Changes

Jump to navigation Jump to search

Urinary tract infection

16 bytes added, 15:06, 23 May 2022
The UTI scare: Wikify.
Drs. Charles Ginsburg & George McCracken (1982) carried out a study of UTI in boys at [https://www.parklandhospital.com/ Parkland Hospital], a public hospital for indigent patients in Dallas, Texas. They reported that 95% of the boys in their study were not circumcised<ref name="ginsburg uti"/>, and this piqued the interest of US Army pediatrician [[Thomas E. Wiswell]].
In a determined search for an association between the presence of the [[foreskin ]] and UTI, Wiswell et al. (1985) retrospectively examined charts of a number of boys born at U.S. military hospitals.<ref>{{REFjournal
|last=Wiswell
|init=TE
|volume=32
|pages=130-134
}}</ref> Based on their observations of these old charts, they reported that [[Intact ]] boys had a slightly higher rate of bacteriuria (bacteria in the [[urine]]) than circumcised boys during their first year of life, leading to the sensational statistic that [[circumcision ]] resulted in a "ten to hundred times decrease in urinary tract infections in circumcised boys."
Wiswell's findings generated a great deal of controversy at the time. The prepuce (foreskin) is a protective organ, and one would not normally expect the removal of a healthy organ to reduce the risk of infections.<ref name="Cunningham 1986"/> Nevertheless, the apparent correlation of intact foreskin to bacteriuria (and hence UTI) prompted the American Academy of Pediatrics (AAP) to review the evidence available in 1989.
=== Even if... ===
Wiswell's sensational statistic, that [[circumcision ]] resulted in a "ten to hundred times decrease in urinary tract infections in circumcised boys," has often been quoted; however, it is misleading. In fact, UTIs are so rare in either case that,even giving Wiswell's data the benefit of the doubt, 50 to 100 healthy boys would have to be circumcised in order to prevent a UTI from developing in only one patient. Using more recent data from a better-controlled study, the number of unnecessary operations needed to prevent one hospital admission for UTI would jump to 195.<ref>{{REFjournal
|last=To
|init=T
15,021
edits

Navigation menu