Studies have shown that for male infants, circumcision substantially decreases the risk of urinary tract infection (UTI), especially in the first 3 months of life.
Other risk factors that cause recurrent episodes of UTI include:
Susceptibility to UTI may be increased by any of the following factors:
Frequent use of antibiotics, causing the normal "good" bacteria in the bladder to be negatively affected by disease-causing (pathogenic) bacteria
Abnormality in the anomaly of the urinary tract, mainly at the level where the ureters (the tubes that connect the kidneys to the bladder) enter into the bladder
Bowel and bladder dysfunction: this is a neurologic disturbance where the child has poor control over his bladder and bowel function
Constipation: chronic constipation causes the bowels to become loaded with fecal matter. As a result, the bowel pushes against the bladder and causes the urine to become stagnant in it, which is a favorable place for bacteria to grow and cause infection.
I recommend performing imaging (ultrasound, and a specialized imaging called VCUG that checks for reflux of urine from the bladder upwards and may indicate anatomic problem). Considering circumcision is also a possible option.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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