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Discussion Starter · #1 ·
Hi! I haven't posted on MDC in a few months as I have been very busy with a new baby.<br><br>
My question has to do with my 9 yo DS. He is intact (thankfully DH did a 180 when he heard a poor little guy being circ'ed in the nursery when our DS was born, that was all he needed to see things my way).<br><br>
He has an adhesion between 1 and 2 o'clock (if that makes sense). I had thought that that wasn't normal for his age but after reading her a bit I see that it probably is. The problem now though is that he has been having intermitten pain from his glans that radiates into his abdomen. It was so bad one night that we took him to the ER (well I was stuck at home with my newborn but DH had strict instructions to not submit to a circ because I am almost 100% that that wouldn't help but that they would probably insist).<br><br>
We were told to give him tylenol and to follow up with a doc. We had done the whole steroid cream and that didn't work (wouldn't do that again). The doc referred us to urology saying they would probably want to operate but that she didn't see a need for a circ. Upon examining him, there doesn't seem to be an obvious source for his pain, no redness or swelling, etc.<br><br>
The urologist was a total, well, you know. The first words out of his mouth was "Circumcision wouldn't be a bad idea." even though he hadn't even examined him yet. Rather than going with my gut and saying "Umm, no it would not" I just said, if the adhesion needed to be repaird, his foreskin CAN remain intact, right?" and he agreed.<br><br>
Now he is insisting that we force back the adhesion every day until we break it down totally. And with the steriod cream. I asked about the long term side effects of using the cream and he said something about the adrenal glands not working properly for a while (as if it wasn't a big deal) and said nothing of the risk of thickening of skin, etc.<br><br>
He TOTALLY blew off our concern of my son's pain. Seriously, my son was doubled up on the floor of the kitchen the day we took him to the ER. And because the doc couldn't see an obvious source of pain, he blew it off and tried to make me feel like a bad mother because I didn't offer him explicit details of the nature of the pain (where does it start, is it sharp, etc.) Because "You see, you really need to be on top of these things. You can't even tell me the nature of the pain."<br><br>
I quickly responded with the type of pain, where it starts, the frequency of it, etc. and pointed out that if he had read into my sons chart, it was right there on the ER report.<br><br>
Needless to say I am not dealing with that individual again. After I asked again about the longterm effects of the steroid cream, he just said, "Fine put bacitracin on it." and promptly left.<br><br>
Is this pain normal? We are in the military health care system so our choices aren't the greatest. I can probably make an appointment to see a different urologist.<br><br>
Thanks for any advice. DH is kind of at a loss also because he is not intact and I am not sure he knows anyone who actually is.<br><br>
Celina
 

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Celina2 I am not sure I can answer all your questions but I'll try and address some of the things I know for sure and hopefully someone else will come along and fill in the gaps.<br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Celina2</strong> <a href="/community/forum/post/10695205"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Hi! I haven't posted on MDC in a few months as I have been very busy with a new baby.<br><br>
My question has to do with my 9 yo DS. He is intact (thankfully DH did a 180 when he heard a poor little guy being circ'ed in the nursery when our DS was born, that was all he needed to see things my way).</div>
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First congratulations, of course, for leaving your son intact. He is a lucky little guy. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Celina2</strong> <a href="/community/forum/post/10695205"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">He has an adhesion between 1 and 2 o'clock (if that makes sense). I had thought that that wasn't normal for his age but after reading her a bit I see that it probably is.</div>
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Yes this is normal. The average age for complete retract ability is around 10.5 years; however, this is not fixed. For some boys it occurs earlier others later. Some may not be retractable until well into their teen years. So the fact that there are adhesions shouldn't be a concern. Just leave it be.<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Celina2</strong> <a href="/community/forum/post/10695205"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">The problem now though is that he has been having intermitten pain from his glans that radiates into his abdomen. It was so bad one night that we took him to the ER (well I was stuck at home with my newborn but DH had strict instructions to not submit to a circ because I am almost 100% that that wouldn't help but that they would probably insist).<br><br>
We were told to give him tylenol and to follow up with a doc. We had done the whole steroid cream and that didn't work (wouldn't do that again). The doc referred us to urology saying they would probably want to operate but that she didn't see a need for a circ. Upon examining him, there doesn't seem to be an obvious source for his pain, no redness or swelling, etc.<br><br>
The urologist was a total, well, you know. The first words out of his mouth was "Circumcision wouldn't be a bad idea." even though he hadn't even examined him yet. Rather than going with my gut and saying "Umm, no it would not" I just said, if the adhesion needed to be repaird, his foreskin CAN remain intact, right?" and he agreed.</div>
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Now all of this I am not sure of. The process of becoming retractable does occasionally involve some soreness and discomfort but it isn't exactly as you are describing it so I am not sure what you're going through here. I am hoping someone else will be able to help with that. Meaning I am not sure what this radiating pain could be.<br><br>
As for the cream that is not indicated for a boy of your son's age. Steroid cream is used to treat phimosis on those who by their mid to late teens (sometimes older) aren't fully retractable. Your son isn't there yet he isn't even at the average age so don't go with that again. Also if you have the opportunity I would get specifics on why a circumcision would be a good idea; how will that treat the problem he is experiencing. Rake this guy over the coals I don't see how it could help.<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Celina2</strong> <a href="/community/forum/post/10695205"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Now he is insisting that we force back the adhesion every day until we break it down totally. And with the steriod cream. I asked about the long term side effects of using the cream and he said something about the adrenal glands not working properly for a while (as if it wasn't a big deal) and said nothing of the risk of thickening of skin, etc.</div>
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No again it isn't yet necessary. Perhaps another reader could be good enough to post the appropriate references that you could share with your doctor it is clear he doesn't know anything about intact boys.<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Celina2</strong> <a href="/community/forum/post/10695205"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">He TOTALLY blew off our concern of my son's pain. Seriously, my son was doubled up on the floor of the kitchen the day we took him to the ER. And because the doc couldn't see an obvious source of pain, he blew it off and tried to make me feel like a bad mother because I didn't offer him explicit details of the nature of the pain (where does it start, is it sharp, etc.) Because "You see, you really need to be on top of these things. You can't even tell me the nature of the pain."<br><br>
I quickly responded with the type of pain, where it starts, the frequency of it, etc. and pointed out that if he had read into my sons chart, it was right there on the ER report.<br><br>
Needless to say I am not dealing with that individual again. After I asked again about the longterm effects of the steroid cream, he just said, "Fine put bacitracin on it." and promptly left.</div>
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I hope you don't deal with him again it is time for a new doctor.<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Celina2</strong> <a href="/community/forum/post/10695205"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Is this pain normal? We are in the military health care system so our choices aren't the greatest. I can probably make an appointment to see a different urologist.<br><br>
Thanks for any advice. DH is kind of at a loss also because he is not intact and I am not sure he knows anyone who actually is.<br><br>
Celina</div>
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I am at a loss for what this might be. I don't think normal discomfort due to separation would radiate as you describe toward the abdomen and is very unlikely to cause the distress you described. Normal separation discomfort would involve soreness/redness/slight swelling in and around the head and foreskin. It typically last for about 48 hours or so. What you're describing sounds different and has nothing to do with being intact. If you do see someone else try and get more specifics, especially if they try and push a circ, bring those here. Why and what would it accomplish ect..<br><br>
Also it is normal for your son to still have a non retractable foreskin so don't try and treat that it will retract on it's own schedule. Hopefully someone else can fill in the blanks. Keep us posted.
 

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The attachments are normal and will break down over time like they should. If not then when he is a older teen then he can do the steroid and stretching.<br><br>
I honestly dont have any idea why he would have been in so much pain <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> Could he have had a yeast or bacterial infection or maybe even a UTI. That is all I can think of. He might have accidently torn a attachment loose while self exploring causing him a lot of pain as well.<br><br>
Is he having pain now or was it just that one bad time? Here is something you cna read over that might help some <a href="http://www.mothering.com/discussions/showthread.php?t=764732" target="_blank">http://www.mothering.com/discussions...d.php?t=764732</a> there are ideas on how to help with pain managment during the seperation process and some other things as well.<br><br>
I am sorry you didnt get the help you needed from the Dr's. You might consider writing to Marilyn Milos RN or one of the Dr's from doctorsopposing circ and get more information. They are usually more than happy to help.
 

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Discussion Starter · #4 ·
Thank you for your input and advice. My son's pain comes and goes. We are at a loss as to what causes it. It is clear that it isn't caused by an erection pulling on the adhesion though I think the "doc" said that is probably what it was (I did correct him and he blew me off again).<br><br>
I will update when we know more. He had some pain last night but it had been days since the last time he had pain.<br><br>
Celina
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Celina2</strong> <a href="/community/forum/post/10698960"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thank you for your input and advice. My son's pain comes and goes. We are at a loss as to what causes it. It is clear that it isn't caused by an erection pulling on the adhesion though I think the "doc" said that is probably what it was (I did correct him and he blew me off again).<br><br>
I will update when we know more. He had some pain last night but it had been days since the last time he had pain.<br><br>
Celina</div>
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Celina I forgot to suggest this but another poster did point this out. Perhaps you should email or call NOCIRC. I am told they can help you find a knowledgeable Dr. in your area for a referral. I think this might be a good idea in your case.
 
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