DS1 is 9 years old and is intact. His foreskin was never retracted in infancy. He has had no infections or problems with his penis, aside from some pain roughly a year ago before/during urination. This pain was substantial enough that it would wake him from a dead sleep and caused some yelping and crying. He was unable to retract his foreskin at all (age 8) and I observed ballooning during urination, which I gathered was normal. At that time we took him to our family doctor who advised that, despite his painful episodes, the ballooning was normal and that we should not interfere in any way with normal development, though he suggested that DS1 gently encourage his skin to retract so long as he wasn't forcing it or causing himself pain.
I don't believe that DS1 really did much "stretching". The pain seemed to resolve on it's own. Recently, his dad told me that he mentioned that it was hurting again and we made another appointment.
His dad took him to his appointment and told me that the doctor is now suggesting circumcision.
I need information before I go into the next appointment to discuss this with him. I understand that there are alternative treatments available? Is it too soon to even be considering this, since he is still so young? I want to avoid surgery unless there truly is no other alternative. DS1 has told me that it was only hurting one time - otherwise it has not been bothering him. His dad told me that at the appointment, neither he nor the doctor could see an opening in his foreskin (though obviously there is, as he can urinate). Is that considered an issue?