Document Detail

Neonatal circumcision: an end to the controversy?
MedLine Citation:
PMID:  8578344     Owner:  NLM     Status:  MEDLINE    
The incidence of urinary tract infections is 10 times higher in the uncircumcised male than in those circumcised. An extensive review of bacterial adherence, the initiating factor in urinary tract infections, is presented to show that bacterial adherence to the prepuce is necessary for pyelonephritis to occur. Colonization with maternal bacteria occurs at birth; thus the incidence of pyelonephritis in infants born of bacteriuric mothers is much higher than it is in infants born of nonbacteriuric mothers. The significant morbidity of acute pyelonephritis in infants is one reason for encouraging neonatal circumcision, but a more important reason is that acute pyelonephritis in the first years of life often leads to significant renal damage that may progress to end-stage renal disease during adolescence. Since circumcision can now be done under local anesthesia, the newborn infant can have a painless prophylactic operation that will prevent urinary tract infections, pyelonephritis, and end-stage renal disease.
J A Roberts
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Southern medical journal     Volume:  89     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-03-14     Completed Date:  1996-03-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  167-71     Citation Subset:  AIM; IM    
Department of Urology, Tulane University School of Medicine, New Orleans, La, USA.
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MeSH Terms
Bacterial Adhesion
Bacteriuria / transmission
Circumcision, Male*
Infant, Newborn
Kidney Failure, Chronic / microbiology,  prevention & control
Penis / microbiology
Pregnancy Complications, Infectious
Pyelonephritis / microbiology,  prevention & control
Urinary Tract Infections / microbiology,  prevention & control*

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