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The American Urological Association: Wikify.
== The American Urological Association ==
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.
=== AUA position statement ===
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
}}</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 [[urinary tract infection]] (UTI) by 90 percent, but it ignores the immunological functions of the [[intact]] foreskin.<ref>{{FleissP HodgesF VanHoweRS 1998}}</ref> The proper treatment for UTI is anti-microbial, not surgery.<ref name="McCracken 1989">{{REFjournal
|last=McCracken
|accessdate=2023-04-08
}}</ref>
* 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]] in boys, 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
|last=Edwards
|first=Sarah
}}</ref>
* This statement completely excludes any mention of the important protective, immunological, sexual, and sensory functions of the [[foreskin]] which might dissuade a patient or his surrogate from granting [[Informed consent| consent]] for a foreskin [[amputation]].
* 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>
When drafting this statement, it is evident that the AUA placed the income of its members above the legal rights, health, and well-being of American boys.
== Lack of experience with a normal body part ==
American male urologists are drawn part from the general population in which the great majority of males have received a medically-unnecessary, non-therapeutic infant [[circumcision]],<ref name="laumann1997">{{REFjournal
|last=Laumann
|first=Edward O.
== Issues with care of adult intact males ==
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.
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
}}</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 total cost can run as high as $6,110.00. Spend On Health advises that insurance may not cover adult circumcision.<ref>{{REFweb
}}</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}}
 
[[Category:Education]]
[[Category:Physicians]]
[[Category:Medical society]]
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