Trusted Australian Circumcision Since 1993

Dr Terry Russell is the team manager of Russell Medical Centre. Dr Russell was the first doctor in Queensland to use the Plastibell device.

About

The principal of Circumcision Australia group of doctors is Dr Terry Russell OAM. Dr Russell was the first doctor in Queensland to use the Plastibell device, and he pioneered the use of anaesthetic cream in Australia for a safer, more comfortable circumcision. His research forms the basis for current best-practice.

Dr Russell, Dr Loth, Dr Gilbert, Dr Tarr and Dr Cahill are located in Brisbane, Queensland.

Since starting the use of topical anaesthetic cream in 1993, the circumcision Australia group of doctors have performed over 38,000 circumcisions using topical anaesthetic cream and the Plastibell. Dr Terry Russell is the only doctor ever appointed a mentor of the R.A.C.G.P for the teaching of circumcision. He has four children and fourteen grand-children of whom he is very proud.

meet the team

Dr Terry Russell

Team Manager

The principal of Circumcision Australia group of doctors is Dr Terry Russell OAM. Dr Russell was the first doctor in Queensland to use the Plastibell device, and he pioneered the use of anaesthetic cream in Australia for a safer, more comfortable circumcision. His research forms the basis for current best-practice. Since starting the use of topical anaesthetic cream in 1993, the circumcision Australia group of doctors have performed over 38,000 circumcisions using topical anaesthetic cream and the Plastibell. Dr Terry Russell is the only doctor ever appointed a mentor of the R.A.C.G.P for the teaching of circumcision. He has four children and fourteen grand-children of whom he is very proud.

Dr Peter Loth

MB, BS. Dip RACOG

Dr Peter Loth. MB.BS, Dip RACOG Dr Peter worked as a GP which included Obstetrics for many years. He has performed circumcisions for over 40 years and has used the Plastibell technique exclusively for the past 30 years. He has operated at Russell Medical on a part time basis since 2002. His leisure interests include caring for his grandchildren, gardening, wood turning and fine woodwork.

Dr Melissa Gilbert

GP

Dr Melissa Gilbert has been a part of the team at Russell Medical Centre since mid 2011. She was trained in plastibell circumcisions and tongue and lip tie divisions by Dr Russell. Melissa is a University of Queensland graduate, obtaining her medical degree in 2005 and her RACGP fellowship in 2011. She divides her work hours between general practice, surgical assisting and the procedural work she does at RMC.

Matthew Fox

Registered Nurse

Dr Melissa Cahill

GP

Locally born and breed in Brisbane, Melissa completed her medical degree in 1994 at UQ and became a member of the RACGP after finishing her fellowship in 2000. She trained with Dr Russell from 1999 to 2001 at Macgreggor at which time she moved to her own practice in Browns Plains where she continued to perform circumcisions and tongue ties for the last 15 years. She is happy to return to the scene of her earlier days at Russell Medical performing circumcisions and tongue ties up to 5 months of age.

Melissa is the proud mother of four and juggles her hours between her practice, Russell Medical and her family. Possessing the professionalism and knowledge that come with her experience, and the caring nature that comes from being a mother, she is an excellent GP who follows her practice philiosophy of "Caring about more than just medicine."

Dr Jeff Tarr

GP

Dr Tarr graduated in medicine at the University of Queensland in 1972. He obtained a D.Obs (RCOG) in 1975, and the specialist MRCOG qualification in London in 1980. He returned to Australia in 1981, the FRACOG following in 1982 and the FRANZCOG in 1998. He has been in practice as a specialist Obsterician/Gynaecologist on the Sunshine Coast since 1982. Dr Tarr has been performing circymcisionsfor nearly 40 years and recently joined Russell Medical Centre early 2016.

RUSSELL MEDICAL CENTRE...

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Our friendly staff will help guide you through the entire process of making your visit to our practice as smooth as possible.

Info

Circumcision is a simple surgical procedure that removes the foreskin – a sleeve of skin covering the end of the penis. Parents in Australia have the legal right to authorise circumcision. In order to make an informed decision, you must carefully consider the benefits and risks.

THE FOLLOWING ADVICE APPLIES ONLY TO CIRCUMCISIONS PERFORMED AT OUR PRACTICE AND NOT TO CIRCUMCISIONS PERFORMED ELSEWHERE

DR TERRY RUSSELL OAM

Dr Terry Russell is the principal of circumcision Australia. Dr Russell was the first doctor in Queensland to use the Plastibell Device.

FAQ

Below is a list of commonly asked questions. Feel free to contact us for any inquiry.

How many have you done and have you had any complications?

Russell Medical centre was the first group of doctor in Australia to research the use of anaesthetic cream in combination with the Plastibell for childhood circumcisions. The results of the research were published in 1996.The circumcision Australia group of doctors have now performed over 38,000 circumcisions for boys of all ages using topical anaesthetic and the Plastibell.
Results after 38,000 (plus) circumcisions:
  • There has never been a significant bleed
  • There has never been a transfusion
  • There has never been a systemic infection
  • There has never been a major cosmetic problem
  • There has been one minor anaesthetic problem, which resolved spontaneously overnight
  • Minor bleeds (drops, not mls) affect about 0.5 % of all boys and are easily treated in house
  • Minor infections (purely localised) affect less than 2% of all circumcisions and are always treated in-house and often don’t need antibiotics

What are the risks?

The risks of any surgical procedure are:
  • Risk of bleeding
  • Risk of infection
  • Surgical mishap
  • Anaesthetic complications
The Plastibell technique has proven effective at minimising all these problems.

What if shaft skin is still over or adherent to the head of his penis when it has healed?

Please bring him back for a review. If that skin is adherent, we will separate it off. Do give him a salt bath/sponge followed by air drying when you get home from your follow up appointment and daily for two weeks. Add a handful of salt to a shallow bath, clean the newly-exposed area using a face washer if necessary. Air dry for another two or three days, while it's a bit raw looking to make sure it doesn't get infected. Then after that it is simply a matter of keeping it clean and dry.

Should I be present in the room when my son is being circumcised?

No, this is not required or even a good idea. Having a parent present is a distraction for the doctor, and we minimise distractions so as to focus totally on "doing a good job". Parents have a big part to play in applying and reapplying the anaesthetic cream prior to the procedure, and again immediately post-op in comforting and feeding.

Some people suggest we should wait till he’s older and have surgery under general anaesthesia?

As discussed by Dr Terry Russell (MedicineToday May 2002, Vol 3, Number 5) modified Plastibell procedure with prior application of anaesthetic cream has many advantages over a ‘cut-and-stitch’ procedure under general anaesthesia.
The modified procedure:
  • Is virtually a closed procedure
  • Reduces the risk of bleeding
  • Reduces the risk of systemic infection
  • Accurately defines the level at which the circumcision occurs
  • Can be performed out of hospital
  • Is less traumatic to parents and child than a hospital admission
  • Avoids exposure to hospital bugs
  • Avoids the costs of an anaesthetist and theatre and day-bed fees
  • Is less costly to the health system
  • Frees beds for other cases
  • Last but not least, when a general anaesthetic wears off, the pain is there. By comparison, the anaesthetic effect of the cream lasts for about four hours after the procedure, and by that time, the tissue beyond the ligature is dead, so that even afterwards there shouldn’t be any period during which the boy experiences pain.

If my child is circumcised, will he be the odd one out?

Approximately 50% of all boys born in the greater Brisbane district are being circumcised. Queensland-wide, about 15% of boys generate a claim against Medicare which is only for medically necessary procedures and does not include those done for preventative health, those done in public hospitals or traditional or ceremonial procedures.

What is the best method?

In Australia, 75 to 80% of all circumcisions are by the Plastibell technique. Most of those circumcisions Australia-wide are performed using some form of anaesthesia or analgesia. We will only perform a circumcision if it can be done with the Plastibell, and these are only made up to a size that will fit a boy at about puberty.

Is it painful for older boys?

Each year, we perform more circumcisions on boys aged 6 months to 10 years than any other practice in Australia, and a follow-up study, rated by parents, has shown that most boys have little or no pain either at the time of the procedure or post-operatively.

What age is best?

85% of circumcisions involve boys under 6 months of age, but in general the younger the boy, the better.

CIRCUMCISION FAMILIES TRUST...

Our caring staff will work with you to answer all your questions.

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