With non-vascularized adhesions the foreskin naturally adheres to the head/glans of the penis and sometimes happens again after circumcision. This type of adhesion often resolves without treatment because of natural exfoliation of the skin.
Causes. Some adhesions may develop due to an excess of residual foreskin following a newborn circumcision. Adhesions can also form as an infant develops more fat in his pubic area (the area around the penis and scrotum).
In a circumcised male, penile skin bridge occurs when the circumcision incision heals improperly such that the shaft skin becomes permanently attached to the head of the penis called the glans.
Penile adhesions can be repaired in a urologist's office or with a topical steroid cream that can be used at home. Repair in the urologist's office requires a numbing lotion to be applied to your son's penis prior to the adhesions being taken down.
Paraphimosis treatment
If the foreskin remains stuck, your doctor might need to make a small cut in the trapped foreskin to loosen it. In some cases, your doctor may need to do a circumcision.
At birth, the foreskin is attached to the head of the penis (glans). It is attached by a layer of cells. Over time, the foreskin will separate from the head of the penis. This is a natural process and occurs over 5 to 10 years.
The foreskin is the sheath of skin that covers the head (glans) of the penis. At birth, the foreskin is fully attached to the penis. In time, the foreskin separates and can be retracted (pulled back). This can usually be done by the age of about two.
The symptoms depend on what type of penile adhesion your son has. You may notice a band of skin that attaches the shaft and head of the penis. Or the penis may look like it's buried in the pad of pubic fat. Adhesions are often associated with a white debris in the area.
If the doctor used skin glue instead of a bandage, it usually falls off after one or two weeks. It is okay for the skin glue to get wet. The head (tip) of the penis may have a yellowish or crusty film on it. Put antibiotic ointment (bacitracin) on the surgical cut 2 to 3 times each day.
“Incomplete” Circumcision
The amount of skin that gets cut varies. Sometimes the foreskin still covers the head of the penis and it looks like nothing was done. Other times, there's more skin left on one side than the other.
After circumcision, your baby's penis may look red and swollen. It may have petroleum jelly and gauze on it. The gauze will likely come off when your baby urinates. Follow your doctor's directions about whether to put clean gauze back on your baby's penis or to leave the gauze off.
The penis normally becomes swollen after surgery. The swelling is usually greatest between the line of the circumcision and the ridge of the head of the penis. This skin has a different color and is usually pink. The swelling gets worse for the first few days after surgery and then slowly resolves.
Botched circumcisions usually result in the removal of too much skin or trapped/concealed penis, for example. In severe cases, the tip of the penis is cut into or completely severed.
The glue will gradually come off. If it has been there for 2 weeks, it starts to get messy and there is no harm in gradually peeling the loose glue off.
It may have a yellow ooze over it which is part of normal healing. Don't wipe it away. Use a Vaseline and gauze bandage every diaper change for 1-to-2 days.
Clean the circumcision site with warm water and a cotton ball once or twice a day. Apply Vaseline for several days. This helps keep the area clean and keeps the wound site from adhering to the diaper.
Circumcision revision is an uncommon but sometimes necessary procedure. It refers to a second surgical procedure performed due to unsatisfactory results with the original circumcision.
Toddlers up the age of two and boys who are at least nine can have the revision right here in our clinic. We're equipped to serve patients who may desire or require circumcision revision with minimal stress or discomfort.
The foreskin might not fully separate from the glans until after puberty. In the years before the foreskin separates fully from the glans, skin cells can build up under the foreskin and form a whitish substance called smegma. It might cause firm lumps under the foreskin. This happens in about 10% of older children.
This is known as paraphimosis and it's a medical emergency. Immediate treatment is needed to avoid serious complications like restricted blood flow to the penis. A doctor may be able to return the foreskin to its original position. Sometimes surgery to remove the foreskin (circumcision) may be recommended.
Overall, uncircumcised men reported between 0.2 points and 0.4 points higher sensitivity and sexual pleasure when their penis's head - known as the glans - was stroked during arousal, compared to circumcised men.