Jump to content

Foreskin troubles possible medical circumcision - anyone been through it?


  • Please log in to reply
10 replies to this topic

#1 Guest_Day-dream_*

Posted 11 April 2012 - 11:58 AM

My DS who is 18 months old has been holding his penis occasionally and saying "ow". Went to the Dr's and had him checked out, was a bit red at the end and seemed to cause him some pain. Doc says he has only a "pin" hole at the end of his penis and that we need to try and retract the foreskin in the bath each night for a month. If this is unsuccessful he may need a circumcision.
I am feeling worried, hopefully the manipulation will work. I've googled the issue and apparently topical steroids can sometimes help to though I'm confused as wikipedia says that the foreskin is not meant to be retracted at his age. I don't want to go ahead with the circumcision unless absolutely medically necessary.

So, have you been in this position? Would you seek a second opinion? unsure.gif

#2 Guest_Day-dream_*

Posted 11 April 2012 - 08:31 PM

Okay, not feeling happy about all of the above, I've booked an appt with a paed for a second opinion. Would still love to hear from anyone who has had a similar issue or been through this before.


#3 Mummy2twoBOYS

Posted 11 April 2012 - 08:37 PM

My older boy age 6 had a very tight foreskin. We have just finished 25 days of the steriod cream and his foreskin is completely retractable.  Worked wonderfully. Goodluck

#4 *Mumma-to-A*

Posted 11 April 2012 - 08:45 PM

I had my 4 years old checked when he had his needles 2 months ago. The Gp prescribed the steriod cream for 1 month and then if still tight she would refer to a urologist for further treatment or possible circumcision. I haven't gotten around to using the cream yet. I'd be concerned that a GP recommended this for a 18 month old as he should have referred you to a specialist if it seems that bad.

I was advised to gently retract the foreskin but never force more than it goes (which isn't much)



#5 Soontobegran

Posted 11 April 2012 - 08:57 PM

I would definitely seek another opinion and in the mean time please do not try and retract the foreskin on your 18 month old's penis.
That is terrible advice! mad.gif
The foreskin is adhered to the glans of the penis usually for at least 3 years and often many years more. Retracting it can cause tearing and scarring that may mean it will not retract when it should.
The penis is self cleaning, it is normal for the tip to be a bit red sometimes, it is also common for the foreskin to balloon a little bit when they wee.
If you are concerned please see a paediatric urologist.

#6 B.feral3

Posted 11 April 2012 - 09:00 PM

QUOTE (soontobegran @ 11/04/2012, 08:57 PM) <{POST_SNAPBACK}>
I would definitely seek another opinion and in the mean time please do not try and retract the foreskin on your 18 month old's penis.
That is terrible advice! mad.gif
The foreskin is adhered to the glans of the penis usually for at least 3 years and often many years more. Retracting it can cause tearing and scarring that may mean it will not retract when it should.
The penis is self cleaning, it is normal for the tip to be a bit red sometimes, it is also common for the foreskin to balloon a little bit when they wee.
If you are concerned please see a paediatric urologist.


Yes, exactly. Don't retract... your GP is an absolute goose!!

#7 charleybear11

Posted 11 April 2012 - 09:01 PM

We are having the same problem with our 3 year old and have been referred to a paediatric surgeon who will investigate further. We were given steroid cream which was to be used for no more than 5 days and we were told not to force the skin back. Hope your LO feels better soon

#8 Mrs SW

Posted 11 April 2012 - 09:02 PM

DH was the same as a child, his parents were told to do the same in the bath etc. It did not work because when we got together sex was very painfull for him and ended up having a circumcision in his early 20's. I would look into circumcision if it were my DS. Good luck and i hope your little guy is feeling better very soon.

#9 Soontobegran

Posted 11 April 2012 - 09:07 PM

QUOTE (Mrs SW @ 11/04/2012, 09:02 PM) <{POST_SNAPBACK}>
DH was the same as a child, his parents were told to do the same in the bath etc. It did not work because when we got together sex was very painfull for him and ended up having a circumcision in his early 20's. I would look into circumcision if it were my DS. Good luck and i hope your little guy is feeling better very soon.


The cause of many circumcisions having to be done later in life is because of the advice the OP was given.
Parents should NEVER be the first person to retract the foreskin, that is what the child will do when it is ready.
The parent retracts it, causes a tear, the tear turns into scarring and scarring is inflexible and will often stop retraction occuring when it should!

#10 ubermum

Posted 11 April 2012 - 09:21 PM

HE'S INTACT---DON'T RETRACT!

"As a consequence of misdiagnosis and confusion of normal developmental narrowessness and non-retractablity with pathological phimosis, many unnecessary circumcisions are performed."

What Is Foreskin Retraction?

Sometime during the first several years of your son's life, his foreskin, which covers the head of the penis, will separate from the glans. Some foreskins separate soon after birth or even before birth, but this is rare. When it happens is different for every child. It may take a few weeks, months or years.

After the foreskin separates from the glans, it can be pulled back away from the glans toward the abdomen. This is called foreskin retraction.

Most boys will be able to retract their foreskins by the time they are 5 years old, yet others will not be able to until the teenage years. As a boy becomes more aware of his body, he will most likely discover how to retract his own foreskin. But foreskin retraction should never be forced. Until separation occurs, do not try to pull the foreskin back — especially an infant's. Forcing the foreskin to retract before it is ready may severely harm the penis and cause pain, bleeding and tears in the skin.

American Academy of Pediatrics

Retraction of the Foreskin

At birth, the foreskin is usually attached to the glans, very much as a fingernail is attached to a finger. By puberty, the penis will usually have completed its development, and the foreskin will have separated from the glans.8 This separation occurs in its own time; there is no set age by which the foreskin and glans must be separated. One wise doctor described the process thus, "The foreskin therefore can be likened to a rosebud which remains closed and muzzled. Like a rosebud, it will only blossom when the time is right. No one opens a rosebud to make it blossom."9

Even if the glans and foreskin separate naturally in infancy, the foreskin Ups can normally dilate only enough to allow the passage of urine. This ideal feature protects the glans from premature exposure to the external environment.

The penis develops naturally throughout childhood. Eventually, the child will, on his own, make the wondrous discovery that his foreskin will retract. There is no reason for parents, physicians, or other caregivers to manipulate a child's penis. The only person to retract a child's foreskin should be the child himself, when he has discovered that his foreskin is ready to retract.

Mothering Magazine:

The tightness of the foreskin is a safety mechanism that protects the glans and urethra from direct exposure to contaminants and germs. The tight foreskin also keeps the boy's glans warm, clean, and moist, and when he is an adult, it will give him pleasure. As long as your son can urinate, he is perfectly normal. There is no age by which a child's foreskin must be retractable. Do not let your doctor or anyone try to retract your child's foreskin. Optimal hygiene of the penis demands that the foreskin of infants and children be left alone.

Mothering Magazine:

Avoidance of premature retraction. Care-givers and healthcare providers must be careful to avoid premature retraction of the foreskin, which is contrary to medical recommendations, painful, traumatic, tears the attachment points (synechiae), may cause infection, is likely to generate medico-legal problems, and may cause paraphimosis, with the tight foreskin acting like a tourniquet. The first person to retract the boy’s foreskin should be the boy himself.3

The Development of Retractile Foreskin in the Child and Adolescent
A guidance for healthcare providers from Doctors Opposing Circumcision

Almost all boys are born with narrow non-retractile foreskin which are fused with the glans beneath. This is a normal developmental physiological condition and is not a cause for concern. Some parents needlessly worry that the opening is not large enough.

Retraction of the foreskin should never be forced. It will retract when it is ready. There is no "right" age for retraction to occur.

A narrow non-retractable prepuce in boys is within the normal range of development and usually causes no problems. The prepuce usually will spontaneously widen until complete retractability is obtained. About 50-60 percent of boys at age ten do not have fully retractable foreskins.16 This is normal.16 After puberty, the percentage of boys with full retractability rapidly increases spontaneously.16

If a narrow or non-retractile prepuce becomes a problem, a wide variety of conservative alternative treatments to circumcision are are now available. Circumcision is an outmoded, radical, traumatic, disproportionate, unnecessary surgery for a minor problem.

Normal development of the prepuce: Birth through age 18


More great info, from the Canadian Paediatric Society:

In general, there is inadequate recognition of the long period before the natural separation of the prepuce and glans is complete.96 Some authors still refer to the presence of "adhesions," when, in fact, separation has not yet taken place; similarly, a nonretractible foreskin is still sometimes incorrectly diagnosed as phimosis.97

In a study by Rickwood and Walker98 involving 420 boys referred to their unit for possible circumcision, only 116 (28%) required the procedure. They found no true phimosis in boys younger than 5 years of age. Most of the patients had developmental nonretractability of the prepuce, and their preputial orifice, although somewhat narrow, was supple and unscarred. The authors compared this finding with data from the Mersey region of England, where phimosis was the most common indication for circumcision, accounting for 87% of the procedures, and where 390 of the 950 patients circumcised were younger than 5 years of age. They estimated that approximately two thirds of these circumcisions performed in the Mersey area were probably unnecessary.

Can foreskin problems be treated without circumcision?
Patient friendly alternatives to circumcision.

The #1 rule for intact care is to leave it alone.

The first person to retract a boy's foreskin should be the boy himself.

Until then, just wipe it off like you would a finger or give it a swish of plain water in the bath.

Once he can retract it himself, all he needs to do is "RETRACT, RINSE, REPLACE" in the shower or bath.



I will PM you where I got my information so you can read some more yourself OP.

#11 Guest_Day-dream_*

Posted 11 April 2012 - 09:31 PM

Thank you all for your replies, I knew it didn't sit right with me. Hubby and I have discussed, we now don't even believe it is a real problem, we will keep an eye on it to make sure no further problems present  but I'm going to cancel the paed appt and just leave things alone.
Certainly won't be retracting anything!




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Win a Mountain Buggy Swift

To celebrate Essential Baby reaching half a million Facebook fans, we have a Mountain Buggy Swift to giveaway to a lucky fan.

Shopping with kids: breaking the pester-power cycle

You're out shopping with your little one and they're incessantly whining that they want a treat. It's easy to say no ... the first time, at least.

eBay jacket may hold clue to murdered girl's identity

A jacket similar to the one found with the remains of a brutally murdered little girl in South Australia has been identified on eBay.

New mum forced back to work early due to paid parental leave 'technicality'

Shelley Parker had to keep driving buses until the date her baby was due and will have to rush back to work at the end of this week after being denied paid parental leave on a "technicality".

Pregnant Amanda Palmer poses naked for book drive

It has to be the most original way ever of promoting a children's book donation day.

The conception dilemma facing many parents today

Some parents who conceived through a sperm donor will be wary of telling the child, while others prefer to deal with it early on. But recent research suggests it makes little difference either way.

The wedding photo the bridesmaid would rather forget

We've probably all seen a passed-out bridesmaid at one wedding or another, but it usually happens towards the end of the night.

Pregnant TV meteorologist takes on haters

Pregnant TV meteorologist Katie Fehlinger has hit back at haters who called her a "sausage in casing".

Honest words from first-time mums

I didn't want to say anything negative to my pregnant friend, but I wish I'd been more honest.

Adorable baby experiences rain for the first time, couldn't be happier

Harper had seen rain from the comfort of indoors before, but had never had the pleasure of being outside and experiencing it first hand.

What it's really like to start a family in your fifties

Many people suppose that it must be much more tiring to have a baby in middle age, but all the mothers in the playground look exhausted, whatever their age.

'Biggest hypocrite ever': Josh Duggar admits to Ashley Madison account

An American reality TV star has been busted with a cheating website account, according to US media.

Long recovery ahead for girl hit by car weeks after baby brother's death

A little girl is more alert and starting to talk after being hit by a car a week ago, but still faces a long recovery.

How to react when a toddler lies

Q: My almost-3-year-old is starting to figure out that he can lie when asked if he ripped the book, threw the food, hit his brother, etc. Totally normal, I know. How do we respond?

The circular experience of a Centrelink client

A mum-to-be experiences the frustration of dealing with Centrelink, myGov and everything in between.

Kelly Clarkson announces live on stage: 'I'm pregnant!'

Singer Kelly Clarkson has announced she is pregnant with her second child during a concert in Los Angeles.

Hack

How to search the leaked Ashley Madison data

At least three sites are republishing Ashley Madison's user data on the public-facing internet.

Mum dances her way through labour

There are a fair few ways to distract yourself and beat pains while in labour, but it's probably a rare woman who chooses her dance her way through it.

'Rest in peace, my little lion': premmie baby Jacob passes away

Baby Jacob, whose photo of him born at just 27 weeks was deemed 'too graphic' for a fundraising site, has died.

Mum killed three young sons 'to help her daughter', prosecutor says

Niall Pilkington's death last summer apparently raised little alarm in Bellefontaine, Ohio. Tragic accidents happen, after all.

Shorter women have shorter pregnancies: study

When a group of researchers studied nearly 3500 mothers and their babies, they noticed a curious pattern.

Get your FREE Baby & Toddler Show ticket!

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

The worst 20 minutes of my life

Thirty seconds was all it took to turn a shopping trip into my worst nightmare.

Top baby names for England and Wales in 2014

George has overtaken William in the official rankings of most popular British baby names - and Game of Thrones is still having an impact on parents.

Baseball or baby? Dad's tough choice

What's more important, a baby or a baseball? That's a question this dad seems to struggle with.

Childbirth choices: five star or free?

It's not often you hear the words labour and luxury in the same sentence but for some, a 5-star start to parenthood is exactly what they seek. And with a number of private hospitals now offering packages which include a post-birth stay at a sumptuous first class resort, many mums are choosing to recover in style.

'Where did your boobies go, Mummy?' and other soul-destroying comments from kids

Most women carry a smidge of baby weight after giving birth. If you're lucky enough to have an older child in the house, they can keep you on track with your weight loss goals.

Do you read me, baby?

Is it too soon to be reading to my two-month-old son? If not, what should I read?

Minimising sibling rivalry when you've got a baby

Sibling rivalry is an act of competition, but if your children feel involved and special, this type of jealousy will be minimised.

Will studying on maternity leave take you away from your most important job?

I remember when I was trying to decide if I could combine motherhood and furthering my university education.

Win a Pacapod this Father's Day

To celebrate dads and families, we are giving away a Picos Pack from Pacapod Australia filled with a few extra goodies ENTER NOW

Preschooler hit by car shortly after baby brother's death

A mother has had a frantic race to the hospital after her daughter was hit by a car, just four weeks after her infant son died.

Gay couple and Thai surrogate in custody tug-of-war

A six-month-old baby girl is trapped in the Thai capital in a bitter custody wrangle between her Thai surrogate mother and her biological father.

Couple denied IVF over parenting concerns

A mother of six has been denied access to IVF treatment in order to have another child over concerns about her parenting skills.

The book that promises to put your children to sleep

Exhausted parents from around the world are singing the praises of a "miracle" book which promises to put even the most restless child to sleep in just minutes.

5 things every parent who feels guilty needs to know

Parenthood can make you feel bad, but you're not alone.

Royals criticise 'dangerous' attempts to photograph Prince George

The British royal family criticized paparazzi on Friday for what it called their increasingly dangerous attempts to photograph young Prince George.

'No jab, no play' rule to cover Victorian kindergartens and childcare centres

"Anti-vaxxers" face not being able to send their children to childcare centres or kindergarten if they refuse to have them immunised.

15,000 birthing kits on their way to developing countries

Giving birth in a hospital surrounded by medical experts is tough enough, but some women deliver babies without a clean sheet to lie on.

Photo of premmie 'too graphic', fundraising site says

When their son Jacob was born at just 27 weeks, Christina and Jeff Hinks were thrown into an uncertain world.

The latest Bugaboo collections: cool chevron and runner prams

Bugaboo sure likes to keep things fresh, and with the Australian spring/summer season coming up, there are two new Bugaboo pram releases.

Making room for two in the bed

Mum's room or their own room? Cot or bassinets? Deciding where twins will sleep can be tricky.

 

FREE TICKET

See Hi-5 LIVE in Sydney!

Get your free ticket to The Essential Baby & Toddler Show and save $20 - register online now!

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.