Evaluation of the Role of Circumcision in Reducing Symptomatic Urinary Tract Infection Following Vale Ablation

ABSTRACT

Aim: The aim of this single center short-term prospective study is to determine the effects of circumcision in reducing the risksof symptomatic urinary tract infection (UTI) in post posterior urethral valve (PUV) ablated patients and to compare them withtheir non-circumcised counterparts.Objective: The specific objective of this study in the group includes a. To identify patients with PUV who develop UTI with subsequentrenal damage. b. Proportion of children with symptomatic UTI in each group. c. Relative risks of presenting with symptomatic UTIafter PUV ablution and. d. To analyze statistically when circumcision really reduces the incidence of UTI in valve ablated patients.Materials and Methods: A single institutional prospective study of patients who were admitted with PUV between April 2016and September 2017 Institutional Ethics Committee Clearance and informed consent of the parents were taken. Boys withcongenital anomalies along with hypospadias and epispadias or any other condition rendering circumcision impossible wereexcluded from the study.Results: We identified 38 patients in all of whom 23 underwent circumcision at the time of valve ablation. The mean age ofthese patients was 41.22 days on a mean follow-up period of 1 year. Only one patient (4.35%) in the circumcised group hadtwo episodes of UTI, whereas three patients (20%) who had not undergone circumcision had five episodes of UTI.Conclusion: Circumcision along with PUV ablation does protect these patients from post-ablation symptomatic UTI and thusis protective against ongoing renal damage.