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To the Editor.—
Dr. Preston has placed himself at the furthest end of the spectrum in his review advocating the abandonment of routine circumcision in the newborn. I suggest he work in any active urologic clinic or office for a period of several weeks. The anguish, pain, and morbidity associated with diseases of the foreskin do not manifest themselves during the period of life with which the pediatrician is concerned. Despite the problems of an ineptly performed circumcision in the infant, and no one can deny or minimize the consequences, the number and percentage of complications is quite small. Dr. Preston speaks of the "fretful, circumcised newborn, his glans swollen and cyanotic [ecchymotic is likely more accurate] for three to five days." However, he speaks not of the pain attendant by similar surgery in the adult male.The evidence cited in support of Dr. Preston's contentions is open to question.
Daley MC. Circumcision. JAMA. 1970;214(12):2195. doi:10.1001/jama.1970.03180120066020