A fever does not necessarily mean infection! The child could just be sick. What a terrible doctor. Why assume it is the penis???
1st: Foreskin has NOTHING to do with UTI. Foreskin does not cause them and does not encourage them. Without a urine sample there would be no way to diagnose this.
2nd: Without a culture showing a bacterial infection that doctor could not know if there is one. Bacterial infections appear as MAJOR swelling of the entire penis. The penis will be like 3 times its normal size. Bacterial infections are rare and usually caused by trauma such as forcible retraction. Which brings me to...
3rd: Now that this boy has been forcibly retracted he has an open wound to his penis which is now open to become infected. The proper care for him is to LEAVE IT ALONE. There might be some moderate swelling due to the trauma and the urine might sting the glans for a few days. Unless the swelling gets EXTREME this should not be of any concern. Smegma discharge comes in all colors and smells. Smell does NOT indicate infection. The thing with boys is that the smegma has been in there awhile so it will often smell a little when it is expelled from the body. This goes away as a boy matures and becomes retractable. If he is in diapers make sure she knows to change them as soon as they become wet or soiled.
4th: Give the child some cranberry juice (just-in-case). If the fever does not improve have a urine sample done but DO NOT go back to that doctor!!! Just go to the normal pedi. There is no reason to see a urologist for this. If he a baby they can bag his penis to get a clean catch, or she can hold him over a cup when he first wakes up to get a clean catch.
5th: Give him a bath with a little baking soda in it to soothe the wounded penis. If it is a small baby bath you only need one tablespoon. For a big bath about 1/3 cup of baking soda. And finally...
6th: If any other doctors suspect infection a culture should be done. Just as you do a culture for a woman. The culture will tell you if it is bacterial or yeast. A culture is done by swabbing the tip (NO RETRACTION). IF there is any bacteria or yeast it will be present on the tip of the foreskin. I highly doubt this child had and infection, but if he did it would be much more likely to be yeast. A culture should always be done before prescribing any creams or medications.
I'm so sorry for this baby. I hope your friend understands that this doctor knows nothing about the intact boy. You can report him to D.O.C. (www.doctorsopposingcircumcision.org
) and they will send him information and a little letter. This would be a great thing to do to protect him from harming other intact boys.
Keep us posted.