MedWorm: Circumcision

Letters: Business of Circumcision (2 Letters)

NYT Health — Tue, 07 Feb 2012 01:27:55 +0100

Letters to the editor. (Source: NYT Health)

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Uganda: Health Experts' Assessment of Male Circumcision

AllAfrica News: Health and Medicine — Mon, 06 Feb 2012 08:43:07 +0100

[Monitor] More than 600,000 Ugandan male have been circumcised since the Safe Male circumcision policy was introduced in Uganda in 2009 to consolidate the fight against HIV/Aids. (Source: AllAfrica News: Health and Medicine)

Benefits of Male Circumcision [Letters]

JAMA — Tue, 31 Jan 2012 05:00:00 +0100

(Source: JAMA)

Benefits of Male Circumcision--Reply [Letters]

JAMA — Tue, 31 Jan 2012 05:00:00 +0100

(Source: JAMA)

AIDS Prevention Inspires Ways to Simplify Circumcision

NYT Health — Mon, 30 Jan 2012 22:38:56 +0100

Donors are pinning their hopes on several devices being tested in efforts to increase speed and reduce pain. (Source: NYT Health)

Kenya: Male Circumcision - Women Need Counselling Too

AllAfrica News: Health and Medicine — Tue, 24 Jan 2012 10:51:19 +0100

PlusNews (Johannesburg)-A small Kenyan study has found that more women than men feel HIV is a less serious threat after their male partners are circumcised; the study also made local news for finding that female partners of recently circumcised men found sex more enjoyable. (Source: AllAfrica News: Health and Medicine)

PrePex Device for Male Circumcision and HIV PreventionPrePex Device for Male Circumcision and HIV Prevention

Medscape Today Headlines — Tue, 24 Jan 2012 04:00:00 +0100

How safe and effective is the PrePax device for male circumcision and HIV prevention? JAIDS: Journal of Acquired Immune Deficiency Syndromes (Source: Medscape Today Headlines)

Circumcision preference among women and uncircumcised men prior to scale-up of male circumcision for HIV prevention in Kisumu, Kenya

AIDS Care — Mon, 23 Jan 2012 22:44:04 +0100

(Source: AIDS Care)

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A qualitative study of sexual behavior change and risk compensation following adult male circumcision in urban Swaziland

AIDS Care — Mon, 23 Jan 2012 22:44:04 +0100

(Source: AIDS Care)

"Now we are in a different time; various bad diseases have come." Understanding men's acceptability of male circumcision for HIV prevention in a moderate prevalence setting.

BMC Public Health - Latest articles — Sun, 22 Jan 2012 05:00:00 +0100

Conclusion: This is one of the first community-based MC acceptability studies conducted in a moderate prevalence setting outside of Africa. Research findings from this study suggest that a future MC program for HIV prevention would be widely accepted by men in PNG. (Source: BMC Public Health - Latest articles)

Determinants of Per-Coital-Act HIV-1 Infectivity Among African HIV-1-Serodiscordant Couples.

Herpes — Fri, 20 Jan 2012 03:32:13 +0100

Conclusions. Modifiable risk factors for HIV-1 transmission were plasma HIV-1 RNA level and condom use, and, in HIV-1-uninfected partners, herpes simplex virus 2 infection, genital ulcers, Trichomonas vaginalis, vaginitis or cervicitis, and male circumcision. PMID: 22241800 [PubMed - as supplied by publisher] (Source: Herpes)

Tanzania: Good Progress in Male Circumcision Campaign

AllAfrica News: Health and Medicine — Wed, 18 Jan 2012 13:10:32 +0100

PlusNews (Johannesburg)-The demand for medical male circumcision is growing among Tanzania's non-circumcising communities, and officials say the country is on track to surpass its goal of reaching 2.8 million men by 2015. (Source: AllAfrica News: Health and Medicine)

Penile Squamous Cell Carcinoma.

Actas Dermo-Sifiliograficas — Tue, 17 Jan 2012 05:00:00 +0100

Authors: Ferrándiz-Pulido C, de Torres I, García-Patos V Abstract Penile squamous cell carcinoma (SCC) is uncommon in Europe, where it accounts for approximately 0.7% of all malignant tumors in men. The main risk factors are poor hygiene, lack of circumcision, human papillomavirus (HPV) infection, and certain chronic inflammatory skin diseases. HPV infection is detected in 70% to 100% of all penile in situ SCCs and in 30% to 50% of invasive forms of the disease, mainly basaloid and warty SCCs. In situ tumors can be treated conservatively, but close monitoring is essential as they become invasive in between 1% and 30% of cases. The treatment of choice for penile SCC is surgery. Inguinal lymph node irradiation is no longer recommended as a prophylactic measure, and it appears that ...

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Antiretroviral Medication and HIV Prevention: New Steps Forward and New Questions.

Annals of Internal Medicine — Mon, 16 Jan 2012 05:00:00 +0100

Authors: Mayer KH, Krakower D Abstract During the past 2 years, several pivotal clinical trials have proven that the use of antiretrovirals by HIV-infected and at-risk uninfected persons can decrease the probability of HIV being transmitted sexually. The initial chemoprophylaxis studies evaluated tenofovir administered topically or orally (with or without emtricitabine). However, multiple questions remain. Some subsequent primary prevention studies did not replicate the results of the initial studies, raising questions about differences in the behaviors of participants in each study (in particular about medication adherence), as well as whether pharmacologic or local mucosal factors might explain the variable efficacy estimates. Other antiretrovirals and delivery systems are being ...

Tanzania: Male Circumcision Registers Success in Kagera

AllAfrica News: Health and Medicine — Fri, 13 Jan 2012 07:00:41 +0100

Daily News (Dar es Salaam)-OVER 13,000 males underwent circumcision in Kagera Region between 2009 to last year, it has been disclosed. (Source: AllAfrica News: Health and Medicine)

Uganda: Circumcision Promo Failing

AllAfrica News: HIV-Aids and STDs — Fri, 13 Jan 2012 05:39:35 +0100

Observer (Kampala)-While there is high demand for circumcision services, it is not known how many men are undertaking the surgical procedure as part of efforts to reduce new HIV infections in the country, which stand at an annual average of 130,000. (Source: AllAfrica News: HIV-Aids and STDs)

Partner’s ‘Viral Load’ a Major Factor in HIV Transmission: Study

The Doctors Lounge - Infections — Thu, 12 Jan 2012 15:00:00 +0100

Condom use, circumcision lowered risk of sexually infecting partners in study of African couples (Source: The Doctors Lounge - Infections)

Partner's 'Viral Load' a Major Factor in HIV Transmission

MedlinePlus Health News — Thu, 12 Jan 2012 14:00:00 +0100

Condom use, circumcision lowered risk of sexually infecting partners in study of African couples Source: HealthDay Related MedlinePlus Page: HIV/AIDS (Source: MedlinePlus Health News)

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Options for procedural pain in newborn infants

Archives of Disease in Childhood - Education and Practice — Wed, 11 Jan 2012 05:00:00 +0100

Neonatologists often feel helpless in the management of procedural pain. While we acknowledge that our patients are more frequently and chronically exposed to tissue damaging procedures than any other hospital population, and that they are more vulnerable both in the short and long term, it is not certain that we have any techniques that are proven to be effective. Although we have developed numerous guidelines1 2 they are not reliably applied in clinical practice.3 It is widely recognised that newborns undergoing intensive care are necessarily subjected to numerous painful procedures.4 Despite the availability of clinical guidelines the majority of painful procedures on neonatal intensive care units (NICUs) are still carried out without any form of analgesia. Even outside the NICU term ne...

Rwanda: Aiming Towards Two Million Medical Male Circumcisions

AllAfrica News: HIV-Aids and STDs — Tue, 10 Jan 2012 06:54:13 +0100

PlusNews (Johannesburg)-This will be a busy year for Rwanda's health centres as the country attempts to reach its goal of medically circumcising 50 percent of men by June 2013 as part of HIV prevention efforts. (Source: AllAfrica News: HIV-Aids and STDs)

Rwanda: Karongi Health Centres Ill-Equipped for Circumcision Campaign

AllAfrica News: Health and Medicine — Fri, 06 Jan 2012 06:59:53 +0100

New Times (Kigali)-The circumcision campaign has not been fully rolled out in most health facilities in Karongi District due to shortage of equipment. (Source: AllAfrica News: Health and Medicine)

Medical male circumcision for HIV/AIDS prevention in Uganda - the cost of disposable versus re-usable circumcision kits.

Tropical Doctor — Thu, 05 Jan 2012 05:00:00 +0100

Authors: Kuznik A, Lamorde M, Sekavuga DB, Picho B, Coutinho A Abstract We evaluated the cost implications of medical male circumcisions for HIV prevention when performed using re-usable equipment that is sterilized after each use versus using single-use disposal kits. In Uganda, a re-usable circumcision kit results in a net saving of US$7.14-US$12.34 or 46-59%. In resource-limited settings seeking to expand access to medical male circumcision for HIV prevention, substantial cost reductions may be achieved by adopting re-usable circumcision kits. PMID: 22223725 [PubMed - as supplied by publisher] (Source: Tropical Doctor)

Sutureless circumcision - An Indian experience

Indian Journal of Urology — Wed, 04 Jan 2012 05:00:00 +0100

Conclusions: This study showed that the use of tissue glue in comparison to sutures is having the following advantages: Cosmetically superiorLess time consuming All other parameters measured were nearly the same and statically insignificant. (Source: Indian Journal of Urology)

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Complete foreskin removal in adult circumcision: Is it a new direction to definitive cure of premature ejaculation?

Indian Journal of Urology — Wed, 04 Jan 2012 05:00:00 +0100

Neeraj Kumar GoyalIndian Journal of Urology 2011 27(4):562-563 (Source: Indian Journal of Urology)

Zimbabwe: Nation Urged to Embrace Circumcision

AllAfrica News: Health and Medicine — Thu, 29 Dec 2011 06:13:30 +0100

Zimbabweans have been urged to embrace circumcision to reduce their chances of contracting HIV and Aids. (Source: AllAfrica News: Health and Medicine)

Zambia: Scribe Shares Benefits of Male Circumcision

AllAfrica News: HIV-Aids and STDs — Tue, 27 Dec 2011 10:10:41 +0100

WHAT has been known as male circumcision (MC) is now in the medical circles being referred to as Voluntary Medical Male Circumcision (VMMC). (Source: AllAfrica News: HIV-Aids and STDs)

Africa: Circumcision Gains More Acceptance in Aids Fight

AllAfrica News: HIV-Aids and STDs — Mon, 26 Dec 2011 19:08:43 +0100

Growing acceptance of male circumcision, in Africa especially, is having a dramatic and positive effect on the fight against HIV/AIDS. (Source: AllAfrica News: HIV-Aids and STDs)

Uganda: Adjumani Men 'Dodge' the Knife

AllAfrica News: Health and Medicine — Fri, 23 Dec 2011 09:36:24 +0100

A five-day free safe medical male circumcision that ended yesterday in Adjumani District, has registered low turn up, health officials said. (Source: AllAfrica News: Health and Medicine)

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South Africa: Botched Circumcisions Flood Hospitals

AllAfrica News: Health and Medicine — Thu, 22 Dec 2011 18:20:22 +0100

The Eastern Cape health department appealed on Thursday to initiation schools to ensure smooth running of the custom. (Source: AllAfrica News: Health and Medicine)

Zambia: 'Make Circumcision Life-Saving Measure'

AllAfrica News: HIV-Aids and STDs — Tue, 20 Dec 2011 10:33:09 +0100

STAKEHOLDERS to the second National HIV Prevention Convention that took place last month have resolved that male circumcision should be declared as a national life-saving intervention and be implemented at a large scale countrywide. (Source: AllAfrica News: HIV-Aids and STDs)

Pediatric Hemophilia: A Review

Seminars in Thrombosis and Hemostasis — Tue, 20 Dec 2011 05:00:00 +0100

Semin Thromb Hemost 2011; 37: 737-744DOI: 10.1055/s-0031-1297164ABSTRACTThe hemophilias are the most common X-linked inherited bleeding disorders, which if not properly managed can lead to chronic disease and lifelong disabilities. The challenges and issues in newborns are different from that in older children and adults. Bleeding events still predominate as the diagnostic trigger in children, however, the sites of bleeding vary with age. While delivery-associated intracranial hemorrhage (ICH), circumcision, and venipuncture bleeding are common in the newborn period, joint disease and head trauma occur in the older child and adolescent. Awareness of clinical manifestations and treatment complications are crucial in instituting appropriate management and implementing preventive strategies. ...

Circumcision and complications in patients with haemophilia in southern part of Turkey: Çukurova experience

Haemophilia — Mon, 19 Dec 2011 05:00:00 +0100

In this study, we aim to report the experience of circumcision at Çukurova University in a total of 76 patients with haemophilia between 1990 and 2011. We retrospectively reviewed medical records of 69 haemophilia patients without inhibitors and seven haemophilia patients with inhibitors who had been circumcised. Before the year 2000, factor concentrates were given before and after circumcision for 6–7 days. After 2000, we used fibrin glue together with factor concentrates for only 3 days. By‐passing agents were used for circumcision in haemophilia patients with inhibitors. Twelve of 69 patients without inhibitors were referred to our centre with bleeding after the circumcision before diagnosis of haemophilia. Nine of these twelve patients had severe life threatening bleeding and ...

Nonsurgical Adult Male Circumcision Safe, EffectiveNonsurgical Adult Male Circumcision Safe, Effective

Medscape Today Headlines — Fri, 16 Dec 2011 21:37:22 +0100

A nonsurgical method of adult male circumcision is safe, effective, and can be performed by nurses without injected anesthesia, according to a recent study. Medscape Medical News (Source: Medscape Today Headlines)

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Penile frenuloplasty: a simple and effective treatment for frenular pain or scarring

BJU International — Fri, 16 Dec 2011 05:00:00 +0100

CONCLUSIONS• Penile frenuloplasty is a safe alternative to circumcision.• There are high patient satisfaction rates after surgery.• Low numbers of patients require a completion circumcision after penile frenuloplasty. (Source: BJU International)

Somalia: Puntland Passes Motion to Ban Female Circumcision

AllAfrica News: Health and Medicine — Tue, 13 Dec 2011 13:32:38 +0100

Some Members of Parliament agreed to summon four ministers in Puntland State of Somalia due to a motion that has been regarded controversial that banned Female Genital Mutilation (FGM) in Puntland, Radio Garowe reports. (Source: AllAfrica News: Health and Medicine)

Uganda: Kenya Joins Fight Against Female Circumcision

AllAfrica News: Health and Medicine — Tue, 13 Dec 2011 10:19:08 +0100

When Mr Zakaria Cherukut wanted to circumcise his 14-year-old daughter in 2010, he chose to take her over to Kenya among the Sabaot tribe, and the little girl was circumcised. (Source: AllAfrica News: Health and Medicine)

The Association between Ethnic Identity and Sexual Coercion among Young Men in the Eastern Cape Province, South Africa. - Nyembezi A, Resnicow K, James S, Funani I, Sifunda S, Ruiter R, van den Borne B, Sanders-Phillips K, Reddy P.

SafetyLit: All (Unduplicated) — Sun, 11 Dec 2011 01:31:19 +0100

Sexual coercion by males poses important ethical, legal and public health challenges. Individual face-to-face structured interviews were conducted among 1656 men who had undergone male initiation and circumcision in rural areas of the Eastern Cape Province... (Source: SafetyLit: All (Unduplicated))

Uganda: Luzira Inmates Request for Circumcision

AllAfrica News: Health and Medicine — Wed, 07 Dec 2011 15:00:18 +0100

Luzira Upper prison inmates have asked Ministry of Health to consider them in the on-going male circumcision in the prevention of HIV/ AIDS. (Source: AllAfrica News: Health and Medicine)

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Southern Africa: New Plan to Speed Up Male Circumcision

AllAfrica News: Health and Medicine — Wed, 07 Dec 2011 12:57:24 +0100

UNAIDS and the US President's Emergency Plan for AIDS Relief (PEPFAR) have launched a five-year plan to have more than 20 million men in 14 eastern and southern African countries undergo medical male circumcision by 2015 as part of HIV prevention efforts. (Source: AllAfrica News: Health and Medicine)

Uganda: Luzira Inmates Demand Circumcision

AllAfrica News: HIV-Aids and STDs — Wed, 07 Dec 2011 05:28:28 +0100

LUZIRA Upper prison inmates have asked the Ministry of Health to consider them in the on going male circumcision in the prevention of HIV/ AIDS. (Source: AllAfrica News: HIV-Aids and STDs)

Rwanda Begins Non-Surgical Circumcision Drive Against HIV

Health News from Medical News Today — Wed, 07 Dec 2011 04:00:00 +0100

Circumcision has been shown to lower the risk of HIV transmission and infection in Africa. Now, a new device known as the PrePex enables circumcision to be performed without surgery or any blood loss, by nurses, who don't need extensive training to use the apparatus. The Rwandan Government has completed its third trial of PrePex with nearly 600 volunteers and has concluded the device is a safe and efficient way of performing circumcisions. It now aims to reduce new HIV infections by fifty percent, in part through a campaign to circumcise two million adult men over the next two years... (Source: Health News from Medical News Today)

Circumcision to Reduce HIV Is Cost-Effective in AfricaCircumcision to Reduce HIV Is Cost-Effective in Africa

Medscape Today Headlines — Tue, 06 Dec 2011 15:22:37 +0100

Scaling up voluntary medical male circumcision for HIV prevention in eastern and southern Africa is a cost-effective way to help prevent HIV at the individual and community levels. Medscape Medical News (Source: Medscape Today Headlines)

Infant male circumcision is genital mutilation | Martin Robbins

Guardian Unlimited Science — Tue, 06 Dec 2011 12:44:00 +0100

Men should have the right to choose circumcision, not have the choice forced upon them. Infant circumcision without consent or immediate medical justification is an unjustified violation of basic human rights, that shares more in common with ancient coming-of-age rituals than responsible medical practiceThere are still many people who like to pretend that infant circumcision and genital mutilation are not the same thing. Some of them apparently work at Indonesia's health ministry, the Departemen Kesehatan, who recently issued guidelines for 'safe' female circumcision and wheeled out a spokeswoman to dispense the following words of wisdom: "I would like to stress that female circumcision is not genital mutilation, which is indeed dangerous. They are two things that are very different." This...

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Nigeria: ICASA - Global Partners Seek Male Circumcision to Prevent HIV

AllAfrica News: HIV-Aids and STDs — Tue, 06 Dec 2011 09:22:36 +0100

Voluntary medical male circumcision is a high impact and cost - effective prevention tool that will bring us one step closer to our goal of an HIV-free generation, the Joint United Nations Programme on HIV/AIDS (UNAIDS),has said, urging countries with high HIV prevalence and low levels of male circumcision to expand access to it. (Source: AllAfrica News: HIV-Aids and STDs)

Zambia: Urologist Warns Men Against Improper Circumcision

AllAfrica News: HIV-Aids and STDs — Tue, 06 Dec 2011 08:57:38 +0100

UNIVERSITY Teaching Hospital urologist Francis Manda has cautioned men that intend to undergo circumcision to do it with specialised health care providers because of the nasty effects circumcision can cause if not handled properly. (Source: AllAfrica News: HIV-Aids and STDs)

Africa: Plan to Accelerate Male Circumcision for Aids Prevention

AllAfrica News: HIV-Aids and STDs — Mon, 05 Dec 2011 21:47:04 +0100

The United Nations body tasked with combating the spread of HIV/AIDS and the United States scheme that funds global efforts against the pandemic today launched a five-year action framework to accelerate the scaling up of voluntary medical male circumcision as a prevention measure in Africa. (Source: AllAfrica News: HIV-Aids and STDs)

HIV in Africa: Challenges and Directions for the Next Decade

Current Infectious Disease Reports — Mon, 05 Dec 2011 17:41:42 +0100

Abstract Africa carries a disproportionate burden of the global HIV endemic, accounting for two thirds of the global 33.3 million people living with HIV. While tremendous advances have been made in addressing the HIV epidemic in Africa, considerable challenges remain. Testing for HIV increased by 86% from 2007 to 2009 but more than 75% of people 15–49 years remain unaware of their HIV status. CD4 count at diagnosis tends to be low and linkage to care and treatment is suboptimal. The scale-up of antiretroviral therapy is ongoing but is hampered by the lack of diagnostic capability to monitor response to therapy and a substantial healthcare workforce shortage. Prevention strategies such as male circumcision, pre-exposure prophylaxis, and antiretroviral therapy for pre...

Coverage Of Newborn And Adult Male Circumcision Varies Among Public And Private US Payers Despite Health Benefits [Male Circumcision]

Health Affairs — Mon, 05 Dec 2011 05:00:00 +0100

Studies have shown that male circumcision greatly reduces the risk for heterosexual transmission of HIV, other sexually transmitted infections, infant urinary tract infections, penile cancer, and other adverse health outcomes. Given recent data regarding these health benefits and the cost-effectiveness of newborn male circumcision, national policy makers are developing new recommendations regarding circumcision for newborn, adolescent, and adult males. To investigate the implications, this study assessed insurance coverage and reimbursement for routine newborn and adult male circumcision in private and public health plans in 2009. We found that coverage varies across private and public payers. Private insurance provides far broader coverage than state Medicaid programs for routine newborn ...

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UN launches plan to accelerate male circumcision for AIDS prevention in Africa

UN News Centre - Health, Poverty, Food Security — Mon, 05 Dec 2011 05:00:00 +0100

Medical Male Circumcision In East And South Africa Is Effective In Preventing HIV

Health News from Medical News Today — Sat, 03 Dec 2011 18:00:00 +0100

In eastern and southern Africa, expanding voluntary medical male circumcision (VMMC) for preventing HIV can help stem the spread of the disease at an individual, community and population level. In addition, VMMC can lead to significant expenditure savings for nations, according to a collection of novel reports published Nov. 29 in PLoS Medicine and PLoS ONE, in association with the Joint United Nations Program on HIV/AIDS (UNAIDS) and the United States President's Emergency Plan for Aids Relief (PEPFAR)... (Source: Health News from Medical News Today)

HEALTH-SOUTH AFRICA: Male Circumcision a Route to Gender Equality

IPS Inter Press Service - Health — Fri, 02 Dec 2011 01:12:54 +0100

Although at first glance male circumcision may not be the most obvious entrée to get people talking about gender equality, activists in the Western Cape in South Africa are attempting to do just that. (Source: IPS Inter Press Service - Health)

CDC soon to issue draft guidance on male circumcision

Modern Medicine Contemporary Pediatrics — Thu, 01 Dec 2011 05:00:00 +0100

The issue of circumcision may be a difficult one to bring to the public, as there is an advocacy movement against it. (Source: Modern Medicine Contemporary Pediatrics)

Cost-Effective HIV Prevention In S. And E. Africa By Scaling-Up Voluntary Male Circumcision

Health News from Medical News Today — Wed, 30 Nov 2011 09:00:00 +0100

A collection of nine new articles to be published in PLoS Medicine and PLoS ONE, in conjunction with the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the United States President's Emergency Plan for AIDS Relief (PEPFAR), highlights how scaling up voluntary medical male circumcision (VMMC) for HIV prevention in eastern and southern Africa can help prevent HIV not only at individual but also at community and population level as well as lead to substantial cost savings for countries due to averted treatment and care costs... (Source: Health News from Medical News Today)

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Can Male Circumcision Stem the AIDS Epidemic in Africa?

Scientific American Topic - Medical Technology — Tue, 29 Nov 2011 22:05:00 +0100

For the Xhosa in South Africa, a boy's coming of age is often marked by an elaborate and lengthy set of rituals. One of the ordeals is circumcision , which is traditionally performed by a healer and occasionally leads to an ineffective cut, infection or even death. The young men who emerge from the ceremony healthy, however, achieve not only new social status but are also much less likely to become infected with HIV . [More] (Source: Scientific American Topic - Medical Technology)

Scale-up of voluntary male circumcision cost-effective way to prevent HIV in S. and E. Africa

EurekAlert! - Infectious and Emerging Diseases — Tue, 29 Nov 2011 05:00:00 +0100

(Public Library of Science) A collection of nine new articles to be published in PLoS Medicine and PLoS ONE, in conjunction with the Joint United Nations Programme on HIV/AIDS and the US President's Emergency Plan for AIDS Relief, highlights how scaling up voluntary medical male circumcision for HIV prevention in eastern and southern Africa can help prevent HIV at both individual and community/population level as well as lead to substantial cost savings for countries due to averted treatment and care costs. (Source: EurekAlert! - Infectious and Emerging Diseases)

Voluntary Medical Male Circumcision: An Introduction to the Cost, Impact, and Challenges of Accelerated Scaling Up

PLoS Medicine — Tue, 29 Nov 2011 05:00:00 +0100

by Catherine Hankins, Steven Forsythe, Emmanuel Njeuhmeli Scaling up voluntary medical male circumcision (VMMC) for HIV prevention is cost saving and creates fiscal space in the future that otherwise would have been encumbered by antiretroviral treatment costs. An investment of US$1,500,000,000 between 2011 and 2015 to achieve 80% coverage in 13 priority countries in southern and eastern Africa will result in net savings of US$16,500,000,000. Strong political leadership, country ownership, and stakeholder engagement, along with effective demand creation, community mobilisation, and human resource deployment, are essential. This collection of articles on determining the cost and impact of VMMC for HIV prevention signposts the way forward to scaling up VMMC service delivery safely and e...

Voluntary Medical Male Circumcision: A Framework Analysis of Policy and Program Implementation in Eastern and Southern Africa

PLoS Medicine — Tue, 29 Nov 2011 05:00:00 +0100

Conclusions Early adoption of VMMC policies did not necessarily result in rapid program scale-up. A key lesson is the importance of not only being ready to adopt a new intervention but also ensuring that factors critical to supporting and accelerating scale-up are incorporated into the program. The most successful program had country ownership and sustained leadership to translate research into a national policy and program. Please see later in the article for the Editors' Summary (Source: PLoS Medicine)

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Voluntary Medical Male Circumcision: Modeling the Impact and Cost of Expanding Male Circumcision for HIV Prevention in Eastern and Southern Africa

PLoS Medicine — Tue, 29 Nov 2011 05:00:00 +0100

Conclusions This study suggests that rapid scale-up of VMMC in eastern and southern Africa is warranted based on the likely impact on the region's HIV epidemics and net savings. Scaling up of safe VMMC in eastern and southern Africa will lead to a substantial reduction in HIV infections in the countries and lower health system costs through averted HIV care costs. Please see later in the article for the Editors' Summary. (Source: PLoS Medicine)

Voluntary Medical Male Circumcision: Logistics, Commodities, and Waste Management Requirements for Scale-Up of Services

PLoS Medicine — Tue, 29 Nov 2011 05:00:00 +0100

Conclusions Experience with the VMMC program in Swaziland indicates that supply chain and waste management add approximately US$60 per circumcision, nearly doubling the total per procedure cost estimated previously; these additional costs are used to inform the estimate of per procedure costs modeled by Njeuhmeli et al. in “Voluntary Medical Male Circumcision: Modeling the Impact and Cost of Expanding Male Circumcision for HIV Prevention in Eastern and Southern Africa.” Program planners and policy makers should consider the significant contribution of supply chain and waste management to VMMC program costs as they determine future resource needs for VMMC programs. Please see later in the article for the Editors' Summary (Source: PLoS Medicine)

Voluntary Medical Male Circumcision: Translating Research into the Rapid Expansion of Services in Kenya, 2008–2011

PLoS Medicine — Tue, 29 Nov 2011 05:00:00 +0100

by Zebedee Mwandi, Anne Murphy, Jason Reed, Kipruto Chesang, Emmanuel Njeuhmeli, Kawango Agot, Emma Llewellyn, Charles Kirui, Kennedy Serrem, Isaac Abuya, Mores Loolpapit, Regina Mbayaki, Ndungu Kiriro, Peter Cherutich, Nicholas Muraguri, John Motoku, Jack Kioko, Nancy Knight, Naomi Bock Since the World Health Organization and the Joint United Nations Programme on HIV/AIDS recommended implementation of medical male circumcision (MC) as part of HIV prevention in areas with low MC and high HIV prevalence rates in 2007, the government of Kenya has developed a strategy to circumcise 80% of uncircumcised men within five years. To facilitate the quick translation of research to practice, a national MC task force was formed in 2007, a medical MC policy was implemented in early 2008, and Nyan...

Voluntary Medical Male Circumcision: Matching Demand and Supply with Quality and Efficiency in a High-Volume Campaign in Iringa Region, Tanzania

PLoS Medicine — Tue, 29 Nov 2011 05:00:00 +0100

by Hally R. Mahler, Baldwin Kileo, Kelly Curran, Marya Plotkin, Tigistu Adamu, Augustino Hellar, Sifuni Koshuma, Simeon Nyabenda, Michael Machaku, Mainza Lukobo-Durrell, Delivette Castor, Emmanuel Njeuhmeli, Bennett Fimbo The government of Tanzania has adopted voluntary medical male circumcision (VMMC) as an important component of its national HIV prevention strategy and is scaling up VMMC in eight regions nationwide, with the goal of reaching 2.8 million uncircumcised men by 2015. In a 2010 campaign lasting six weeks, five health facilities in Tanzania's Iringa Region performed 10,352 VMMCs, which exceeded the campaign's target by 72%, with an adverse event (AE) rate of 1%. HIV testing was almost universal during the campaign. Through the adoption of approaches designed to improve cl...

Voluntary Medical Male Circumcision: Strategies for Meeting the Human Resource Needs of Scale-Up in Southern and Eastern Africa

PLoS Medicine — Tue, 29 Nov 2011 05:00:00 +0100

by Kelly Curran, Emmanuel Njeuhmeli, Andrew Mirelman, Kim Dickson, Tigistu Adamu, Peter Cherutich, Hally Mahler, Bennett Fimbo, Thembisile Khumalo Mavuso, Jennifer Albertini, Laura Fitzgerald, Naomi Bock, Jason Reed, Delivette Castor, David Stanton Voluntary medical male circumcision (VMMC) reduces female-to-male HIV transmission by approximately 60%; modeling suggests that scaling up VMMC to 80% of men 15- to 49-years-old within five years would avert over 3.3 million new HIV infections in 14 high priority countries/regions in southern and eastern Africa by 2025 and would require 20.33 million circumcisions. However, the shortage of health professionals in these countries must be addressed to reach these proposed coverage levels. To identify human resource approaches that are being u...

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Kenya: Bomet Medics Out to Stop Spread of Aids in Male Cut

AllAfrica News: Health and Medicine — Mon, 28 Nov 2011 15:51:55 +0100

The ministry of Public Health and Sanitation has put in place measures to curb the spread of HIV/Aids during circumcision season in Bomet district. Bomet district public health officer Micah Koech said the ministry will only allow skilled medical personnel to conduct operations during circumcision. (Source: AllAfrica News: Health and Medicine)

[World Report] Male circumcision debate flares in the USA

LANCET — Fri, 25 Nov 2011 12:00:53 +0100

Fierce debates about male circumcision are taking place across the USA, with some groups claiming that the procedure is a human rights violation with no health benefit. Nellie Bristol reports. (Source: LANCET)

South African doctor warns against using circumcision to fight HIV

Monsters and Critics Health News — Wed, 23 Nov 2011 15:27:02 +0100

(Source: Monsters and Critics Health News)

Global drop in new HIV infections

NHS News Feed — Tue, 22 Nov 2011 17:20:00 +0100

Global rates of HIV infection and AIDS-related death have both fallen dramatically, the UN has today announced. According to the widely reported figures from the UN’s UNAIDS division, both have fallen by 21% since their peaks at the turn of the millennium. Measures such as improved medical treatment were estimated to have prevented 700,000 AIDS-related deaths in 2010 alone. The global statistics have been published ahead of World AIDS day on December 1, and to mark a decade since a groundbreaking summit that led to a global strategy for tackling HIV. The report investigated the rates of new HIV infections, people living with HIV worldwide and AIDS-related deaths, to see how far we are currently from the UNAIDS’ ambitious vision: zero new HIV infections, zero discrimination and zero AI...

Attaining realistic and substantial reductions in HIV incidence: model projections of combining microbicide and male circumcision interventions in rural Uganda

Sexually Transmitted Infections — Tue, 22 Nov 2011 05:00:00 +0100

Conclusions Under these assumptions, as separate interventions it is unlikely that increases in either the proportion of men circumcised or of women using microbicides could reduce HIV incidence by 30% or more at 15 years. A combination-prevention strategy using complementary interventions may be a more feasible approach to achieve substantial reductions in incidence. (Source: Sexually Transmitted Infections)

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Attempting to explain heterogeneous HIV epidemics in sub-Saharan Africa: potential role of historical changes in risk behaviour and male circumcision

Sexually Transmitted Infections — Tue, 22 Nov 2011 05:00:00 +0100

Conclusions Differences in male circumcision rates are likely to have played a key role in the heterogeneous spread of HIV across Africa. The effect of circumcision interventions can vary depending on the epidemic setting, with a larger effect in more generalised epidemics. (Source: Sexually Transmitted Infections)

Clinical round-up

Sexually Transmitted Infections — Tue, 22 Nov 2011 05:00:00 +0100

24-week telaprevir combination therapy is just as effective as 48-week treatment in chronic HCV-genotype 1 infection with extended virological response Since the advent of directly acting antiviral therapies, treatment options for chronic hepatitis C virus (HCV) infection continue to increase. However, tolerability continues to be of significant concern and is directly related to treatment duration. Reducing the length of treatment, and thereby reducing levels of short-term morbidity related to HCV treatment, while maintaining rates of sustained viral response is essential. As part of a non-inferiority randomised trial, 322 patients received 12 weeks of telaprevir (800 mg, every 8 h), peginterferon α-2a (180 μg /week) and weight-adjusted ribavarin (1000–1...

Local Steroid Therapy As The First Line Treatment For Boys With Symptomatic Phimosis – A Long Term Prospective Study

Acta Paediatrica — Mon, 21 Nov 2011 05:00:00 +0100

Conclusion: Local Steroid Therapy is safe and successful in alleviating symptomatic tight foreskin in a large majority of children. The response can be seen as early as one week, most of the children respond by week 2 and continuing therapy further may not be very effective. (Source: Acta Paediatrica)

Late cuts: An international look at adult circumcision.

cmaj — Mon, 21 Nov 2011 05:00:00 +0100

Authors: Collier R PMID: 22105758 [PubMed - as supplied by publisher] (Source: cmaj)

Local steroid therapy as the first‐line treatment for boys with symptomatic phimosis – a long‐term prospective study

Acta Paediatrica — Mon, 21 Nov 2011 05:00:00 +0100

Conclusion: Local steroid therapy is safe and successful in alleviating symptomatic tight foreskin in a large majority of children. The response can be seen as early as 1 week; most of the children respond by week 2 and continuing therapy further may not be very effective. (Source: Acta Paediatrica)

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Increased incidence of penile cancer and high-grade penile intraepithelial neoplasia in Denmark 1978–2008: a nationwide population-based study

Cancer Causes and Control — Fri, 18 Nov 2011 17:31:47 +0100

Conclusions The incidence of penile cancer increased in 1978–2008 in Denmark, and the same applied to PIN2/3 in 1998–2008. A high prevalence of human papillomavirus (HPV) and a low circumcision rate in Denmark may partly explain our results. Content Type Journal ArticleCategory Original paperPages 1-8DOI 10.1007/s10552-011-9876-7Authors Birgitte Baldur-Felskov, Department of Viruses, Hormones and Cancer, Institute of Cancer Epidemiology, Danish Cancer Society, 2100 Copenhagen, DenmarkCharlotte Gerd Hannibal, Department of Viruses, Hormones and Cancer, Institute of Cancer Epidemiology, Danish Cancer Society, 2100 Copenhagen, DenmarkChristian Munk, Department of Viruses, Hormones and Cancer, Institute of Cancer Epidemiology, Danish Cancer Society, 2100 Copenhagen, ...

The influence of male circumcision for HIV prevention on sexual behaviour among traditionally circumcised men in Cape Town, South Africa

International Journal of STD and AIDS — Thu, 17 Nov 2011 05:00:00 +0100

We examined the relationship between HIV prevention beliefs related to male circumcision and sexual behaviour/sexually transmitted infection (STI) acquisition among traditionally circumcised men in Cape Town, South Africa. HIV-negative men (n = 304), circumcised for cultural/religious reasons, attending a health clinic in Cape Town, South Africa, completed cross-sectional surveys. Generalized linear models were used to analyse the relationships between unprotected vaginal sex acts, number of female sexual partners, STI diagnoses and male circumcision-related beliefs and risk perceptions. Men who were aware that circumcision offers protection against HIV (relative risk [RR] = 1.19, 95% confidence interval [CI] = 1.06–1.32, P < 0.01), endorsed risk compensation related to male circu...

AMA Adopts Policies on Circumcision, Gun Safety

MedPage Today State Required CME — Wed, 16 Nov 2011 17:45:00 +0100

(MedPage Today) -- The American Medical Association (AMA) House of Delegates has adopted a number of new policies at its interim meeting, including policies on male circumcision, physician discussion of gun safety, and a new medical coding system that will go into effect in 2013. (Source: MedPage Today State Required CME)

Responses from an Unusual Sex Survey Pt. 3

Psychology Today Sex Center — Wed, 16 Nov 2011 00:53:11 +0100

A refreshing look at the range of "normal" in a time of abstinence-only and porn. Primary Topic: Sex read more (Source: Psychology Today Sex Center)

Rwanda: Kigali Offers Free Male Circumcision

AllAfrica News: HIV-Aids and STDs — Mon, 14 Nov 2011 13:44:29 +0100

Rwanda has made male circumcision free of charge at all district hospitals in an attempt to reduce HIV spread. (Source: AllAfrica News: HIV-Aids and STDs)

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Acceptability of Circumcision Among Clients of Female Sex Worker in Hong Kong

AIDS and Behavior — Sat, 12 Nov 2011 16:53:33 +0100

Abstract Clients of female sex workers (CFSW) are at high risk of HIV transmission. Circumcision reduces the risk of heterosexual transmission of HIV. A total of 353 CFSW were interviewed using a combined interviewer-computer-assisted method. Amongst the participants, 28.0% were circumcised, whilst 63.8% of the uncircumcised participants were willing to take up circumcision (conditioned on being briefed about a 50% potential risk reduction effect). In a stepwise logistic regression model, frequency of patronizing female sex workers and factors related to the Health Belief Model were significantly associated with conditional willingness. Amongst uncircumcised participants, 20.9% anticipated risk compensation (i.e. would use condoms less frequently after being circumcised). ...

Hillary Rodham Clinton Aims for ‘AIDS-Free Generation’

NYT — Fri, 11 Nov 2011 19:50:08 +0100

Secretary of State Hillary Rodham Clinton outlined an ambitious worldwide agenda but offered few details on how to pay for it. (Source: NYT)

Namibia: Few People Respond to Free Male Circumcision Surgery

AllAfrica News: HIV-Aids and STDs — Fri, 11 Nov 2011 13:24:39 +0100

After weeks of hearing about the protective effects of medical male circumcision against HIV/AIDS, a number of men in the Hardap region have failed to take advantage of a government move to provide free male circumcision surgical operation at the Mariental State Hospital. (Source: AllAfrica News: HIV-Aids and STDs)

Tanzania: Male Cut 'Saves' Arusha From HIV Infections

AllAfrica News: HIV-Aids and STDs — Fri, 11 Nov 2011 09:22:05 +0100

Areas with high rates of male circumcision have been found to have very low prevalence of HIV-Aids infections according to medical experts. (Source: AllAfrica News: HIV-Aids and STDs)

Minimally invasive childhood and adult circumcision.

Tropical Doctor — Wed, 09 Nov 2011 05:00:00 +0100

Authors: Millard PS, Fumo A, Sabino E Abstract Using the Gomco circumcision clamp and sealing the wound with tissue adhesive results in a minimally invasive circumcision suitable for all age groups beyond the neonatal period. It is easy to perform and can be performed by generalists with local anaesthetic and standard instruments. PMID: 22072627 [PubMed - as supplied by publisher] (Source: Tropical Doctor)

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Hillary Rodham Clinton Aims for ‘AIDS-Free Generation’

NYT Health — Wed, 09 Nov 2011 02:42:45 +0100

Secretary of State Hillary Rodham Clinton outlined an ambitious worldwide agenda but offered few details on how to pay for it. (Source: NYT Health)

Dorsal penile nerve block for male pediatric circumcision - randomized comparison of ultrasound-guided vs anatomical landmark technique.

Paediatric Anaesthesia — Mon, 07 Nov 2011 09:19:14 +0100

Conclusions: This study does not support the routine use of ultrasound for the performance of DPNB in male pediatric circumcision. Nonetheless, an associated reduction in codeine administration postoperatively suggests some benefit in terms of postoperative pain. PMID: 22023417 [PubMed - in process] (Source: Paediatric Anaesthesia)

Namibia: Hardap Men Get the Chop - Free!

AllAfrica News: Health and Medicine — Fri, 04 Nov 2011 11:08:33 +0100

Free male circumcision surgery for all in Hardap region (Source: AllAfrica News: Health and Medicine)

Factors Associated with the Early Resumption of Sexual Activity Following Medical Male Circumcision in Nyanza Province, Kenya

AIDS and Behavior — Thu, 03 Nov 2011 16:56:53 +0100

Abstract Research has established that voluntary medical male circumcision (VMMC) reduces HIV acquisition in heterosexual men by approximately 60%; however, engaging in sexual activity before the wound is healed may attenuate this protective effect. This prospective study included VMMC clients who were circumcised in Kenya between November, 2008 and March, 2010, aged ≥18 years, and randomly selected for an interview and genital examination 28–45 days post-VMMC (N = 1,344). At the time of the interview, 91.3% participants were healed. Overall, 30.7% reported engaging in early sexual activity, usually 3–4 weeks post-VMMC. In a multivariable analysis, being married or cohabitating was the strongest predictor of engaging in early sexual activity. ...

Dutch circumcision ban call sparks row

BBC News | Health | UK Edition — Thu, 03 Nov 2011 02:29:28 +0100

Dutch debate whether to ban male circumcision (Source: BBC News | Health | UK Edition)

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Dutch row over male circumcision

BBC News | Health | UK Edition — Thu, 03 Nov 2011 02:29:28 +0100

Dutch debate whether to ban male circumcision (Source: BBC News | Health | UK Edition)

Acceptability of circumcision as a means of HIV prevention among men who have sex with men in China

AIDS Care — Wed, 02 Nov 2011 00:53:37 +0100

(Source: AIDS Care)

Rwanda: Local Leaders Urged to Lead Circumcision Drive

AllAfrica News: HIV-Aids and STDs — Tue, 01 Nov 2011 07:39:23 +0100

Local leaders and civil society organisations should play a major role in raising public awareness about male circumcision at the grassroots level as part of measures to prevent new HIV infections. (Source: AllAfrica News: HIV-Aids and STDs)

Uganda: Lack of Resources, Political Will Slows Male Circumcision Progress

AllAfrica News: HIV-Aids and STDs — Tue, 01 Nov 2011 05:50:55 +0100

Ugandan men have been seeking medical male circumcision in droves since the government launched a national policy in 2010, but the health system is not equipped to handle the caseload, slowing down the potential HIV prevention benefits of the campaign. (Source: AllAfrica News: HIV-Aids and STDs)

Organ-sparing Surgery for Penile Cancer: Complications and Outcomes

Urology — Tue, 01 Nov 2011 04:00:00 +0100

Conclusion: Organ-sparing surgery, such as radical circumcision and wide local excision is an appropriate treatment option for selected penile cancer patients. It preserves sexual and urination function without significantly increasing the risk of recurrence. (Source: Urology)

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Male circumcision and sexual function in men and women: a survey-based, cross-sectional study in Denmark

International Journal of Epidemiology — Sat, 29 Oct 2011 04:00:00 +0100

Conclusions Circumcision was associated with frequent orgasm difficulties in Danish men and with a range of frequent sexual difficulties in women, notably orgasm difficulties, dyspareunia and a sense of incomplete sexual needs fulfilment. Thorough examination of these matters in areas where male circumcision is more common is warranted. (Source: International Journal of Epidemiology)

Expanding Medical Male Circumcision - Living With Aids

AllAfrica News: Health and Medicine — Thu, 27 Oct 2011 11:49:00 +0100

Six new additional centres offering medical male circumcision services will open in the provinces of KwaZulu-Natal, Mpumalanga and Gauteng as from next January until the end of 2012. (Source: AllAfrica News: Health and Medicine)

Dorsal penile nerve block for male pediatric circumcision – randomized comparison of ultrasound‐guided vs anatomical landmark technique

Pediatric Anesthesia — Wed, 26 Oct 2011 02:06:10 +0100

What Is the Greatest Danger for an Uncircumcised Boy?

Psychology Today Parenting Center — Sun, 23 Oct 2011 16:01:40 +0100

Doctors can cause injury to intact boys during well-child visits. What you should know. Primary Topic: Health read more (Source: Psychology Today Parenting Center)

Namibia: HIV Workshop Looks At Male Circumcision

AllAfrica News: HIV-Aids and STDs — Fri, 21 Oct 2011 09:49:34 +0100

More than one hundred people of the Khorixas and surrounding communities gathered at the town to create awareness on the relationship between HIV/AIDS and male circumcision, recently. (Source: AllAfrica News: HIV-Aids and STDs)

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Male circumcision for HIV prevention: current evidence and implementation in sub-Saharan Africa

Journal of the International AIDS Society — Thu, 20 Oct 2011 04:00:00 +0100

Heterosexual exposure accounts for most HIV transmission in sub-Saharan Africa, and this mode, as a proportion of new infections, is escalating globally. The scientific evidence accumulated over more than 20 years shows that among the strategies advocated during this period for HIV prevention, male circumcision is one of, if not, the most efficacious epidemiologically, as well as cost-wise. Despite this, and recommendation of the procedure by global policy makers, national implementation has been slow. Additionally, some are not convinced of the protective effect of male circumcision and there are also reports, unsupported by evidence, that non-sex-related drivers play a major role in HIV transmission in sub-Saharan Africa. Here, we provide a critical evaluation of the state of the current...

Paediatric sutureless circumcision—an alternative to the standard technique

Pediatric Surgery International — Tue, 18 Oct 2011 15:56:05 +0100

Conclusion The use of 2-OCA as a tissue adhesive for sutureless circumcisions is an alternative to the standard suture technique. The use of this tissue adhesive, 2-OCA, results in comparable complication rates to the standard circumcision technique and results in excellent post-operative cosmetic satisfaction. Content Type Journal ArticleCategory Original ArticlePages 1-4DOI 10.1007/s00383-011-3015-0Authors Brian D. Kelly, Department of Urology, Galway University Hospital, Galway, IrelandDara J. Lundon, Department of Urology, Galway University Hospital, Galway, IrelandMarie E. Timlin, Department of Urology, Galway University Hospital, Galway, IrelandMazhar Sheikh, Department of Urology, Galway University Hospital, Galway, IrelandNadeem B. Nusrat, Department of Urol...

Male circumcision ban defeated; health benefits lauded

American Medical News — Tue, 18 Oct 2011 13:08:56 +0100

A California judge rejects a bid to prohibit the procedure the same week as researchers re-emphasize its positive effects. (Source: American Medical News)

Trends in In-Hospital Newborn Male Circumcision--United States, 1999-2010 [From the Centers for Disease Control and Prevention]

JAMA — Tue, 18 Oct 2011 04:00:00 +0100

(Source: JAMA)

[Rotary C1-C2 dislocation: A case report.]

Archives de Pediatrie — Tue, 18 Oct 2011 04:00:00 +0100

We report a case in a child who was admitted to the hospital for a stiff neck that had been evolving for 1month. The clinical examination found an irreducible angular deformity of the neck and multiple cervical adenopathies. The ORL examination was normal, the biological tests showed no disorders, and the X-ray examinations were also normal. Unexpected admission features were also disconcerting. The child suddenly presented a stiff neck on waking 2days after a traditional circumcision at home, which might have been traumatizing. The mother also reported fever a few days before, attributed to rhinopharyngitis. Before his referral to the Rabat Children's Hospital, the child had received an anti-inflammatory treatment without any improvement. He had also been considered to have an opisthotono...

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AAP: Need to Re-Do Circumcision Rises, Reasons Unclear (CME/CE)

MedPage Today Meeting Coverage — Mon, 17 Oct 2011 15:17:30 +0100

BOSTON (MedPage Today) -- An unexplained increase in revision circumcisions has pediatric urologists wondering whether the finding is real and, if so, what caused it. (Source: MedPage Today Meeting Coverage)

Circumcision indecision: The ongoing saga of the world's most popular surgery.

cmaj — Mon, 17 Oct 2011 04:00:00 +0100

Authors: Collier R PMID: 22007124 [PubMed - as supplied by publisher] (Source: cmaj)

Trends in In-Hospital Newborn Male CircumcisionTrends in In-Hospital Newborn Male Circumcision

Medscape Today Headlines — Fri, 14 Oct 2011 12:02:18 +0100

Have the rates of newborn male circumcision increased in this country over the last decade? Morbidity & Mortality Weekly Report (Source: Medscape Today Headlines)

South Africa: The King, the Car and the Clamp

AllAfrica News: Health and Medicine — Thu, 13 Oct 2011 06:26:04 +0100

An expensive gift has cast new shadows over the Kwazulu-Natal (KZN) Department of Health's controversial decision to purchase and use an unsafe circumcision device called the Tara Klamp. (Source: AllAfrica News: Health and Medicine)

Circumcision policy should be revisited, according to commentary in JAMA

Modern Medicine Contemporary Pediatrics — Thu, 13 Oct 2011 04:00:00 +0100

At a time when 18 states are seeking to eliminate Medicaid coverage for circumcision of newborn males and at least 1 city sought to ban the practice, an editorial published in a leading medical journal says that such efforts are wrongheaded and that more should be done to promote the procedure. The authors maintain that hundreds of studies in the last 5 years document the benefits of circumcision. What did those studies find, and should neutral pediatric guidelines be changed? (Source: Modern Medicine Contemporary Pediatrics)

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Baby Foreskin Care - prevent phimosis, prevent cirumcision,steroid

Blog from a Pediatrician — Thu, 13 Oct 2011 00:03:33 +0100

Information on baby foreskin care, including information on medical reasons for circumcision and the use of steroid creams for tight foreskin (phimosis) (Source: Blog from a Pediatrician)

Efforts to ban circumcision may be harmful, infection experts say

Modern Medicine — Wed, 12 Oct 2011 11:13:17 +0100

Efforts in an increasing number of states to not provide Medicaid insurance coverage for male circumcision, as well as an attempted ballot initiative in San Francisco earlier this year to ban male circumcision in newborns and young boys, are unwarranted, say infectious disease experts from Johns Hopkins University, Baltimore. (Source: Modern Medicine)

Buried Penis Disorder: Q&A with Detlev Erdmann, MD, PhD, MHSc

DukeHealth.org: Duke Health Features — Mon, 10 Oct 2011 18:49:30 +0100

In this Q&A session, Detlev Erdmann, MD, PhD, MHSc, of Duke Plastic Surgery, discusses the causes of and treatments for buried penis disorder.Detlev Erdmann, MD, PhD, MHSc What does the term "buried penis" refer to? Buried penis is a term that describes a penis of normal length that is buried below the surface of the pubic skin or within its own excessive shaft skin. It also refers to a partially or totally obscured penis caused by obesity, an overly aggressive circumcision, or other underlying conditions. What causes this condition? Buried penis can occur in children as a very rare congenital disorder, but most commonly it presents as an acquired condition during adulthood. Some causes of buried penis include obesity, radical circumcision, or lymphedema (swelling that is caused by a ...

To Slow Rates Of HIV And HPV Transmission In South Africa, Earlier Circumcision In Males May Be Effective Intervention

Health News from Medical News Today — Mon, 10 Oct 2011 07:00:00 +0100

According to Anna R. Giuliano, Ph.D., program leader in cancer epidemiology at Moffitt Cancer Center in Tampa, Fla., and colleagues in the Netherlands, earlier circumcision of males in South Africa may be a positive step in slowing the spread of both HIV and the human papillomavirus (HPV). Their commentary and data were published in a recent issue of the British medical journal The Lancet Infectious Diseases (Vol. 11) 581-582. "Countries with high incidences of HIV also have high incidences of cancer-related HPV," said Giuliano. "This is especially true in South Africa... (Source: Health News from Medical News Today)

Efforts to Defund or Ban Infant Male Circumcision are Unfounded and Potentially Harmful, Johns Hopkins Experts Say- 10/4/11

Johns Hopkins Medicine News — Sun, 09 Oct 2011 21:13:15 +0100

Johns Hopkins infectious disease experts say the medical benefits for male circumcision are clear and that efforts in an increasing number of states (currently 18) to not provide Medicaid insurance coverage for male circumcision, as well as an attempted ballot initiative in San Francisco earlier this year to ban male circumcision in newborns and young boys, are unwarranted. Moreover, they say these actions ignore the last decade of medical evidence that the procedure can substantially protect men and their female partners from certain sexually transmitted infections. (Source: Johns Hopkins Medicine News)

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Sutureless circumcision: A safe and cosmetically satisfactory alternative technique for urologys most common procedure

International Journal of Surgery — Thu, 06 Oct 2011 22:52:32 +0100

Aims: To assess the safety, functional-outcome and the patient/guardians opinion towards cosmetic appearance following circumcision in prepubescent males. Methods: A series of 452 consecutive sutureless circumcisions were performed by a single surgeon over a 6 year period. All 452 cases were entered prospectively into a database. Long-term follow up was subsequently performed at which stage it was ascertained if they were satisfied with the cosmetic appearance and analgesic effect post- operatively. (Source: International Journal of Surgery)

Paediatric circumcision: A study examining post-operative complications, parental anxiety and its impact on primary care

International Journal of Surgery — Thu, 06 Oct 2011 22:52:31 +0100

Background: Complications of paediatric circumcision include pain, bleeding, infection and poor cosmesis. Pre-operative counselling and structured post-operative regimes are vital for maintaining good clinical care and to prevent parental anxiety which can lead to unnecessary visits to the GP increasing the burden to primary care. (Source: International Journal of Surgery)

Efforts to Defund or Ban Infant Male Circumcision are Unfounded and Potentially Harmful, Johns Hopkins Experts Say- 10/4/11

Johns Hopkins Medicine News — Thu, 06 Oct 2011 21:02:57 +0100

Earlier male circumcision may help to slow rates of HIV, HPV transmission in South Africa

ScienceDaily Headlines — Thu, 06 Oct 2011 17:30:30 +0100

Earlier circumcision of males in South Africa may be a positive step in slowing the spread of both HIV and the human papillomavirus. (Source: ScienceDaily Headlines)

Circumcision foes should cut it out, experts say

Health News: CBSNews.com — Wed, 05 Oct 2011 13:51:41 +0100

Johns Hopkins infectious disease experts tout evidence of circumcision's benefits in light of 18 states cutting funding for procedure (Source: Health News: CBSNews.com)

Global discourses and experiential speculation: secondary and tertiary graduate Malawians dissect the HIV/AIDS epidemic

Journal of the International AIDS Society — Tue, 04 Oct 2011 04:00:00 +0100

Conclusions: The opinions of this group of secondary and tertiary graduate Malawians do not always coincide with the current literature and policies. They give deeper insight into what is perceived and what may be taking place, and hint at what the future holds for their people. The widespread and divergent perspectives must be seriously considered because these experiences describe the potential positive and negative consequences that occur on the ground throughout Malawi as a result of HIV/AIDS policies. (Source: Journal of the International AIDS Society)

The Medical Benefits of Male Circumcision [Commentary]

JAMA — Tue, 04 Oct 2011 04:00:00 +0100

(Source: JAMA)

Perspectives on intimate partner violence in Swaziland amongst 18-29-year-old men undergoing medical circumcision. - Brear M, Bessarab D.

SafetyLit: All (Unduplicated) — Mon, 03 Oct 2011 23:42:42 +0100

Intimate partner violence (IPV) is perceived as a major contributor to HIV transmission in Swaziland. This exploratory study aimed to develop a culturally-specific understanding of men's perspectives of IPV. Focus group methods were used to gather informat... (Source: SafetyLit: All (Unduplicated))

Letters: Circumcision and H.I.V. (1 Letter)

NYT Health — Mon, 03 Oct 2011 21:04:36 +0100

A letter to the editor. (Source: NYT Health)

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California governor prevents ban on male circumcision

Reuters: Health — Mon, 03 Oct 2011 14:27:03 +0100

LOS ANGELES (Reuters) - California Governor Jerry Brown has signed a bill preventing local authorities from banning the practice of male circumcision. (Source: Reuters: Health)

California prevents ban on male circumcision

Modern Medicine — Mon, 03 Oct 2011 04:00:00 +0100

LOS ANGELES (Reuters) - California Governor Jerry Brown announced on Sunday that he signed a bill preventing local authorities from banning the practice of male circumcision. (Source: Modern Medicine)

Calif. governor outlaws local bans on male circumcision

CTV Health — Mon, 03 Oct 2011 01:00:59 +0100

California's governor has signed a bill that that will prevent local governments from banning male circumcision. (Source: CTV Health)

California governor signs law preventing male circumcision ban

CNN.com - Health — Mon, 03 Oct 2011 00:17:02 +0100

California Gov. Jerry Brown signed into law Sunday a bill that prevents local governments from banning the practice of male circumcision. (Source: CNN.com - Health)

California prevents ban on male circumcision

Reuters: Health — Sun, 02 Oct 2011 21:06:09 +0100

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Not a surgical vaccine: there is no case for boosting infant male circumcision to combat heterosexual transmission of HIV in Australia.

Australian and New Zealand Journal of Public Health — Sat, 01 Oct 2011 04:00:00 +0100

Conclusion : Our conclusion is that such proposals ignore doubts about the robustness of the evidence from the African random-controlled trials as to the protective effect of circumcision and the practical value of circumcision as a means of HIV control; misrepresent the nature of Australia's HIV epidemic and exaggerate the relevance of the African random-controlled trials findings to it; underestimate the risks and harm of circumcision; and ignore questions of medical ethics and human rights. The notion of circumcision as a 'surgical vaccine' is criticised as polemical and unscientific. Implications : Circumcision of infants or other minors has no place among HIV control measures in the Australian and New Zealand context; proposals such as these should be rejected. PMID: 21973253 [Pub...

Are general paediatric surgery outcomes comparable between district general hospital and regional referral centres?

Annals of the Royal College of Surgeons of England — Sat, 01 Oct 2011 04:00:00 +0100

CONCLUSIONS: In our DGH the complication rates for general paediatric operations compare favourably with those set out by the literature and guidelines, which support the training and delivery of general paediatric surgery within DGHs. PMID: 22004639 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)

A Silent Storm: Hepatitis C in Pakistan

Journal of Pakistan Medical Students — Fri, 30 Sep 2011 04:00:00 +0100

Author: Noureen Jiwani1, Dr. Raisa Gul2 Affiliation: 1 MScN, BScN, Instructor, Aga Khan University, School of Nursing, Karachi, Pakistan 2 PhD, MScN, BScN, RN, Assistant Professor, Aga Khan University, School of Nursing, Karachi, Pakistan Correspondence to: Noureen Jiwani, Instructor, Aga Khan University, School of Nursing, Karachi, Pakistan Email: noureen.jiwani@aku.edu Conflicting Interest: None declared Article Submitted on: 23rd April 2011 Accepted on: 12th August 2011 Funding Sources: None Perspective Article “Do not inject used syringe. Oh aunty! Nothing is going to happen. I have boiled it very well.” Globally, 2.2% of the world’s population is suffering from hepatitis C virus (HCV)1. The disease is becoming a major health problem of developing countries,...

Angola: Countries Present Results of Male Circumcision Programme

AllAfrica News: Health and Medicine — Thu, 29 Sep 2011 14:56:22 +0100

The results of the voluntary programme of male circumcision as a way of fighting against HIV/Aids within the Armed Forces of Angola (FAA) and Zambia, is to be presented on Thursday, in Luanda, ANGOP has learnt. (Source: AllAfrica News: Health and Medicine)

Small Fixes: Slow Progress in Circumcising Men to Fight AIDS in Africa

NYT Health — Mon, 26 Sep 2011 22:14:52 +0100

The goal of circumcising 20 million men in 14 African countries by 2015 is slowly progressing; less than 3 percent have been circumcised so far. (Source: NYT Health)

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Adult male circumcision as an intervention against HIV: An operational study of uptake in a South African community (ANRS 12126)

BMC Infectious Diseases — Mon, 26 Sep 2011 04:00:00 +0100

Conclusions: AMC uptake in this community is high but communication and counseling should emphasize what clinical AMC is and its effect on HIV acquisition. These findings suggest that AMC roll-out is promising but requires careful implementation strategies to be successful against the African HIV epidemic. (Source: BMC Infectious Diseases)

Does a Controversial Topic Affect the Quality of Urologic Information on the Internet?

Urology — Mon, 26 Sep 2011 04:00:00 +0100

Objective: Increasingly, patients seek medical information via the Internet, despite highly variable information quality. We sought to determine whether controversial urological topics are associated with decreased content quality or search characteristics.Methods: We systematically searched the Internet for 5 noncontroversial (cryptorchidism, testicular torsion, urethral stricture, testicular cancers, renal cancers) and 5 controversial (disorders of sexual differentiation, circumcision, penile elongation, interstitial cystitis, testosterone therapy) conditions. Number of total hits, sponsored links, page owner and author, accreditation, updates, advertising, readability, and content quality were assessed for each topic. Content quality was determined on a 5-point scale for accuracy and co...

Circumcision Ethics and Economics

Psychology Today Parenting Center — Sun, 25 Sep 2011 16:20:01 +0100

Infant circumcision is an ethical issue that has lifelong effects on the child and societal costs.No medical association in the world recommends routine infant circumcision. None. The American Academy of Pediatrics Policy Statement on Circumcision says: Primary Topic: Ethics and Morality read more (Source: Psychology Today Parenting Center)

Dutch doctors urge end to male circumcision

Reuters: Health — Fri, 23 Sep 2011 14:49:39 +0100

AMSTERDAM (Reuters) - Dutch doctors want politicians and human rights groups to speak out and discourage the practice of male circumcision in the Netherlands because they say it is a "painful and harmful ritual," and a violation of children's rights. (Source: Reuters: Health)

The Safety Profile and Acceptability of a Disposable Male Circumcision Device in Kenyan Men Undergoing Voluntary Medical Male Circumcision

The Journal of Urology — Fri, 23 Sep 2011 04:00:00 +0100

Conclusions: Alisklamp has an excellent safety profile and excellent acceptability among men who undergo circumcision using the device. This technique is easy to teach and it would prove to be a handy device to scale up the rate of male circumcision. Based on these findings the device merits a comparative clinical trial. (Source: The Journal of Urology)

Perspectives on intimate partner violence in Swaziland amongst 18-29-year-old men undergoing medical circumcision.

Culture, Health and Sexuality — Wed, 21 Sep 2011 04:00:00 +0100

This study highlights the need for the gender issues which underpin IPV to be addressed in HIV prevention in Swaziland and for the development of an informed understanding of how and why IPV occurs in the Swazi context. PMID: 21936648 [PubMed - as supplied by publisher] (Source: Culture, Health and Sexuality)

Evidence for Epigenetic Abnormalities of the Androgen Receptor Gene in Foreskin from Children with Hypospadias.

The Journal of Clinical Endocrinology and Metabolism — Wed, 21 Sep 2011 04:00:00 +0100

Conclusion:The AR gene in target tissues from patients with hypospadias is more methylated than in control children, resulting in a decreased expression of the AR. The mechanism underlying the modulation of the AR gene expression seems to be mediated by DNMT3A. This epigenetic alteration of the AR gene might be involved in the pathogenesis of hypospadias. PMID: 21937623 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)

Somali immigrant women's perceptions of cesarean delivery and patient–provider communication surrounding female circumcision and childbirth in the USA

International Journal of Gynaecology and Obstetrics — Wed, 21 Sep 2011 04:00:00 +0100

Conclusions: Previous experiences and cultural beliefs can affect how Somali immigrant women understand labor and delivery practices in the USA and can explain why some women are wary of cesarean delivery. Educating providers and encouraging patient–provider communication about cesarean delivery and female circumcision can ease fears, increase trust, and improve birth experiences for Somali immigrant women in the USA. (Source: International Journal of Gynaecology and Obstetrics)

Is V-Y plasty necessary for penile lengthening? Suspensory ligamentolysis and dermal-fat graft placement solely through circumcision

Journal of Men's Health — Mon, 19 Sep 2011 09:18:50 +0100

Background: The presentation of ligamentolysis through subcoronal incision and the determination of its safety and efficacy. Materials & Methods: During the last 7 years, 82 patients were operated on for penile augmentation. Ligamentolysis through a lower abdominal incision (V-Y plasty) was performed in the first 35 males (Group A), followed by circumcision ligamentolysis in the next 47 (Group B). The operation time, complications, pre-operative and post-operative values for penile length and girth, along with the self esteem and relations questionnaire score (SEAR) and the satisfaction score, were calculated before surgery and 12 months after surgery, and a comparison was conducted between the groups. (Source: Journal of Men's Health)

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Circumcision: Social, Sexual, Psychological Realities

Psychology Today Parenting Center — Sun, 18 Sep 2011 15:05:38 +0100

We continue examining myths about circumcision, including traditions, social and sexual relations. NOTE: Primary author is Lillian Dell'Aquila Cannon, with assistance from Dan BollingerPart 3 Primary Topic: Health read more (Source: Psychology Today Parenting Center)

[Lichen sclerosus in the genitourinary region.]

Der Urologe. Ausg. A — Sun, 18 Sep 2011 04:00:00 +0100

Authors: Hofer C, Köhn FM, Hatzichristodoulou GS, Gschwend JE, Treiber U Abstract Lichen sclerosus (LS) is a chronic inflammatory disorder of the skin and mucosa, presenting to genitourinary physicians, pediatricians, and dermatologists. It affects both sexes with a lower incidence in men than in women. Autoimmune factors, infections, and genetic disposition are implicated in its pathogenesis. The classic clinical picture is of atrophic white plaques in the anogenital region. Pruritus, soreness, difficulty retracting the foreskin, and obstructive urinary symptoms are frequent complaints. Early histological confirmation by biopsy is recommended. The disorder is usually highly responsive to ultrapotent topical steroids. This may help arrest or delay the progressive nature of this di...

Major Grant Awarded For HIV Prevention Study In Africa

Health News from Medical News Today — Sat, 17 Sep 2011 07:00:00 +0100

A team of researchers led by Professor Richard Hayes at the London School of Hygiene and Tropical Medicine has been awarded $37 million to test an innovative combination of strategies to prevent HIV in African countries. The project, called Population ART (PopART), will test the impact of a combination prevention strategy that combines community-wide house-to-house voluntary testing for HIV, offer of medical circumcision to men who test HIV-negative, and offer of immediate initiation of antiretroviral therapy (ART) for all those testing HIV-positive... (Source: Health News from Medical News Today)

Uganda: Here Is What You Must Know About Circumcision and HIV Prevention

AllAfrica News: HIV-Aids and STDs — Fri, 16 Sep 2011 13:20:18 +0100

In 2005, a randomised controlled trial conducted among uncircumcised men of 18-24 years in South Africa showed that male circumcision reduced the risk of acquiring HIV infection by 60 per cent. Two further studies conducted in Uganda and Kenya showed similar results. These three studies provide new, compelling evidence that male circumcision offers significant protection against acquiring HIV infection. These findings confirm those from previous observational studies and that of a meta-analysis of 28 published studies conducted in 2000. (Source: AllAfrica News: HIV-Aids and STDs)