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if it was your DS what would you do?? (genuine question but may be TMI for some!)
My DS is 20months old and 5 weeks ago was diagnosed with Balanitis (infection of the foreskin and surrounding area) he was given canesten cream to treat if fungal - 2 weeks later we returned and it was still not good, so GP prescribed an antibiotic cream (different doctor) today we went back to see the same GP (2nd one) and it is worse than ever. After having a good look, the GP and i have come to the conclusion that it is not an infection after all, but that he has an extra bit of foreskin on one side that is rubbing on his nappy (use cotton nappies, but a week in disposables made no difference) i am assuming this extra bit of foreskin has been there since birth.
anyway... he says stop with the creams straight away and just use nappy cream.... and then he says we have 2 optios......
1) Leave until after potty training (we tried last week but he is only 20mth and not ready, but it cleared up almost totally whilst in pants and not nappies) which i plan to do just after his 2nd birthday (well try anyway)
2)Circumcise him (this involves general aneasthetic and painful bits for him for a while, and obviously this is something that will leave him foreskinless for the rest of his life)
Now.... he has left the decision up to me!!! what would you do?
My son has a slightly odd very long dangly bit of foreskin and I have asked GP and HV about it, thinking that circumcision would be the only option given that he is now 5. They have said that they would only suggest this if he was continually suffering from UTIs or Balanitis. He has had Balanitis once - when he stayed at his dads and prob didn't get a nappy change when he should have - so we are leaving well alone. However, if in the future he appears to be having problems I will not hesitate to look into circumcision as although against this option I think it would be worse for him in the long run to have a problem penis age 10 or 11 or even as a young man.
my DP had this as a child and it used to make his wee go 'side an' side' apparently which is still a great source of amusement .
He was circumcised and it was fine for him - some say it's much healthier for the whole penile area in general.
It's never bothered him since, he's not embarrassed about it at all, if that's something that's bothering you x
snowball - sorry wasnt very clear, DS never had balanitis after all and is very unlikely to get it as his foreskin retracts fine, is not tight, just has an extra bit that has got sore from chaffing - am trying fleece liners to see if this will help! I am not against circumcision, would just rather not do something so major unless it is definately needed - if your DS had never had an infection from it and nappies were the culprit would you still be inclined to circumcise or wait until nappies were out of the equation?
TBH the doctor says it needs to be monitored but isnt anything to really worry about as no signs of infection at all, he thinks if i manage to potty train DS within next 4-6mths then it should be fine and then if still problems when in pants they can circumcise him then if thats what i want! it is very sore though TBH but he rarely complains about it and has had it 5-6wks!
wisteria - no, embarassment doesnt bother me, lots of men are circumcised, My dad was (for health reasons) at my DS age and he cant remember it at all, its the idea of an operation and aneathetic really, espescially if may be unnescesary!
NotQuite - it does get sore and he cries for his nappy to be taken of after 12 hours over night, so he goes nappyless from 7am-9am and never pee's in this time, once the nappy is off he is happy - he rarely complains during the day about it!
We only went to doctors this a.m so am yet to use his bepanthen cream rather than antibiotic - i am hoping the fleece liners will work (would have tried them earlier had i known it wasnt an infection!)
Hmmm, I would try non-surgical fixes first, putting cream on the relevant bits etc etc. Maybe oil in the bath to soothe it, too? I find that works for other chafed skin.
He's quite young to toilet train, so if you couldn't fix it so he wasn't in pain, then surgery might be a sensible option ... couldn't you just get them to remove the extra bit that's causing the problem, though?
notQuite - i asked if they could just remove the extra bit and the GP said no as there is a high chance that cutting and stitching would make the whole foreskin too tight and it wouldnt retract and a future full circumcision would be highly likely - dont want to go through it twice!
Hmmm, I'd be wanting to speak to a consultant on this, or at least someone a lot more specialised than a GP. They do partial circumcisions (google for it!), I'm sure they can remove part of a foreskin.
I would treat as nappy rash - lots of time without a nappy, when possible (as you're already doing), use cream, and see if that sorted it. And then I'd go for a referral to someone more qualified than a GP before I'd let my kid have a GA for anything, anyway.
notquite - he said they do do them regularly but the bit DS would need removing covers to big an area and is on the side rather than the tip, so i can see that once removed the stitches really would pull the rest of the skin far to tight! thankyou anyway! genreally i think GP's arent always as helpful as they could be, but this GP on this occasion has been brillaint, didnt even mind when DS grabbed stethescope from the table and threw it across the room! I do think he is right with the options he has given, i just dont know which is the right one to take!
Calordan - i use bepanthen, never tried metanium, but the other day DS got a nasty nappy rash spot/blister (just the one which was odd!) put on a little bit of bepanthen and was gone completely bar a red mark by his next nappy change!
Hmmm, he sounds like a pleasant GP, but that doesn't mean he's necessarily totally up to date on your surgical etc options. After all, GPs deal with everything, so they're not that good on specialised knowledge. Well, to be fair, if he's been looking things up for you and talking to other people, maybe he is up to date.
It's not petty to be concerned about the GA - GAs are unpleasant and carry significant health risks. They are best avoided. I'd be nervous about making a permanent decision about my son's genitals, too, to be honest.
notquite - thanks for the reassurance! i can see exactly where you are coming from and was dissapointed that part circ. wasnt an option, but when i look at the bit that would be removed i can agree that it would be taking too much away and not leaving enough behind to cover correctly so would be to tight - he explained it very well - glad my poor DS isnt old enough to be embarrased yet, me and the male GP having a good old poke and indepth chat about his penis!
I'd get a referral to see a Paediatric Urologist just to thoroughly check ou your options. Your GP will be able to do this for you as he has a good understanding of the case. I can totally understand your caution regarding the GA. My son had an op at a similar age on his tescticles and just to reassure you, the GA was absolutley no problem at all. I believe circumcisions are a quick procedure, so in the evnet that this is the option you choose, your ds wouldn't be asleep for very long. In my ds's case, he was up running about the same day, despite stitches etc. Kids really do bounce back quickly!