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Objective: Circumcision is one of the most widely used surgical procedures worldwide. It has been suggested that circumcision reduces the frequency of urinary tract infection (UTI) 10-20 times. However no studies exist investigating the effect of circumcision on UTI frequency and growth in infants with antenatal hydronephrosis (AH). In this study therefore, we aimed to examine the effect of circumcision on postnatal UTI frequency and growth in infants without urological abnormality despite the diagnosis of antenatal hydronephrosis. Material and Methods: Data were evaluated retrospectively between 1998-2010. Infants with a fetal pelvis diameter of ≥5 mm identified with antenatal ultrasound (US) were followed-up. All patients were evaluated in terms of UTI frequency and body weights, and heights of the infants were collected. The chi-square and Student’s t tests were used for statistical analysis. P value <0.05 was considered significant. Results: In circumcised normal male infants pre-circumcision mean UTI frequency (2.27±1.75 per year) was found to be higher than the post-circumcision mean UTI frequency (0.12±0.22 per year) (p<0.05). Post-circumcision heights (mean height SDS=0.19±1.2) were significantly greater than pre-circumcision heights (mean height SDS=-0.03±0.55) in circumcised males (p=0.02). Pre(0.23±1.2) and post-circumcision (0.43±0.85) mean (± SDS) body weight measurements were not statistically different (p>0.05). Conclusion: In conclusion, in male infants without detected urological abnormalities antenatally diagnosed as AH, early circumcision decreases the frequency of UTI and provides a positive contribution to the growth.

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The effect of circumcision on urinary tract infection and growth in infants without any detected postnatal urinary tract abnormalities despite antenatal diagnosis of hydronephrosis