Publications (12)22.34 Total impact
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Dataset: ProstCancCircBJU
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Dataset: Circumcision Denialism Unfounded and Unscientific
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Dataset: Wamai JIAS 2011
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Dataset: A 'snip' in time: what is the best age to circumcise? BMC Pediat
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Article: A 'snip' in time: what is the best age to circumcise?
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ABSTRACT: Circumcision is a common procedure, but regional and societal attitudes differ on whether there is a need for a male to be circumcised and, if so, at what age. This is an important issue for many parents, but also pediatricians, other doctors, policy makers, public health authorities, medical bodies, and males themselves. We show here that infancy is an optimal time for clinical circumcision because an infant's low mobility facilitates the use of local anesthesia, sutures are not required, healing is quick, cosmetic outcome is usually excellent, costs are minimal, and complications are uncommon. The benefits of infant circumcision include prevention of urinary tract infections (a cause of renal scarring), reduction in risk of inflammatory foreskin conditions such as balanoposthitis, foreskin injuries, phimosis and paraphimosis. When the boy later becomes sexually active he has substantial protection against risk of HIV and other viral sexually transmitted infections such as genital herpes and oncogenic human papillomavirus, as well as penile cancer. The risk of cervical cancer in his female partner(s) is also reduced. Circumcision in adolescence or adulthood may evoke a fear of pain, penile damage or reduced sexual pleasure, even though unfounded. Time off work or school will be needed, cost is much greater, as are risks of complications, healing is slower, and stitches or tissue glue must be used. Infant circumcision is safe, simple, convenient and cost-effective. The available evidence strongly supports infancy as the optimal time for circumcision.BMC Pediatrics 02/2012; 12:20. · 1.88 Impact Factor -
Article: Circumcision denialism unfounded and unscientific.
American journal of preventive medicine 03/2011; 40(3):e11-2; author reply e13-4. · 4.24 Impact Factor -
Article: Male circumcision for HIV prevention: current evidence and implementation in sub-Saharan Africa.
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ABSTRACT: Heterosexual exposure accounts for most HIV transmission in sub-Saharan Africa, and this mode, as a proportion of new infections, is escalating globally. The scientific evidence accumulated over more than 20 years shows that among the strategies advocated during this period for HIV prevention, male circumcision is one of, if not, the most efficacious epidemiologically, as well as cost-wise. Despite this, and recommendation of the procedure by global policy makers, national implementation has been slow. Additionally, some are not convinced of the protective effect of male circumcision and there are also reports, unsupported by evidence, that non-sex-related drivers play a major role in HIV transmission in sub-Saharan Africa. Here, we provide a critical evaluation of the state of the current evidence for male circumcision in reducing HIV infection in light of established transmission drivers, provide an update on programmes now in place in this region, and explain why policies based on established scientific evidence should be prioritized. We conclude that the evidence supports the need to accelerate the implementation of medical male circumcision programmes for HIV prevention in generalized heterosexual epidemics, as well as in countering the growing heterosexual transmission in countries where HIV prevalence is presently low.Journal of the International AIDS Society 01/2011; 14:49. · 3.26 Impact Factor -
Article: Medicaid coverage of newborn circumcision: a health parity right of the poor.
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ABSTRACT: This article does not have an abstract.American Journal of Public Health 05/2009; 99(6):969-71. · 3.93 Impact Factor -
Article: Case number and the financial impact of circumcision in reducing prostate cancer.
BJU International 08/2007; 100(1):5-6. · 2.84 Impact Factor -
Article: Re: cost analysis of neonatal circumcision in a large health maintenance organization.
The Journal of Urology 12/2006; 176(5):2315-6; author reply 2317-9. · 3.75 Impact Factor -
Article: RACP's policy statement on infant male circumcision is ill-conceived.
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ABSTRACT: To conduct a critical peer-review of the 2004 Policy Statement on routine male circumcision produced by the Royal Australasian College of Physicians (RACP). Comprehensive evaluation in the context of the research field. We find that the current Statement downplays the wide-ranging life-long benefits of circumcision in prevention of urinary tract infections (UTIs), penile and cervical cancer, genital herpes and chlamydia in women, HIV infection, phimosis, and various penile dermatoses, and at the same time overstates the complication rate. We highlight the many errors in the RACP Statement and note that it sidesteps making a conclusion based on circumcision's well-documented prophylactic health benefits by instead referring to the status of the foreskin at birth. In the era of preventative medicine we view this as irresponsible. The RACP's Statement on routine male circumcision is not evidence-based and should be retracted. In the interests of public health and individual well-being an extensive, comprehensive, evidence-based revision should be conducted so as to provide scientifically accurate, balanced information on the advantages, and also the low rate of mostly minor complications, associated with this simple procedure, which for maximum benefits and minimal risk should ideally be performed in the neonatal period.Australian and New Zealand Journal of Public Health 03/2006; 30(1):16-22; discussion 22-5. · 1.20 Impact Factor -
Article: Circumcision rate too low?
ANZ Journal of Surgery 06/2004; 74(5):386-7; author reply 388. · 1.25 Impact Factor
Top co-authors
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Institutions
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2007
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University of Sydney
- School of Medical Sciences
Sydney, New South Wales, Australia
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