Changes

The [[American Urological Association]] (AUA) is the [[medical trade association ]] for the American urological industry. It has the primary function of advancing the business interests and financial well-being of its members. The AUA is considered to be a source of pro-circumcision [[bias]]. A search for "circumcision" on its website produces 755 hits, so male circumcision is a major business interest of the urological industry.

 Although obstetricians, pediatricians, and family doctors obtain most of the revenue from non-therapeutic infant circumcision, the AUA has provided a promotional position statement on infant [[circumcision]].<ref>{{REFweb

* This statement misleadingly uses the word "potential" to suggest the existence of "benefits" that don't actually exist except in someone's imagination.''Potential'' means to exist in possibility but not in actuality.<ref>{{REFweb |url=https://www.thefreedictionary.com/potential |title=potential |last= |first= |init= |publisher=The Free Dictonary by Farlex |date=2013 |accessdate=2023-04-13}}</ref>* This statement claims that non-therapeutic circumcision is safe "when performed by an experienced operator", however , infant circumcision is frequently assigned to the most junior and least-experienced operator.* This statement claims that circumcision prevents [[phimosis]] and [[paraphimosis]], however , these are normal developmental conditions and not diseases.* This statement claims that circumcision prevents [[Balanitis| balanoposthitis]], however , the treatment for this inflammation depends on accurate diagnosis of the cause, followed by appropriate treatment.

* This statement claims that circumcision reduces the risk of HIV infection in Africa by 60 percent, however , the RCTs on which is based have been shown to have disabling statistical faults with only a 1 percent reduction at best.<ref>{{BoyleGJ HillG 2011}}</ref>* This statement proposes [[circumcision]] as a treatment for [[phimosis]] and [[paraphimosis]] in boys, but however, makes no mention of the effectiveness of non-invasive manual [[stretching]] to relieve phimosis and paraphimosis.* This statement proposes circumcision as a treatment for [[Balanitis| balanoposthitis]] , but fails to mention conservative, non-invasive, accurate diagnosis of the cause and specific appropriate treatment as a better alternative.<ref name="edwards1996">{{REFjournal

* This statement is completely silent on [[human rights]] and [[medical ethics ]] issues concerning the non-therapeutic excision of normal, functional body parts from a minor who is too young to grant [[Informed consent| consent]].<ref name="aap1995">{{REFjournal |last=Bioethics Committee, American Academy of Pediatrics. |first= |author-link= |etal=no |title=Informed consent, parental permission, and assent in pediatric practice |trans-title= |language= |journal=Pediatrics |location= |date=1995-02 |volume=95 |issue=2 |pages=314-7 |url=http://www.cirp.org/library/ethics/AAP/ |archived= |quote= |pubmedID=7838658 |pubmedCID= |DOI= |accessdate=2023-04-24}}</ref>

The AUA does not have a published policy or position statement regarding [[adolescent and adult circumcision| adolescent or adult circumcision]].

[[IntactiWiki]] is aware of a steady flow of inquiries and complaints from [[foreskinned]] males who have consulted various unnamed urologists for one reason or another. It appears that some urologists omit information on conservative, foreskin preserving treatment , and immediately recommend circumcision.

The inquiries usually seek to validate information provided to the patient by the urologist. Patients with a narrow foreskin may be told that well -proven [[stretching]] to generate [[tissue expansion]] won't work, so they will have to receive a [[Adolescent and adult circumcision|circumcision]] to treat non-retractile foreskin.

Reports The nature and function of the [[foreskin]] (prepuce) and its essential role in normal sexual intercourse has been known for many years,<ref name="cold1999">{{REFjournal |last=Cold |first= |init=CJ |author-link=Christopher J. Cold |last2=Taylor |first2= |init2=JR |author2-link=John R. Taylor |etal=no |title=The prepuce |trans-title= |language= |journal=BJU Int |location= |date=1999-01 |volume=83 Suppl 1 |issue= |article= |page= |pages=34-44 |url=http://artemide.bioeng.washington.edu/InformationIsPower/cold-taylor-prepuce_bju_1999_83_34-44.pdf |archived= |quote=The prepuce is primary, erogenous tissue necessary for normal sexual function. |pubmedID=10349413 |pubmedCID= |DOI=10.1046/j.1464-410x.1999.0830s1034.x |format=PDF |accessdate=2023-04-13}}</ref> yet reports suggest that some urologists tend to omit information on the nature and function of the [[foreskin]] from discussions with [[intact]] patients.

The complaints usually are about efforts by the urologist eager to get a healthy patient to grant consent for a an [[adult circumcision]]. It appears that some urologists try to enhance the revenue from their practice by doing more circumcisions, regardless of the [[trauma]], loss of [http://www.intactaus.org/information/functionsoftheforeskin/ function], and lifelong harm to the patient.

According to Spend On Health, a surgeon would get about $625.00 for an adult circumcision that takes about one hour to perform. the The total cost can run as high as $6,110.00. Spend On Health advises that insurance may not cover adult circumcision.<ref>{{REFweb

Masood et al. (2005) advised that urologists are informing men incorrectly. The authors said:<blockquote>"… we suggest that before circumcision, men should be warned of the long-term consequences (penile sensations and effect on erectile function) as well as be talked through the more traditional subjects (peri-operative complications)."<ref name="masood2005">{{REFjournal |last=Masood |init=S |etal=yes |title=Penile sensitivity and sexual satisfaction after circumcision: are we informing men correctly? |journal=Urol Int |date=2005 |volume=75 |issue=1 |pages=62-6 |url=http://www.cirp.org/library/sex_function/masood1/ |pubmedID=16037710 |pubmedCID= |DOI=10.1159/000085930 |accessdate=2023-04-20}}</ref></blockquote>[[Intact]] males who consult a urologist should receive any recommendation for [[Adolescent_and_adult_circumcision| adolescent or adult circumcision]] with extreme caution. Doing one's own research is advised so one does not become one of the another [[regret men| regret man]].{{SEEALSO}}* [[Adult circumcision]]* [[Bias]]* [[Circumcised doctors]]* [[Financial incentive]]* [[Phimosis]]* [[Regret men]]* [[Stretching]]* [[Tissue expansion]]{{REF}}