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Circumcision and Urinary Tract Abnormalities-Reply

Circumcision and Urinary Tract Abnormalities-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—Dr Hopp and Drs Rockney and Caldamone discuss an important aspect of the relationship between UTI, noncircumcision, and anatomic abnormalities of the urinary tract. I did not mean to imply that the presence of a foreskin causes anatomic abnormalities—that seems highly improbable. Rather, I agree that noncircumcision is an additional risk factor that, by provoking UTI, can aid in detecting anatomic abnormalities that are already present. This may be of long-term benefit to the child, as Dr Hopp suggests. However, it is difficult to advocate catching one disease (UTI) to prevent another, albeit a more serious one (possible end-stage renal disease from reflux). Fortunately a safer screening test is being widely used—prenatal ultrasound. More and more congenital urologic abnormalities are being detected by prenatal ultrasound, which may someday render this whole discussion moot. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Circumcision and Urinary Tract Abnormalities-Reply

American Journal of Diseases of Children , Volume 143 (11) – Nov 1, 1989

Circumcision and Urinary Tract Abnormalities-Reply

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—Dr Hopp and Drs Rockney and Caldamone discuss an important aspect of the relationship between UTI, noncircumcision, and anatomic abnormalities of the urinary tract. I did not mean to imply that the presence of a foreskin causes anatomic abnormalities—that seems highly improbable. Rather, I agree that noncircumcision is an...
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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1989.02150230020011
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.—Dr Hopp and Drs Rockney and Caldamone discuss an important aspect of the relationship between UTI, noncircumcision, and anatomic abnormalities of the urinary tract. I did not mean to imply that the presence of a foreskin causes anatomic abnormalities—that seems highly improbable. Rather, I agree that noncircumcision is an additional risk factor that, by provoking UTI, can aid in detecting anatomic abnormalities that are already present. This may be of long-term benefit to the child, as Dr Hopp suggests. However, it is difficult to advocate catching one disease (UTI) to prevent another, albeit a more serious one (possible end-stage renal disease from reflux). Fortunately a safer screening test is being widely used—prenatal ultrasound. More and more congenital urologic abnormalities are being detected by prenatal ultrasound, which may someday render this whole discussion moot.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Nov 1, 1989

There are no references for this article.