TY  - JOUR
T1  - CIrcumcision and urinary tract abnormalities-reply
AU  - HERZOG LW
Y1  - 1989/11/01
N1  - 10.1001/archpedi.1989.02150230020011
JO  - American Journal of Diseases of Children
SP  - 1262
EP  - 1262
VL  - 143
IS  - 11
N2  - 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.
SN  - 0002-922X
M3  - doi: 10.1001/archpedi.1989.02150230020011
UR  - http://dx.doi.org/10.1001/archpedi.1989.02150230020011
ER  -