Circumcision


 

CIRCUMCISION: AN ISSUE REEXAMINED 

In 1975 the American Academy of Pediatrics (AAP) updated a 1971 policy by stating “there is no absolute medical indication for routine circumcision of the newborn.” This position was reiterated in 1983 by both the AAP and the American College of Obstetrics and Gynecology. 

After a recent rigorous review process that included an AAP Task Force on Circumcision and many AAP committees, etc., the AAP has modified its position. Unfortunately, the statement of that position does not at this time clearly come down on either side of this issue of whether to circumcise a newborn male or not. 

“Newborn circumcision has potential medical benefits and advantages as well as disadvantages and risks. When circumcision is being considered, the benefits and risks should be explained to the parents, and informed consent obtained.” 

Points of interest in the background material presented: 

*Preliminary data suggests that the incidence of urinary tract infection in male infants may be reduced when circumcision is performed in the newborn period. Though one very large study in US Army hospitals reported a tenfold increase in these infections in uncircumcised, as compared with circumcised males, the AAP has concerns about possible methodological flaws with the study, and suggests that conclusions should not be definitely drawn at this time. *Cancer of the penis occurs almost exclusively in uncircumcised men. The decision not to circumcise a male infant must be accompanied by a lifetime commitment to genital hygiene to minimize the risk of developing penile cancer. 

*Evidence linking uncircumcised men to cancer of the cervix in their sexual partners and evidence regarding the relationship of circumcision to sexually transmitted diseases is conflicting and inconclusive. 

*Infants undergoing circumcision without anesthesia demonstrate responses suggesting that they are experiencing pain. Local anesthesia may reduce this response, but adds an element of risk; information regarding its use has not been reported in large numbers of cases. More data from large controlled studies is required before local anesthesia can be advocated. 

*Though circumcision should not be performed in an unstable or sick infant; it is a rapid and generally safe procedure when performed by an experienced operator. The most common complications are a local infection and bleeding. Hopefully, there will be sufficient interest in this issue to result in the kind of studies required providing definitive answers. It is surprising and frustrating that with a surgical procedure so widely used for centuries, we continue to be lacking the data needed about its benefits and hazards. 

Pediatric Associates of Austin

Pediatricians located in Austin, TX

Situated between Tarrytown and Rosedale neighborhoods, Pediatric Associates of Austin is conveniently located in the heart of Austin, Texas. Since the practice first opened in 1974, the doctors and nurses here have treated many of the city’s children. Some of their former patients have even brought their own children to the practice, creating a family legacy at Pediatric Associates of Austin.

Board-Certified Pediatricians

All of the doctors at Pediatric Associates of Austin are board-certified pediatricians. Many of them are also fellows of the American Academy of Pediatrics. Between all of the doctors, the team has a diverse array of specialties and experiences that help them provide excellent, comprehensive pediatric care.

The full list of doctors at the practice include:

  • Dr. Stephen Griggs
  • Dr. Samuel Mirrop
  • Dr. Lance Hargrave
  • Dr. Ashley Gonzalez
  • Dr. Brandi Loomis
  • Dr. Jessica Mowry
  • Dr. Katie Sanford

 

Highly Trained Nurse Practitioners

In addition to these doctors, the practice also has a highly qualified nurse practitioner, Emily Woodard. Emily is a member of the National Association of Pediatric Nurse Practitioners. Emily Woodard earned her  Pediatric Nurse Practitioner certification through The University of Texas at Austin. She also sees patients at Pediatric Associates of Austin, SportsSafe Concussion. Brain. Body., and at the evening clinic, After Hours  Kids.

SportsSafe and After Hours Kids

Many of the providers at Pediatric Associates of Austin also provide care through SportsSafe: Concussion. Brain. Body. and After Hours Kids, which are both located in the same building.

SportsSafe: Concussion. Brain. Body. Provides baseline testing, concussion evaluations, and concussion education for student-athletes. After Hours Kids provides medical care for children during evenings and on weekends.

In addition to these extension programs, Pediatric Associates of Austin also has an on-site lab. This lets them expedite blood work when needed.

Care for Children of All Ages

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personal, comprehensive service including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personable, comprehensive services including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

Pediatric Associates of Austin exists to provide parents and children with excellent medical care and parenting education. We strive to be advocates for children to ensure each child’s value and to help families be successful in raising confident, capable members of our society.

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Pediatric Associates of Austin

Situated between Tarrytown and Rosedale neighborhoods, Pediatric Associates of Austin is conveniently located in the heart of Austin, Texas. Since the practice first opened in 1974, the doctors and nurses here have treated many of the city’s children. Some of their former patients have even brought their own children to the practice, creating a family legacy at Pediatric Associates of Austin.

Board-Certified Pediatricians

All of the doctors at Pediatric Associates of Austin are board-certified pediatricians. Many of them are also fellows of the American Academy of Pediatrics. Between all of the doctors, the team has a diverse array of specialties and experiences that help them provide excellent, comprehensive pediatric care.

The full list of doctors at the practice include:

 

Highly Trained Nurse Practitioners

In addition to these doctors, the practice also has a highly qualified nurse practitioner, Emily Woodard. Emily is a member of the National Association of Pediatric Nurse Practitioners. Emily Woodard earned her  Pediatric Nurse Practitioner certification through The University of Texas at Austin. She also sees patients at Pediatric Associates of Austin, SportsSafe Concussion. Brain. Body., and at the evening clinic, After Hours  Kids.

SportsSafe and After Hours Kids

Many of the providers at Pediatric Associates of Austin also provide care through SportsSafe: Concussion. Brain. Body. and After Hours Kids, which are both located in the same building.

SportsSafe: Concussion. Brain. Body. Provides baseline testing, concussion evaluations, and concussion education for student-athletes. After Hours Kids provides medical care for children during evenings and on weekends.

In addition to these extension programs, Pediatric Associates of Austin also has an on-site lab. This lets them expedite blood work when needed.

Care for Children of All Ages

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personal, comprehensive service including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personable, comprehensive services including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

Pediatric Associates of Austin exists to provide parents and children with excellent medical care and parenting education. We strive to be advocates for children to ensure each child’s value and to help families be successful in raising confident, capable members of our society.


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Our New Payment Partner!

Pediatric Associates of Austin has partnered with Patientco to allow you to Pay Your Bill online! This is the simplest, most secure payment experience possible.


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Injuries Happen. We're Here to Help.

By partnering with SportsSafe, Pediatric Associates of Austin is dedicated to helping pediatric patients who have sustained a concussion injury. For more information about SportsSafe click here.

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After Hours Care

AFTER HOURS KIDS is a pediatric care clinic staffed by Certified Pediatric Nurse Practitioners as an after hours extension to Pediatric Associates of Austin. It is common for problems to present themselves after regular hours for children 18 years and younger. We have an on-site lab available, and we are open to the general public.

AFTER HOURS KIDS is not a Primary Care Provider and does not accept patients for on-going primary care.

Ear Piercing available at After Hours Kids

Since a newborn’s ears are not fully developed and they typically have not received their first two tetanus vaccines, ear piercing in children under 4 months is not recommended. We advise piercings to be done between 4 to 6 months or after 12 years of age. However, some exceptions can be made. Click here for more information.

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Testimonials

Words from our patients

  • Google

    "This is hands down the BEST place you can take your children. They are so patient, caring and friendly. "

    Katie I.
  • Google

    "It's such a relief to be able to get my sick kiddos in after work hours. "

    Erin S.
  • Google

    "Super great with our son and incredibly patient and thorough with all our first time parent questions. We love Dr. Mowry."

    GIOVANNA B.
  • Google

    "Got us in first thing on a Saturday to diagnose a second round of strep. Dr. Sanford is thorough and sweet and we have loved every experience with her!"

    WHITNEY B.
  • Google

    "Dr. Gonzalez is a kind and patient listener. She immediately puts my children at ease when they talk with her. We love her!"

    ASHLEY P.
  • Google

    "Dr. Loomis is the best! She is very attentive and answers all of my questions. I never feel rushed with her. She’s gentle and caring and I couldn’t be more pleased!"

    KERRY W.
  • Google

    "Dr Mowry is always very kind and genuine. I leave my daughter's appointments feeling informed and secure that she is getting the best care. Thank you Dr Mowry."

    LIZ A.
  • Google

    "We love Dr. Sanford and appreciate the time and detailed attention she devotes to our son. She is warm, friendly and extremely patient!"

    SAMANTHA S.
  • Yelp

    "Dr. Mirrop is wonderful. I would recommend him to everyone who asks for a good pediatrician."

    SARA N.
  • Yelp

    "After Hours Kids was there for us! I'm so grateful to have found them!"

    Michelle F.
  • Yelp

    "I love Dr. Hargrave. He is always incredibly detailed and we are grateful for his approach to ensure parents' concerns are taken into account with care of his patients."

    J. C.
  • Google

    "Dr Loomis is incredible. She is knowledgeable, patient, kind, and thorough. My son has been her patient from the beginning. Highly recommend her."

    JESSICA E.
  • Google

    "I love that there are so many different hours available as well as the ability to see a Dr. on the weekend. "

    Anne R.
  • Google

    "Dr. González is always incredibly empathic and informative. As first time parents my husband and I have been grateful for her guidance."

    JAMIE P.
  • Google

    "We are new patients and feel extremely cared for by the staff here. Our newborn son has received personalized care and attention by doctors, nurses and other staff."

    Katherine B.
  • Google

    "We love Dr. Sanford and appreciate the time and detailed attention she devotes to our son. She is warm, friendly and extremely patient!"

    Samantha T.
  • Google

    The clinic is a well-oiled machine with very friendly staff. You’re given a patient room to wait in immediately and we have never waited too long to see the pediatrician.

    Lucinda W.
  • Google

    "My children have been coming to Pediatric Associates for 10 years. The doctors are knowledgable, the nurses are fantastic, the appointments run on schedule..."

    E.M.
  • Google

    "Great practice, we have been patients for almost 16 years. Very easy to get an appointment, even on short notice. Quick in/out, great docs, great staff."

    Clara O.
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Pediatric Associates of Austin
1500 West 38th Street
#20
Austin, TX 78731