Urinary Tract Infections and Circumcision

Herzog, Lynn W.

doi:10.1001/archpedi.1989.02150150106026

Cited by 92 publications

(39 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They subsequently documented a frequency of UTI at least 10 times greater among uncircumcised boys in a population of > 400 000 children [4]. Several studies have shown that among uncircumcised boys, the risk of developing a UTI is five to 89 times greater than among those who have been circumcised [2,4,9,10,13,14].…”

Section: E F F E C T O F C I R C U M C I S I O N O N U T I a F T E R mentioning

confidence: 99%

“…Although some reports suggested that infection rates are initially higher in uncircumcised infants there is little to show that this leads to urological problems [2,4,9,10,13,14]. The reported rate of complications arising from circumcision is 0.2-0.6% [19], although if minor complications are also considered, the incidence may be as high as 35%.…”

Section: E F F E C T O F C I R C U M C I S I O N O N U T I a F T E R mentioning

confidence: 99%

See 1 more Smart Citation

Effect of circumcision on urinary tract infection after successful antireflux surgery

Kwak

Lee

et al. 2004

BJU International

View full text Add to dashboard Cite

OBJECTIVETo evaluate whether circumcision during antireflux surgery can reduce the incidence of urinary tract infection (UTI) after successful ureteric reimplantation in patients with primary vesico‐ureteric reflux (VUR).PATIENTS AND METHODSChildren who had undergone antireflux surgery for primary VUR were divided into group 1 (27, circumcised at the time of antireflux surgery at the parents’ request) and group 2 (50, those not circumcised). All antireflux operations were by the Cohen method. Regular urine samples were cultured to detect UTI, which was defined as a single species with >105 colony‐forming units/mL in a midstream voided specimen. Numbers of UTI episodes before and after surgery were compared between the groups, with 99mTc‐dimercaptosuccinic acid (DMSA) renal scans also taken in all patients. Each scan was blindly reviewed in terms of the size, number and zonal location of cortical defects, based on morphology. Interval changes were categorised as improved, no change, progressed, and new scar formation, and compared between the groups. Prophylactic antibiotics were maintained until the follow‐up studies at 4–6 months after surgery.RESULTSThere was no significant difference between the groups in age at the time of operation (mean 42.4 vs 47.4 months), the age at the first documented UTI (mean 26.5 vs 29.3 months), reflux grade, or number of UTI episodes and renal parenchymal scarring on DMSA before surgery. There was no significant difference between the groups in the number of UTI episodes at a mean (range) follow‐up of 151.3 (114–207) months after antireflux surgery. Also there was no significant morphological change on follow‐up renal scans and no difference between the groups.CONCLUSIONThese findings suggest that circumcision during antireflux surgery has no effect on the incidence of postoperative UTI.

show abstract

Section: E F F E C T O F C I R C U M C I S I O N O N U T I a F T E R mentioning

confidence: 99%

Section: E F F E C T O F C I R C U M C I S I O N O N U T I a F T E R mentioning

confidence: 99%

Effect of circumcision on urinary tract infection after successful antireflux surgery

Kwak

Lee

et al. 2004

BJU International

View full text Add to dashboard Cite

show abstract

“…9,10 There are few data to help estimate accurately the number of newborn males circumcised annually in the United States. According to the National Center for Health Statistics (NCHS), 64.1% of male infants were circumcised in the United States during 1995 (unpublished data, 1997). However, data from the NCHS are based on voluntary collection of data from participating hospitals; Ͻ5% of hospitals in the United States participate.…”

Section: Epidemiologymentioning

confidence: 99%

“…[62][63][64][65][66][67][68] Because the majority of UTI in males occur during the first year of life, almost all the studies that examine the relationship between UTI and circumcision status focus on this period. All studies have shown an increased risk of UTI in uncircumcised males, with the greatest risk in infants younger than 1 year of age.…”

Section: Circumcision Status and Uti In Infant Malesmentioning

confidence: 99%

“…This consistent association was found in samples from populations in which circumcision rates varied from low (Ͻ20%), 67 to medium (45%), 72 to high (75%). 63,64 One of these, a populationbased cohort study of 58 000 Canadian infants, found that the hospital admission rate for UTI in infant males younger than 1 year of age was 1.88 per 1000 in circumcised infants and 7.02 per 1000 in uncircumcised infants, for a relative risk of 3.7. 72 The proportion of male infants who have symptomatic UTI during the first year of life is somewhat difficult to estimate because the rate varies among studies.…”

Section: Circumcision Status and Uti In Infant Malesmentioning

confidence: 99%

See 1 more Smart Citation

Circumcision Policy Statement

Lannon¹,

Bailey²,

Fleischman³

et al. 1999

Pediatrics

338

View full text Add to dashboard Cite

ABSTRACT. Existing scientific evidence demonstrates potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision. In circumstances in which there are potential benefits and risks, yet the procedure is not essential to the child's current well-being, parents should determine what is in the best interest of the child. To make an informed choice, parents of all male infants should be given accurate and unbiased information and be provided the opportunity to discuss this decision. If a decision for circumcision is made, procedural analgesia should be provided.ABBREVIATIONS. UTI, urinary tract infection; STD, sexually transmitted disease; NCHS, National Center for Health Statistics; DPNB, dorsal penile nerve block; SCCP, squamous cell carcinoma of the penis; HPV, human papilloma virus; HIV, human immunodeficiency virus.A lthough 1 the exact frequency is unknown, it is estimated that 1.2 million newborn males are circumcised in the United States annually at a cost of between $150 and $270 million. This practice has been advocated for reasons that vary from symbolic ritual to preventive health measure. Until the last half century, there has been limited scientific evidence to support or repudiate the routine practice of male circumcision.Over the past several decades, the American Academy of Pediatrics has published several policy statements on neonatal circumcision of the male infant. [1][2][3] Beginning in its 1971 manual, Standards and Recommendations of Hospital Care of Newborn Infants, and reiterated in the 1975 and 1983 revisions, the Academy concluded that there was no absolute medical indication for routine circumcision.In 1989, because of new research on circumcision status and urinary tract infection (UTI) and sexually transmitted disease (STD)/acquired immunodeficiency syndrome, the Academy concluded that newborn male circumcision has potential medical benefits and advantages as well as disadvantages and risks.4 This statement also recommended that when circumcision is considered, the benefits and risks should be explained to the parents and informed consent obtained. Subsequently, a number of medical societies in the developed world have published statements that do not recommend routine circumcision of male newborns. [5][6][7] In its position statement, the Australian College of Paediatrics emphasized that in all cases, the medical attendant should avoid exaggeration of either risks or benefits of this procedure. 5Because of the ongoing debate, as well as the publication of new research, it was appropriate to reevaluate the issue of routine neonatal circumcision. This Task Force adopted an evidence-based approach to analyzing the medical literature concerning circumcision. The studies reviewed were obtained through a search of the English language medical literature from 1960 to the present and, additionally, through a search of the bibliographies of the published studies. EPIDEMIOLOGYThe percentage of male infants circumcised va...

show abstract