If a male child continues to redevelop urinary tract infections, should a circumcision be performed?

The focus of urology is to protect the upper tracts, the kidneys. It is well advised to recommend a circumcision on the male child who continues to develop recurrent urinary tract infections. There are several considerations that enter into this decision. Poor hygiene may impede the ability to cleanse and quell infection potential. Moreover, should the child have phimosis, simple catheterization to obtain an appropriate urine culture can be a challenge. Having a short trial of steroid cream may temporarily solve these issues, though after cessation of the steroid the tendency redevelops, placing the child at risk for infection once again.—COLEEN ROSEN, DNP, FNP-C, Milwaukee, Wis. (203-1)

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