My son has been having some random swelling/pain in his left testicle. We think he has intermittent torsion, and so far have not been able to be seen during an episode. Here is a link to more info. I took pictures during the last episode, and took them with us to the appointment with the urologist. Anyway, when the urologist went to examine him (cocky young man that he was), he started to move Evan's foreskin. I moved his hand, or Evan's penis I don't remember, and said there's not supposed to be any retraction. He said, yeah, I'm just going to look. I persisted and said, no, no retraction. He said, ok and asked if his "opening" was right at the front. I said "sure, his urinary meatus is," and he moved on.
During the physical exam I asked what he was feeling, or feeling for and he reluctantly told me. Anyway, as we asked about what else it could be and treatments, surgical entry points, etc he continued to tell me it was complicated. I pressed for info and he talked about uti's going back into the epididymis and causing pain and inflammation but not resolving so quickly and that it was likely a hernia or torsion.
He has sent us for an ultrasound and told us to go to his ER at John Hopkins in balto. if it happens again. We follow up with him in a week or so. Haven't gotten the first u/s yet because of the massive snow storm. I plan on getting a copy of the films and report myself to get a second opinion.
I guess I already know the answer, but is there any reason he needs to manipulate Evan's foreskin for this issue? Is there some valuable information under there that we could be missing?
I don't think we'll be using him ultimately. I wasn't comfortable with him, and feel like he would retract him during surgery since I'm not there to stop him.
If this does become an emergency surgical situation, what steps can I take to ensure he is not retracted during surgery? We have manipulated his foreskin together to expose just his meatus (it won't go back any further) once when he put a cheerio in there. Evan prefers to see how long his foreskin is rather than what is underneath it.
We previously had an issue with my stepmother. She was retracting him at diaper changes. This is no longer happening.
So, if you've made it this far, thank you and please post your thoughts!
During the physical exam I asked what he was feeling, or feeling for and he reluctantly told me. Anyway, as we asked about what else it could be and treatments, surgical entry points, etc he continued to tell me it was complicated. I pressed for info and he talked about uti's going back into the epididymis and causing pain and inflammation but not resolving so quickly and that it was likely a hernia or torsion.
He has sent us for an ultrasound and told us to go to his ER at John Hopkins in balto. if it happens again. We follow up with him in a week or so. Haven't gotten the first u/s yet because of the massive snow storm. I plan on getting a copy of the films and report myself to get a second opinion.
I guess I already know the answer, but is there any reason he needs to manipulate Evan's foreskin for this issue? Is there some valuable information under there that we could be missing?
I don't think we'll be using him ultimately. I wasn't comfortable with him, and feel like he would retract him during surgery since I'm not there to stop him.
If this does become an emergency surgical situation, what steps can I take to ensure he is not retracted during surgery? We have manipulated his foreskin together to expose just his meatus (it won't go back any further) once when he put a cheerio in there. Evan prefers to see how long his foreskin is rather than what is underneath it.
We previously had an issue with my stepmother. She was retracting him at diaper changes. This is no longer happening.
So, if you've made it this far, thank you and please post your thoughts!
there is no relation between the two. I would make sure that if surgery is needed in the future that every one from the Dr. to the nurses doing his care is aware that you dont want his penis messed with and that you will take legal action if needed. Talk to each one explain what you mean in detail about no retraction ie no moving it at all so that there is no doubt.
