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Response to commentary by J.G. Hollowell

  • Wenjun Luo
    Affiliations
    School of Medicine, Ningbo University, Ningbo, Zhejiang, China
    Department of Anesthesia, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China
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  • Jianhua He
    Affiliations
    Department of Pediatric Surgery, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, China
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  • Weichao Zhu
    Affiliations
    Department of Pediatric Surgery, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, China
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  • Binbin Zhu
    Correspondence
    Correspondence to: Binbin Zhu, Department of Anesthesia, The Affiliated Hospital of Medical School of Ningbo University, No. 247, Renmin Road, Jiangbei District, Ningbo City, Zhejiang Province, China. Tel.: +86 15957485723.
    Affiliations
    Department of Anesthesia, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, Zhejiang, China
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Published:November 16, 2022DOI:https://doi.org/10.1016/j.jpurol.2022.11.009
      I completely agree that Chinese parents are hesitant to circumcise their young children. We need to state that in China, pediatric surgeons do not routinely circumcise young boys. The main population we enrolled were school-age boys with pathological phimosis, recurrent balanitis of the foreskin, or balanitis xerotica obliterans ranging in age from 7 to 18 years. Phimosis causes foreskin erosion, ulceration, scar formation, and urinary tract infections in children, according to the Chinese Expert Consensus on Prepuce Circumcision and Circumcision Related Diseases [
      • Tu X.
      Consensus of Chinese experts with long phimosis and foreskin and foreskin -related diseases.
      ]. Circumcision reduces the likelihood of a urinary tract infection [
      • Morris B.J.
      • Wiswell T.E.
      Circumcision and lifetime risk of urinary tract infection: a systematic review and meta-analysis.
      ,
      • Renko M.
      • Salo J.
      • Ekstrand M.
      • Pokka T.
      • Pieviläinen O.
      • Uhari M.
      • et al.
      Meta-analysis of the risk factors for urinary tract infection in children.
      ].
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      References

        • Tu X.
        Consensus of Chinese experts with long phimosis and foreskin and foreskin -related diseases.
        Nat J Androl. 2021; 27 ([in Chinese]): 845-852
        • Morris B.J.
        • Wiswell T.E.
        Circumcision and lifetime risk of urinary tract infection: a systematic review and meta-analysis.
        J Urol. 2013; 189: 2118-2124https://doi.org/10.1016/j.juro.2012.11.114
        • Renko M.
        • Salo J.
        • Ekstrand M.
        • Pokka T.
        • Pieviläinen O.
        • Uhari M.
        • et al.
        Meta-analysis of the risk factors for urinary tract infection in children.
        Pediatr Infect Dis J. 2022; 41: 787-792https://doi.org/10.1097/inf.0000000000003628
        • Guo Y.T.
        • Xu B.
        • Chen M.
        [Chinese parents' attitudes toward and their satisfaction with circumcision for 6-14 years old children].
        Zhonghua nan ke xue = Nat J Androl. 2017; 23 ([in Chinese]): 319-322
        • Prabhakaran S.
        • Ljuhar D.
        • Coleman R.
        • Nataraja R.M.
        Circumcision in the paediatric patient: a review of indications, technique and complications.
        J Paediatr Child Health. 2018; 54: 1299-1307https://doi.org/10.1111/jpc.14206

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