RACP's policy statement on infant male circumcision is ill-conceived.
OBJECTIVE
To conduct a critical peer-review of the 2004 Policy Statement on routine male circumcision produced by the Royal Australasian College of Physicians (RACP).


METHODS
Comprehensive evaluation in the context of the research field.


RESULTS
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.


CONCLUSIONS
The RACP's Statement on routine male circumcision is not evidence-based and should be retracted.


CONCLUSIONS
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.
Morris
Brian J
BJ
School of Medical Sciences and Institute for Biomedical Research, University of Sydney, New South Wales. brianm@medsci.usyd.edu.au
Bailis
Stefan A
SA
Castellsague
Xavier
X
Wiswell
Thomas E
TE
Halperin
Daniel T
DT
D001315:Australia; D002944:Circumcision, Male / Q000331:legislation & jurisprudence*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D016134:Organizational Policy; D010380:Peer Review; D012955:Societies, Medical