Prepuce Care

To the Editor.— In the article by Wiswell et al, "Decreased Incidence of Urinary Tract Infections in Circumcised Male Infants" (Pediatrics 1985;75:901-903), the authors' comment "The parents of uncircumcised male infants were additionally counseled to gently retract the foreskin to allow the easily exposed portion of the glans to be cleaned." As it is generally accepted that the prepuce is adherent to the glans penis and that retracting the foreskin in an infant may traumatize the penis and prepuce, I would wonder whether this advice may have contributed to the increased urinary tract infection rate seen in the uncircumcised male infants.