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Not urinating after circumcision

post #1 of 34
Thread Starter 
I'm so sad to write this as I wasn't able to save my best friend's baby boy from getting circumcised. I was her doula and we discussed circumcision almost daily for the last 9 months. I made her read every single article on the subject, watch every single graphic video, etc, etc and prayed that she wouldn't do it after she saw how perfect he was after birth. I had written about her in a previous post asking for help:

http://www.mothering.com/discussions...10#post9695910

I was with her last night at the hospital when she signed the consent form. The nurse told her if they did it to make sure he peed before they took him home from the hospital. She didn't say why exactly this was, but she said that a lot of nurses don't tell the parents this, but that she was "old school" and that in her experience it was very important that they make sure he urinate before leaving the hospital. After the nurse left the room with the consent form and I was getting ready to leave, my friend's boyfriend/baby's father said that he didn't really want to do it any more (the circumsion)! My mouth almost hit the floor when I heard this and I turned around to try and persuade him not to. I had never talked to him about it all all (only to my friend) since she had begged my not to bring up the topic to him since it always made him get super angry and storm out. So I threw out a bunch of facts and info-- that their son was perfect the way he was, the rates in CA are only 28% and dropping yearly, they can always come back and get in done later, that it may affect breastfeeding (and they were already having breastfeeding challenges), that complications do occur such as hemorrage, etc, and that they shouldn't do it if they had any doubts at all (which it sounded like they did). I basically just told him several times to just not do it.

I talked to my friend today though and learned that they did go through with it. He was circumcised at 9am this morning and they were discharged at 1pm. No one ever mentioned to them again the part about making sure he had urinated before going home. I talked to my friend today and I didn't want to hear a thing about the circ since thinking about it makes me so sad and makes me want to vomit at the same time. I couldn't even bring myself to say the word circumsion to her. But, I just talked to her on the phone again and she says the baby has not peed since before his circ. It's been 15 HOURS. I did a quick google search while talking to her and most websites (including the AAP) said to call the pediatrician immediately if they don't urinate within 6-8 hours. I did find two other sites that said 12 hours and one site that said 18 hours. I told her she should call the doctor. They were just about to go to bed so they said they'd talk about it and then decide. She thinks if she calls they'll tell her to bring the baby in and she just wants to go to sleep! I told her to call me back if she ends up calling. Then I did some more googling and read that urinary retention after circumcision is an often overlooked complication that can lead to kidney failure! : I feel so sad for their baby right now. I wish I could have saved him. Does anyone else know anything about urinary retention after circumcision and how exactly the circ leads to this complication. Is it because the urethra swells shut or something? I really couldn't find much info on it.
post #2 of 34
I would imagine the circ causes swelling and makes the urethra swell so bad urine cant pass. Obviously this mama is not thinking clearly or she would be worried about him not peeing.

I am so sorry this happened to the baby and I hope all is well with him. If he dosnt urinate his kidneys could be damaged along with his bladder possibly rupturing.
post #3 of 34
you need to keep calling her and let her know this is an emergency situation, who cares about sleeping if your child gets kidney damage because you didnt think it was important enough.
post #4 of 34
You need to make sure that baby gets to an ER right NOW. That's an emergency, a baby died in Canada recently thanks to urine retention - caused by a plastibell ring.

Her baby is in DANGER how can she possibly want to go to sleep, what's the matter with the woman?
post #5 of 34
Please keep us updated, I hope they went to the ER :
post #6 of 34
I would call no matter what time of the day or night and INSIST they get to an ER.

This is a life- and health-threatening emergency. Period. And these parents are risking their son's life.

I'm sorry, but they don't sound like people who are responsible enough to have a baby in the first place. :
post #7 of 34
Quote:
Originally Posted by Quirky View Post
I'm sorry, but they don't sound like people who are responsible enough to have a baby in the first place. :
:
post #8 of 34
I hope the baby has been looked at by now and he is okay. Any update?
post #9 of 34
Sorry for that sweet baby.
Praying he heals from this experience and is okay.
post #10 of 34
Wow. Urine retention is a new one. :::

I feel so sorry for that little boy.
post #11 of 34
Quote:
Originally Posted by Papai View Post
Wow. Urine retention is a new one. :::

I feel so sorry for that little boy.
Fleiss's book says it is a known complication and I googled "circumcision urine retention" and even found a few studies on it.

Guess I will be adding that one to the risk list :
post #12 of 34
I've been thinking of this poor little boy all day...I Hope he is ok, I cant get him outta my head
post #13 of 34
I can't say anything cause I have nothing nice to say
post #14 of 34
Quote:
Originally Posted by carriebft View Post
I've been thinking of this poor little boy all day...I Hope he is ok, I cant get him outta my head
me too :
post #15 of 34
This needs to be outlawed! And that doctor put in Jail!!! Both parents were second guessing it. Neither really wanted to do this!!! WHY IN THE WORLD DID THEY GO THROUGH WITH IT??? The pressure from Doctors must be enormously powerful! And our society breaks back bones early on in childhood so that social conformity is easier to maintain. Who profits from that?
post #16 of 34
Thread Starter 
He peed-- at the 17 1/2 hour mark! They decided to give him 18 hours (since that's what one website said) before calling the doctor. I would have called a lot sooner though since most of the websites (including the AAP and a pediatric urology site) said 6-8 hours.

Thanks everyone. I was quite worried for him as well.
post #17 of 34
at least he peed I guess...... I wish they had gone sooner though. I hope no long term damage has been done.
post #18 of 34
Poor baby!
post #19 of 34
The AAP says that not having enough wet diapers is cause for major concern and the child should be seen by a doctor. This baby definitely qualifies!!!!!! I have a book open right here from the AAP and it says that less than 6 wet diapers a day is a cause for concern and the baby should be seen!

If it isn't from the circumcision, he may not be getting enough food or something. He could be dehydrated. Just not good at all
post #20 of 34
Quote:
Originally Posted by carriebft View Post
If it isn't from the circumcision, he may not be getting enough food or something. He could be dehydrated. Just not good at all
That's what I was thinking. He might not be nursing because of the trauma.
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