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<p>Dear all,</p>
<p> </p>
<p>In August I once retracted my son's foreskin so far that I could see his glans. During diaper changes I had been pulling my son's foreskin tight so I could wipe the tip, but this time all of a sudden the foreskin slid back and I keep going -- until my poor baby said "mama, hurt!" I felt awful, but since there was no blood and apparently no further effects I thought no more about it. But now I've noticed that his foreskin has started to balloon when he pees (it never did this before) and I've tried to see if the foreskin is still loose, but it's closed completely. I've talked to our pediatrician, and she wants me to use a steroid cream and see a urologist. But I don't want any unnecessary medical intervention. I have no idea what's normal and what I should do -- please help!</p>
<p> </p>
<p>Thank you!!</p>
<p> </p>
<p>Genevieve, mom to beautiful Teddy (20 months)</p>
 

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Retracting can cause problems as you have seen. That is why the rule is no one retract but the owner of the penis. At your ds's age if you will just leave it alone odds are really good it will repair itself from any damage you might have caused by retracting him so much.<br><br>
The ballooning is 100% normal and nothing to be concerned about. It just shows that your ds's glans is no longer attached to his foreskin which is a normal, healthy part of the separation process.<br><br>
It is imperative that you no longer try to retract him not even a little bit because you can cause scar tissue to build up leading to real problems for him down the road.<br><br>
At his age the use of steroid cream is a big nono because his body isnt ready to retract yet and even if it where to help him retract once you stopped the cream then he would go back to his normal state of being non retractable.<br><br>
Until he is in his teens you dont know what if any damage you have caused by retracting him. I wouldnt let anyone touch his penis especially Dr's since they will start in on the "he dosnt retract you need to have him circed" routine.
 

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May I ask another retraction question here? I just want to be sure that my DS will be fine. He's 16 months now, but when he was 6 months, he had a nasty fever and I was told to take him to the Children's Hospital (my HMO's after-hours provider for kids) to have it checked out. The fever was the ONLY symptom; he was otherwise happy and alert. Well, the doctor INSISTED on a urine sample and they retracted his foreskin. He was so uncomfortable and I was getting more PO'd by the second, but it was finally over. He has never been retracted since. (In the end, they got a dirty sample and he probably didn't even need to be on the antibiotics they had me get for him. His pediatrician told me this two days later.)<br><br>
Here's my question: will/could this cause problems for him in the future? Also, is there ANY other way to get a clean urine speciman from an infant boy, other than to catheter him?<br><br>
Thanks.
 

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<p>It's very early for him to be retractable, but since he is there's no point in stewing about it.  The best advice (from the AAP) is still to "clean only what is seen" and "leave it alone." </p>
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<p>Without the latent tension caused by the normal synechial bonds there is a slim chance his skin tube will grow shorter than it otherwise naturally would have and it won't fully cover the glans while he's flaccid.  That's for him to worry about, whether he wants to expand his skin or just have it the way it is. </p>
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<p>In the meantime, if you find his retracted skin gets stuck behind the glans (paraphimosis) just remember you can force the skin back into a covering state by gently patiently compressing the glans until the skin will slink back to where it belongs. </p>
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<div class="quote-container" data-huddler-embed="/community/t/1331157/i-retracted-my-babys-foreskin-now-its-stuck-help/0_100#post_16678148" data-huddler-embed-placeholder="false"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>TrumpetMom</strong> <a href="/community/t/1331157/i-retracted-my-babys-foreskin-now-its-stuck-help/0_100#post_16678148"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif"></a><br><br>
May I ask another retraction question here? I just want to be sure that my DS will be fine. He's 16 months now, but when he was 6 months, he had a nasty fever and I was told to take him to the Children's Hospital (my HMO's after-hours provider for kids) to have it checked out. The fever was the ONLY symptom; he was otherwise happy and alert. Well, the doctor INSISTED on a urine sample and they retracted his foreskin. He was so uncomfortable and I was getting more PO'd by the second, but it was finally over. He has never been retracted since. (In the end, they got a dirty sample and he probably didn't even need to be on the antibiotics they had me get for him. His pediatrician told me this two days later.)<br><br>
Here's my question: will/could this cause problems for him in the future? Also, is there ANY other way to get a clean urine speciman from an infant boy, other than to catheter him?<br><br>
Thanks.</div>
</div>
<br>
I am sorry you both had to go through that <img alt="greensad.gif" class="bbcode_smiley" src="http://files.mothering.com/images/smilies/greensad.gif"> the good news is that one event like that will not cause long term issues. You would have seen issues right after it happened if there was damage done and that would have been in the form of bleeding, redness, irritation, burning while urinating. One of the great things about little ones is their ability to heal really fast.<br><br>
In this case I wouldnt give it another thought about problems down the road.<br><br>
As for cathing the intact penis. The proper way is to move the foreskin just enough to visualize the urethra in the glans without forcing it.
 

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Hi @ veeveeG. The same happened to me. Since your son did not experienced any noticeable pain or discomfort, did you continue to retract him back completely? Do you still continue to retract him daily now with his head poking out completely and his skin pulled back in full? The advantage is where other babies might be sensitive to this foreskin retraction, yours had an advantage.
 

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Next time you retract it just leave it retracted for the whole day
The AAP's present advice is: ONLY THE OWNER should ever retract a foreskin. If he's not old enough to do it,then it doesn't need done. "Only clean what is seen. Leave it alone." is quoted from their pamphlet for parents.
 

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Next time you retract it just leave it retracted for the hole day I done this with my son because he was complaining of it hurting when I was retracting it at bath time to clean. I do this every time I start to have problems opening it. It does give a bit of pain for him in the first few hours especially if the glans rub up against something so I especially if the glans rub up against something .Trust me it works as he no longer screams when I give him a bath.
You are not supposed to be retracting him at bathtime.
At birth the foreskin is adhered down to the glans by the synechia membrane and the end is kept shut by a sphincter muscle that opens to pee. The two structures are to protect the immature penis from contaminants such as faeces.
This bond is very strong and it will cause great pain for the two structures to be parted.
The boy's own body will break down this connective membrane and loosen the muscle until he can retract comfortably, but this can take many years and should never be helped. The average age of retraction is 10.4 years but it's quite normal for a boy to be in his teens before he can fully retract, as puberty hormones actively work on the foreskin loosening it in preparation for sex, which is what retraction is mainly for.

When an immature unready foreskin is pushed back it creates micro-tears which form fine scar tissue as they heal. If this is a regular occurrence enough scar tissue can be laid down until the foreskin becomes tight from scar tissue. If it becomes tight enough a circumcision may be required. The majority of circumcisions done on older boys is from this form of phimoses.

I highly recommend reading through Doctors Against Circumcision for up to date correct intact care.
 

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When an immature unready foreskin is pushed back it creates micro-tears which form fine scar tissue as they heal. If this is a regular occurrence enough scar tissue can be laid down until the foreskin becomes tight from scar tissue. If it becomes tight enough a circumcision may be required. The majority of circumcisions done on older boys is from this form of phimoses.
This EXTEMELY GRAPHIC exhibit from Doctors Opposing Circumcision shows how caregiver foreskin retraction causes injury: https://tlctugger.com/wp-content/uploads/ForcibleRetractionPresentation-PFFR.pdf
 
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