[sakurasanta86]

Please. Do not shame me. I made the wrong decision and I am shaming myself far more than any of you would anyway. Ive read and searched the site on this and I basically understand that circ'd adhesions are completely different than natural adhesions which release on their own, bc they are scar tissue that has healed.
My 2.5 yr old has an adhesion all the way around right about the coronal ridge. My almost 3 mo old has one in the same area but only about 1/3rd of the way around.
We saw a ped urologist who went with the "they *will* release on their own" route. I get very anxious/nervous with Drs especially with this bc I know most are not educated in this area. I know about the steroid cream but Im wondering if this will work with my 2.5 yr old since its been so long. He said he doesnt use it for this reason, only on intact boys. If he needs surgery I guess Id prefer it later anyway to be safer.
I dont want to leave it. I dont know what to do. Im wondering how I can find a ped urologist who may know more about this, an intact-friendly one perhaps?

 

[Ron_Low]

circ'd adhesions are completely different than natural adhesions which release on their own, bc they are scar tissue that has healed.

Right. Skin can form bridges between the shaft and the glans because the blunt probe that tore the foreskin away from glans by clumsily breaking the synechial membrane caused gouges and lesions in glans surface. That fact that not every circumcised boy has such skin bridging is actually amazing.

An intact boy might be diagnosed with "adhesion" between the foreskin and the glans. This diagnosis is malpractice. That adhered state is the normal and natural form of penis until the skin tube naturally becomes fully retractable from the boy's own curious manipulations - sometimes by age 10, often later. As the AAP says, only the owner should ever retract a foreskin. If he's not old enough to do it for himself, it doesn't need done.

Adhesions can mean something else. At the scar line of a circumcised penis the skin tube can heal badly, fusing to the underlying penile structure instead of allow the skin to slink and glide over the shaft. This is adhesion of the scar tissue to the penile shaft.

We saw a ped urologist who went with the "they *will* release on their own" route.

Chances are they won't, but that is still not a reason for early intervention. The damage is done. Without seeing it I'd say wait end let the patient decide at a rational age about what intevention is warranted. In the meantime, if he gently pulls at his own skin to draw it down the shaft away from the glans it may reduce the problem over time.