Meatal Stenosis

[Fi.]

Give me all you got on this. A friend of mines baby has it, and she wants information. The only articles she's able to find are from the 30s and 40s.

Thank you muchly

[Revamp]

Caused by circumcision, perhaps something to do with leaving an gaping open wound in a packet full a faeces?

Medical stuff should probably be dealt with by her doctor, I believe it is not fatal. What you can do is use it to convince her should she have another boy. From my experience the pros seem to be highly succeptible to annecdotal evidence so this should work a treat.

[pdx.mothernurture]

http://www.emedicine.com/PED/topic2356.htm

Background: Genital disorders are commonly encountered in the office of the primary care physician. Meatal stenosis is a relatively common acquired condition occurring in 9-10% of males who are circumcised. This disorder is characterized by an upward deflected, difficult-to-aim urinary stream and, occasionally, dysuria and urgent, frequent, and prolonged urination. Surgical meatotomy is curative.

Pathophysiology: After circumcision, a child who is not toilet trained persistently exposes the meatus to urine, resulting in inflammation (ammoniacal dermatitis) and mechanical trauma as the meatus rubs against a wet diaper. This causes the loss of the delicate epithelial lining of the distal urethra. This loss may result in adherence of the epithelial lining at the ventral side, leaving a pinpoint orifice at the tip of the glans. Because this condition is exceedingly rare in children who are not circumcised, circumcision is believed to be the most important causative factor of meatal stenosis. Another hypothetical cause of this condition is ischemia due to damage to the frenular artery during circumcision, resulting in poor blood supply to the meatus and subsequent stenosis.

My circed dss aquired this condition, and had a meatotomy under general anesthesia as a toddler.

Jen

[pdx.mothernurture]

A labeled drawing: http://www.drkoop.com/images/ency/fullsize/8861.jpg

[Revamp]

What exactly does a meatonomy involve?

[Fi.]

Originally Posted by Revamp

Caused by circumcision, perhaps something to do with leaving an gaping open wound in a packet full a faeces?

Medical stuff should probably be dealt with by her doctor, I believe it is not fatal. What you can do is use it to convince her should she have another boy. From my experience the pros seem to be highly succeptible to annecdotal evidence so this should work a treat.

Thanks, but this is not what I'm asking. She did not do it for cosmetic reasons and will be doing it again if she has another boy. She believes and hopes she's having a girl so it will probably be a non-issue. Her doctor said he's never heard of it/seen it happen so I'm trying to get some information together for her to either take to him or for her to arm herself with so she can see another doctor.

I asked for help with her current issue and I'm hoping I don't get many more replies such as yours as they do nothing positive for her and her son.

[Revamp]

Oh, whoops!

Well check out this site's page on the issue: http://medindia.net/patients/patient...alstenosis.asp

Sorry but the condition and issue do sorta overlap as you can see here: http://www.cirp.org/library/complications/persad/

I doubt doctors would suggest a circ since this is actually something that circumcision generally causes so my guess is it would not be of much use getting it to go away.

Apologies if it offended you or anything but I was certain that was what you meant! Seems odd an intact boy would get it, the chances of that were tiny so I guess he just got really unlucky.

Oh well, hope I was of some help!

[Sijae]

Originally Posted by Revamp

Oh, whoops!

Well check out this site's page on the issue: http://medindia.net/patients/patient...alstenosis.asp

Sorry but the condition and issue do sorta overlap as you can see here: http://www.cirp.org/library/complications/persad/

I doubt doctors would suggest a circ since this is actually something that circumcision generally causes so my guess is it would not be of much use getting it to go away.

Apologies if it offended you or anything but I was certain that was what you meant! Seems odd an intact boy would get it, the chances of that were tiny so I guess he just got really unlucky.

Oh well, hope I was of some help!

No, I think you had it right in the first place. The OP is talking about a friend with a circ'd baby with this condition. I think what she was saying is that her friend chose to mutilate her child for non-cosmetic reasons and plans to circ all future boys as well.

I think your original post was totally appropriate considering this forum is about the case AGAINST circumcision and the condition referenced is caused by circumcision.

Laura

[Revamp]

Originally Posted by Sijae

No, I think you had it right in the first place. The OP is talking about a friend with a circ'd baby with this condition. I think what she was saying is that her friend chose to mutilate her child for non-cosmetic reasons and plans to circ all future boys as well.

I think your original post was totally appropriate considering this forum is about the case AGAINST circumcision and the condition referenced is caused by circumcision.

Oh!

Well, whoops again. I misunderstood.

Actually in retrospect it is sort of obvious what she meant there, I feel kinda silly for not getting it.

Well, the links I posted still stand and I still think that this could be of some use convincing her should she have a second son.

Once again, I hope I was of some help.

[pdx.mothernurture]

Originally Posted by Revamp

What exactly does a meatonomy involve?

Cutting and stretching the urinary opening back open.

Jen

[Fi.]

I think your original post was totally appropriate considering this forum is about the case AGAINST circumcision and the condition referenced is caused by circumcision.

Right, absolutely. It's very appropriate.

However I asked for help. That wasn't helpful. That was all I was trying to say.

[Revamp]

Originally Posted by pdx.mothernurture

Cutting and stretching the urinary opening back open.

OUCH!

More cutting?

Sheesh... It is like someone has a grudge against the male genitals or something: first they hack off a part without a reason and because of that more surgery involving sharp objects is performed on another highly sensitive area of the body.

Three cheers for circumcision complications...

[Revamp]

Originally Posted by Fi.

Right, absolutely. However I asked for help. That wasn't helpful. That was all I was trying to say.

Well I did give links. And it could be helpful in saving her next son from mutilation, just a suggestion.

Sorry if it annoyed you, just trying to be of some use.

[Fi.]

And it could be helpful in saving her next son from mutilation

She's doing it again if she has another son. Period. It's not up for discussion. It is a reason we aren't allowed to talk about here and she's already made up her mind.

And don't mind me - I'm trying to get help from her and everyone is intent on saving her next baby even though all I'm trying to get is help for this one.

[Revamp]

Originally Posted by Fi.

She's doing it again if she has another son. Period. It's not up for discussion. It is a reason we aren't allowed to talk about here and she's already made up her mind.

And don't mind me - I'm trying to get help from her and everyone is intent on saving her next baby even though all I'm trying to get is help for this one.

Wait, does "Everyone" include myself?

Because I did post you a link on the issue.

But yes, I am concerned about it and perhaps I thought that actual first hand experience with a circumcision complication would alter her mind. I am sorry to hear that it will not but since you did not mention that in your first post I was not to know. I would understand you being annoyed at me on any other board but when you come onto a forum called "The Case Against Circumcision" and talk about a boy's circumcision complication it is pretty certain that someone is going to mention persuading her not to do it again.

All the same, sorry again if I annoyed you.

And it is a pity about the secrecy thing, I have yet to see an argument that can not be countered on this issue.

[pdx.mothernurture]

Originally Posted by Fi.

She's doing it again if she has another son. Period. It's not up for discussion. It is a reason we aren't allowed to talk about here and she's already made up her mind.

And don't mind me - I'm trying to get help from her and everyone is intent on saving her next baby even though all I'm trying to get is help for this one.

Fi, it's pretty simple---he needs a meatotomy. It's more surgery. They can usually (supposedly) do it with a local. Some kids are too freaked to sit still and have shots in their penis, so he may need a general and all of it's accompanying risks. It's going to burn horribly when he pees for awhile, because the opening he pees from is going to be an open wound.

If she's insistant on circumcising, maybe she can opt for the loosest cut possible to damage the least amount of blood vessels, since decreased blood flow slows healing and contributes to ulceration and subsequent stenosis.

She might also consider, if she has another son, using a barrier cream or ointment the entire time he's in diapers to prevent urine from burning the glans and meatus, and also to change him very, very frequently.

I know "R" is a hard issue to deal with, and some parents can't be dissuaded. I'm sure it's frustrating/upsetting to you, so kudos to you for doing what you can for her and her son dispite this completely preventable complication.

Jen

[Revamp]

Originally Posted by pdx.mothernurture

It's going to burn horribly when he pees for awhile

Again?

[pdx.mothernurture]

Yep, Revamp. More cutting. More pain. More burning during urination. Another wound. Again. All because he didn't have a foreskin to protect his glans and meatus, and has decreased blood flow to his penis that impedes healing. Poor kiddo. At least 1/10 circed boys aquire meatal stenosis. Many more boys will have recircumcisions because their parents feel insufficient skin was removed during the initial circumcision. Others with botched jobs require other types of surgery. So many parents believe that once the initial healing is complete, they're out of the woods. Not so.

Jen

[stever_45723]

Meatal stenosis is the great dirty secret of neonatla circumcision. It affects to one degree or another 9-13% of all neonatal circumcised boys, and it is clearly caused by the circumcision becaue the condition is virtually unknown in uncircumcised boys. But parents don't realize there's a connection between the neonatal circumcison and the meatal stenosis because they don't realize the boy has th eproblem until they try to potty train him and discover there are problems with maintaining a steady stream of urine. I am certain that all doctors know the cause of the stenosis; I do not know of a single case in which the doctor told th eparents that the cause of the stenosis was the circumcision, an dit has been so long since the circumcision that parents understandably don't make the conneciton. They just assume their son has this condition and that it was something beyond their control.

[Islay]

Fi... (notwithstanding the state of English hospitals - that subject is done, dusted and put aside now, I hope) I have a less extreme suggestion that just might be an option.

Sadly, I was circumcised as an adult, as you may know. I suffered penile meatal stenosis shortly after the surgery. My condition as an adult could well have been very different from that of a little boy, so that must be kept in mind.

The opening was stretched by the insertion of a bulbous plastic 'stick', with a pull-push motion in and out. It was very unpleasant, of course, and had to be done several times. Nonetheless, it involved no additional surgery and it WORKED.

Christopher