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- W2113889189 abstract "No AccessJournal of UrologyReview Article1 Jan 2010The Impact of Male Circumcision on HIV Transmission Sean M. Doyle, James G. Kahn, Nap Hosang, and Peter R. Carroll Sean M. DoyleSean M. Doyle Department of Urology, Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley, Berkeley, California Nothing to disclose. More articles by this author , James G. KahnJames G. Kahn Department of Epidemiology and Biostatistics, University of California, Berkeley, Berkeley, California Nothing to disclose. More articles by this author , Nap HosangNap Hosang School of Public Health, University of California, Berkeley, Berkeley, California Nothing to disclose. More articles by this author , and Peter R. CarrollPeter R. Carroll Department of Urology, Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley, Berkeley, California UCSF/Helen Diller Family Comprehensive Cancer Center, University of California, Berkeley, Berkeley, California Financial interest and/or other relationship with the National Institutes of Health, Blue Wolf Communications, Varian Medical Systems and AstraZeneca. More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2009.09.030AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Adult male circumcision is currently being implemented as an HIV prevention strategy worldwide. We reviewed the literature on adult male circumcision in the prevention of HIV. Materials and Methods: A MEDLINE® search was used to identify current literature addressing HIV and male circumcision. The data from that literature were reviewed and summarized. Results: Three randomized, controlled trials demonstrate that circumcising adult males reduces the incidence of HIV by 50% to 60%. Adult male circumcision does not seem to have an adverse impact on sexual function. Epidemiological and economic modeling suggests that adult male circumcision can potentially be a highly cost-effective strategy for HIV prevention. Conclusions: Safe, high quality, low cost adult male circumcision services should be made available to regions with a high HIV incidence as part of a comprehensive HIV prevention package. References 1 : AIDS epidemic update: December 2007. http://www.unaids.org/en/KnowledgeCentre/HIVData/EpiUpdate/EpiUpdArchive/2007/default.asp. Accessed September 2, 2009. Google Scholar 2 : Population-level HIV declines and behavioral risk avoidance in Uganda. Science2004; 304: 714. Google Scholar 3 : A possible explanation for heterosexual male infection with AIDS. N Engl J Med1986; 315: 1167. Google Scholar 4 : AIDS in Third World countries. 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Google Scholar © 2010 by American Urological AssociationFiguresReferencesRelatedDetails Volume 183Issue 1January 2010Page: 21-26 Advertisement Copyright & Permissions© 2010 by American Urological AssociationKeywordsHIVmalecircumcisionMetricsAuthor Information Sean M. Doyle Department of Urology, Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley, Berkeley, California Nothing to disclose. More articles by this author James G. Kahn Department of Epidemiology and Biostatistics, University of California, Berkeley, Berkeley, California Nothing to disclose. More articles by this author Nap Hosang School of Public Health, University of California, Berkeley, Berkeley, California Nothing to disclose. More articles by this author Peter R. Carroll Department of Urology, Philip R. Lee Institute for Health Policy Studies, University of California, Berkeley, Berkeley, California UCSF/Helen Diller Family Comprehensive Cancer Center, University of California, Berkeley, Berkeley, California Financial interest and/or other relationship with the National Institutes of Health, Blue Wolf Communications, Varian Medical Systems and AstraZeneca. More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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