"Adhesion"? What to do? - Mothering Forums
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#1 of 7 Old 08-14-2011, 10:39 PM - Thread Starter
 
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Okay, so DS is uncirced and had 1 uti two years ago (he's currently 4 years old). We treated with abx and he was fine. We traveled to california recently and he did a lot of swimming, ocean and pool, and came up with "it burns to pee" and some red inflammation. So we took him to the dr. whose an ODM.

So we were explaining that he's red on the glans (like I thought that was part of his symptoms of the UTI) and he checked because I guess the irritation of the glans and foreskin is separate from the UTI/Bladder infection. So he pulled back on the foreskin but only as far as it would go (1/3 of the way back on the glans). And it is all red in there.

What he said was that at 4 years old he should be able to fully retract himself, and that DS has "adhesions" and should probably be circed because his foreskin is "adhering" to the glans, which will cause problems later with erections and whatnot. I immediately stated that we are philosophically opposed to circ, and was this a medically necessary thing or did he think we could, you know, work on it, like in the shower and stuff. He responded well, telling us that there was no immediate need to circ and yes, we could work on getting him to retract more. To avoid (or attempt to avoid) a medically necessary circ.

So any experience with this? I'm under the impression that forcibly retracting is a bad thing, but is "working on it" going to cause infection? If he does have "adhesion" problems, will it negatively affect him to the point of needing circ? A medically necessary circ later in life is not at all the same as cutting an innocent baby, IMO. And I don't have to make a decision right away, DS can have plently of feedback on it, you know? But it really does look like his foreskin is, um, too small of an opening for his glans. Whether it's actually "adhered" to the glans, well I guess I have my doubts, but it could be?

FTR, if it helps, my DH had some adhesion problems in puberty and when he worked on them, he retracted himself and it never went back. So he's permanently retracted, which makes him looked circumcised. I guess I'm sharing because there's some genetics at play here and also his dad has history of pain and issues with it.

Any feed back is helpful, and TIA!

K: high school teacher and mama to DS1 (7/07), loss (10/10) and DS2 (7/12). Married to my best friend and soon to be elementary school teacher!
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#2 of 7 Old 08-14-2011, 11:05 PM
 
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At 4yo it is 100% normal for him to not be retractable or to only retract as much as he does now. My ds was not retractable at all at 4yo but he is totally retractable now at 6yo I know cause he showed me lol.gif

The Dr. is wrong telling you that he should be able to retract all the way at his age. If he could do so that would be normal as well but not being able to is just as normal. The avg age of retraction is 10.5yo but can happen at any time from birth to adulthood.

If you where to try and help it retract you could very well hurt your ds and cause scar tissue to form leading to him really having problems down the road and actually get the foreskin caught behind the glans called paraphimosis which is an emergency situation. Your ds however can mess with it all he wants and he will know when it is to much and will stop 99% of the time. No one but your ds should try to retract him to see how far it goes actually because of what I mentioned above.

Here is a link about the separation process and what you might see during it and also more on phimosis and how to deal with that if it happens http://www.mothering.com/discussions/showthread.php?t=764732 it is very rare but to me knowing what to do about it helps me not worry about it.

The burning he was feeling could very well be because of separation going on. When the foreskin starts to release it leaves behind little raw areas sometimes that burn when urine touches them. If you have ever had a tear or cut near your urethra or even a bad yeast infection you know what I am talking about.

The tip of the foreskin is a sphincter and like the anus releases to allow urine to pass and then closes down to keep out germs when not in use. As he ages the sphincter relaxes allowing for easy retraction but at his age it will be pretty tight especially if someone is messing with things.

The natural color of the inner foreskin and glans is a deep reddish/purple depending on the skin tone on the child. So it being red dosnt mean much unless you see sore areas or other signs of infection.

I dont know about your ds but mine has had erections since birth and well before he became retractable and he never had issues with his foreskin being attached so there is no reason to think that your ds would have issues with that either especially if you have seen them and he wasnt in any pain with them then.

Now if like your dh he is well into puberty and has some spots that have not let go then like your dh he can deal with them then using either stretching by itself or with a little help from steroid cream but for now there is nothing wrong with your ds and he definitely dosnt need to be circed because he cant retract. Way to early to even consider that option.






 
SAHMlady.gifread.giflovin' trekkie.giffan intactivist.gifwinner.jpg to loveeyes.gifenergy.gifDD 10/00 & superhero.gifmoon.gifDS 10/04 ribbonpb.gifIf your ds is intact, keep him safe, visit the Case Against Circ forumnocirc.gifCirc, a personal choice, Your sonsyes.gifbrokenheart.gif11/98brokenheart.gif6/99ribbonbrown.gifanti-tobaccoribbonyellow.gifThyroid cancer survivor. With cat.gif& goldfish.gif & (Boxer)dog2.gif wishing 4 whale.gif&ribbonwhite.gifsigncirc1.gifselectivevax.gifdelayedvax.gif

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#3 of 7 Old 08-14-2011, 11:15 PM - Thread Starter
 
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Mctlovr, thank you. That's exactly what I needed to here. I thought the same thing, but I get worried, you know... Thanks again.

K: high school teacher and mama to DS1 (7/07), loss (10/10) and DS2 (7/12). Married to my best friend and soon to be elementary school teacher!
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#4 of 7 Old 08-14-2011, 11:19 PM
 
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It can be very worrisome when a Dr. who should know what he is talking about tells you something like that. I am glad I was able to help ease your worries a bit.

 
SAHMlady.gifread.giflovin' trekkie.giffan intactivist.gifwinner.jpg to loveeyes.gifenergy.gifDD 10/00 & superhero.gifmoon.gifDS 10/04 ribbonpb.gifIf your ds is intact, keep him safe, visit the Case Against Circ forumnocirc.gifCirc, a personal choice, Your sonsyes.gifbrokenheart.gif11/98brokenheart.gif6/99ribbonbrown.gifanti-tobaccoribbonyellow.gifThyroid cancer survivor. With cat.gif& goldfish.gif & (Boxer)dog2.gif wishing 4 whale.gif&ribbonwhite.gifsigncirc1.gifselectivevax.gifdelayedvax.gif

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#5 of 7 Old 10-18-2011, 03:01 PM
 
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Quote:
Originally Posted by MovnMama View Post

FTR, if it helps, my DH had some adhesion problems in puberty and when he worked on them, he retracted himself and it never went back. So he's permanently retracted, which makes him looked circumcised. I guess I'm sharing because there's some genetics at play here and also his dad has history of pain and issues with it.

Any feed back is helpful, and TIA!


 

So your husband has permanent paraphimosis?  His foreskin is trapped behind his glans permanently?  I've honestly never heard of that not causing tremendous pain and swelling.  Does his physician know about it?  I find that incredibly odd.

 

I'm a Family physician myself, and your doc is wrong, wrong, wrong.  There's no medical, anatomical or physiological need for your son to be retractable at this age.  No need to stretch or mess with it at all.


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#6 of 7 Old 10-18-2011, 07:13 PM
 
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Welcome to the forum. LonelyPageTurnr..!  I'm sure your knowledge and experience as a family physicial will be of great value here. 

 

The "permanent retraction" mentioned by MovnMama is very unusual, if her DH is not able to replace the foreskin if he tries.  Many men prefer to keep the penis foreskin retracted, and with some cultures it is almost universal (i.e., Japanese).  If he cannot replace the foreskin over the glans, then I guess that would be paraphimosis, and I would imagine there would be some pain, especially with erections and intercourse.  I also would imagine that to be fairly rare...  Maybe MovnMama can elaborate...

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#7 of 7 Old 10-19-2011, 04:27 AM
 
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Thanks for the welcome!  I've enjoyed reading here a lot over the last few years.  I'm one of the few physicians in the area that doesn't treat intact children (and the very few intact men here) as lepers.  I see the issues caused with bad advice, and I noticed how many women come here for advice, so I thought I'd pop on here and help out.  I'm also not a very typical anti-circumcision advocate, so I hope that doesn't lead to people being upset. 

I would love to hear from MovnMama about her husband though, because it's simply something I've never heard of. 


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