PEDIATRICS Vol. 92 No. 6 December 1993, pp. 860-861
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Circumcision Updated—Indicated?

EDGAR J. SCHOEN MD1

1 Dept of Pediatrics, Kaiser Permanente Medical Center, Oakland, CA

The current issue of Pediatrics presents evidence indicating that from 1985 through 1992, frequency of postnewborn circumcision, which is more risky and expensive than newborn circumcision, has increased.1 Wiswell,1 the principal author, has again used the database of United States Army hospitals to provide valuable information on this topic. His studies in the 1980s, which found that neonatal circumcision prevented urinary tract infection (UTI) in the first year of life,2,3 stimulated the American Academy of Pediatrics (AAP) to reexamine indications for the procedure.

The 1989 AAP Task Force on Circumcision report4 concluded that newborn circumcision has definite medical benefits as well as disadvantages: the report provided a reasonable rationale on which parents could base a decision about the procedure.

Submitted on September 1, 1993
Accepted on September 2, 1993




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