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 (Highly recommend) (Highly recommend) (Highly recommend) (Highly recommend) (Highly recommend) 4.52 (Highly recommend) from 38 votes (5191 Visits)

Penile Adhesion After Circumcision

Izzy by Izzy Minti Founder(May 2006) (rank 8th)

Penile adhesion refers to the foreskin attaching to the head of the penis. This occurs as one of the complications of circumsicion though not very common.

My son, Matthew, was circumcised in the hospital at 3 days old. When the nurse took him back to us after the procedure was done, she instructed my husband and I how to take care of it. She said to use gauze with vaseline and to change it every diaper change. That was it. So we came home and did just that. After 3-4 days, we didn't even have to use the gauze anymore. Everything looked good.

A couple of months later, I took notice that my son's left over foreskin is attached to most of the penis' head. It covered the ridges of the glans. I thought this looked odd and asked my husband to check it out. He said it should be alright but to bring it up on our son's next well visit. I did just that. The pediatrician said that the penile adhesion should correct itself when Matthew gets erections and not to worry. I asked if this had to do with how Matthew was circumcised but he said no.

I wasn't quite satisfied with the answer so I searched the internet and that's when I found the term "penile adhesion". I found a very interesting article. If you want to read it, here it is http://www.cirp.org/library/complications/gracely1/ .  Essentially, it suggests that medical professionals should teach parents how to care for the newly circumcised penis to prevent this. In some cases the adhesion is so complete that  a urologist must be consulted. But other times, it does correct itself.

How do you care for the circumcised penis in order to avoid penile adhesion? When you change your son's diaper, make sure to pull the skin back gently. This can also be done after bath time when the skin is soft. If the skin is not attaching to the head of the penis, regularly pulling the skin back will prevent it.   If the skin is already attached, doing this little by little can also slowly release the adhesion.

I've been pulling the skin back from my son's penis and it seems to be working. It's a slow and gradual process. I make sure to do this very gently. There should not be any pain or discomfort to the baby at all. By doing this regularly, I am hoping that the skin will release.  My search of the internet suggests that if this doesn't work, I may have to consult a urologist. Releasing the adhesion can be a simple outpatient procedure. The other option is for re-circumcision to be done though I am hoping to avoid this.

I have encountered one mother who has the same problem with her 5 year old son. Five years old!

I hope people will learn from my experience. Penile adhesion is not common but it does happen, and the article I found said it is an unnecessary complication.

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ADVICE RATING
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emmie
November 2007 | emmie
Re: Penile Adhesion After Circumcision

great article

thanks for sharing your story

cheers

emz



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Nirgelep
5.00 (Excellent) | May 2007 | Nirgelep
Thank-you
thank-you so much. I came across this advice when doing a search for treatment for my 2 yr old son's thrush infection. It turns out that he had Penile Adhesion and it was something I thought he would just have to live with. At the check up after his circumcision the doctor noticed some adhesion and pulled it back and told me I would need to pull it back, but I guess I was too timid about it and didn't pull it back enough or often enough. I think he should have told me to do it EVERY change. He also said my son had a fat pocket behind his penis, which causes the skin of the shaft to push forward and cover the head, but that this would disappear once he was running around (no sign of it disappearing yet.) So two years on I thought it was healed over and there was nothing to be done about it (I had shown it to several doctors including a paediatrician); and then I read your advice. His adhesion was relatively minor, just attached at the ridge. Well, after just about one week of gently pulling the skin back it has totally released!!!! Aside from some local redness, my son's penis now looks quite normal. I just can't thank you enough!


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      Izzy
May 2007 | Izzy
Thank-you

Wow, what a great story. When I searched for information on this, I only found but a few articles so I wrote this one mainly thinking of Minti parents that may have gone through the same things. I'm happy to hear that it is reaching outside  Minti and giving others hope and some information.

I'm happy to hear your story and happy things are looking great!!!



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Chrysalis
November 2006 | Chrysalis
Thanks for sharing
your story- i hope it all gets better soon- sounds like you have done well researching the topic and finding how to help the problem


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      Izzy
November 2006 | Izzy
Thanks for sharing
I wrote this in June and since then, things have gotten better. The skin is not attached as much anymore, but the ridges is still covered. I haven't gone to a pediatric urologist since what I've been doing is working so far. But I may still have to do it though.


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peachynowamum
1.00 (Very Poor) | October 2006 | peachynowamum
gret story
no circumcions for our boys if we have them plus  hubby against it to


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michellei
5.00 (Excellent) | October 2006 | michellei
Circumcision
Thanks for the informative topic, although i have a girl the info will be useful if I ever have a boy.


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kniros
5.00 (Excellent) | August 2006 | kniros
Circumcision
Hi as a registered Nurse and mother of several foster/homless children and one young son of my own I made the informed decsion to Circumsize my son after he was born.  It was discouraged by the doctor and was not widley considered as an option and I had lots of people telling me why I should NOT do it and there were a number of explanations from well meaning medical staff and mothers.  My decision was based on my nusing background and knowledge and I have been more fortunate than most RN's and doctors to have been exposed to a wide verity of souces including personal experience were I have been on the surgical team preforming adult, infant  (children 2+ yrs) and secondry school aged  circumcisions for medical reasons.  The nubers are surprisingly high whichw as something that struck me as interesting.  Most religious proceedures based on structured religous belief over many years usually has another reason ie non religious reason and as would be expected at the time of Moses (when circumcision is understood to have been introduced) peoples hygiene leves were not as they are to day and water was not that plentiful either so infection and other nasty things happend if you were not circumcised.  To day we have access to running water and all those wonderfull sefl care things we take for granted.  But when working in surgical The number of children who had to  have partial and later full circumcisions as a result of infection or other problems was high - resons  included - extended camping holidays were showering, hygine not as easy.  -  over seas trips and little boys learning to stand to pee will sometimes flop the penis onto the toilet seat and we all know how good youngsters are a hygeine, - parents not knowing how to take care of uncircumcised penis and the need to roll back the forskin every day to clean also as children get older parents not instilling the need to do this regularly. etc.  In adults the most common thing was teen age boys entering the militry or joining a school based cadets group were they were required to undertake survival techniques etc and well the forskin was not getting rolled back and cleaned every day so guess what infection and teen/adult circumcision.  I supose in todays society we have access to running water and ll those things but my decision was easy having seen the embarrisment and trauma that these young men/boys went through as primary aged, teens and adults haveing to undergo partial or full circumcisions, and I as a parent have no idea what future activites my young boy will want to do so this really helped me to stick to my decison to have my child circumcised when a number of very well meaning doctors and nurses were bombarding me with their well meaining thoughts on if its not broken don't fix it.  It is a personal decsion for each parent and very much something parents should consider for them selves with as much information as they can get.  I was disapointed to find that there is a lot of why not information easily provided but not very much why do it info other than throughr eligious sites etc.  As a nurse and mum the decision for me was clear and easy but it must be very hard for most parents and even more concerning given that many medical aspects on this topic and consequence and statistics are not readily provided as Circumcision has become a nono culturally and really Culture is great but modern culture is not always what is best for our children after all modern culture has an accepted drug society and some other very unsavory accepted modern cultural changes in our society.  Motherhood is confusin and this topic is very emotional to maney but I am happy with my decision as I based it not only on my own cultural idas but also on sound medical knowledge and understanding that comes from the advantages of being a nurse with an extensive  background outside the hosiptal environment as well as inside the instutional environment.  I supose for most parents it is important to remeber that your doctor will give you the medical advice that he wants to gibve you based on his own belief and you really do need to investigate both sides of every thing as independantly as you can before makeing your decision as there is an awful lot of  medical information and opinion and depending on your medical advisors own slant you will recieve only part of the story in a lot of instances.  But if you really look about and do some digging then there is lots more info out there on many topics and once armed with this then we can all make informed choices rather than partially informed choices that we know we can live with and are confident in. 


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allyp
4.00 (Good) | June 2006 | allyp
Penile Adhesion After Cicrumision

I was reading books, well particulary the one I got from my doctors office and it says not to pull back the forskin?? I guess I am just confused on this



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      Izzy
4.00 (Good) | June 2006 | Izzy
Penile Adhesion After Cicrumision

I would love to hear what kind of book it is you have.

From what I've researched on the internet, you leave the penis alone a few days after the circumcision because it will look red and "angry". But after it's healed, you have to pull the foreskin back to clean and, as I mentioned, to prevent any adhesion that may happen.



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      Chrysalis
1.00 (Very Poor) | November 2006 | Chrysalis
Does it refer to uncirumcised penis?
There is no need to pull back an uncircumcised foreskin and often when boys are young it is not possible to do it anyway. (forcing it can cause injury)
Our first boy was about 2 and a half i think when he discovered that his penis could suddenly do this cool trick (pull back the foreskin) hmmmmmm
the novelty wore off  after a bit ( and lots of gentle reminders- dont play with your doodle in the lounge room darling- look heres your car/truck/teddy/.....)
ROFL


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mrslunar
3.28 (Average) | May 2006 | mrslunar
Good advice
And a good story on why to just not circ at all.


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