Circumcision and continuous antibiotic prophylaxis in preventing recurrent febrile urinary tract infection in boys with high-grade vesicoureteral reflux.

15 (13.2%) children experienced recurrent fUTIs.

Recurrence rates were 42.9% in the observation group, 30.4% in the continuous antibiotic prophylaxis group, 5.3% in the circumcision group, and 0% in the continuous antibiotic prophylaxis+ circumcision group.

Circumcision-containing groups (circumcision alone and continuous antibiotic prophylaxis + circumcision) had significantly lower recurrence rates than non-circumcision groups (observation and continuous antibiotic prophylaxis alone) (p < 0.05).