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adhesions/circ question

post #1 of 6
Thread Starter 
It's been quite awhile since I've posted in this forum, so a quick history...

My son is 4.75 years old. He is circed, as I posted a loooong time ago in the "circed and regret it" thread. I'll never get over the devastation of having allowed his perfect body to be cut... it's even more acute since I've now married a wonderful intact man who would have known better than to let a doctor come near DS with a knife back then....

He has what looks like a very loose circ. The foreskin covers over half of the glans (It used to cover more when he was younger) but it's very "bunched up" looking at the end. He can easily stretch it out past the glans, and in fact can cover the glans by "smoothing down" the bunched part. I think he still has his frenulum because when the foreskin on that bottom part is stretched out I can see that line of skin stretching up toward the glans. I don't know if any of this is pertinent to my post but I'm adding it just in case. It's really hard to write this stuff out.

Almost two years ago he told me his penis hurt, and I saw a couple round lumps under the foreskin. I had no idea what they were, and took him to a doctor who also had no idea, but who told me that his foreskin was adhered to the glans and that I should have been retracting it since the circ. (I was not told that at the time of the circ.) The ped advised me to use a steroid cream and pull it back a little each day.

The round lumps turned out to be smegma pearls (I assume this is the case, they found openings and white "cheesy" stuff came out)... I did not feel comfortable ripping ds's skin so I left it alone. I think I may have posted around that time.

Here we are now, and yesterday ds was at the ped because he's had several days worth of fever. DH had noticed that day that ds's penis looked red, so he had this dr check it out, and he said it looked like a yeast infection, to put Lamisil (sp?) on it and that it could take weeks to heal up.

I don't want to put ds through that if it isn't really a yeast infection (that cannot be the only reason he'd have redness/irritation down there right?) so I asked ds to let me look at it. It was only red and hurt at the top, and I used A&D on it - it looks better already but ds says it still hurts. The last couple showers he's had, he's used DH's Ivory soap instead of his usual soap. I myself have a reaction to that brand of soap if I use it on my genitals so it seems plausible that's what it is... at least to me.

I also noticed during this time that his corona is still trapped by the foreskin, it doesn't pull back any farther. Should I be doing anything? All the research I've done, and I can only find information on this for intact boys (and how I wish that were the case!!!!). I know that for an intact boy the advice is to leave it alone. But I can't seem to find the answer anywhere as to whether this kind of adhesion will go away on its own in a boy who has been cut.
post #2 of 6
Can he switch back to the normal brand of soap that wasn't irritating him?

I asked this same question and got this answer: Don't retract even after circ., allow the foreskin to separate on it's own which may last until the end of puberty.

http://www.mothering.com/discussions...13&postcount=2
Please look in this thread it has lots of useful links.

Carriebft answers the question this way:
The studies in that thread will always be useful for this question. My response is two fold:

1) the research shows us that adhesions that form after circumcision will release on their own, except, perhaps, those involving the circumcision line.

2) The parents have two choices when faced with adhesions that do not involve the circumcision line (I would always advise releasing a circumcision line adhesion WITH PAIN RELIEF AT A DOCTOR'S OFFICE):

choice A: pull back the foreskin for months and even years, applying vaseline or other barrier cream. risk bleeding and infection and end up essentially 'fooling around' with their son's penis for days, months, and, in some cases, years. What kind of effect does that have on the mind of the child?

choice B: leave it alone and follow the research...if they do not release on their own, a doctor can do it later WITH PAIN RELIEF
post #3 of 6
The soreness could be natural seperation going on with what is left of the foreskin. He is a very common age for that to be happening.

You can treat yeast with OTC monistate the 7 day kind. If it is yeast it should show improvment in a day or 2.
post #4 of 6
Thread Starter 
Thanks!!! That's why I've left it alone all this time... I suppose I needed a reminder that I was doing the right thing.

New, question, how would I be able to tell if it was the circumcision line?
post #5 of 6
Your instinct is good. Leave the foreskin alone. Adhesions will most likely resolve themselves by end of puberty. Don't use any steroidal cream on a child, that was bad advice from that doctor.

Using the anti-fungal will not hurt him. Yeast is a bit of a bugger so if it is yeast you will want to make sure you rinse all his underwear in vinegar water and if possible hang them in the sunlight to dry. This will kill the yeast on the clothing. The dryer does not kill yeast.

Get him on a good probiotic supplement and treat him with the anti-fungal. If it doesn't get better then it is probably just normal separation/development symptoms. Be aware that some anti-fungal creams can cause a reaction or swelling.

Yeast is more of a peely look. Did your doctor swab the tip to see if there was in fact yeast? He should have done this before assuming it is yeast.

You probably won't hurt him by treating it although the cream may irritate his skin.
post #6 of 6
Quote:
Originally Posted by Faerieshadow View Post
Thanks!!! That's why I've left it alone all this time... I suppose I needed a reminder that I was doing the right thing.

New, question, how would I be able to tell if it was the circumcision line?
I honestly dont know what the circ line would look like. I know what it looks like on dh but that is a world of difference from a boy with most of his foreskin left. I hope someone can help with that.
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