When circ's go bad... - page 22

Has anyone seen a circ go really bad? I saw one today where the doc took too much foreskin off and the skin on the shaft ended up "degloving" from the fascia underneath. A urologist had to come in... Read More

  1. by   schmidt68127
    I've assisted with hundreds of circumcisions. One of the docs I assisted, would go into the parent's room prior to the procedure and advise them on what the procedure entailed. She always told the parents that "sometimes the penis will bleed and I will need to put a stitch in it to make it stop." Every single time this doc did a circumcision, she removed too much of the foreskin. I can't tell you how many times I wanted to tell the parents NOT to let her do it, but I couldn't. Several of the infants needed urologists and plastic surgeons to fix what she botched.
  2. by   RNnL&D
    Quote from schmidt68127
    I've assisted with hundreds of circumcisions. One of the docs I assisted, would go into the parent's room prior to the procedure and advise them on what the procedure entailed. She always told the parents that "sometimes the penis will bleed and I will need to put a stitch in it to make it stop." Every single time this doc did a circumcision, she removed too much of the foreskin. I can't tell you how many times I wanted to tell the parents NOT to let her do it, but I couldn't. Several of the infants needed urologists and plastic surgeons to fix what she botched.
    We have a couple docs who are not very adept at circ's. Some require sutures. Almost all require silver nitrate sticks to control the bleeding. Unfortunately, parents don't know it's not normal for their son's penis to be black after a circ. There are many docs who don't require anything but gauze to slow the bleeding and then the vasoline gauze. What I don't understand is why these docs don't ask for assistance if they have so many problems.
  3. by   Gompers
    Quote from RNnL&D
    We have a couple docs who are not very adept at circ's. Some require sutures. Almost all require silver nitrate sticks to control the bleeding. Unfortunately, parents don't know it's not normal for their son's penis to be black after a circ. There are many docs who don't require anything but gauze to slow the bleeding and then the vasoline gauze. What I don't understand is why these docs don't ask for assistance if they have so many problems.
    There are way too many doc out there who need assistance with a lot of things, but they're too proud/egotistical/scared to ask. We've all worked with them in every part of the hospital. They're the docs that when you find out they're on call that night, you cringe...

    I'm not sure who does the circs in our newborn nursery, but in our NICU we actually have two urologists who do it - one on Tuesdays, the other on Fridays. They use lidocaine locally to do a penile block, the baby gets sucrose on a pacifier, plus we administer Tylenol beforehand and then for 24-48 hours afterwards. Our boys seem to do pretty well, and it's rare to see a bad circ from these urologists. I mean, who better?

    If I have a boy and decide to get him circumsized, and if I'm lucky enough to have him in the newborn nursery instead of the NICU...I'm calling these docs personally to ask one of them to do the procedure, even if I have to take him to their outpatient offices.

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