Circumcision - Redo?

Updated on October 23, 2008
J.V. asks from Brooklyn, NY
15 answers

My son was circumcised at birth. A couple of months ago, I noticed that his circumcision was not complete. There's an area where the skin is still attached. The pediatrician says to wait because it may correct itself by spontaneous erections (?). He's five months now. I think if I wait too long (given that it doesn't correct itself), the more painful it will be for him. Recently, I saw an underground whitehead in that area. I was told it's not dangerous but would rather not have to worry about this kind of stuff. Please give me your opinion of what I should do. Corrective surgery or leave it alone. What will happen if I leave it alone and it doesn't correct itself??

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So What Happened?

Thank you for all your responses.

I did go see a pediatric urologist yesterday and he immediately said that it was an adhesion problem. Because I did not know the difference between what an adhesion looked like vs a botched circ (or they one in the same?). My OB did the circ instead of a pediatrician at the time and did not advise to pull the down the skin during the healing process (!). So the ped urol said that he would need to pull it down with a blunt instrument after some local anesthetic was applied for 45mins. He said the baby would feel some discomfort for a few days afterwards so to apply some Neosporin Plus Cream on it every time I changed his diaper. The doctor said all this as though he's said it a million times to other mothers whose babies had the same problem. He has an impressive background so I feel that he knows what he's talking about. I asked him what would happen if I left it alone and he said that it would get infected. So basically, I have no choice but to let him detach it. He showed my how far up the attachment was and it seemed pretty high up, covering but just a tiny bit of the penis tip. Although I did try to pull down the skin during baths since my post several weeks ago, the skin didn't seem to budge. Of course, I did not try to pull it down too hard... I think I'll get one more opinion from another pediatric urologist and go from there. Please give me your thoughts.

More Answers

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K.C.

answers from New York on

see another pediatrician - get a second opinion. The same thing happened to our son (who is now 16 months), we changed doctor at his one year well-visit(we kept asking our old doctor to check his circumcision, & they kept telling us it's okay.) Well, the new doctor took one look at the penise told us he has "penile adhersion" & he had to pulled it apart. A lot of white pus & stuff came out (b/c you mention the white head, I think your son may have a similar problem). It's painfull for the baby, but necessary b/c the segme could cause an infection. We were lucky that our new doctor could pull it apart, otherwise our son would have to see a specialist. & lots of A&D ointment to help heal the penise & to prevent futher segme build up. hope this help.

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D.B.

answers from Glens Falls on

Hi. My son, now 4, had the same thing happen and I have to tell you, it's a nightmare, but any doctor with a heart, will tell you that you NEED to get it corrected now. It can cause major problems for him when he is older. Just prepare yourself, its a painful experience, But, I promise you he will not remember it.. My little guy was a little over a yr old, and I wish I had done it sooner, but thank God, he doesn't remember any of it.
It's not even a matter of " if " you should do it, YES you should, to protect him especially through puberty,most woman don't understand that, it's more a question of when. Talk to your doc and tell him you want a Revision of Circumcision and you wont take no for an answer. I was a nurse for 9 yrs, please listen when I tell you, it's wrong to let it go. He WILL have to get it fixed eventually, better make it now when he won't remember the horrible experience. My uncle had to redo his at 47 yrs old. I wouldn't put that pain on anyone . Best of luck, Feel free to contact me..

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A.H.

answers from New York on

do it soon. I waited until my son was 10.. and it was a bad scene... He had to have a reg. surgery... and he remembers all the pain. I used Dr. Ring in Westfield NJ... he is excellent.. his bed side manner isn't the greatest.. but he is very good with the child.. and a great dr. Good luck..

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L.B.

answers from New York on

I recently read an article relating to this and the author advised seeking the opinion of a second pediatrician. Did his pediatrician do the circumcision? He may not want to admit that it is blotched. And if it needs to be redone, you would rather have it done right away when he's really young and will not remember. I'm sorry I can't recall where I read the article but I think it was in a TimeOut Kids Magazine. Did your pediatrician instruct you to wash the skin around the circumcision so it doesn't attach? My pediatrician did and it helped with healing of the circumcision.

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J.M.

answers from New York on

Get a second opinion from a uroligist. Always trust your instincts when raising children. A second opinion is always a safe way to go.

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K.G.

answers from New York on

I agree with Vicki. My son had a botched up circumcision..they forgot to do it and when I was getting ready to be discharged from the hospital they rushed to do it and of course screwed it up. I put vaseline around it when I changed him and it still seemed to stick. Well the bottom line is he is now 17 and has no problem with it. I would NOT have it redone. When he grows up, he can make that decision himself. I think it is just too traumatic.

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N.H.

answers from Rochester on

I would trust his doctor. My son is almost 2 yrs old now and I thought the same thing after he was born. There was a little spot that I thought wasn't 'cut' well enough right in the fold of the cut and the same thing with the little whitehead happened. I remember thinking maybe I was just being paranoid that he, being my 1st boy, had to be perfect that I would notice every little thing about him. I kept a close eye on it, and I also got the same advice from his pediatrician. I made sure to keep it REALLY clean. What ended up happening is as he grew older, so did his you know what and the little spot ended up stretching out and healing itself nicely. Now it looks just fine and there is no extra skin or even a bump (as I thought would be the result of the pimple). I hope this advice helps.

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B.N.

answers from New York on

Go to a pediatric urologist for a second opinion.They will know best.

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L.F.

answers from New York on

I noticed my son's circumcision reattaching. Doctors also told me no big deal. At about 7 months I thought he also had an undecended testicle. it was then that they referred me to a pediatric urologist. Went to urologist he said that the testicle was fine and when I showed him the reattachment, he immiately manually (ouch) pulled it back down. My son barely noticed and I'm so glad I ended up going to the urologist. I little bacitracin and pulling it back for a couple of weeks solved the problem. I say, go to a pediatric urologist.

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Q.F.

answers from New York on

i would say give it a couple months at least. if his dr. said that spontaneous erections can possibly correct it then i would just allow that to happen. just make sure that the room is a little chillier (not that i'm saying to make it really cold) when you change him, or get ready to give him a bath. i myself don't have a son, but i did help with my little brother, many of my friends' sons. with a few of them i realized the differences between them all and the way things were done. the friends that were quick with changes, and always had the place warm, NEVER got peed on, yet the friends that were really slow, and had the house a lil more 'crisp' would constantly notice a little erection, then seconds later get peed on. i know that every once in awhile i would let my daughter just lay there with nothing on to "air out" and sometimes she'd pee too...so just make sure you have something to quickly cover him...or make sure it's in the bath so you don't have a major mess, but if this could correct itself, why not give it a couple months. just call the dr. back and ask their opinion on how long it could take, or how long you should give it. and then decide for yourself how long is too long.
as for the pain involved, it's a painful procedure to go through no matter what age. i've seen them done on tv and the babies scream like your torturing them for a couple of minutes, then they're fine (i'm sure still sore). but i met someone who had gotten this done when he was in his late 30's because of his change in religion and he said it hurt, but it hadn't been the most painful thing he had gone through. i would assume that they would put some kind of numbing medicine on the area (maybe even give you something to put on it to numb it...i may be wrong). just talk to the dr. and get all the facts. that's the only way you'll truly be able to decide...YOU know what's best for your child. once you hear all the details involved in the procedure, including any pain relief, you'll know what's best. and it doesn't hurt to get their opinion on the pain he'll go through.

good luck, it's hard to have to choose something that seems so important for HIM in the future, when you have to, as the caring parent you sound like, decide what's more important...the way it will look when he's older, the pain he will go through, OR what possible affects it will have on him either way. i wish you the best, just remember you and his dad will know what's best for him when you know all the details!

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C.G.

answers from Utica on

Hi J.,

I adopted a special needs boy (cleft lip/cleft palate, left sided microtia) from China this April. He was 18 months when we received him. On returning home, our main concern was for his lip/palate. I discussed circumcision with our pediatrician and she said to wait until the other surgeries were taken care of. I asked her if waiting longer would be more difficcult for him. She said the circumcision procedure is quite minor and any pain would be treated without difficulty. When asked about emotional difficulties related to having it done, him being more aware of what's going on, as opposed to an infant, I was told it would be forgotten almost as quickly as it happened. After thinking about it myself, I thought, really, I don't remember anything from that time in my life. My son is 2 years and 3 months and his other surgeries have been completed. His last surgery (palate revision) was done on January 4th. He will be scheduled very soon for his circumcision (next month or two).
I hope this helps.
Tina

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C.T.

answers from Buffalo on

hello mom of one im a mom of two 1 boy 10yrs and 1 girl 8yrs of age i got my son circumsized at birth no complications i suggest you get a second oppinion exspecially reguarding the white bump you saw i never seen that on any newborn-1yr old males and i do lpn work on a dailt basis. feel free to respond back if you wish to speak further. mrs.t

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S.T.

answers from Albany on

I wanted to let you know that happened to my oldest son who now is 3 yrs old. I noticed that he had an incomplete circumcision and I was upset. I knew that it didn't look right and the pedicatrician was saying that it was okay and blah, blah, blah. He ended up getting it done late and it was more painful for him not having it done. I think it started before he was turning two and it had a white thing in a "hole" which I didn't know where that hole was from, it was red and infected and I took him to emergency room not knowing what is going on. The white thing was stuff I put on him, to put on his bottom after every changing. They had to squeeze it out to get the testing done on it and cleaned it out and then as a result, a dr looked at him and said yes, it was an incomplete circumcision and prescribed medication to put on it hoping it will fix itself. Insurances won't pay for surgeries if the medication isn't first suggested. The medication didn't work for him and had a surgery done and now, I am soooo glad I got it done for him. Please get a second opinion and third opinion and that is a young age, but make sure it's not infection you're seeing. I'll pray for God's Wisdom for you.

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K.S.

answers from New York on

I have a friend whose son had adhesions (scar tissue that makes the skin stick together) from his botched circumcision. He was supposed to have them fixed before his first birthday, but illness and change of doctors made it 18 months before he had it corrected. My friend was out of her head anxious about it but her son came through like a little trooper. Is the doc who recommended waiting the same doc who performed (and botched) the circumcision? If so, I'd seek a second opinion. And in any case, the research my friend did around the correction procedure revealed that the procedure is usually pretty well-tolerated by the child.

Of course, there is the issue of whether to put a baby so young under general anesthesia, which was required for my friend's son's procedure--so if you do decide to go forward, you may have to wait a while anyway to be sure it's safe for a non-emergency procedure.

It's a terrible decision to have to make either way and my heart goes out to you! Best of luck.

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M.S.

answers from New York on

it is probably called a penile adhesion when the skin
reattaches itself during the healing. please see a pediatric urologist or two to see if it can be pulled back or redone and if so then he may need some anesthesia in which his age from 6 months on is ideal for being put under slightly like a twilight sleep for only a few minutes (they say similar to a six year old) . It is common and not dangerous just a way the skin heals after and some areas not being pulled back...kind of like some heal with keloids. Dont worry it is not serious but may require to be re done and it doesnt mean the original circumsion was done wrong just the healing a peice of skin healed back onto itself. Just have someone else look at him for more opinions prefereably a pediatric urologist.

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