May reduce the risk of infections
contributing to the disease
Circumcision may help to lower the
risk of men developing prostate cancer, a new study suggests.
Scientists at the Fred Hutchinson
Cancer Research Centre, Seattle, found that men who had been circumcised before
the first time they had sex were 15 per cent less likely to develop the disease
compared with uncircumcised men.
It's already known that some
infections can cause cancer, and research has suggested that sexually
transmitted infections may play a role in the development of prostate cancer.
As circumcision helps protect
against certain sexually transmitted infections, the researchers wanted to find
out if it could also help protect against the development of prostate cancer.
For the study, the researchers
analysed the medical records of 3,399 men, around half with prostate cancer and
half without the disease. About 65 per cent of the men with
prostate cancer had been circumcised compared with 69 per cent of the men
without the disease. Men who had been circumcised
before the first time they had sex were 15 per cent less likely to develop
prostate cancer compared with uncircumcised men, the study found. They were also 18 per cent less
likely to develop the more aggressive form of prostate cancer and 12 per cent
less likely to develop the less aggressive form of the disease, the study
found.
Sexually transmitted infections
may lead to prostate cancer by causing chronic inflammation that creates a
hospitable environment for cancer cells, the researchers said. But circumcision may also protect
against sexually transmitted infections - and prostate cancer - by toughening
the inner foreskin of the penis, making it less susceptible to cuts and
abrasions and preventing bacteria and viruses from entering the bloodstream.
Circumcision also gets rid of the
moist space under the foreskin that may help pathogens to survive. However, the researchers pointed
out that this was an observational study and does not prove cause and effect.
Oncologist Dr Jonathan Wright, who
led the study, said the findings should not be used by parents in deciding
whether or not to have their son circumcised.
He said: "These data are in
line with an infectious/inflammatory pathway which may be involved in the risk
of prostate cancer in some men.
"Although observational only,
these data suggest a biologically plausible mechanism through which circumcision
may decrease the risk of prostate cancer. Future research of this relationship
is warranted."
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