Nephew has hidden penis due to circ-can SIL just leave it alone? - Page 2

[db_9]

Originally Posted by Frankly Speaking

This is the common appearance of buried penis syndrome. It actually appears that there is too much skin left when actually, there is too little. This is the reason many boys are circumcised a second time. The doctors think from the appearance that there is too much skin left. In many of these cases, the child still has the same appearance after the second circumcision and in many of these cases, the child has to have a third procedure to replace the skin that was previously removed.




24 months is too early to make a "go or no go" decision as the child is likely to still have the fat pad. The typical time that buried penis self resolves is between 3 and 5 years old. The exception is if the child is exceptionally slender and it is apparent that the fat pad is not complicit.


Frank

Frank,
Thanks for the explanation. That was probably the most complete explanation I have found on the web thus far. Our son definatley still has the fat pad right now. If we push on the sides of it his penis pops out without a problem. So I know it is not trapped penis. Is there anyway to tell the difference between concealed penis and buried penis just by looking at it? My son actually looks very similar to the boy on the left in the pictures on this website:

http://www.rogerknapp.com/medical/circ_incomplete.htm

Also I was not planning on any surgery for my son. I was going to see the pediatric urologist when he turns 2 just to get a second opinion. Just to see if he/she believes it will pop out as he thins out.

Thanks for your help.

[Frankly Speaking]

Originally Posted by db_9

Is there anyway to tell the difference between concealed penis and buried penis just by looking at it?

Not likely. If you saw his penis before the circumcision and can remember what it looked like you can determine if it is concealed or buried. If his penis and glans hung outside the pubic mound, it would be buried penis. If the glans was pulled back into the pubic mound with only the foreskin sticking out, it would be concealed penis. If it was pulled into the pubic mound, it could also be a combination of concealed penis and buried penis. Until he loses the fat at the pubic mound, it can't be determined what the final result will be. That usually starts happening around 3 years old.


Frank

[thatblondegirl]

my son has a buried penis. he also has adhesions now because of it. i should never have had him circ'ed! but the ped told me to keep pulling on it and it'll dettach easily. then the next time i asked, he said to leave it and it'll dettach on its own. he has severe adhesions. it's attached all along the ridge of the head of his penis. i'm not quite sure what to do...other than NOT circing my next son!

[Frankly Speaking]

You really don't need to do anything. These adhesions are similar to labial adhesions girls get. In both cases, the adhesions will disolve on their own with time.

I find it often helps for mothers to understand why this happens. When boys are born, the foreskin is bonded to the glans by normal epithelial adhesions. Those adhesions will disolve with time. Now, when a circumcision is done, those adhesions are torn apart long before the time they would naturally disolve. The child's body views this as an injury and tries to heal the injury by "growing" the adhesions back to put his body back as closely as possible to it's normal state. These adhesions are normal epithelial adhesions, not adhesions of scar tissue and they will disolve when the proper time comes. The exception to this is when the circumcision scar adheres to the glans. This is scar tissue and is very unlikely to release on it's own. This type of adhesion almost always has to be surgically released.


Frank

[db_9]

Originally Posted by Frankly Speaking

Not likely. If you saw his penis before the circumcision and can remember what it looked like you can determine if it is concealed or buried. If his penis and glans hung outside the pubic mound, it would be buried penis. If the glans was pulled back into the pubic mound with only the foreskin sticking out, it would be concealed penis. If it was pulled into the pubic mound, it could also be a combination of concealed penis and buried penis. Until he loses the fat at the pubic mound, it can't be determined what the final result will be. That usually starts happening around 3 years old.


Frank

Thanks again Frank,
I guess I will just have to wait and see what happens. Would a pediatric urologist be able to tell? What concerns me is how am I supposed to potty train my son when his penis is buried/concealed?

[pantufla]

Originally Posted by db_9

Thanks again Frank,
I guess I will just have to wait and see what happens. Would a pediatric urologist be able to tell? What concerns me is how am I supposed to potty train my son when his penis is buried/concealed?

I don't understand what this has to do with potty training? He can pee, right?

[GinaRae]

Check into it carefully. I've read hidden penis almost always causes adhesions (something we're going thru now I think w/ one of my older kids)

[Frankly Speaking]

Originally Posted by db_9

Thanks again Frank,
I guess I will just have to wait and see what happens. Would a pediatric urologist be able to tell? What concerns me is how am I supposed to potty train my son when his penis is buried/concealed?

There is a great chance that a urologist is going to tell you that your son needs to be circumcised a second time.

There shouldn't be much difficulty in potty training. His penis will be in a position that the urine stream may go straight out or even arch upward missing the shield on the training seat but eventually, he will learn to press on the pubic mound with his forefinger and thumb to pop his penis out and grasp it to point it downward.

Check into it carefully. I've read hidden penis almost always causes adhesions (something we're going thru now I think w/ one of my older kids)

I've seen no research showing this to be the case but logic and reason would suggest a relationship between buried penis and post surgical adhesions.


Frank

[db_9]

Originally Posted by pantufla

I don't understand what this has to do with potty training? He can pee, right?

Yes he can pee. But it is more of an issue with aiming, if you know what I mean.