President Jair Bolsonaro has expressed concern on Thursday about the volume of penile amputations in the country and warned of the need to wash the body with soap and water.
Although the signal was made in an unusual and casual way, at the end of a meeting at the Ministry of Education, Bolsonaros did not make mistakes, according to the SBU (Brazilian Urology Society) – because lack of hygiene is one of the factors that increase the risk of developing cancer of the penis.
The subject was quoted by the president himself during a press interview. Bolsonarro raised the issue after Education Minister Abraham Weintraub spoke about children's schools in the settlements for land reform.
"It is very important to supplement the minister here, and we get older and learn things every day," he said.
The president then recalled that oral habits were taught in the military environment and said he had recently received a worrying report. "In Brazil, we still have a thousand penis amputations per year because of the lack of soap and water, and when you get to that point we see that we are really deep in the pit," he said.
According to the President's assistants, the subject was recently treated by Bolsonarro by Health Minister Luis Enrique Mandetta. The president stressed that the highest incidence of this problem is found in poor countries.
"We have to find a way out of the bottom of the pit by helping these people by raising awareness, showing them what they really need to do and avoiding this ridiculous, sad for us, the amount of amputations we have each year," he said he.
The president noted that the problem also makes men use reserved toilets. "I found out that after some people went to the bathroom they only took the bathroom to make the number one in the booked room. – What about this guy? "I knew and gradually realized," he said.
Inquiries, the Ministry of Health does not report data on the volume of penile amputations in the country.
According to the Coordinator of Penile Cancer and Testicles of the Brazilian Urology Society, José de Ribamar Calixto, the estimate of a thousand amputations per year is based on data from SUS hospitalizations in recent years and penis cancer procedures, but they require Is Being Updated.
"I would say it's not quite what the president said was worse than that." We have struggled for 20 years to be able to manage a public policy aimed at ending penis cancer, and thus stop collecting others. "he says, for whom there may be insufficient reporting because there is no data from the private network.
Poor intimate hygiene is one of the factors that lead to the problem. "What causes penis cancer is, firstly, the lack of hygiene when the person can not expose the penis, which is the head of the penis to be washed, causing aggressive and progressive injury," he explains. is preventable cancer.
According to Kallikstos, the largest is the volume of amputations in the north and northeast. According to studies related to the SBU, Marranhao will be one of the countries with the highest number of cases. "And the reason is the lack of health education," he says. "Only in Sao Luis we have an average of 8 to 10 amputations per month, a public health problem."
Data from the National Cancer Institute (INCA) indicate that penile cancer is a rare tumor with a higher incidence in men aged 50 and over, although it may also reach younger people. In Brazil, this type of tumor represents 2% of all cancers that affect men, she says.
The situation is complicated by delays in the diagnosis of injuries and treatment. "If it is treated at the beginning, it only takes the injury, not the whole penis," says Calicsto. "If it takes too much time, the pomegranate-sized tumor in January arrives in Guayaquil in December."
According to Calixto, another possibility of increasing prevention is to increase access to surgical procedures in SUS for men with females – this is the difficulty or impossibility of exposing the penis head because the skin that covers it has a very narrow diameter which hampers the correct cleaning.
"This is a little stimulated SUS surgery." Man can not do good hygiene if the head is not exposed, "he says.
Another sign is the increase in adherence to the HPV vaccine. Although available in the public adolescent network, the scope of vaccines is below the target. "We have to get to the boys," says Health Minister Luis Enrique Mandetta.