The "100,000 injury cases each year" footnote, an estimate, comes from some simple math: there are about 80,000 pediatricians in the ., and around 200,000 more PCPs who attend infants. Thus, nearly 300,000 individuals attend boys every day. If only ONE CLINICIAN, ONCE PER YEAR, forcibly retracts a boy, that equals 300,000 injured boys, one-third of our claimed 100,000. Likely there are those who do so on a regular basis, and those who would never do so. The 100,000 figure is the lowest possible and most optimistic estimate. The upper limit is that each year there 45 percent of 2 million boys left intact, or 900,000 at risk month after month for many years.
Since PFFR -- forced foreskin retraction -- was standard medical practice for over a century, 1880-1980, it is very hard to believe the practice has been fully abandoned. Indeed, even the literature suggests the practice is far from dead.
DOC attends over 100 injury cases each year, the tiniest sliver of the problem, and so we know anecdotally that the practice is alive and well, especially since the offenders mention that what they did was entirely within their training, and many of the offenders are in their early 30s, suggesting their training is current. I have parents call me for a . recommendation because all the docs they have called in their region say that they will not guarantee no retraction as it is "part of our normal well-baby exam, and required by our insurance regulations."
The fact is that the practice of forced foreskin retraction is epidemic in the .
The cost of attending each injured child has to be at least a combination of the following times 100k:
1) Post-retraction follow-up clinic visit at $1-200;
2) Possible choice of new clinic and doctor, with first-time exam and work-up costs;
3) Possible second visit for emerging infection, with antibiotics;
4) Possible follow-up visit when infection resolves;
4) Possible ER admission at several thousand dollars.
Infections are due to balanitis and posthitis. Posthitis is the foreskin infection which is due to fungal infection that exists in moist and hot conditions. On the other hand, balanitis is both foreskin and glans infection that is brought about poor hygiene. Some males will have posthitis or the so call balanitis which tends to iterate which could lead to scar formation. Chronic infections also may lead to having urinary tract infections. While infections that recurs in the kidney will greatly affect the function of the kidneys per se.