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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat A Toddler's Swollen Penis Whose Foreskin Is Stuck?

I brought my son to Al ahli this pm as he had blood spotting after urinating the last few days. The doctor who saw us pulled back his foreskin to take a look and couldnt pull it back down again.

He was quite abrupt and scolded me for not pulling it back sooner which is against everything we are told in western medical advice, said the blood could have been a tear or an infection and left me with antibiotics and a very traumitised 2 year old.

Well since we have come home, his penis has swelled and his foreskin is caught behind this and he fell asleep crying an hour ago. Ive been on the internet since and the term paraphimosis keeps coming up with advice to seek medical treatment immediately.
Thu, 29 Jan 2015
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Pediatrician,  's  Response
Phimosis or balanoprothatitis are conditions often seen in young children. Usually such a condition clears up by 3 years of age but if it does not, circumcision (excision of the foreskin) might be required. It is advisable to intermittently withdraw the foreskin from time to time since a substance called smegma gets collected below the foreskin and could be harmful if not cleaned at least periodically.

Since the foreskin has been abruptly withdrawn after long, the swelling has resulted. Try manipulating the foreskin to put it back to the proper position. The swelling should come down soon, but if it does not or if the foreskin does not get released, circumcision might need to be considered even at this age. You would need to take the child to emergency department of a hospital if the foreskin remains stuck.
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How To Treat A Toddler's Swollen Penis Whose Foreskin Is Stuck?

Phimosis or balanoprothatitis are conditions often seen in young children. Usually such a condition clears up by 3 years of age but if it does not, circumcision (excision of the foreskin) might be required. It is advisable to intermittently withdraw the foreskin from time to time since a substance called smegma gets collected below the foreskin and could be harmful if not cleaned at least periodically. Since the foreskin has been abruptly withdrawn after long, the swelling has resulted. Try manipulating the foreskin to put it back to the proper position. The swelling should come down soon, but if it does not or if the foreskin does not get released, circumcision might need to be considered even at this age. You would need to take the child to emergency department of a hospital if the foreskin remains stuck.