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In Reply We thank Bisogni et al for their comments recently published in JAMA Pediatrics about intraoperative and postoperative pain as an adverse event (AE) to male circumcision (MC). Use of appropriate analgesia for pain management is a good practice that should be the standard of care during and after any surgical procedure because it can substantially control pain.1 In a prospective study of 583 neonatal circumcisions performed between December 1, 2005, and December 1, 2008, when appropriate analgesia was applied, 93.5% of neonates circumcised in the first week of life showed no indication of pain on an objective standardized neonatal pain rating system used by the authors.2
El Bcheraoui C, Dominguez KL, Kilmarx PH. Undertreated and Untreated Pain Should Be Considered an Adverse Event of Neonatal Circumcision—Reply. JAMA Pediatr. 2014;168(11):1077. doi:10.1001/jamapediatrics.2014.1656