PEDIATRICS Vol. 77 No. 2 February 1986, pp. 267-269
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Circumcision and Urinary Tract Infections

THOMAS E. WISWELL MD1

1 Neonatology Service, Brooke Army Medical Center, Box 64, Ft Sam Houston, TX 78234

In Reply.—

Dr Cunningham apparently believes that there is no plausible physiologic explanation for the association between a decreased incidence of urinary tract infections and circumcisions as we recently described,1 and that we should seek alternative explanations for our findings. However, we disagree with most of the alternative suggestions and the comments that he has made.

We recently completed a second study evaluating the occurrence of urinary tract infections during the first year of life in more than 400,000 infants.