Baby Boy Penis

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Baby Boy Penis
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Does your baby or toddler seem to be missing his penis? Your son may have buried penis syndrome, a condition where a child's penis is hidden by the uneven distribution of skin and fat in the pubic area.
Are you wondering where your baby boy’s penis is? Does it look like a minuscule knob, or does it seem hidden in fat and skin? Your little boy could have what is known as a “buried penis.” In this condition, the penis becomes “buried” beneath flesh and skin. It usually happens in infants.
A buried penis is the partial or complete concealment of the penis beneath the scrotum or excess skin or fat in the genital area. Normally, the buried penis is normal in size and function. But in extreme cases, the shaft and head will not be visible at all.
Now, let’s dig a little deeper into what’s going on. Usually, a penis is wrapped in a sheath of skin. This skin is evenly distributed around the entire penis down to the scrotum .
However, some boys have skin that is unevenly distributed in the genital area when they were developing in the womb. It’s common in young babies, and is a congenital defect.
In most cases, this is more of a cosmetic issue than a medical one. However, having a buried penis can result in negative psychological effects later in life.
We should point out here that a buried penis should not be confused with a micropenis. The latter is just small even when stretched or erect, and is caused by structural or hormonal defects.
There are a few factors that contribute to a buried penis. Some of these causes are:
Screen grab of a buried penis correction surgery, courtesy of YouTube user eldien muhammad shidqy .
Having a buried penis can complicate proper hygiene. When a baby pees, the foreskin may puff up and expand as it fills with urine. This can make the penis dribble urine constantly. Once it’s time for potty training, a baby with buried penis syndrome will have trouble directing his pee stream properly.
When an adolescent is diagnosed with buried penis syndrome, there are various health concerns that can affect him physically and psychologically. These may be any or all of the following:
Apart from poor hygiene and the risk of urinary tract infection, a buried penis raises the risk of psychological and social trauma in children.
Obese boys with a buried penis will have severe body issues because of the correlation between excess fat and a buried penis. This psychological trauma may cause them to withdraw socially and have extremely low self-esteem. It may also lead into full-blown depression.
Surgery may relieve boys of their anxiety and improve their self-image. But parents are advised to encourage afflicted boys to lose weight first before going into surgery.
Diagnosing it is pretty easy. Penises are not supposed to fully retreat into pubic flesh, so no imaging or laboratory tests are necessary. What doctors will assess is the amount of skin available for use in surgery or redoing a circumcision.
Another factor they examine is how well the penis’ skin attaches to its deeper structures, and the angle at which the ligament attaches the penis to the body.
The only way to correct a buried penis is by surgery. Every operation will depend on the factors that have caused the child’s buried penis. Doctors may need to remove excess skin or improve the penis’ connection to its internal structure.
[Trigger warning: The following video of buried penis surgery you are about to see is extremely graphic in nature.]
However, if too much skin was removed during circumcision, doctors may need to do a skin graft — that is, putting a piece of healthy skin to “grow” on the penis.
Operations to correct a buried penis usually last between 60 and 90 minutes, depending on the case. The result of the operation will only be apparent about three to six weeks after the surgery.
If surgery isn’t an option, doctors can apply an anti-inflammatory medicine (like betamethasone ) to the area. The patient can manually pull the foreskin several times a day.
As a warning to parents, if you’re going to have your baby circumcised, talk to your doctor first and have him/her examine if it’s safe for your child or not. Circumcising a child without examining his penis may lead to a buried penis if not done right.
Though most of them are temporary, there are some complications that could occur after the corrective procedure:
Babies and older children must fast right before surgery.
Also, don’t give your child Motrin, Advil, ibuprofen, or aspirin 14 days before the surgery. Tylenol or acetaminophen is okay to use.
Inform your doctor of any symptoms of illness (like a fever, rash, or cold) if they appear a week before the surgery. This is important as an illness may affect the outcome of the surgery.
Your doctor or his/her staff will give you information on what your child can eat or drink before surgery. Be sure to understand the instructions and follow them to the letter. The doctor may cancel or delay the surgery if you don’t follow the instructions or the schedule.
Your baby’s penis will tend to bleed a tiny bit around the bandage. There may be a lot of swelling and the penis will get red and look puffy. Now, don’t panic. This is normal.
If the dressing falls off, that’s okay, too. You don’t need to apply a new one or call the doctor. The Phoenix Children’s Hospital recommends that you put your child in a bathtub on the third day after surgery so the bandage can get wet, making it easier to remove. If you’re still having difficulty removing it, apply liberal amounts of baby oil to loosen the adhesive.
Once you remove the bandage, you’ll need to apply petroleum jelly on the penis every diaper change, or three to four times a day (if the baby is not in diapers). This is to prevent the shaft of skin from attaching to the penis head.
You’ll need to pull back the shaft skin to see the ridge of the penis head. This promotes healing and prevents the shaft skin from reattaching to the penis head.
For babies, plain Tylenol is adequate for pain relief. If your child is over six months old, he can take ibuprofen, Advil, or Motrin. Ask your doctor to prescribe a pain reliever, which maybe given every six hours as needed.
For the first two days after surgery, your baby can only do sponge baths. After the dressing has been removed, he can take normal baths again. Put a limit of 5-10 minutes at a time in the tub during the first week after surgery.
Just start your baby on clear liquids (breastmilk, water, apple juice). If your child tolerates this well, he may begin regular diet by the evening after surgery.
Be warned that your child will experience nausea and vomiting after anaesthesia. If this occurs, do not feed your child for one to two hours. Afterwards, you can begin with clear liquids.
Limit your child’s physical activities for two weeks in the following:
Swimming is especially risky since your child may get an infection from the pool water.
After two weeks or once he heals properly, he may resume normal activities. Going back to school or day care will depend on your child’s age and the adequacy of supervision upon his return.
In a review of the phenomenon , a study by the Changhua Christian Hospital in Taiwan suggests that a buried penis should be corrected immediately after the affected child starts walking, when their abdominal fat has diminished. But s ome experts correct the anomaly immediately after diagnosis to resolve medical and cosmetic problems in children.
The review adds that surgical corrections are more successful in toddlers than in adolescents. It explains that as the penis length increases, the groin fat accumulates, making surgical corrections in adults more difficult.
That’s why a buried penis’ accurate diagnosis and an early referral by a primary care physician is important. A satisfactory treatment is only achieved with proper surgical management in young boys or infants.
Republished with permission from: theAsianParent Singapore
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Posted on November 20, 2018 November 4, 2020 by Susan Taylor
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If you’ve been blessed with a little prince, but are completely clueless when it comes to the ins and outs of male genitalia , then you might want to take note of these little-known quirky facts.
Tell your hubby to settle down because it’s very common for male newborns to have extra large balls compared to the size of their penis or the rest of the body. It’s actually swelling caused by the extra fluid which occurs when the testicles descend from the abdomen and into the scrotum (around the time of birth). After a few months, the swelling goes down and their ‘package’ looks more in proportion.
Baby boys can begin having erections as early as in the womb! So don’t be shocked if you see the little chap standing to attention at any point when you’re giving your bub a bath or changing his nappy. It’s completely normal, not at all sexual and often caused by things such as their bladder being full or air touching their privates. It’s actually a really good sign that everything down there is working the way it should.
Boys can be born with not one, but two penises. Called ‘diphallus’, it’s a pretty rare condition affecting only one in every five to six million males, and is often accompanied by other genital abnormalities. It’s also unlikely that both penises would be functional and surgery is generally required.
If your newborn’s penis is less than 1.9cm when stretched then it’s considered abnormal and is most likely a micropenis (caused by a hormonal issue). Other causes of an ‘inconspicuous penis’ (yes that’s a real term) are a webbed, trapped or concealed penis – which can be a result of excess scrotum skin or the pubic fat pad burying or trapping the penis. All fixable with treatment or surgery.
Once the foreskin of the penis detaches from the glans in early childhood (or beyond) it is able to be retracted. Retracting the foreskin means to pull back the loose skin on an uncircumcised penis to expose the glans – or head – of the penis. Boys will learn to do this in their own time, according to their development and what’s going on with their penis. Parents should not retract the foreskin for their child. In fact, forcing or training the foreskin to retract could result in a painful injury.
Once retracted, the foreskin should always be left to cover and protect the glans. Boys’ foreskins are able to be fully retracted on a whole spectrum of ages.
The Royal Children’s Hospital says that full foreskin retraction is possible in:
Boys don’t produce proper sperm cells until they reach puberty (at around the age of 11 or beyond). So even, if your little man is having frequent erections or even touching himself , this will not lead to ejaculation as there is no sperm inside the testicles yet. This is also why their scrotum isn’t generally as sensitive as an adult male’s (a hit to the genitals with a rogue tennis ball won’t necessarily take them down yet). However, care should still be taken in that area at all times.
Technically a penis break is called a penile fracture because there is no actual bone in the organ. And although you might think it’s only adults who can get them (from intercourse or falling out of bed with an erection), they can also occur in toddlers. According to a UK study , the most common reason for penile fractures in boys aged two to four was recently toilet-trained little fellas crushing their penises with heavy toilet seats and lids. Ouch!
If you are at all concerned about your son’s genitalia, please speak with a doctor.
© Copyright 2022 St. Joseph Communications.
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So you just had a baby boy and you're a little unsure how to care for his business. Here's what you need to know about taking care of his penis (whether it's circumcised or uncircumcised).
Sure, Jacob’s* penis looked a bit inflamed, but for Maura*, that didn’t set off any red flags. The Toronto mom figured it was probably a diaper-related irritation . The next day, though, things looked much worse. “It was very red and swollen,” Maura says. “It almost looked as though something was tied around it.” Now concerned, she reached out to friends on a local parenting message board for advice. Her toddler was uncircumcised—perhaps his foreskin was just starting to retract? Maybe he’d been a little too rigorous while exploring his body?
The next day, Maura took Jacob to see his paediatrician, who diagnosed the toddler with an infection. He prescribed a topical cream and some antibiotics . “And then he said, ‘But if this doesn’t work, we may need to do an emergency circumcision,’” Maura recalls. “That felt really weird, and it totally freaked me out.”
Happily, the raw, red bits cleared up, but Maura is still worried. She and her husband were secure in their decision not to circumcise, and the prospect of subjecting their toddler to a sudden surgical intervention was unnerving. That anxiety is common, says Karen Psooy, a paediatric urologist based in Winnipeg. “Parents are often unclear as to what justifies a circumcision,” she explains. The most common medical reasons are foreskin issues (one that’s too tight, one that’s unusually scarred or causes problems with urination) and a series of ongoing infections. “In the majority of these cases, a trial of topical steroids, prior to considering surgery, is worthwhile,” says Psooy.
Foreskin 101: How to deal with your baby boy’s business
If your son is uncircumcised
In most instances, though—especially with boys who are uncircumcised—the best approach to care is to be proactive, says Aubie Diamond, a Toronto-area doctor who specializes in circumcisions. For your son’s first year, take care to wash his penis gently with mild soap and water, and dry it thoroughly. Keeping the area clean will help ward off fungal infections , which can be nasty and lead to the kind of swelling Jacob experienced. But “never, ever try to forcibly push back the foreskin on a baby,” Diamond says. “If it hasn’t naturally separated, it’s very sensitive. It could tear or scar, and that’s going to lead to complications.”
Eventually, the foreskin will retract on its own. According to the Canadian Paediatric Society, by age six, about half of boys can retract their foreskins, though the separation may not be complete until puberty, and 95 percent of boys have retractile foreskin by age 17. Once the foreskin has retracted on its own, Diamond recommends rolling it back every time you give your son a bath. Using a soft washcloth, gently wash away any residue, then thoroughly dry the area before bringing the foreskin back into place.
“It’s a moist, dark, warm region,” says Diamond, “and if you don’t dry it properly, that can lead to yeast infections. You need to keep this up until your child develops the maturity and level of independence to do it himself.”
If your son is circumcised
Similar to their intact counterparts, circumcised penises should be gently washed with mild soap during bath time . Post-procedure complications might include bleeding and can be controlled in most cases. “In experienced hands, complications are uncommon and, in most cases, are easy to deal with,” Diamond says. “More serious complications are extremely rare.” One of these rare complications is called urethral meatal stenosis. “Basically, it’s when the pee-hole narrows,” Psooy says. “This can occur in up to 10 percent of cases.” One sign might be a urine stream that seems to veer skyward. “If you have a kid who always wins the peeing-over-the-fence contest, Dad may be proud, but it can be a sign that you should consult a urologist,” she says.
Psooy says she often encounters parents who are overly concerned about adhesions—or foreskin areas that attach to the glans in both circumcised and uncircumcised boys. In cases thought to be causing symptoms, revision can be necessary to separate the skin from the glans manually. But these cases are the outliers, says Psooy. “People worry that the adhesions need to be dealt with now to prevent complications later in life, but they’re almost never a problem.”
© Copyright 2022 St. Joseph Communications.
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