The risk-benefit profile of neonatal circumcision is not clear. Most studies have focused on urinary tract infections but other health sequelae have not been evaluated. While evidence supports benefits of circumcision, a lack of randomized trials has been cited as a weakness. National guidelines provide mixed recommendations regarding neonatal circumcision. We review the weight of evidence and utilize current statistical methodology on observational data to examine the risks and benefits of neonatal circumcision.
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http://dx.doi.org/10.5534/wjmh.180006 | DOI Listing |
J Pediatr Urol
December 2024
Division of Pediatric Urology, Department of Urology, New York University Langone Hospital-Long Island, Mineola, NY, USA.
Introduction: Parental refusal of intramuscular (IM) vitamin K in newborns poses challenges, particularly for pediatric urologists assessing the safety of neonatal circumcision. Vitamin K deficiency bleeding (VKDB) is a known risk, with lack of prophylaxis increasing bleeding complications. This study evaluates the safety of neonatal circumcision without IM vitamin K, reviews guidelines, and explores alternative prophylaxis options.
View Article and Find Full Text PDFJ Pediatr Urol
November 2024
Department of Pediatric Urology, Dana-Dwek Children's Hospital, Tel-Aviv Medical Center, Tel-Aviv, Israel; School of Medicine, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel. Electronic address:
J Pediatr Urol
November 2024
Department of Urology, Cleveland Clinic Children's Hospital, Cleveland, OH, USA. Electronic address:
Urol Case Rep
November 2024
Department of Urology, Atrium Health Wake Forest Baptist, 1 Medical Center Blvd, Winston Salem, NC, 27157, United States.
Circumcision is a common procedure performed since ancient times with an excellent safety profile and potential health benefits. In the United States, it is commonly performed in the neonatal period using devices such as the Gomco, Mogen, or Plastibell device. In the rare circumstance of a complication, it is often related to bleeding and usually managed conservatively.
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