To the Editor.

The AAP circumcision policy in the March issue ofPediatrics still leaves me with the following questions concerning foreskin and penile hygiene.

I have been in practice for 25 years and perform plastibel circumcisions on parental request.

To the Editor.

I am very surprised and concerned that the “Circumcision Policy Statement” of the AAP's Task Force on Circumcision endorses EMLA cream for analgesia while acknowledging that “the analgesic effect is limited during the phases associated with extensive tissue trauma such as during lysis of adhesions and tightening of the clamp.” They comment that sucrose “cannot be recommended as the sole method of analgesia” although we believe it is probably at least as effective as EMLA cream.

Dorsal penile nerve block is recognized as the standard for analgesia. I am dismayed that the Task Force would endorse EMLA cream, as well, as a sole method of...

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