RT Bennett, B Gill, SJ Kogan [Duke Univ, Durham, NC; Albert Einstein College of Medicine, Bronx, NY; New York Med College and Cornell Univ, White Plains, NY]
Epididymitis in Children : the Circumcision Factor ?
J Urol 160 : 1842-1844, 1998
Conclusions – Whereas actute epididymitis is rare in prepubertal males, a significant number of uncircumcised males in this study were given a diagnosis of the infection, suggesting that the presence of a foreskin is a risk factor for epididymitis.
In 1 series, 64% of children less than 1 year old age and 21% of older children with epididymitis had vesicoureteral reflux, ureteral ectopia, or urethral strictures. Although the foreskin may be an important risk factor for infection, all children with epididymitis should have a complete urological working.