Babies: 3 - 6 Months

Reattached circ

I just realized that DS skin has reattached from his circumcision. I clean it at bath time every night but I must have not been pulling it back far enough and tonight after bath I noticed I missed a spot so I cleaned it and saw that skin reattached and there is white gunk under there. I tried to clean it but didnt want to do too much. I will talk to his pedi but in the meantime has anyone had this problem and what did your pedi say? I Googled but found conflicting recommendations.

I knows it's stupid to feel this way but I feel like such a bad mom for not noticing sooner! :( poor little man.

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Re: Reattached circ

  • My first instinct would be to let it be until the pedi looks at it, but mine isnt circ'd so i'm not a lot of help.
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  • I was told by my pedi with my DS not to clean out the white gunk, that it was just dead skin and wasn't full of bacteria or anything. (Plus it's in a diaper with sterile pee.) He was fully healed by the time he was 7 months. I did clean it from time to time, but not eith every change.
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  • imagesherbetlemon:
    My first instinct would be to let it be until the pedi looks at it, but mine isnt circ'd so i'm not a lot of help.

    Oh I fully intend to leave it until I talk to the pedi but I meant more so because I have read pedi's saying to leave it and others saying pull it back. I wanted to more so know what others were told by their pediatricians and how it worked for them just so when I go in I have a little more info behind me. I don't want to do anything that would cause him more damage, obviously.

    I realize I wasn't very clear in my OP, sorry.

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  • When I left the hospital no one told me to pull back that skin so I was not aware it was necessary.  At his two month check-up the dr. said "oh you are supposed to be doing 'this' and just reached done and tore the skin back.  It turned really red and bled a little.  L started screaming and personally I am traumatized for life.  She didn't warn about what she was going to do or anything.  At 4 month's I still have to pull it back at every diaper change because at his 4 month check up it was still trying to reattach.
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  • DS had this. I spoke with doc and he said I could just gently pull it back and it will come apart...yeah right, like I was going to do that!  So when I took DS in for his 4 month checkup, I asked doc to check it out to see if it was a big deal or if it needed attention.  He took a look at it for 2 seconds and simply pulled it apart, in one fall swoop, before I could even say a word!  DS flinched slightly but never even broke his smile!  It had the same white gunk around the corners (when it was reattached) and once doc pulled it apart, it had tons underneath.  I tried to wipe it off but it really didn't come off...it was almost like attached.  It took a day to soften and come off.  DS was a little red for a few days, but never once did it bother him and has since healed just fine!

     

     

  • DS's has reattached.  Pedi gave us some kind of cream that's supposed to loosen the skin so that we can continue to pull the skin back, but it's not working for us.  We had to go see a urologist, who told us to continue using the cream for another 6 weeks.  We go back next week for a recheck and if it's not loosened, they are going to numb him and basically redo his circ.  My poor little guy! 
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  • I work with a peds urologist and he recommends to pull back at each diaper change and apply white creamy desitin (not the clear kind) around the circ area.  The desitin acts as a barrier so the skin will not reattach and form a penile adhesion.  It sounds like the area has unfortunately already adhered and may need to be reattached by the MD.  This happened with my first son and the urologist numbed the area with ointment and was able to break apart the adhesion in the office (my son didnt even seem to notice).  Thankfully I followed my instinct and went to see the urologist as my pediatrician kept telling me it looked fine.  The urologist told me that if I had left it much longer, my LO would have had to have it recircumcised in the OR.

     

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  • Thanks everyone!!

    I don't think it is reattached too bad as it started to pull away when I gently pulled and it didn't bother him. I know that it wasn't like this a month ago so it must be a fairly new thing.

    He doesn't have his 4 month appt until he is 5 months so I will probably take him in prior to his next appt because I don't want a month of reattachment to make things worse.

    It is good to know there is a numbing ointment they can use too so I'll askabout that if they intend to separate it. I don't want to see my little boy screaming in pain :(.

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  • I didn't know that the reattaching was that common! Both of my boys are circ'd and I had never had to pull it back or anything... I always cleaned them but never required pulling the skin down to get in anything out of there... I just make sure its pointing down when I put his diaper back on though, lol.

    I hope you can avoid redoing any part of it! That would be awful to have to have it fixed... poor guys :(

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  • imageawatkins2:
    When I left the hospital no one told me to pull back that skin so I was not aware it was necessary.  At his two month check-up the dr. said "oh you are supposed to be doing 'this' and just reached done and tore the skin back.  It turned really red and bled a little.  L started screaming and personally I am traumatized for life.  She didn't warn about what she was going to do or anything.  At 4 month's I still have to pull it back at every diaper change because at his 4 month check up it was still trying to reattach.

    I wasn't told either! My SIL told me just after my DS had it done. She only knew because my nephew's reattached too. They had to have the circumcision done again. Tongue Tied 

  • I don't know what kind of circ's you had done, but my sons never had anything to pull back.  That was kind of the point. 

    And they looked perfectly normal.  

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  • imageEmjayTheHunted:

    I don't know what kind of circ's you had done, but my sons never had anything to pull back.  That was kind of the point. 

    And they looked perfectly normal.  

     I was thinking the same thing and it reminded me of some questions the surgeon asked while we were going over the concent forms. She asked how much I wanted taken off. I was confused as this was not discussed when I had my first son 7 years ago. I asked what she meant and she and the nurse explained that people are requesting that only a little be taken off like a "mini circ" in the 80's ( i guess that was big in the 80's to just have a mini circ) or they request that more than "just enough" be taken off.

    I thought that was insane. I told her that I wanted him to have a "regular circ" and no less or more. She chuckled at my "order" and did his circ just fine. I don't have to pull anything back or move anything to clean him... I wonder if these other babies were not given the option on how much was taken off and the docs were just giving the "mini circs"  I am not being funny, this caused a big discussion in the NICU while we were going over concent forms.

    I can't imagine being the surgeon and asking the parent "How much do you want me to take off?" like it is just a hair cut or something.

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  • imageEmjayTheHunted:

    I don't know what kind of circ's you had done, but my sons never had anything to pull back.  That was kind of the point. 

    And they looked perfectly normal.  

    We were told by the urologist that his readhered because he has this pooch above his wee that basically makes the whole wee "turtle" up and because it doesn't stay out, the skin has too much contact and gets itself readhered.
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  • imagepomrom:
    I asked what she meant and she and the nurse explained that people are requesting that only a little be taken off like a "mini circ" in the 80's ( i guess that was big in the 80's to just have a mini circ) or they request that more than "just enough" be taken off.


    I think I knew a guy with a mini-circ!! 

    It had some skin that would come down when he wasn't aroused, but when he did, that skin just went away.  But, it wasn't as much as an uncircumcised guy.  Not a full anteater. 

    He made a comment that his dad only wanted them to take "a little off the top", and I laughed and thought he was joking, but maybe there was something to that!!!

     

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  • imageEmjayTheHunted:

    I don't know what kind of circ's you had done, but my sons never had anything to pull back.  That was kind of the point. 

    And they looked perfectly normal.  

    Plastibell is what he had so there was no need to pull it back but when DS started to "turtle" I would pull it down at bathtime to clean underneath the head and get the gunk out but I guess I must have not been doing it enough because the skin was able to readhere.

    The pedi I saw today said it is very common to happen and it has nothing to do with the circumcision itself. We have to pull it down and place vaseline on it at diaper changes and after his bath to make sure the skin doesn't adhere again.

    He just pulled it apart and DS fussed a little bit but there was no crying or tears but man is it red! Poor little man.

    The pedi also said that younger infant they will pull it apart(if they are able) but when your child hits 12 months years they do not pull it apart and that surgery at that point is needed so it is best to have it taken care of asap.

    ETA: Also as they get older and they are able to have erections more often so the skin will be naturally pulled away.

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