When circ's go bad... - page 4

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   ayndim
    Quote from jwk
    Balanitis, phimosis to name two reasons.



    You obviously don't work in surgery.

    How come they don't have the problem of needing a circ in European countries that don't circ out of routine for these problems. One problem here is that as soon as someone sees and uncirced baby boy or young child they want to pull the foreskin back. If it is left to separate on its own these problems become rare. And in England I believe they use creams to treat (steroid creams I think). Sometimes I think the drs here in the US only know how to treat these problems with circs. Personally I would fly back to the UK for treatment for my boys before I would let a dr circ them. Luckily for us our ped is not US born or educated and knows how to deal with uncirced boys.

    I have heard stories of nurses pulling back a babies foreskin to cath in the US. I have been told by some of my European friends that they don't pull back the foreskin to cath unless the foreskin has already separated. Not sure about these because I am still a prenursing student and have yet to cath anyone.

    This is a non-steroid study to treat phimosis

    http://www.cirp.org/library/treatment/phimosis/atilla/

    treatment for balanitis

    http://www.cirp.org/library/disease/balanitis/birley/
  2. by   Marie_LPN, RN
    Quote from fergus51
    I think she means typo because you typed "organism" instead of "orgasm".

    Jwk, no I don't work in surgery. Does anyone know how common this is? I know a fair number of men in my life and I don't know any of them being circed as adults. Even my friends who I talked to working in LTC and med-surg haven't seen it.
    Where i work, we average 4-5 adult circs a week.
  3. by   fergus51
    That really shocks me Marie. According to what I've read, Canada only has about a 35% circ rate, the US is around 65%. (I'm originally from Canada). Yet, it's the American nurses who see all these adult patients coming in for circs. It just doesn't make sense to me.

    I do remember a man I looked after as a student who needed to use a topical steroid cream like Ayndim mentioned for phimosis, but from what I understand they are very effective. I wonder if this is sort of like hysterectomies for women (I sort of wonder if they are done a lot more than necessary by some docs).
    Last edit by fergus51 on Feb 20, '05
  4. by   Marie_LPN, RN
    I haven't scrubbed in on many of them, but, i could tell myself that the guy needed it, at least on the ones that i've seen.
  5. by   vermonthiker
    I wonder if this is sort of like hysterectomies for women (I sort of wonder if they are done a lot more than necessary by some docs).[/QUOTE]


    Yup, I wonder too, along with c-secs, episiotomies, etc etc etc
  6. by   DidiRN
    I don't work in OR, but when I was in the surgical ICU I used to read the OR schedule everyday, and I was surprised at how many circs were done on adult men. The vast majority were over 50 yrs old too.


    Quote from Marie_LPN
    Where i work, we average 4-5 adult circs a week.
  7. by   fergus51
    I wonder how those men were treated BEFORE they were scheduled for circs. Adult men being circed is really a foreign idea to me.
  8. by   camay1221_RN
    A few years ago where I used to work PP, there was an impatient OB, who decided she would circ a newborn with a hydrocele within the first 12 hours of life. She ended up nicking the scrotum, urologist had to be called. When confronted by the urologist, the OB wouldn't listen to a word he said, turned around and walked away.

    What a @#%*!!!
  9. by   jwk
    Quote from fergus51
    I wonder how those men were treated BEFORE they were scheduled for circs. Adult men being circed is really a foreign idea to me.
    Right - it's a foreign idea, meaning you haven't heard of it and have little knowledge of it, yet you automatically assume it's worthless. What would us men do without you women telling us what to do with our manhood?
  10. by   Marie_LPN, RN
    Quote from jwk
    Right - it's a foreign idea, meaning you haven't heard of it and have little knowledge of it, yet you automatically assume it's worthless. What would us men do without you women telling us what to do with our manhood?

    That's a little harsh.
  11. by   palesarah
    Quote from fergus51
    I think she means typo because you typed "organism" instead of "orgasm".
    lol Fergus, yeah, definitely a typo! Musta been sleepy when I typed that one
  12. by   fergus51
    Quote from jwk
    Right - it's a foreign idea, meaning you haven't heard of it and have little knowledge of it, yet you automatically assume it's worthless. What would us men do without you women telling us what to do with our manhood?
    ADULT male circumcision is foreign to me. Infant circumsision falls within the scope of my specialty (OB/NICU) and I am knowledgeable in that. I didn't tell you it was worthless and I wouldn't dream of telling an adult man what he can or can't do with his penis. You want to lop the whole thing off and I could care less. No skin off my back (or other body part). If you can point me in the direction of any stats on the need for circs in adult men I'd be happy to look at it. I'm just telling you that after spending most of my life in a country where most men aren't circed I have never known a man who needed to have it done as an adult. That's what makes me wonder how often it is necessary.

    "Us women" only get to decide on this matter when its our sons and if I have one, I wouldn't have him circed since there is no research showing any medical benefits to warrant routine circumcision. If you have your sons done, it's your business and not mine.
  13. by   ayndim
    I kind of take exception to the comment about us women telling men what to do. By the same token parents are taking away their child's decision on whether or not to keep their foreskin.

    If my boys don't like their foreskins they can choose to do what they want when they are adults. I think adult men are perfectly capable of handling a circ if they so choose. Probably not even as painful as labor and delivery. And definately less painful than a section.

    Circs are a huge cash cow for drs. They get paid by the insurance/patient for the procedure, then they can turn around and sell the foreskin too!

close