Date: 1 February 2016
The RACGP thanks the Department of Health for the invitation to provide comment on MBS item 30659 for male circumcision in patients over the age of ten performed by GPs.
Feedback from some of our members suggests in males older than 10 years of age, circumcision would sometimes be utilised for religious reasons (Druze, Jews and Muslims) or because of a belief that it is more hygienic.
However we suspect the procedure would mostly be done for anatomical or dermatological issues of the prepuce such as to fix phimosis or paraphimosis, frenulum issues or skin complaints such as erosive lichen planus, recurrent balantitis and / or extensive warts. Adult male circumcision for these reasons would be entirely appropriate and medically necessary.