXO) and treatment-resistant phimosis that requires adult men to be circumcised. Research indicates that men with T2DM are at a higher risk of developing penile inflammatory disorders, leading to a higher incidence of circumcision. This correlation points to diabetes as a potential driver for the surgical need, especially among those with symptomatic phimosis or penile inflammatory diseases.

What Does the Data Say?

A comprehensive analysis using Taiwan's National Health Insurance Research Database revealed that T2DM significantly increases the likelihood of adult males undergoing circumcision. This was compared to men without diabetes, with diabetes being a risk factor for penile inflammatory conditions.

Why Might Diabetic Men Be More Prone to Circumcision?

The inflammatory nature of T2DM may contribute to conditions like BXO and refractory phimosis, which are direct indications for circumcision. Diabetes can exacerbate or trigger the inflammation of the penile tissue, leading to complications that often leave circumcision as the most viable treatment option.