Childhood Diseases

Question
Posted by: SC | 2011-05-24

Q.

Boy- Paraphimosis or Ballooning

Hi
I think my little boy 30 months old is suffering from Paraphimosis, his foreskin is ballooning and I had taken him to the ped and doctor, the paediatrisian adviced me to check if it will go away and wait until August(THIS IS HAPPENING NOW FOR THE LAST THREE MONTHS) and my docter advice me to go to a urologist to get him circumsized, the only problem is that our urologist is overseas and can only see my son on the 24 of June. Am I making the matter worse for my son to wait until our urologist is back?
Thank you

Expert's Reply

A.

Paediatrician

You son is having this ballooning of the foreskin when he passes urine due to narrowing of the opening of the foreskin. This has been hapening for 3months already. He will definitely need to have a circumcision.If he has had an actual infection of the foreskin which is called 'phymosis' it will make it necessary to have the circumcision done sooner. If no actual infection has occurred then you can wait until 24 June to see your urologist.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

2
user comments

C.

Posted by: regretfully mutilated | 2011-06-05

The Paediatrician that replied should be struck off the doctor’ s role for making such a dramatic suggestion of circumcision without proper visual consultation! How can you make a statement “ He will definitely need to have a circumcision”  without seeing the patient? I hope the mother doesn’ t take this advice or she might end up with a son that despises her for the rest of his life for allowing his penis to be mutilated! If a little girl has an irritation in the pubic area should she also undergo female circumcision?

Reply to regretfully mutilated
Posted by: WJA | 2011-05-24

What is Phimosis? pronounced ‘ Fi Moze Is”  is a state in which the male foreskin is unable to retract properly from the head of the penis (or glans). This is due to an unusually tight foreskin. The causes of a tight foreskin can vary, but most commonly it is simply because males are born with it that way. Usually the condition resolves as the male develops into adult-hood. However, a proportion of men can have phimosis persist into later years, with a spectrum of presentations. IT IS NOT AN INFECTION.

Non-retractability of the foreskin in childhood does not constitute phimosis. Ballooning during urination is a harmless and transient phenomenon and is part of normal development requiring no treatment. (Rickwood AMK and Walker J. Is phimosis overdiagnosed and are too many circumcisions performed in consequence? An Royal Coll Surg Engl, 1989 71:275-7).

Ballooning of the foreskin while urinating can be a normal phase of development during childhood. It is not an indication for circumcision. Ballooning is a temporary phenomenon that arises when the foreskin begins to separate from the glans. It speeds the process of separation and disappears when the process is complete. (Babu Harrison and Hutton, published in the August 2004 edition of the British Journal of Urology)

Reply to WJA

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