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34 years
My 22 months old son is NOT circumcised. It's the 2nd time he gets a severe urine infection. What could be the cause? Any treatment? Any recommendatio
Mar 8, 2016

Dr. Zakia Dimassi Pediatrics
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.