00:00hello there welcome to another episode of putting dr. G on the spot in the month
00:05of Movember November when we focus on men's health and on these series we're
00:11focusing on prevention of cancer specifically affecting men of course what
00:17other cancer can affect men that exclusively for men is penile cancer
00:22you probably not heard too much about penile cancer because it's not very
00:26common however if it affects a man it's very debilitating and there's this
00:32thought whether somebody who actually had circumcision is protective of getting
00:38penile cancer
00:45actually when somebody is looking at the number of people who already had penile
00:52cancer and how many of them are circumcised and how many of them are
00:55not circumcised in fact the vast majority of them actually are uncircumcised and
01:02why is that the case is it because the foreskin itself or we call it prepuse is
01:08actually toxic that's not the case because out of all these people who have
01:13got penile cancer there are other conditions that actually can result in
01:18the cancer itself such as HPV infection but what actually transpire is that
01:24inflammation inside the foreskin that actually causes penile cancer so for
01:31example if somebody actually have phimosis when their foreskin is too tight for
01:36retraction then that itself will create a lot of smegma and smegma will cause
01:41inflammation and that is called balanitis if somebody continuously get
01:46balanitis then you're more at risk of getting penile cancer so it's not the
01:52actual foreskin itself that is problematic it is actually the hygiene that is
01:58problematic on top of that if your immune system is lower you're sexually more
02:03promiscuous and you are heavy smoker then the risk of getting penile cancer is
02:08significantly high so is there a reason why someone should actually do a
02:15circumcision in order to prevent penile cancer actually the evidence is mixed
02:22because what is shown is that when a child having circumcision the protection
02:28it's a lot lot more substantial than another adult who choose to have it much
02:33later on in their life so on that basis many pediatric association actually
02:38suggested that in order to prevent penile cancer doing a circumcision is not
02:44indicated the reason is because the hygiene itself teaching the children from
02:50young age to retract the foreskin and clean on regular basis that itself is a lot
02:55more protective and that itself is quite preventive from one prevention of penile
03:02cancer we're going to talk about another reason why people get penile cancer
03:06which is HPV stay tuned for putting dr. G on the spot
