Childhood Diseases

Question
Posted by: Natalie | 2010-07-22

Q.

Foreskin

Dear Doc. One of our twins (5yrs) got an infection in the lining between his penis and foreskin. That is when our local GP advised us that his foreskin does not pull back as should. He examined our other twin son and noticed the same. In June the dr loosened the skin under gas in theater. It was raw and very very very painful. We realy did not expect it to hurt so much. Because we did not diligently pull the skin back straight after the operation, one of our twins foreskin has grew " vas"  (pardon the afr)...one side pulls down nicely while the opposite side is " vas" . The dr wants to perform another op in Dec/Jan. We pull down his foreskin each night in the bath and hope it will loosen before then. What should we do? Thanking you in advance.

Expert's Reply

A.

Paediatrician

Normally you do not need to pull the fireskin back at all and as long as your boys can pass urine normally there is no need for concern. However your one son has had an infection of the are around his forskin. It seems that they both have forskins which have become very tight or attached to the tip of the penis. They probably need to have a circumcison done. It would be best to ask a urologist to see your boys and make a decision as to what neeeds to be done.

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2
user comments

C.

Posted by: concerned mom | 2010-07-23

I absolutey agree with WJA. My son''s foreskin was also vas like that, but by nature and not due to injury. I told him that if he is a teen and the way it looks still bothers him, he can go see a urologist. When he was fourteen, the problem corrected itself, i''m glad we waited. So young to go through such trauma...if there is no medical emergency for an op, I''d wait til he is old enough to decide for himself if it is only about appearance, and do get a second opinion from another urologist! By the way, my two other sons'' foreskins only retracted (pulled back) after age 10 which is normal.

Reply to concerned mom
Posted by: WJA | 2010-07-23

Sorry Pead, but you are incorrect in providing a recommendation for the amputation of what is perfectly healthy tissue. The foreskins are perfectly normal and should not have been ''loosened'' surgically in the first place. At this age it is perfectly normal for the foreskin to be tight and still attached to the glans. This is how the body protects the sensitive areas of the inner foreskin and the glans.

Natalie, please refrain from retracting the foreskins. In doing so you could be causing further damage that may indeed require amputation to correct. This could also cause irritation as soap can irritate these sensitive areas. The reason that the operation was so painful is that the glans and inner foreskins are rich in nerve endings. This is what provides the pleasure during intercourse. Provided that no further infections occur, I would suggest leaving things as they are for now. Should this ''vas''ness not resolve by the time your son reached puberty, a further separation operation could fix that. Protect your son''s body and retain their foreskins. This circumcision business is damaging to your son''s future physical and sensual sexual health.

Reply to WJA

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