Originally Posted by AleksFeodoraSnyder
I have a 19 mo. old that has a similar problem. He is 19 months old now. At around 1 year he had a UTI, due to trapped urine in his forskin. They suggested then that he would probably need a circumcision. I was really against it, and the doctor gave us an alternative to the procedure, he gave us a cream that was supposed to help loosen the forskin. However, once we stop the cream the forskin becomes really tight.
When our son was born, all the "what to expecting, when you are expecting" books directed us to not touch his forskin or pull it back, so as to not harm it. My husband is circumcised, so we followed those directions. When our son got the UTI, The Doctor told us that our son has a lot of scar tissue (probably due to repeated infections unbeknowest to us) [Maybe we should have lifted the forskin back to get the last dribbles out?] that has developed into a ring, he and his assistant had a hard time finding the opening to the urinary tract when they wanted to test his urine for a culture. The doctor confirmed that it wasn't his kidneys, or anything else. The UTI was probably caused by trapped urine and the resulting bacteria. I've waited 6 months in the hopes that the cream and "massage" helped my son's forskin. However, his forskin once we stop using the cream shrinks into a tiny ring where you can't even see the opening to the urinary tract. He can still pee, but it dribbles to the side.
I don't want my son to get another UTI, last time it was very scary, he had blood in his urine, lots of doctors visits, and just a lot of stress.
I am from a culture/religion that it is very important to stay intact, and i am getting a lot of "peer" pressure from my sister-in-law that the doctor is "full" of it (she hasn't seen my son's ring, she lives far away), and everything i read says that a lot of circumcisions are done unessarily. Some of that literature has confused me, and made me wait this long. I've come to the conclusion that there are a lot of "intact" advocates out there, and when someone (like my son) who really needs this procedure, might be waiting longer than they should.
Does anyone know of some medical literature out there that suggests keeping the forskin when the urinary tract is partially obstructed? Is it possible to keep him intact? Am i doing the right thing by scheduling his circumsion?
Even if your DS truely does have true phimosis (very rare) there are much much less drastic treatments than circucision, which is the complete amputation pf the foreskin.
The steriod treatment is meant for adult
men who have nonretractable foreskins (which is usually caused by repeated forced retraction during infancy.) It is only effective on adult men and needs to be combined with excercises that are inapropriate to do on a baby.
The most drastic treatment I would suggest any parent agree to in a situation like yours would be a dorsal slit, and I think it's highly unlikely that even that is necessary.
It is obviuosly impossible for any of us to dx your DS over the internet, but realize that we have heard story after story of Drs reccomending circ for what are just parts of normal development
The first things we need to know are:
Why did you suspect UTI to begin with?
Does he cry as he pees (either now or when he had the UTI?)
How were these UTIs dx'd?
Has anyone ever
Does he fill diapers or potties with pee?
BTW, starting a new thread will get you more responses, and