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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Morris, B. J. Wodak, A. D. Mindel, A. Schrieber, L. Duggan, K. A. Dilley, A. Willcourt, R. J. Lowy, M. Cooper, D. A. |
| Spatial Coverage | Australasia |
| Description | Country affiliation: Australia Author Affiliation: Morris BJ ( School of Medical Sciences and Bosch Institute, The University of Sydney, NSW, Australia. brian.morris@sydney.edu.au) |
| Abstract | Infant male circumcision (MC) is an important issue guided by Royal Australasian College of Physicians (RACP) policy. Here we analytically review the RACP's 2010 policy statement 'Circumcision of infant males'. Comprehensive evaluation in the context of published research was used. We find that the Statement is not a fair and balanced representation of the literature on MC. It ignores, downplays, obfuscates or misrepresents the considerable evidence attesting to the strong protection MC affords against childhood urinary tract infections, sexually transmitted infections (human immunodeficiency virus, human papilloma virus, herpes simplex virus type 2, trichomonas and genital ulcer disease), thrush, inferior penile hygiene, phimosis, balanoposthitis and penile cancer, and in women protection against human papilloma virus, herpes simplex virus type 2, bacterial vaginosis and cervical cancer. The Statement exaggerates the complication rate. Assertions that 'the foreskin has a functional role' and 'is a primary sensory part of the penis' are not supported by research, including randomised controlled trials. Instead of citing these and meta-analyses, the Statement selectively cites poor quality studies. Its claim, without support from a literature-based risk-benefit analysis, that the currently available evidence does 'not warrant routine infant circumcision in Australia and New Zealand' is misleading. The Statement fails to explain that performing MC in the neonatal period using local anaesthesia maximises benefits, safety, convenience and cost savings. Because the RACP's policy statement is not a fair and balanced representation of the current literature, it should not be used to guide policy. In the interests of public health and individual well-being, an extensive, comprehensive, balanced review of the scientific literature and a risk-benefit analysis should be conducted to formulate policy. |
| File Format | HTM / HTML |
| ISSN | 14440903 |
| Issue Number | 7 |
| Volume Number | 42 |
| e-ISSN | 14455994 |
| Journal | Internal Medicine Journal |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2012-07-01 |
| Publisher Place | Australia |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Adverse Effects Physicians Prevention & Control Australasia Humans Circumcision, Male Discipline Internal Medicine Infant Male Foreskin Hiv Infections Epidemiology Standards Journal Article Sexually Transmitted Diseases Urinary Tract Infections Randomized Controlled Trials As Topic Evidence-based Medicine Penile Neoplasms Physiology Health Policy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Internal Medicine |
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