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November 1989

Circumcision and Urinary Tract Abnormalities

Author Affiliations

Brown University Program in Medicine Memorial Hospital of Rhode Island Pawtucket, RI 02860
Department of Urology Division of Pediatric Urology Rhode Island Hospital Providence, RI 02902

Am J Dis Child. 1989;143(11):1261-1262. doi:10.1001/archpedi.1989.02150230019009

Sir.—In a study recently published in AJDC, Herzog1 showed that noncircumcision is a significant risk factor for urinary tract infection (UTI) in infants up to 12 months of age, an assertion that supports earlier studies by Wiswell et al.2,3 In Herzog's study 8 (26%) of 31 uncircumcised male infants with UTI were found to have anatomic abnormalities detected roentgenographically. It is further pointed out that in three of four previous studies of the incidence of urinary tract abnormalities in infants less than 1 year of age with UTI, the frequency of roentgenographic abnormalities is even greater. Though circumcision status was not mentioned in those studies, "they were from countries where neonatal circumcision is not routine."1 The implication is that noncircumcision puts an infant at risk for an anatomic abnormality of the urinary tract. This implication is by no means proved and, in fact, can and has

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