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LYNN W. HERZOG, MD
The Children's Hospital Boston, Mass 02115

Am J Dis Child. 1989;143(11):1262.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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. . . . [Full Text PDF of this Article]

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