Circumcision Foundation of Australia

New Australian Organisation for Male Circumcision

About the Circumcision Foundation of Australia

On 21 Jan 2010 several leaders in public health policy and medical science, together with other interested parties, met at the National Centre for HIV Epidemiology & Clinical Research to form a new organization named the ‘Circumcision Foundation of Australia’.

This organization aims to provide reliable evidence based medical research information on circumcision as a public health issue and facilitate education on good clinical practice. In addition it supports parental and individual choice in obtaining elective medical or religious circumcision in the Australian community. The Foundation is not aligned with any medical body nor with any particular religious faith.

For an extensive, evidence-based appraisal of circumcision go to: www.circinfo.net

For free brochures in other languages go to: www.circinfo.net


Quote from Australian Minister for Health and Ageing in 2012
"If there was something you could do now, as a parent, that would protect your children from a range of cancers and disease in the future when they are adults, wouldn't you do it?"
http://www.news.com.au/national/gardasil-cervical-cancer-vaccine-to-be-given-to-teenage-boys-in-world-first/story-fncynjr2-1226578239897


Policy Statements:

Infant male circumcision: An evidence-based policy statement

Open 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, PhD DSc FAHA Professor, 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 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 President, 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) Director, Menzies Centre for Health Policy, School of Public Health, University of Sydney, NSW 2006


Other 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 Feb 28;12(1):20. :[15 pages]
Read full article

The 2010 Royal Australasian College of Physicians' policy statement 'Circumcision of infant males' is not evidence based.
Morris BJ, Wodak AD, Mindel A, Schrieber L, Duggan KA, Dilley A, Willcourt RJ, Cooper DA.
Intern Med J 2012; 42: 822-828


American Academy of Pediatrics
TASK FORCE ON CIRCUMCISION
2012 Policy statement recommends infant circumcision

The full report is available as a pdf


Costs and Effectiveness of Neonatal Male Circumcision
Kacker S, Frick KD, Gaydos CA, Tobian AA.
Johns Hopkins University.
Arch Pediatr Adolesc Med. 2012 Aug 20 [Epub ahead of print]
(Read full Article)



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

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)

sixtyminutes-fore-and-against-the-case-for-circumcision

Mayo Clinic Proceedings

List of All Publications by Professor Brian Morris on circumcision

Further information will be placed on this website as the organization grows.


Please note that this site differs from the following two websites owned by Dr Terry Russell (the inaugural President of the CFA). The names of these other sites are
"Circumcision Australia" (http://www.circumcision.net.au)
and
"Circumcision Information and Research Centre" (http://www.russellmedical.com.au)

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