Jump to content

When circ's go bad...

Posted

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 and do "damage control." The people I've talked with say they've never seen anything like this happen before.

I've never seen anything like that. I have seen more than one that was less than perfect, more than one infected and one where the baby almost bled to death and required transfusion (thanks to a surprise clotting disorder never seen in the family before). I won't participate in circumcisions.

When I worked in peds as an MA, saw a couple where they wouldn't stop bleeding for awhile and infections. Never anything like that. I don't believe in routine circumcision, so I am soo glad I work nights and we rarely ever have to assist with one. I really hate watching them. :crying2:

I've just seen one that bled for awhile. I don't like watching them either but I do help the doc. Plus all 3 of my boys are circ'd. And the 20 and 22 year old have told me they are glad.

I was all for NOT doing it but Dad won out.

Funny how the guys actually want it done.

steph

I was present for one where the mother insisted on watching and comforting her infant, but she passed out in the middle of it, hit the circumstraint and she and the baby hit the floor. Luckily no one was hurt.

I also don't believe that routine infant circumcision is necessary, and don't participate in them. Since I work nights it's pretty rare that I would be asked to do so- but we have one awesome ped who comes in at 5:40 am, and I usually see him once a week or so on one of my shifts. My coworkers are aware that in addition to having ethical issues about participating in circs, observing the procedure is about the only thing guaranteed to make me pass out , so someone else is always willing to assist if our LNA or nursery nurse is unavailable.

Sorry for the tangent- to the op- I've only been in LDRP since May '04, and I'd estimate 90% of the baby boys born with us are circ'd before discharge, There's one ped who doesn't believe they are necessary and does kind of a half-circ, leaving some of the foreskin. So besides those (which I'm sure those baby boys will be glad to have those extra nerve endings in the leftove tissue when they grow up!), I've only seen a couple mild bleeders and one in which far too much skin was removed.

I have also seen what happens to those babies who had far too much tissue removed and required fancy putting of things together when they become an adult, and he has a scar along the underside of the shaft that he & his mother don't remember him getting, bits of hair growning on either side of the scar, and decreased sensation on one side of that scar.

He has never been able to reach organism through intercourse.

When I was in my OB rotation we were able to view and assist with circs. The scariest thing I saw was this one doc who was quite old, losing his fine motor skill precision and not to mention his eyesight. The nurses on the floor warned me about this before he began the procedure but I didn't think it could be as bad as they said. Well...it was as bad as they said, maybe even worse. He was shaking through the entire procedure and even dropped a few instruments on the floor. :chair: I would say that this one circ took around 45 minutes maybe closer to an hour. He knew he was bad too, but he refused to ask another doc to do his work. After the procedure everything looked fine but nevertheless I think if he kept this up he was going to have a major oops! I definately would not want him doing a circ on my son!!

asher315

Specializes in Babies, peds, pain management. Has 31 years experience.

I've seen a few that bled alot and a couple that required a stitch or two. Some have been crooked but none to the extent that you described. I saw my first uncircumsized male in my peds rotation in school. He was a 4 yo that assessing and I asked my instructor "What is THAT?". I personally was grossed out (not very good hygenic practices in his family), I vowed I would have my son circ'ed.

Don't have a son, but I believe 98% of the NB males I have seen have been circ'ed.

babyktchr, BSN, RN

Specializes in Nurse Manager, Labor and Delivery.

I have never seen a circ bleed like you all have described...thank God!! I have, however, been lucky enough to have seen a circ gone bad. We too had an elderly OB who didn't know when to quit. He had advanced parkinsons and shook like a leaf. Needless to say..the circ looked like it had been chewed off and urology had to come to the rescue. He didn't do anymore circs after that.

I don't see many circs working nights...and I am happy about that.

jeepgirl, LPN, NP

Specializes in Pediatrics, Nursing Education. Has 4 years experience.

awwwww.

old people are so cute.

SmilingBluEyes

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis. Has 24 years experience.

I have NEVER seen a circ like this. Simply awful. I am glad to say, our peds do them right, and well. And I agree with the poster who said it is not necessary. It's NOT, and there ARE risks. People have the right and obligation to know this before subjecting their children to circumcision.

(yes my son is circ'd, but it was 12 years ago, before I gave much thought beyond aesthetics, I would NOT choose to do it now, if I had it to do over again). Jmo.

I have NEVER seen a circ like this. Simply awful. I am glad to say, our peds do them right, and well. And I agree with the poster who said it is not necessary. It's NOT, and there ARE risks. People have the right and obligation to know this before subjecting their children to circumcision.

(yes my son is circ'd, but it was 12 years ago, before I gave much thought beyond aesthetics, I would NOT choose to do it now, if I had it to do over again). Jmo.

When my oldest son was born 22 years ago, there was a huge controversy going on regarding circumcision. I researched it during my pregnancy and decided against it but my husband wanted it done. We argued until the 3rd day post-partum (yep 22 years ago a normal vag delivery stayed 3 days) :)

Finally I had to sign the consent (me, not the dad) because my husband was adamant that his son wouldn't be a "freak". He said he would get teased unmercifully. With our second son I made him watch - he thought it was "cool". Needless to say my 3 1/2 year old is also circ'd.

If it was up to me I wouldn't do it. But the men want it done. And I've talked to a grown man who had to be circ'd in his 20's and he said there was no difference in sensitivity.

Everyone is different I guess.

steph

I'm so glad that so many of you feel that routine circ is unnessacary. When my first son was born, my husband (himself not circ) was totally against it, so I left the decision up to him and we didn't circ. That was 11 years ago and I did get a lot of comments from people when changing his diaper. Five years ago when I didn't circ my second son, not only did I not hear the comments, but I met a lot of parents opting not to circ.

The objections I heard the most about keeping him intact were "he's going to be teased" and "he's going to need it done later."

My husband comes from a large family of brothers & male cousins, most of his brothers also had boys... about 2 dozen boys total. All are uncirc-ed, none have ever been teased (even growing up in the 70's and 80's) and none has ever had a problem. I think the problems start when well meaning parents yank down the foreskin to clean the inside. IMO The medical community is not clear on the cleaning procedure, I got lots of different advice from different staff members in the same hospital.

In my experience it is usually the men making these decisions because they want their son to look like them. It's only natural for them to think that what they have is "normal" and what the other guys have is abnormal. I do think circs are more common in the US than Canada and more common in certain geographical areas, but that's just my experience.

BadBird, BSN, RN

Specializes in Critical Care.

Once in a FL hospital the doctor accidently amputated the penis! yup, it is true, talk about a major lawsuit.

I saw a bad infection once, but that was treatable. I do help out with circs and I'm pretty understanding and nonjudgemental of parents who choose to circ their baby. It seems like for every circ horror story that there is, there's one about a 20 year old that had to be circ'd and go through hellish pain...Anecdotal evidence, while interesting, cannot be trusted for making surgical decisions about your children's body parts.

I personally would never choose circumcision for my kid, but then I don't have any kids so I'm not a loudmouth about how to raise them.

It seems like for every circ horror story that there is, there's one about a 20 year old that had to be circ'd and go through hellish pain...Anecdotal evidence, while interesting, cannot be trusted for making surgical decisions about your children's body parts.

.

From everything I've read, adults don't need to be circ'd later in life unless there's a major problem, and often even those circs are unnessacary.

What's interesting to me is why so many people claim it's much more painful for an adult. Is it because an adult can tell us about the pain? I mean, think about it. A newborn's forskin is very tight, whereas an adult's is retractable. The later sounds less painful to me!

'Course I'm not a man so I can't say! LOL

What's interesting to me is why so many people claim it's much more painful for an adult.

I have always wondered about that. Fortunately I think most doctors do use some pain medication nowadays.

As a student, the docs I saw do it used nothing other than a little sugar water on a pacifier. The part that also seemed painful to me was diaper changes.

Guest
This topic is now closed to further replies.