These figures are based on claims under Medicare item 30653, circumcision of a male under 6 months of age, and may not include all circumcision operations performed in Australia – those carried out as part of a childbirth “package”, for example, or by community operators, such as Mohels servicing the Jewish community. On the other hand, it is not likely that parents who arrange circumcisions with GPs and so-called specialist clinics would fail to claim the rebate, so it is likely that the figures give a reasonable approximation of the true picture. Even if they understate the incidence, the declining trend is obvious.
Second, the existence of this risk is supported by studies that evaluated patients after obtaining one positive sample; urological malignancy rates ranged from % to % with most studies detecting malignancies at rates over %. 11-12, 15-29 A meta-analysis of these studies revealed a pooled urinary tract malignancy rate of % (95% confidence interval: to %). If previously undiagnosed prostate cancers are included in the meta-analysis, then the pooled overall malignancy rate was % (95% confidence interval: to %). Therefore, working patients up in response to one positive sample resulted in the detection of significant numbers of life-threatening conditions.
A doctor's account of his circumcision experience sent to Circumcision" "I was delighted to see [your website] about circumcision was so well put together. I wrote to the editor of "Circumcision" [see below] telling him about my own adult circ and the need to reinforce in the minds of the men who have been circumcised that they have no reason to be fearful of or resentful about having lost their foreskins and are therefore "missing out". Interestingly, he dismissed this as "just my opinion" biased as it was [by] my reasons for wanting a circ in the first place.