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Clinical Pediatrics, Vol. 46, No. 4, 329-333 (2007)
DOI: 10.1177/0009922806295708
© 2007 SAGE Publications

Neonatal Circumcision and Penile Inflammation in Young Boys

Robert S. Van Howe, MD, MS, FAAP

Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan, rsvanhowe{at}mgh.org

This study prospectively documents the incidence of penile inflammation in a consecutive sample of boys according to circumcision status whose visit with the physician included a genital examination in a private primary care pediatric practice in rural northern Wisconsin. Penile inflammation was more common in circumcised than noncircumcised boys, especially in the first 3 years of life (exact odds ratio, 8.01, 95% confidence interval, 31-329.15). When adjusted for the number of genital examinations and age younger than 3 years, exact logistic regression found an adjusted exact odds ratio of 7.91 (95% confidence interval, 1.76-77.66). The study found that rather than protecting against penile inflammation, neonatal circumcision increases the risk of penile inflammation, particularly in boys younger than 3 years old.

Key Words: neonatal circumcision • penile inflammation • balanitis


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