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Posthitis, Balanitis, and Circumcision-Reply

LYNN W. HERZOG, MD, MPH; SUSANA R. ALVAREZ, MD, MPH
Am J Dis Child. 1986;140(10):970-971. doi:10.1001/archpedi.1986.02140240016008.
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In Reply.—Drs Vorstman and Lockhart call attention to two errors in our article regarding the frequency of balanitis. In Table 2, the difference in frequency of balanitis is incorrectly labeled as P≤.05, which was a typographical error. Our concluding statement said that balanitis and irritation would be seen more frequently if children were uncircumcised. Indeed, we have no statistical proof of an increase in balanitis, although there was a twofold difference between the two groups. We have been unable to find any other prevalence studies to confirm or deny our findings.

We did not attempt to cover all of the complications of circumcision and noncircumcision, such as circumcision of hypospadias and the lifelong risk of penile cancer. The former has been documented to occur in one of 5500 neonatal circumcisions1; the latter may never be adequately determined.

We agree with the recommendations of the American Academy of

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