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When circ's go bad...



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No. 100
Old Feb 26, 2005, 04:36 PM

Originally Posted by jwk
I can understand the debate about infant circs - but why are you, or anyone else, especially women, concerned about adult circs? Why do you think it's "fun" to tell an adult male about YOUR personal opinion about circs?

Perhaps you'd like my opinion on labial reduction and contouring, which seems to be all the rage at my hospital right now. Should I offer that opinion to my patient should she ask? Do you think she'd appreciate the male perspective? I doubt it!!!

Oh, I know, how about this? Maybe when a woman comes in for a tubal ligation I could call her husband a wimp - if she asks for my opinion of course - since I think any man who would let his wife go through a potentially life-threatening surgery because he's too much of a baby to have his vas snipped is a first class wimp. After all - it's my opinion, perfectly valid in my mind.

Your personal opinions have no place when patients are getting ready for surgery. It's THEIR decision, not yours.

You are right about personal opinion. What I do is give the parents an information sheet I found with questions to ask the doctor about circumcision. One of the most important is pain relief. Do you use anything to block the pain of circs? One of our docs is adamantly against it because he saw one baby who had permanent nerve damage from an injection of lidocaine prior to a circ and he won't use meds. He doesn't think baby boys should be circ'd but he will do it. I hate watching him to circs.

I thought of a new bumper sticker . .

REAL MEN DON'T LET THEIR WIVES GET TUBALS; REAL MEN GET VASECTOMIES

steph
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No. 101
from fergus51
Old Feb 26, 2005, 06:19 PM

I'm confused. Admittedly I don't have a penis, but I though phimosis simply meant that the foreskin could not be retracted completely and that was fairly common up until about 5 years. According to this about 10% of 3 year olds will have phimosis
http://www.lpch.org/DiseaseHealthInf...ogy/pandp.html (the site also differentiates between paraphimosis and phimosis).
Did your 3 year old have anything wrong other than not being able to pull the foreskin back? Just curious.
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No. 102
Old Feb 26, 2005, 06:27 PM

Fergus . . . . it is my understanding that young boys shouldn't try to retract the foreskin. And never for infants.

Guess I'll have to research it. But I'm pretty sure there is no need until they are a bit older than 3.

steph
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No. 103
from fergus51
Old Feb 26, 2005, 06:36 PM

That's what I thought, which is what confuses me about a 3 year old needing a circ because of phimosis when phimosis at that age is normal. But again, I have no penis so I'm just asking.
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No. 104
from ShannonC
Old Feb 26, 2005, 06:53 PM

Originally Posted by stevielynn
You are right about personal opinion.
steph
You know, this has got me thinking, and feeling sort of "second-guess"ish about when I state my opinion. I mean, okay, it's not like I am out there campaigning for new parents to leave their boys intact. BUT, if a patient or her husband says to me about a circ "we haven't decided what to do yet. What did you do, and why?" or if they ask me "what do you think?", I respond with the honest way that I feel. I say "I didn't circ. my son based on the research showing that there was no strong medical need. That combined with years of seeing the procedure done and seeing how much pain the babies go through made the decision easy for me." Perhaps, though, I need to just leave the way *I* feel about it out if it, even if they ask. Like, maybe I need to fudge it and tell them something neutral. I don't know... it seems like a personal opinion was asked for, so I give it. But this has me wondering if I need to be adament about keeping it to myself.
It's an interesting issue--sort of like names. If parents are deciding which name to name their child and they throw options at me, I hesitate to offer my opinion because it's so personal.

I don't know... I guess I'm just pondering out loud!
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No. 105
Old Feb 26, 2005, 07:37 PM

Shannon . . the pt. education I give parents mentions the controversy about circumcision. To tell the truth I did that on purpose because I think they need all the information. Especially about pain relief . . . I want them to know when that one particular doc takes their son for his circ, their son won't be medicated.

Keep in mind all my boys are circ'd, and very happy that they are, think I'm a nut for thinking I was wrong to have them circ'd. I was married to another man with my first two boys and then my second hubby and I had a daughter and then a son . . . . BOTH husbands wanted the boys circ'd.

So, as I mentioned, the funny thing is men seem to be completely ok with circumcision.

It is we moms who are usually the ones questioning it.

steph
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No. 106
Old Feb 26, 2005, 07:44 PM

His phimosis was caused because the skin had actually grown (adhered)to the head of his penis, he was having erections during the night and in the morning and screaming in pain. Also hurting but not screaming when urinating and he had no UTI. It was anytime the skin needed to move. The skin had to be scraped off because it wasn't loose. The urologist said it was the worst case he had ever seen. The head of his penis looked like a bloody plup when he was done. It scabbed over and then the whole head was one big scab. It was really awful. He looks great after the fact. But I hated to have him go through that. Thankfully he doesn't remember any of it.
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No. 107
from dansamy
Old Feb 26, 2005, 08:09 PM

My boys were circ'ed as infants. At the time, I deferred to their father for the decision. Although, if I had it to do over, I would refuse the consent.
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No. 108
from ayndim
Old Feb 26, 2005, 09:41 PM

Originally Posted by DutchgirlRN
His phimosis was caused because the skin had actually grown (adhered)to the head of his penis, he was having erections during the night and in the morning and screaming in pain. Also hurting but not screaming when urinating and he had no UTI. It was anytime the skin needed to move. The skin had to be scraped off because it wasn't loose. The urologist said it was the worst case he had ever seen. The head of his penis looked like a bloody plup when he was done. It scabbed over and then the whole head was one big scab. It was really awful. He looks great after the fact. But I hated to have him go through that. Thankfully he doesn't remember any of it.

Just curious but was that back when drs were telling moms to pull the foreskin back little by little from when they were infants. I worry about some idiot changing my little one's diaper and pulling the skin back and tearing it. Thus leading to problems when healing, such as adhesions. Or do you think he was just born like that.
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No. 109
Old Feb 26, 2005, 10:02 PM

Originally Posted by stevielynn
Shannon . . the pt. education I give parents mentions the controversy about circumcision. To tell the truth I did that on purpose because I think they need all the information. Especially about pain relief . . . I want them to know when that one particular doc takes their son for his circ, their son won't be medicated.

Keep in mind all my boys are circ'd, and very happy that they are, think I'm a nut for thinking I was wrong to have them circ'd. I was married to another man with my first two boys and then my second hubby and I had a daughter and then a son . . . . BOTH husbands wanted the boys circ'd.

So, as I mentioned, the funny thing is men seem to be completely ok with circumcision.

It is we moms who are usually the ones questioning it.

steph
I think MY concerns, anyhow, stem from knowing there is a lack of ability on my son's part to consent to an elective and very painful procedure. Is he bothered now I did it? I doubt he gives a single thought to it frankly. It's not been discussed at length. Like I said, the three things that bug me about routine infant circ: No consent. Elective. Painful.

Just me I know.
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