Circumcision Academy of AustraliaThe Only Australian Medical Organisation Devoted to Male Circumcision (site last updated 12 Oct 2019) |
About the Circumcision Academy of AustraliaThe Academy provides scientifically accurate medical information on male circumcision and contact details of doctors who perform circumcisions on newborn boys, older boys and men in Australia and New Zealand. The Academy was formed on 21 Jan 2010 at a meeting of several leaders in public health policy and medical science, together with other interested parties, at the National Centre for HIV Epidemiology & Clinical Research (now the Kirby Institute), St. Vincent's Hospital, Sydney, to form a new organization named the ‘Circumcision Academy of Australia’. (The Academy was previously known as The Foundation) The organization is a not-for-profit incorporated association registered in the state of New South Wales, Australia. Its aims are to provide reliable evidence based medical research information on circumcision as a public health issue and facilitate education on good clinical practice. In this regard it produced the first evidence-based policy statement on infant male circumcision in Australia (see below). (Other, older policy statements in Australia are not evidence-based and should not be relied on.) High quality brochures are available for free download on this website (see below). In addition the Academy supports parental and individual choice in obtaining elective medical or religious circumcision in the Australian community. The Academy is not aligned with any other medical body nor with any particular religious faith or other entity. International consensus statement on infant male circumcision by 56 Australian and International academic and clinical experts: InternationalStatementCircumcision.pdf For an extensive, evidence-based appraisal of circumcision go to: www.circinfo.net
For free brochures in other languages go to: www.circinfo.net Donations can be sent to: Circumcision Academy of Australia Inc., PO Box 1776, Bondi Junction, NSW 2022, Australia OR by funds transfer to National Australia Bank: (If funds transfer is from outside Australia, the SWIFT code is NATAAU3303M)
Quote from Australian Minister for Health and Ageing in 2012
Policy Statements:
Infant male circumcision: An evidence-based policy statementOpen Journal of Preventive Medicine, 2012; 2: 79-92. Brian J. Morris, Alex D. Wodak, Adrian Mindel, Leslie Schrieber, Karen A. Duggan, Anthony Dilley, Robin J. Willcourt, Michael Lowy, David A. Cooper, Eugenie R. Lumbers, C. Terry Russell, Stephen R. Leeder ABSTRACT Here we review the international evidence for benefits and risks of infant male circumcision (MC) and use this to develop an evidence-based policy statement for a developed nation setting, focusing on Australia. Evidence from good quality studies that include meta-analyses and randomized controlled trials showed that MC provides strong protection against: urinary tract infections and, in infancy, renal parenchymal disease; phimosis; paraphimosis; balanoposthitis; foreskin tearing; some heterosexually transmitted infections including HPV, HSV-2, trichomonas, HIV, and genital ulcer disease; thrush; inferior hygiene; penile cancer and possibly prostate cancer. In women, circumcision of the male partner protects against HPV, HSV-2, cervical cancer, bacterial vaginosis, and possibly Chlamydia. MC has no adverse effect on sexual function, sensitivity, penile sensation or satisfaction and may enhance the male sexual experience. Adverse effects are uncommon (<1%), and virtually all are minor and easily treated. For maximum benefits, safety, convenience and cost savings, MC should be performed in infancy and with local anesthesia. A risk-benefit analysis shows benefits exceed risks by a large margin. Over their lifetime up to half of uncircumcised males will suffer a medical condition as a result of retaining their foreskin. The ethics of infant MC and childhood vaccination are comparable. Our analysis finds MC is beneficial, safe and cost-effective, and should optimally be performed in infancy. In the interests of public health and individual well-being, adequate parental education, and steps to facilitate access and affordability should be encouraged in developed countries. Author details: Brian J. Morris, AM DSc PhD FAHA. Professor Emeritus, School of Medical Sciences and Bosch Institute, The University of Sydney, NSW 2006 Alex D. Wodak, AM FRACP FAChAM FAFPHM. Former Director, Alcohol and Drug Service, St Vincents Hospital, Sydney NSW 2010 Adrian Mindel, MB ChB MSc MD FRCP FRACP FAChSHM. Former Professor of Sexual Health Medicine, University of Sydney and Former Director of the Sexually Transmitted Infections Research Centre (STIRC), Westmead Hospital, Sydney NSW 2145 Leslie Schrieber, MB BS MD FRACP. Associate Professor, Sydney Medical School, University of Sydney at Royal North Shore Hospital, Sydney NSW 2065 Karen A. Duggan, BSc MBBS MD FRACP. Nephrologist, North Ryde NSW 2113 Anthony Dilley, MB BS FRACS. Paediatric surgeon, Sydney Children's Hospital, Randwick, Sydney, NSW 2031 Robin J. Willcourt, MB BS FRANZCOG FACOG. Former Medical Director of Pregnancy Advisory Centre, The Queen Elizabeth Hospital, Adelaide SA 5011 Michael Lowy, MB BS MPH FAChSHM (RACP). Lecturer in Men's Health, University of New South Wales and University of Notre Dame Sydney; Director, Sydney Men's Health, Sydney NSW 2011 David A. Cooper, AO FAA MD DSc FRACP FRCPA FRCP. Director, The Kirby Institute for Infection and Immunity in Society (formerly the National Centre in HIV Epidemiology and Clinical Research), University of New South Wales and St Vincent's Hospital, Sydney NSW 2010 Eugenie R. Lumbers, AM MD BS DSc FAA. Emeritis Scientia Professor, University of New South Wales; School of Biomedical Sciences & Mothers & Babies Research Centre, University of Newcastle & Hunter Medical Research Institute, John Hunter Hospital, Newcastle NSW 2300 C. Terry Russell, OAM MB BS. Inaugural President (2010-2017), Circumcision Foundation of Australia; General Practitioner, Russell Medical Centre, Macgregor, Qld 4109 Stephen R. Leeder, AO MD PhD BSc(Med) FRACP FAFPHM FFPH(UK) FRACGP(Hon). Former Director, Menzies Centre for Health Policy, School of Public Health, University of Sydney, NSW 2006; Former Dean of Medicine; Former Editor, Medical Journal of Australia Members of the AcademyRisk-Benefit analysisOther Key Publications:A 'snip' in time: what is the best age to circumcise?Morris BJ, Waskett JH, Banerjee J, Wamai RG, Tobian AA, Gray RH, Bailis SA, Bailey RC, Klausner JD, Willcourt RJ, Halperin DT, Wiswell TE, Mindel A. BMC Pediatr 2012; 12: 20 (15 pages) Read full article
The 2010 Royal Australasian College of Physicians' policy statement
'Circumcision of infant males' is not evidence based.
American Academy of Pediatrics
Early infant male circumcision: Systematic review, risk-benefit analysis, and progress in policy
Costs and effectiveness of neonatal male circumcision
Circumcision and lifetime risk of urinary tract infection: a systematic review and meta-analysis. Read full Article Morris BJ, Wiswell TE. J Urol 2013; 189: 2118-2124 Does male circumcision affect sexual function, sensitivity, or satisfaction?--A systematic review. Read full Article Morris BJ, Krieger JN. J Sex Med 2013; 10: 2644-2657 Histological correlates of penile sexual sensation: Does circumcision make a difference? Cox G, Krieger JN, Morris BJ. Sex Med 2015; 3: 76-85 Recommendation by a law body to ban infant male circumcision has serious worldwide implications for pediatric practice and human rights. Read full Article Bates MJ, Ziegler JB, Kennedy SE, Mindel A, Wodak AD, Zoloth LS, Tobian AA, Morris BJ. BMC Pediatr. 2013; 13: 136 (9 pages) Critical evaluation of Adler’s challenge to the CDC’s male circumcision recommendations. Read full Article Rivin BE, Diekema DS, Mastroianni, Krieger JN, Klausner JD, Morris BJ. Int J Children's Rights 2016; 24: 265-303. The ethical course is to recommend infant male circumcision -- Arguments disparaging the American Academy of Pediatrics affirmative policy do not withstand scrutiny. Read full Article Morris BJ, Krieger JN, Klausner JD, Rivin BE. J Law Med Ethics 2017; 45: 647-663. Does male circumcision reduce women's risk of sexually transmitted infections, cervical cancer, and associated conditions. (Systematic Review) Read full Article Morris BJ, Hankins CA, Bannerjee J, Lumbers ER, Mindel A, Klausner JD, Krieger JN. Frontiers in Public Health 2019; 7: article 4. Critical evaluation of arguments opposing male circumcision: A systematic review." Morris BJ, Moreton S, Krieger JN. J Evid Based Med 2019; 12: Epub ahead of print 8 Sep. Critical evaluation of a survey claiming "long-term adverse outcomes from neonatal circumcision. Bailis SA, Moreton S, Morris BJ. Adv Sex Med 2019; 9: 67-109. sixtyminutes-fore-and-against-the-case-for-circumcision Mayo Clinic YouTube Circumcision Academy of America Publications on circumcision by Prof Emrt Brian Morris and other Academy Members Websites of Members of the Academy Who Perform Circumcisions (and Dr Dilley in Gymea, NSW). (Note that not all Members of the Academy who perform circumcisions have a website.)
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