- Age is known to be a protective factor in the occurrence of UTIs. Even
when the patients in this study were stratified by age, the protective
effect of circumcision remained.
- Other studies have looked at populations with a high prevalence of
circumcision and in boys under 1 year old. Thus, it's nice to see that
this study showed a benefit in this population.
- While the complication rate for circumcision is low (0.2 - 5%), it
is not zero.
- Studies have suggested that the epithelium of the foreskin can foster
the adherence of pathogenic bacteria. In this context, the prevention
of UTIs by circumcising boys makes biologic sense.
- Individual, religious, and cultural preferences still play a major
role in the decision to circumcise a male infant.
- The authors have been subsequently criticized for their collection
methods (clean catch specimens) as this could have affected the culture
JC, Knight JF, Sureshkumar P, Mantz E, Roy LP. Effect of circumcision
on incidence of urinary tract infection in preschool boys. J
Pediatr 1996; 128(1):23-7.