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Two wrongs don't make a right: friends to circ DS#2  

post #1 of 46
Thread Starter 
I'd like some advice and comments surrounding a situation with a very dear, close friend of mine.

I do not need a litany of medical articles, videos, blogs etc to direct her to - I have lots of that already. This situation differs from many others of families planning to circ for two reasons:
- previous birth losses coupled with complicated pregnancy this time
- DS#1 circ'd later for medical reasons

Our friends are expecting their third child in about 6 weeks. This is the background of the whole situation:

Before they became parents

The husband is circumcised (b/c "everybody just did it then" - his dad and brothers are all circ'd). In spite of the family bias, this couple explored the circumcision issue in some detail when pregnant with their first child. They agreed that there was no need for circumcision and planned to not circumcise any sons they would have. They had a daughter, then a son. DS#1 was not circumcised. All good so far. . .

First son was circumcised at 5 for medical reasons

When their son was 5-years-old, they noticed a problem with his urination, that progressively worsened. They saw a couple of doctors about this and were advised that the only way to correct the problem was to have DS#1 circumcised. They were keen to ensure that the surgery and post-op was as painless for him as possible and planned this in some detail with the doctor.

The operation was a traumatizing horror, for the parents and DS#1. It was a very sad story about little or no anesthetic, DS#1 being completely out-of-control from fear and pain for some time after the surgery, blood all over the place. . . just bad, bad, bad. Nothing the way it was supposed to be. : DS#1 eventually healed and life carried on.

Some time later, in the midst of TTC, my friend told me that due to the horrible experience with DS#1, they would circumcise any baby boys they might have in the future.

We are now all joyfully anticipating the arrival of their third child, a boy.

This comment of my friend's haunts me. Today, when I found out for certain that they are having a son, I asked her about the previous comment. She said that they still feel the same way and intend to circumcise the baby.

The short conversation we had about it today did not go into detail about the technicalities of how a circumcision is performed, decreased sexual pleasure, risk of painful complications, etc. b/c brevity was necessary and b/c my friend said she read a lot about this when they initially decided they wouldn't circ their sons.

Things that I did say included:
- If this baby was a girl, you would be horrified if someone was suggesting you cut off part of her genitals.
- Although the situation with DS#1 was terrible, it's not to say you could expect the same problem with DS#2 (b/c docs didn't give any info that the problem was hereditary).
- While DS#1 had a problem that required surgery (the surgery was the circ at age 5) this certainly can't be a common problem with intact males - evidencing that most of the world does not circumcise males.
- Yes, problems can occur after birth with various parts of the body. This may involve painful surgery later. Yet we don't cut off other parts (eg. a baby's finger) as a prophylactic measure.
- Two wrongs don't make a right (b/c she seemed to be saying "Well, DS#1 had to go through horrible pain without adequete anesthetic" as if to say "so his brother might as well join him b/c that's fair"). I guess I mean more closely: "Two bad events don't make a "good" b/c I'm not opening for debate whether the circ of DS#1 was necessary, or not. That's how two doctors told them to fix the problem. That's what got done.
- Let your perfect, beautiful new baby keep all the body parts he grew inside of you.

My friend said she would talk it over further with her husband. I'm skeptical that anything I've said will change their minds. I wasn't there when their 5-year-old was screaming and almost hallucinating from pain. I know that is now forefront in their minds.

I feel compelled to tread gently and with compassion. I love my friend. I have told her that I'm not going to harp on it every time I speak to her, but that I feel very strongly about the matter.

While not directly related to the circ matter, a further reason I am not prepared to act in a heavy-handed way is the battle our friends have weathered just to welcome this third child into their family:

After two perfect pregnancies and two perfect kids, my friend lost two babies in mid-pregnancy (different reasons). Both times, it was very hard on them and an excruciating decision for the couple about whether they should try again. My friend has had a lot of scary cramping/spotting/pain in the earlier part of this pregnancy (fibroid and retroverted uterus have likely contributed). NOW, it looks like she will probably have to have a c-section due to placenta previa. We are all happy that this baby is doing well and grateful that c-section is available for cases like this (I'm pretty anti-c-section most other times). But I know my friend is apprehensive about the surgery and mourning the loss of a natural childbirth. I don't want to add to her angst.

I want to be a supportive friend in these difficulties. I don't want her to feel abandoned because I don't agree with their plan to circ DS#2.

How would you navigate this situation with compassion (and hopefully effectiveness)?

Many thanks for reading the long post!
post #2 of 46
Well my first question is what was DS#1's medical problem and how did circ help resolve it?

You mentioned problems with his urination, was it a UTI?
post #3 of 46
You sound like a caring and compassionate friend.

I guess the big question is this: How likely do they think it is that their new baby will experience the same problem that his brother did?

Followed by two more questions:

1. Do they believe that the surgery on their first son was performed correctly, and that ALL circumcisions are like that (it sounds like a giant case of malpractice to me). Most folks understand that circumcision performed on an older child or adult is less risky than on an infant, because adequate pain relief CAn be used, and the parts they're cutting are a lot bigger (more margin for error).

2. Do they truly feel it is appropriate to subject a normal, healthy infant to a painful operation NOW, on the very slim chance that he might require the same operation later, AND the even more slim chance that it would be done without anesthetic? Babies are much less likely to receive adequate anesthetic than older children, so the chance of the new baby having the sort of horrible experience as his brother is greater if they do it now.

I certainly understand your reservations, but it seems to me as though they have blinders on. I hope you can help them come to a decision they can feel good about.
post #4 of 46
Why don't they think their newborn will experience the same level of pain if they circ him? Why is it okay to put a newborn through that kind of pain but not a 5 yr. old?
post #5 of 46
Wow Hugs to you and them. I can see why you want to tread lightly with this. And what an aweful experience for them and their DS1. It makes my heart ache just reading. I can only imagine how traumatizing that was for all invovled. If I were you I would gently point out that what they witnessed IS the pain of circ. A newborn most often gets NO pain relief. But a newborn also has no ability to express how excruciating the procedure is. Maybe they could see that while DS1 experience was truly heart-wrenching( and I wouldn't wish it on my worst enemy), it could be considered a gift as well. They got to see how horrible it is and KNOW in a way that most don't, what they are saving DS2 from. Just a thought.
post #6 of 46
Who the *UA violation* circs a five year old without general anesthesia?
post #7 of 46
Quote:
Originally Posted by Meredith&Alexander View Post
Who the *UA violation* circs a five year old without general anesthesia?
I would have sued the *&^% out of him that's for sure. Yet another of why you're better off taking you child to a vet then trust them with some of the peds out there! Vets might not be trained to treat humans but at least they know how to be humane!
post #8 of 46
Thread Starter 
Quote:
Originally Posted by Papai View Post
Well my first question is what was DS#1's medical problem and how did circ help resolve it?

You mentioned problems with his urination, was it a UTI?
I don't know what the medical terminology was for DS#1's problem that led to his circumcision at age 5. I do know it was not a UTI.

Due to son's young age, mom was sometimes present in bathroom to help with pants, etc (he's not a particularly-independent kid). She noticed one day that the normal "stream" of urine wasn't normal anymore - kinda' splattering and spluttering and "looking funny" as it came out. Over about a month or so, this got visibly worse and worse. . . I don't know exactly, but I think some of it was streaming out from the penis like normal, some sort of running underneath the bottom of the head and dribbling. There were multiple streams directing off the head of the penis in various ways, thus he couldn't really properly direct where it was going b/c it wasn't one normal contained stream. That's my best understanding of what was going on - might not be fully correct.

I have always wondered if a circumcision was necessary. I wondered if it was perhaps something similar to a labial adhesion in little girls and would have self-corrected in time, or been corrected with application of a cream.

I know they asked the doc if the problem would just "go away" (ie. self-correct) if they waited it out. They were told they needed the surgery. I'm a big one to question medical authority (only since birthing my own kids) but my friend is very much "doctor knows best".
post #9 of 46
Thread Starter 
Quote:
Originally Posted by nd_deadhead View Post
I guess the big question is this: How likely do they think it is that their new baby will experience the same problem that his brother did?
From what I've gathered, they don't think it is very likely the baby would later experience the same problem his older brother had. On the other hand, when they experienced their first pregnancy loss at apx 23 weeks (due to non-immune fetal hydrops and many other complications) they were basically told there was no genetic reason for the loss and to try again a la "lightening doesn't strike twice". So having now lost a second baby (for reasons the doctors could not determine, but they did say it was not the same as the previous baby) I think they would be pretty wary about medical stats suggesting how unlikely a repeat event would be. You know: "once bitten, twice shy".

Quote:
Originally Posted by nd_deadhead View Post
1. Do they believe that the surgery on their first son was performed correctly, and that ALL circumcisions are like that?
No, they clearly said in the past that they thought the surgery and post-op care was completely botched and that it didn't at all follow what they had discussed with the doctor (and carefully prepared their son for).


Quote:
Originally Posted by nd_deadhead View Post
2. Do they truly feel it is appropriate to subject a normal, healthy infant to a painful operation NOW, on the very slim chance that he might require the same operation later, AND the even more slim chance that it would be done without anesthetic?
I don't know. . . I'm so confused by the logic of "What happened to DS#1 was horrific, so let's make absolutely sure that DS#2 experiences the same pain". I'm wondering if simply it doesn't seem like such an ordeal in their minds, because the newborn won't be able to speak about his pain.
post #10 of 46
It sounds like he was beginning to retract....and they circumcised him for THAT?!?!?: Poor guy.

I don't know what to tell you....but I also have a friend who is 30 weeks pregnant with a boy and he will be circumcised. There is just no getting around it.
post #11 of 46
Thread Starter 
Quote:
Originally Posted by Tinker View Post
Maybe they could see that while DS1 experience was truly heart-wrenching( and I wouldn't wish it on my worst enemy), it could be considered a gift as well. They got to see how horrible it is and KNOW in a way that most don't, what they are saving DS2 from. Just a thought.
Thank you for this perspective. Speaking of the insight their previous horrible experience provided, as a "gift" with which to better-protect their newborn is a new and interesting slant on the situation. Keep 'em coming!

I've already pointed out that given how many intact men and boys are around, the problem that led to DS#1's circ must be pretty uncommon.

But this comment might appeal to their kind and gentle nature. I know, I know. . . some of you are reading this and thinking "Ack! What sort of 'gentle' parent cuts off part of a baby?!" but they really are. The gentle discipline, humour, and care with which they parent is a frequent inspiration to my husband and I. This circ of son #2 is a complete incongruity.
post #12 of 46
Thread Starter 
Quote:
Originally Posted by KMK_Mama View Post
It sounds like he was beginning to retract....and they circumcised him for THAT?!?!?: Poor guy.
Although my question is now wandering a little off-topic (I still need new variations on how I might be able to convince them to leave newborn son intact), I was hoping you could explain this, KMK_Mama.

Why would a young boy's foreskin starting to retract make urinating a mess? From what mom told me, it sounded like things were "closing up" over the head of the penis - which seems to me to be opposite of what would happen if the foreskin was starting to retract.

Just curious as our three sons are intact, but the oldest is only 2.5.
post #13 of 46
i would say since she had a hard time getting that baby be thankful that you got him dont risk his life for something that is not needed if in the future if it is needed then his body will be stronger to be able to deal with it babies do die getting cut so why put a child that you struggled to get in to this world risk his life
post #14 of 46
Quote:
Originally Posted by ManitobaMom View Post
I don't know what the medical terminology was for DS#1's problem that led to his circumcision at age 5. I do know it was not a UTI.

Due to son's young age, mom was sometimes present in bathroom to help with pants, etc (he's not a particularly-independent kid). She noticed one day that the normal "stream" of urine wasn't normal anymore - kinda' splattering and spluttering and "looking funny" as it came out. Over about a month or so, this got visibly worse and worse. . . I don't know exactly, but I think some of it was streaming out from the penis like normal, some sort of running underneath the bottom of the head and dribbling. There were multiple streams directing off the head of the penis in various ways, thus he couldn't really properly direct where it was going b/c it wasn't one normal contained stream. That's my best understanding of what was going on - might not be fully correct.

I have always wondered if a circumcision was necessary. I wondered if it was perhaps something similar to a labial adhesion in little girls and would have self-corrected in time, or been corrected with application of a cream.

I know they asked the doc if the problem would just "go away" (ie. self-correct) if they waited it out. They were told they needed the surgery. I'm a big one to question medical authority (only since birthing my own kids) but my friend is very much "doctor knows best".

Oh my god.

It sounds to me like the foreskin was starting to separate! It's totally normal to have a "hose-like" spray.

Wow.



Misinformation, lies and intimidation lead to his circ.
post #15 of 46
Thread Starter 
Quote:
Originally Posted by littlemizflava View Post
i would say since she had a hard time getting that baby be thankful that you got him dont risk his life for something that is not needed if in the future if it is needed then his body will be stronger to be able to deal with it babies do die getting cut so why put a child that you struggled to get in to this world risk his life
I see the point you are trying to make, but (respectfully) I don't know if I want to be that harsh/direct. I think my friend would see that as hurtful if I were to in any way suggest that she is risking her baby's life after so desperately wanting him in her family.

I know some will read that and say, "Well, that's just the hard truth! She is risking his life". I realize that is true in the most absolute sense. But I guess I'm saying I don't think it's realistic to tell her that, in hopes she'll change her mind:

Death as a complication of circumcision is very, very rare. If I want her to give weight to such an unlikely event, then I should also give weight to the very unlikely prospect that this new baby would have a medical issue at age 5 that a doctor would say required circumcision to correct. I don't want her to choose newborn circumcision to prevent that very unlikely outcome. So I don't think it's fair to cite very-unlikely death as a reason to avoid the circumcision now.
post #16 of 46
Oh, the poor little boy :

What a horrible experience for the whole family
post #17 of 46
.
post #18 of 46
Quote:
Originally Posted by Papai View Post
Oh my god.

It sounds to me like the foreskin was starting to separate! It's totally normal to have a "hose-like" spray.

Wow.



Misinformation, lies and intimidation lead to his circ.
:
post #19 of 46
Manitobamom, would you mind if I shared this story with someone? I know someone who is going to circ her DS when he turns 1 and is perfectly content in her knowledge that he will have adequate pain relief.
post #20 of 46
Thread Starter 
Quote:
Originally Posted by Tinker View Post
Manitobamom, would you mind if I shared this story with someone?
Go ahead and share. . . I'd have to be pretty spaced-out to consider anything I've shared on the internet to be "private" somehow!

I questioned whether I should post about this situation in such detail. I don't think my friend is likely to be on this forum, but she would certainly recognize this story as her own if she read it. Unfortunately, I didn't think I would be able to get meaningful advise if I posted without all the background about their son's botched surgery and their difficulties in adding child #3 to their family. I would hope that if she ever sees any of this, she can see that it is all in my sincerest effort to honour our friendship and do well by her and her baby.

Regarding your friend: I can't imagine why she would be comfortable in that idea. "Adequete" anesthetic? So what?! No poking/prodding/cutting medical procedure on the body is painless, no matter what you get for drugs! I had local anesthetic as a child when a plantar's wart was removed. It hurt like #@$%&! (The HUGE needle for the anesthetic AND and actual removal). We've all read stories about women who had c-section with proper/normal/adequete anesthetic versus those few who receive inadequete anesthetic. Have you ever heard of any of the properly-anesthetized women referring to the ordeal as "painless"!? Yeesh! :
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