AMSTERDAM | (Reuters) - Dutch doctors want politicians and human rights groups to speak out and discourage the practice of male circumcision in the Netherlands because they say it is a "painful and harmful ritual," and a violation of children's rights. Between 10,000 and 15,000 boys are circumcised in the Netherlands each year, mostly for religious reasons and not always with an anesthetic, according to the Royal Dutch Medical Association (KNMG) which represents surgeons, pediatricians, general practitioners and urologists. "We want to discourage male circumcision, because it is an unnecessary procedure with complications, which violates the integrity of the child," Lode Wigersma, a spokesman for the association, told Reuters on Friday. "This is not an innocent procedure, we see complications in about 5 percent of the cases, as well as some long-term and psychological implications," he said. Male circumcision involves the removal of all or part of the foreskin of the penis. It is a ritual obligation for infant Jewish boys, and is also a common rite among Muslims, who account for the largest share of circumcised men worldwide. The Dutch medical association has urged religious leaders to find alternative rites of passage that are not irreversible and which are not painful for the child. The practice of female genital mutation has been prohibited by law in the Netherlands since 1993 for all ages. Last year the Dutch medical association released a report against the practice of circumcision of male children for non-medical reasons, hoping to initiate a public discussion. Now it is appealing to Dutch politicians to speak out against the practice to help "gradually change the mentality" in society and among religious groups that circumcise their boys. The doctors group said that contrary to popular belief, circumcision can cause some minor as well as serious complications including bleeding, infection, urethral stricture as well as panic attacks, which it says are particularly common. It said there was no medical reason to surgically remove a part of the genitals of healthy babies and young children, who are too young to give their consent to the procedure. The Dutch doctors are not calling for a circumcision ban, for fear the practice will be driven underground. "We also understand that it (circumcision) is a deeply embedded religious habit so we don't expect it to be over in a few years, so our appeal is if you want to do it then have it done by a doctor with anesthesia," said Wigersma. The majority of male circumcisions in the Netherlands are done in special circumcision clinics by doctors using anesthetic on Muslim boys between 5 and 7 years, according to Wigersma. Rabbi Binyomin Jacobs, President of the Dutch Association of Rabbis, said only about 50 male Jewish babies are circumcised in the Netherlands each year. He disputed the 5 percent complication rate, and said there have not been any problems in the Jewish community due to strict rules about how and when circumcision takes place. "According to Jewish law, you have to do it (circumcision) the Jewish way," Jacobs said. The doctors' recommendation to end the practice of circumcision is likely to be controversial given that it involves both Jewish and Muslim traditions. In a rare show of unity in June, the Dutch Muslim and Jewish communities -- numbering about 1 million and 40,000 respectively in a total population of 16 million -- condemned the government's proposed ban on the religious slaughter of animals as a violation of their religious freedom. (Reporting By Roberta B. Cowan) 穀歌翻譯
Dutch doctors urge end to male circumcision
（路透社） - 荷蘭醫生希望政治家和人權團體的發言，並阻止在荷蘭男性包皮環切的做法，因為他們說這是一個“痛苦的和有害的儀式”，和侵犯兒童權利的。
在10,000和15,000之間的男孩割禮，每年在荷蘭，主要是出於宗教原因，並不總是與麻醉劑，根據荷蘭皇家醫學協會（KNMG）代表的外科醫生，兒科醫生，全科醫生和泌尿科醫生。
“我們希望阻止男性包皮環切，因為它是一個與並發症的不必要的程序，這違反了兒童的完整性，”洛德Wigersma，該協會的發言人上周五表示，路透社。
“這不是一個無辜的過程中，我們看到的並發症在5％左右的情況下，以及一些長期和心理的影響，”他說。
包皮環切涉及拆除全部或部分陰莖包皮。這是一個儀式嬰兒的猶太男孩的義務，也是一個穆斯林之間的共同儀式，占最大份額的全球包皮環切的男性。
荷蘭醫療協會呼籲宗教領袖，是不可逆的，這不是孩子的痛苦找到替代通過儀式。
在荷蘭的法律自1993年為所有年齡的女性生殖器官突變的做法已被禁止。
荷蘭醫療協會去年發布的報告對非醫療原因的男性兒童包皮環切的做法，希望能發起公眾討論。
現在是呼籲荷蘭政治家發言反對這種做法，以幫助“逐步改變心態”之間的社會和宗教團體割禮他們的男孩。
醫生說，流行的看法相反，包皮環切可導致一些未成年人以及嚴重的並發症，包括出血，感染，尿道狹窄，以及恐慌，它說，尤為常見。
它說，沒有醫療手術取出生殖器健康的嬰兒和年幼的孩子，誰是太年輕了，他們同意程序的一部分的理由。
荷蘭醫生不要求為禁止割禮，恐懼的做法將推動地下。
“我們也明白，它（割禮）是一個深植的宗教習慣，所以我們不要指望它在未來幾年內將在，所以我們呼籲的是，如果你想要做的，然後由醫生做麻醉， “說Wigersma。
大多數男性割禮在荷蘭做了特殊的割禮診所的麻醉醫生使用5至7年的穆斯林男孩，根據Wigersma。
拉比，拉比荷蘭協會主席，Binyomin雅各布說，在荷蘭的割禮，每年隻有大約50隻雄性猶太嬰兒。
他有爭議的5％，並發症發生率，並說再也沒有出現過任何問題，由於嚴格的規定，有關如何以及何時包皮環切需要發生在猶太社區。
“根據猶太法律，你這樣做（割禮）的猶太人的方式，”Jacobs說。
醫生的建議，以結束割禮的做法可能會引起爭議，因為它涉及到猶太人和穆斯林的傳統。
在一個難得的展示團結在6月，荷蘭穆斯林和猶太教社區 - 編號為1600萬的總人口約100萬和40000分別 - 譴責政府對宗教的動物屠宰的建議，禁止違反他們的宗教自由。
（羅伯塔乙考恩的報告）
