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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.
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.
}}</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
[[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 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]]
[[Category:USA]]