[DocsNemesis]

I was just thinking about something. My sorta-friend (not so much since she mutilated her boys) has twin boys. One has a pretty tight circ, but the other one has a very loose circ. I know I havent asked her what her doc told her to do or anything, but I know that boys with a loose circ can get adhesions. Is it better to allow those adhesions to form or to retract at each diaper change to clean? I mean, I know he doesnt have any adhesions at the moment, but I am pretty sure she pulls the foreskin he has left back to clean at each diaper change. It doesnt bother him at all, but I am just wondering if she should allow adhesions to form? I know, I am probably being a complete ditz, lol. Its just confusing to me....

 

[nd_deadhead]

I don't have any advice, but I am curious. Do you know if the same doctor performed both operations? If so, isn't it interesting that one has a noticably looser circumcision than the other?

Is this because it is SO difficult to judge how much skin to remove that it's a complete crap shoot?

If the babies were circumcised to "look like Dad", someone is going to be left out - the boys don't even match each other!!

Yet another glaring example of why cosmetic surgery on infants is so STUPID!

 

[MommytoB]

She should leave it alone even though he is circ

 

[pdx.mothernurture]

J Urol. 2001 Mar;165(3):915.

Penile adhesions after neonatal circumcision.

Ponsky LE, Ross JH, Knipper N, Kay R.

Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

"In these groups we noted an adhesion rate of 71%, 28%, 8% and 2%, respectively. The rate of adhesions more severe than grade 1 was 30%, 10% and 0% in boys 12 months old or younger, 13 to 60 and 61 months old or older, respectively. The oldest patient with grade 3 adhesions was 31 months old. Skin bridges in 6 cases involved the circumcision line in 4."

"CONCLUSIONS: Penile adhesions develop after circumcision and the incidence decreases with patient age. Although there is debate on whether to lyse these adhesions manually, our findings suggest that adhesions resolve without treatment. Based on our results we do not recommend lysing penile adhesions, except perhaps those involving the circumcision line."

http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract

"Penile adhesions occur frequently after circumcision. Some physicians advocate manual lysis of the adhesions. This procedure can be painful and traumatic. Penile adhesions are normal in uncircumcised boys and normally resolve without treatment."

http://www.kidsgrowth.com/resources/...il.cfm?id=3420

Gil Fuld, M.D., F.A.A.P.

"Sometimes after a routine newborn circumcision, excess foreskin remains. Since newborn circumcision is not medically necessary, it's certainly better to leave a little extra than to take off too much and damage the child's penis."

"So, it's a common occurrence in little boys for adhesions to develop under any remaining foreskin, although it's rarely a problem and practically never requires a repeat circumcision."

http://www.medem.com/medlb/article_d...NC&sub_cat=474

Vincent Iannelli, M.D.

"It isn't really normal, but is a common complication after a circumcision. In a situation like this, penile adhesions form when the skin on the shaft of the penis attaches itself to the glans or head of the penis. In extreme cases, it can look like the child was never even circumcised, leading parents to believe that the child had a 'bad circumcision.'"

"If the skin is attached only on the very base of the glans, then your child has a very mild case of penile adhesions and you can likely just leave it alone. It should eventually separate, especially once your child becomes older, and anyway, forcing it apart would be painful."

http://pediatrics.about.com/od/weekl...l_adhesion.htm

"The foreskin will almost always detach itself in time as a boy develops. It should not be forcibly retracted. This may lead to scarred adhesions that will not detach without surgery. Penile growth is not usually influenced by adhesion of the foreskin to the glans penis."

http://www.henryfordhealth.org/19160.cfm

 

[DocsNemesis]

Yes, it was done by the same doc and at the same time. She said though that he doesnt use clamps...I believe he is Jewish and may even be a certified Mohel, so it seems that he "freehands" it like many Mohels do. She said that just pulled the foreskin forward and cut. I also seem to recall her saying that one baby "really needed to be circumcised because he has so much foreskin." Of course, my reaction was, no, niether of them NEEDS to be cut, but my point is that it sound like one didnt have nearly as much foreskin to begin with. So maybe the doc tok the same amount off of both but since one had less...
They were not circ'd to look like dad, she did it partly because of pressure from her family, partly because of pressure from her fiance, who was circ'd at 15 and said that she should do it before they could remember the pain

: , and partly just because she thinks uncut guys are ugly. GRRRR!!! Anyway, they definately dont look like each other but she doesnt seem to be bothered by it (which I concider a good thing, otherwise she might try to have the loose circ done again). It will be interesting to see how they feel about it as they grow up though. Honestly, this is the main reason I am still friendly with her-I want to tell them what was taken from them as infants and encourage them to sue when they turn 18. Well, that and those babies are biologically half mine (I was her egg donor-much to my regret now).

 

[coloradoalice]

Quote:

Originally Posted by little_monkeys Well, that and those babies are biologically half mine (I was her egg donor-much to my regret now).

OMG!! I guess you didn't think to stipulate that in the egg donation process. That's so sad. I'm sorry.

:

 

[Fi.]

Honestly circumcision is the biggest reason I ended up deciding against egg donation or surrogacy. You really CAN'T stipulate what they do with your child, your eggs or not. And as much as I want to help a family create a child (or children), I cannot have that blood on my hands.

I am so sorry you're going through this and I think it's wonderful that you're sticking with the boys through this.

 

[DocsNemesis]

Yeah, it was my fault. It just never really occured to me and then when she found out she was having boys, at first, I assumed she wasnt going to do it since it is not as common out here. But oh boy, her family was VERY VERY pushy and she is not one to argue about, um, anything. She also had said she wanted a vaginal birth, but when her doc said he wanted to do an elective cesarean, she just went along with it. Thats just her nature. But she did also say that she just doesnt like the way intact penises look, that its gross-I told her that offends me since my son is intact.
Anyway, I am a surrogate too and although this issue hadnt come up with my first surrogacy, I am doing another surrogacy for the same people, so I did discuss it with them. In their case, the dad was circ'd at 8 and although he doesnt really care either way, he admits it was painful. He said that the mom could decide and so she did a little (actually, very little-she saw the AAP statement and that was enough for her) research and said that no, she wouldnt be doing it. I also sent her the circ video and although she said she didnt think she could watch it (I told her I cried and she said she didnt think she could handle it at this time), she is keeping the link so if anyone questions the decision she can show them too. And just in case she ever does decide to watch it. I think it kind of solidified her not doing it-I know she wouldnt want to hurt her baby.