PEDIATRICS Vol. 80 No. 2 August 1987, pp. 303-304
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Circumcision

ROBERT S. THOMPSON MD1 and DIANE C. THOMPSON MS1

1 Group Health Cooperative of Puget Sound, 200 15th Ave E, Seattle, WA 98112

To the Editor.—

Wiswell et al,1 in 1985, and Wiswell and Roscelli,2 in 1986, report three retrospective cohort studies (Tripler, Brooke, and all Army hospitals) in which the association of circumcision status (circumcised v noncircumcised) and subsequent hospitalizations for urinary tract infection in the first year of life is evaluated. Cases appear to have been determined from examination of available hospital discharge data and the diagnosis confirmed by suprapubic bladder tap or catheterization. The authors report a ten- to 20-fold increase in hospitalized urinary tract infections among noncircumcised boys in the first year of life.