Circumcision is NOT medically necessary for your son, your urologist is dead wrong! A tight and small preputal opening is normal for infants and young boys. His prepuce / foreskin is doing its job of protecting his urethra from germs. Ballooning of some degree is normal for most boys at varioius stages and ages of development. Sometimes the ballooning and separation can be a bit sore and a bit painful for some boys but this stage is short lived. Steroid cream is totally not necessary for tolddlers and young boys since your son's penis including his prepuce (foreskin) takes 15 to 18 yrs. to Fully develop. If an adolescent boy who is past puperty has a tight prepuce with little or a very tight retraction upon erection, then and only then should steroid cream be used to widen the opening. Also, penile growth, erections, and manipulation / masturbation helps stretch the preputal oppening. Let mother nature and time do its job, just relax and don't worry.
Also, read up on why forced retraction is very harmful and causes unretractibility in boys. There's info. in the resources section of this circ. forum. Lastly, a small percentage of young men in real life (1 to 2%) in European countries that don't circ have a tight unretractable prepuce when they reach early adulthood. Even in these young men, circumcision is not necessary. A surgical procedure called a prepuplasty makes the preputal opening larger and the prepuce retractable WITHOUT anmputating any sensitive tissue. A few verticle slits are made on the prepuce and then stitched horizontally. Don't let any physician retract your son and tell all health care providers beforehand not to because it will cause pain, and possible damage to the tissue.
Call NOCIRC for expert advice and support. Their info. is listed below. Lastly, Bless you for questioning the urologist and for coming here. Remember the USA is a circumcising culture (50-60% of infant boys circed this yr.!) and many circumcised physicians were taught minimal or incorrect info. on the development and normalcy of the male prepuce including its protective, sensual, and sexual functions that last a life time. Don't forget to educate the Urologist on what you learn and why your son will Not undergo a prepuce amputation. Prepuce amputations are medically needed in very very rare cases of gangrene, severe frostbite causing tissue to die, cancerous tissue, or irrepairable damage (i.e. mauled by a dog).
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