Thank you SO much for responding! You have been EXTREMELY helpful and VERY knowledgeable! Are you a Urologist by chance?
I have always been confused as to what the Circumcision scar line is. I did some looking into it and looked at my sons penis and can see where the skin is a slightly different color and from that point forward towards the glans thats where the extra skin seems to hang which made me and others think that perhaps some of the foreskin was left for him to grow into. I don't believe he has any skin bridges. The adhesions are around the glans. When he was really little the skin had stuck to almost the entire glans nearly covering the Urethra, and thats when the pediatrician ripped it back. Now it just seems to be stuck around the ridge, although underneath where the Frenulum is it seems to be stuck more-so, up higher on the glans but the pediatrician said that is a normal adhesion.
I really hope that there are no other adhesions or problems that I need to be aware of, I am just so confused and I should have done my homework about all of this before having my son circumcised. I should take some pictures of his penis to show you and get your opinion as to what you think would be going on but I don't know if that would be okay on here. I just want the adhesions to break apart for him and I definitely don't want skin bridges. I hope there aren't any now. I don't believe so but with all that extra skin I don't know whats stuck underneath it all. Plus I just want his penis to stick out like a normal boys would. It looks so abnormal when it retracts into the fat pad like that. By the way, he is a VERY thin boy too, he only has pudginess by the groin area. Another thing is that not only does his penis retract but so do the testicles. They have decended into the scrotum but at times especially when hes cold they will retract again.
Anyways, thank you for your long response and putting so much time into writing to me. It is much appreciated. If you have anymore input I would be more than happy to learn more.
15437376]Velvet Satin- There are several key differences between post-circumcision adhesions and the natural adhesions babies are born with. Perhaps if I can explain these differences, the seemingly conflicting advice about care and treatment between intact and circumcised children would not be quite so puzzling.
At birth, there is a membrane between the glans and the foreskin that holds the two surface together- yet apart.
If you'd like to google around with it- the "balanopreputial membrane" or "synechia" are key words- but the results you'll get are a bit of a muddle.
Imagine this: You use a slow drying industrial glue to sandwich a slice of bread between two plates. Everything is "stuck" together. Here are two scenarios- you put this stack in the sink and let it soak before the glue dries- the bread would dissolve and the two plates would not be stuck together anymore... but if you then left the two plates sitting on the counter the glue would dry- and now the plates really would be firmly attached to each other! In the other scenario- you allow the glue to dry and then you dissolve the bread... now you can stack the plates with no worry that the two surfaces will re-stick.
As an intact boy matures, his hormones and his age, allow the skin surfaces to become strong and independent, so that when this separating membrane finally dissolves- the touching surfaces are not predisposed to re-stick to each other. When a baby is circumcised- this membrane is destroyed, and two immature skin surfaces are allowed to touch, because of the boy's young age- they tend to stick to each other.
This is why parents of intact boys are instructed to never tear the foreskin away from the glans- but parents of circumcised children are instructed to be careful to push the skin back and apply a barrier ointment at every diaper change until the sticking situation is over. These parents are not dealing with identical situations.
The next factor to consider is that scar tissue can be wacky. (don't google wacky) Wiki has a good article on scars. Scar tissue is very different from normal skin and one thing about it is that it does not know its limits- it only knows to close gaps- so when scar tissue comes in contact with the delicate and raw glans- it does not know that is not a wound to heal- sometimes, rather than simply laying against the surface of the glans- the circumcision scar will grow into the glans- become one with it... this is not simply an adhesion- but is a true skin bridge. This bridge will never come apart with time- but will need to be surgically divided. Adhesions that involve the circumcision scar are an entirely different beast from adhesions only involving skin (which may be encouraged to release just using some ointment)http://www.jurology.com/article/S002...410-1/abstract
"Penile adhesions develop after circumcision and the incidence decreases with patient age. Although there is debate on whether to lyse these adhesions manually, our findings suggest that adhesions resolve without treatment. Based on our results we do not recommend lysing penile adhesions, except perhaps those involving the circumcision line."
So now you have two issues to consider, premature separation + the presence of scar tissue.
The last thing I'll mention, earlier someone said something about your son having some foreskin left... I don't know that we know that. The foreskin is just a segment of a continuous sleeve of skin which is not connected to the spongy tissue of the internal penis... it's not simply defined by it's position on the glans- with the shaft of his penis drawn into his fat pat- none of his shaft skin is being used to cover it- it has to go somewhere- the skin you see covering your son's glans- may very well be the exact length needed to cover the distance between his pubis and glans once he does grow up.[/QUOTE]