President Jair Bolsonaroro on Thursday expressed concern about the volume of amputations of the penis in the country and warned of the need to wash the organ with soap and water.
Although the warning was done in an unusual and random way, at the end of a meeting at the Ministry of Education, Bolsonaro is wrong, according to the SBU (Brazil Association of Urology) – because the lack of hygiene is one of the factors that increases the risk of developing cancer on the penis.
The case was quoted by the president himself at a press interview. Bolsonaro raised the issue after Education Minister Abraham Vaintrab talked about children's schools in the country's reform settlements.
"It's a very important thing to supplement the minister here. We get older and learn something every day," he said.
The President then reminded that oral hygiene practices were given in the military environment and that they had recently received an alarming report. "In Brazil, we still have thousands of amputations of the penis per year due to lack of soap and water. When you get to that point, we will see that we are really deep in the pit," he said.
According to the aides of the president, the subject was recently treated with Bolsonaro by Health Minister Louise Henrique Mandeda. The president noted that the highest incidence of the problem occurs in poor countries.
"We need to find a way out of the bottom of the pit and to help these people by raising awareness, showing what they really need to do and not coming to that funny point, sad for us, that amount of amputations that you we have annually, "he said.
The President stressed that the problem also causes men to end up using reserved toilets. "When I became aware that some men, when they went to the bathroom, only occupied the bathroom to make the number one in the reserved room." "What's happening to this man?" "I knew and gradually became aware," he said.
Asked, the Ministry of Health did not report data on the volume of penile amputations in the country.
According to the coordinator of the penis and testicular cancer of the Brazilian association of urology Jose de Ribamar Kaliksto, the estimation of a thousand amputations a year is made on the basis of data from hospitalization in the CIS in recent years and procedures related to penile cancer, but it will need to be update.
"I would say that this is not exactly what the president said, it's worse than that." We have been struggling for 20 years to be able to manage public policy in order to end penile cancer, and thus stop extracting others, "he says, for whom there may be insufficient reporting because there are no data from the private network.
Bad intimate hygiene is one of the factors that lead to the problem. "What causes penile cancer is, firstly, a lack of hygiene, when a person can not detect the penis, which is the" head "of the penis, which should be washed, causing aggressive and progressive injury," he explains. "It's a cancer that can be prevented."
According to Calixto, the largest volume of amputations occurs in the north and northeast. Maranhao will be one of the countries with the highest number of cases, according to studies related to the SBU. "And the reason is the lack of health education," he says. "Only in Sao Luis, we have an average of eight to ten amputations per month, a public health problem."
Data from the National Cancer Institute (INKA) indicate that penile cancer is a rare tumor, with a higher incidence in men aged 50 and over, although younger people may also reach. In Brazil, this type of tumor represents 2% of all types of cancer affecting men, the agency reports.
The situation is worsened by delays in the diagnosis of injuries and treatment. "If treated early, only a violation is needed, not the whole penis," Kaliksto says. "If it takes too long, the tumor of the size of a peas in January comes in December of a size of guava".
According to Calixto, another opportunity to increase prevention would be to increase access to surgical procedures in SUS for men with phimosis-which is the difficulty or impossibility of exposure to the penile glaucoma, because the skin it covers has a very narrow diameter, which is why it is difficult to clean properly.
"It's a little stimulated operation in the SUS. A man can not do good hygiene if the eyes are not exposed," he says.
Another impasse increases adherence to HPV vaccine. Although it is available to the public adolescent network, vaccine coverage is below the target. "We need to get to the boys," says Health Minister Louise Henrique Mandeda.