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cleaning foreskin of uncircumcised penis

post #1 of 10
Thread Starter 
This is a new experience for me and I'm asking for specific details here ... Our 2 year old son is uncircumcised, and I thought you didn't need to do anything special cleaning-wise, as I vaguely remembered reading this somewhere. We went to a new pediatrician yesterday, a down-to-earth, holistic natropath who also teaches anthroposophical medical care. I felt extremely comfortable with him, and he really supported our alternative vaccination choices, and is anti-circumcision. So when he showed me how to roll back my son's foreskin, exposing the head (which I hadn't seen before) to clean it, I didn't think anything of it. He showed me that some skin is still attached to the head, and said that eventually it will separate on its own. And, he said I should clean it in this manner in the bath. But then today I read the following post on an email list I'm on:

"I took my 7 month old son to our (homeopathic) pediatrician today for a check up and after she checked his testicles she pulled the foreskin back (not all the way back, about half way back) and I freaked out. I haven't pulled it back and from what I've read it shouldn't be pulled back like that unless it does it on its own. She said to pull it back slightly in the bath and rinse with water (no soap) to avoid infection 'since there is skin covering it.' But I feel really really uncomfortable doing that."

The responses were overwhelmingly opposed to the pediatrician's actions -- she should switch doctors, this is terrible, the pediatrician had no right to do this, we need to protecting our intact sons from early retraction, etc.

Wha-a-a-t? I'm so confused. What is early retraction? What's wrong with what our pediatricians did? Someone advised reading the "sticky" on Mothering.com on how to care for intact sons, but I can't find it. Could someone point me to the link, or explain what's going on here? I've been reading about this online and I'm still confused about the details.

I mean, I'm understanding what I understood before: "only clean what is seen." And I'm reading terrible stories about painful "retraction" (though I'm still confused about what that term actually means). But, is what my pediatrician did "retraction"? My son really enjoyed the experience and kept asking for more, more, more! In the bath tonight he pulled at his penis and said, more! I rolled the foreskin back a little and splashed some water in there.

I just read, "The mean age for natural foreskin retraction without pain or trauma is 10.4 years. Some men never see their glans until they are in the 20s." And from the AAP bulletin, "Care of the Uncircumcised Penis," “...foreskin retraction should NEVER be forced. Until separation occurs, do NOT try to pull the foreskin back - especially an infant's. Forcing the foreskin to retract before it is ready may severely harm the penis and cause pain, bleeding and tears in the skin. "

My son's glans (head) was easily seen, and it didn't cause him any pain to roll the foreskin back. Is there something else I'm completely missing here? The pediatrician did not attempt to forcibly separate the skin from the head, and he showed me where it is still attached and said it will separate on its own eventually. I guess I'm understanding that in some children, what my pediatrician did would actually cause that skin to separate and could really damage the penis. But is rolling the foreskin back a little and exposing the head "retraction" and a big problem?

Thanks for helping me with these details. I think I understand everything except the detail of what retraction really, actually is, if that's what our pediatrician did, and why, then, it felt good to my son. I am definitely going to send our pediatrician some links on the care of the uncircumcised penis, as it is clear that you don't need to do anything to keep it clean.
post #2 of 10
Here is the sticky. It is in the Case Against Circumcision forum. Yes, what your Ped did is retraction. I believe that retraction is any movement of the foreskin to expose the glans. In most young males the foreskin is attached, and forcible removal can be very painful and cause adhesions. Continued retraction can lead to infections and problems later in life. I am surprised and rather dismayed that a ped who advocates against circumcision would give such outdated advice.

ETA: In the case of your son it sounds like there is no harm done, but I wouldn't continue to follow the advice of the dr. I do think its a good idea to share some more recent care information with him.
post #3 of 10
Yes, your ped retracted, and no it should not have been done. No one should retract your sons penis other than your son. No "cleaning" of any kind needs to be done until puberty (if it is retractible by then) and then only pulling back of the foreskin to rinse underneath of it is necessary. I would stop retracting, and don't let the doctor do it again. You can cause tears/adhesions and infections by retracting.
post #4 of 10
The only person that should be retracting your son's foreskin is your son. Your doctor should not have done that. Now it sounds like your son is somewhat retractable already but the problem with anyone else doing it is that it's very easy to pull just a little to hard and retract just a little bit further than it already goes and cause damage.

Just keep doing what you've been doing, leave it alone. Just sitting in the tub is plenty to keep clean.
post #5 of 10
Wow, I'm glad I'm reading this post. My very holistic, non vax friendly, non circ friendly ped retracted my son's foreskin last month at his 18 month check up as well. I knew not to let anyone retract it as a baby, but I thought it was different once he's a toddler and she was very gentle and he was clearly not in any pain. She informed me I should do the same during baths to keep it clean. Luckily, I haven't been, because I never have before and it's been fine, so why mess with it? But I didn't know this was such bad advice. Glad I went with my gut and left my son's penis alone! I figured if it needed to be cleaned, he would retract it himself, but I also did think I was neglecting it a bit because the dr told me to retract it.
post #6 of 10
I would not do as your dr advised. When ds was in diapers I would occasionally use a cloth or wipe to clean his penis externally but that was it. I haven't touched it in over a year since he pt and have never 'cleaned' it or retracted. It isn't needed and it can cause problems.
post #7 of 10
For me, from a non-circing culture where everyone I know is intact, it is so weird to read about all this fiddling with little kids' penises! Leave it alone!
post #8 of 10
Thread Starter 
Thanks so much everyone! This is really helpful information. I'm sooo glad now that nothing happened to my son when the ped. did this. I did a lot more research after reading responses and the sticky (thanks!) and sent an email to my pediatrician with the following links. Hopefully he is open to learning about this!

from the Circumcision Information Research Page:
http://www.cirp.org/library/hygiene/
http://www.cirp.org/library/hygiene/camille1/ [Contemporary Pediatrics, November 2002]

from the National Organization of Circumcision Information Resource Center
http://www.nocirc.org/publish/4pam.pdf or http://www.nocirc.org/publish/pamphlet4.html
http://www.nocirc.org/publish/pamphlet6.html or http://www.nocirc.org/publish/pamphlet6.html
post #9 of 10
You've received a lot of great advice already, and I'm kind of repeating what's already been said.

As others have said, just because he wasn't hurt this time, doesn't mean he won't be hurt next time. And, even if he is never hurt by the retraction, retraction is a sexual function, so it's more than a little 'weird' to be fiddling with it like that. We hear everywhere about 'forceful' retraction, and to never let anyone 'forcefully' retract your son. I think the 'forceful' needs to be dropped. No one should retract your son, other than him, period. Retraction is never necessary for cleaning, though he may choose to later in life.
post #10 of 10
Quote:
Originally Posted by Nova0929 View Post
Thanks so much everyone! This is really helpful information. I'm sooo glad now that nothing happened to my son when the ped. did this. I did a lot more research after reading responses and the sticky (thanks!) and sent an email to my pediatrician with the following links. Hopefully he is open to learning about this!

from the Circumcision Information Research Page:
http://www.cirp.org/library/hygiene/
http://www.cirp.org/library/hygiene/camille1/ [Contemporary Pediatrics, November 2002]

from the National Organization of Circumcision Information Resource Center
http://www.nocirc.org/publish/4pam.pdf or http://www.nocirc.org/publish/pamphlet4.html
http://www.nocirc.org/publish/pamphlet6.html or http://www.nocirc.org/publish/pamphlet6.html
I think it is wonderful that you took the time to send your ped those links. I hope he does read them and is open to learning more about the intact penis. Way to go mama
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