ROLE OF CIRCUMCISION IN PREVENTING UTIS IN INFANTS FROM UROLOGICAL PERSPECTIVE: A CROSS-SECTIONAL STUDY
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Keywords
Circumcision, urinary tract infection, infants, urology, preventive health, cross-sectional study
Abstract
Background: Urinary tract infections (UTIs) are a common cause of morbidity in infants, with higher prevalence observed in uncircumcised males. This study aims to assess the role of circumcision in preventing UTIs in infants from a urological perspective through a cross-sectional study.
Methods: A total of 125 male infants were included in this cross-sectional study. The sample consisted of 65 circumcised and 60 uncircumcised infants. Data were collected on demographic characteristics, feeding practices, family history of UTIs, and hygiene practices. The incidence of UTIs was compared between the two groups. Logistic regression analysis was used to identify factors associated with UTI risk.
Results: Circumcised infants had a significantly lower incidence of UTIs (7.7%) compared to uncircumcised infants (25%) (p<0.01). The mean age of the infants was 6.1±3.2 months, and the mean weight was 7.5±1.2 kg. Breastfeeding was reported in 64% of the infants, with similar distributions in both groups. Logistic regression analysis indicated that circumcision was significantly associated with a reduced risk of UTIs (adjusted OR: 0.24, p<0.01), while other variables such as age, breastfeeding status, family history of UTIs, and hygiene practices were not significantly associated with UTI risk.
Conclusion: Circumcision significantly reduces the risk of UTIs in male infants. These findings support the consideration of circumcision as a preventive measure against UTIs in this population. Further research with larger sample sizes and longitudinal designs is warranted to confirm these findings and explore additional risk factors.
References
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Ahmad Muhammad
MBBS, Medical Officer in Surgery Department, Niazi Medical and Dental College Sargodha
Umair Ansar
MBBS, Medical Officer at RHC MALKA
Muhammad Zaheer
MBBS, FCPS Urology, Medical Officer in Departmental of Pediatric Urology at Children's Hospital, The University of Child Health Sciences, Lahore
Atta ul Rehman Saadi
MBBS, Medical Officer, Khalida Memorial Hospital, Sialkot
Muhammad Zain UL Aabidin
Senior House Officer (SHO), A&E, Shaikh Zayed Hospital Lahore
Istehsan
MBBS, Medical Graduate, Sheikh Zayed Hospital Lahore
Rabia Bashir
MBBS, RMP, Medical Graduate from Mohtarma Benazir Bhutto Shaheed Medical College Mirpur AJK