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Clinical Pediatrics
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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

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