NOCIRC of Italy: Scientific Activities 2006-2009

As the majority of Italians are not circumcised, the knowledge of the various aspects of male circumcision (MC) is lacking. The waves of immigrants from Muslim countries presented various problems concerning ritual MC, among them the fact that an ambiguous legislation enabled fraudulent use of National Health Services (NHS) funding, as ritual MCs were falsely labelled as being "therapeutic" in order to have them performed for free under the NHS. To better understand MC in Italy, during the last three years, different graduation theses supervised by the author permitted the gathering of: (a) epidemiological data to update the first epidemiological survey on the topic, (b) the attitudes of 173 Italian urologists toward MC, that were assessed by means of a questionnaire during a national medical congress. A previous thesis allowed (c) the production of the questionnaire administered to these professionals and, finally, (d) interviews were carried out. They were performed in the 15 health facilities supposed to carry out ritual MC, in order to build a map of these facilities in Italy and to better understand the underlying motivations and implications. Data confirm the fact that MC in Italy exists as a delicate, underground, and multifaceted problem. It appears that, "behind the scenes," not only unnecessary interventions are performed but also that legal violations are common.