Some of the info. I've found.
There is a lot of conflicting info out there!
Webbed and buried penis
Webbed penis is a common congenital abnormality in which a web or fold of scrotal skin obscures the penoscrotal angle. If the physician performing circumcision does not recognize the condition, the penis may become buried in a tentlike fold of skin. Recircumcision to remove the excess skin makes the situation worse by drawing hair-bearing scrotal skin onto the penis.
This one isn't saying not to circ., but doesn't seem concerned that the child was circed at birth- makes it sound as if surgery can proceed without the foreskin needing to be used as part of the repair.
Question: At two weeks of age, my son was circumsized. The result didn't look right so at 3 weeks I asked my pediatrician for an opinion. She thought it needed to be redone and sent me to a pediatric urologist. The urologist told me that my son had two issues. One was that the left testicle was swollen and about 4 times larger than the right. He felt that this would resolve itself over time.
The second issue was what he called a "webbed penis." The skin from the testicles appears to be webbed to the penis. He believes this will require surgical repair when my son is 6 months old, and he wants to re-evaluate him at 3 months. Can you tell me about this condition and what its medical term is? Also, his penis now appears to be slanting to the left. Is this part of the same condition?
Answer: The abnormality of a webbed penis or penis palme is really fairly common in a pediatric urologist's practice. Hydroceles are common. The correction at age 6 months is quite correct, as the amount of growth needed for a good repair is at about that age. If the hydrocele does not go away on its own, it should be repaired at the time of the penile surgery. The scrotum should be made as normal as possible, by fixing undescended testes or hydroceles, and then correcting the penile abnormality.
This one mentions circumcision as part of the repair, but doesn't say the foreskin is used in the repair.
CASE 3: WEBBED PENIS
A 12-day-old was referred to the department of pediatric urology for circumcision. A penile abnormality had been noted on the initial newborn assessment. Physical examination revealed an uncircumcised phallus with a nonretractable foreskin and signi ficant penoscrotal webbing. Circumcision was attempted by his primary physician, but the webbing was extensive enough to prevent placement of the Gomco clamp.
The patient was observed for 6 months, but there was no change. The abnormality was subsequently repaired. Surgery consisted of circumcision followed by degloving of the penis, lysis of abnormal connective tissue bands, and removal of excess skin and subcutaneous fascial tissue. The procedure was finished with longitudinal closure and approximation of the shaft and coronal skin such that the penis extended appropriately. Several follow-up visits revealed good healing, with a normally positioned and extended penis.
Just a note from me- hypospadias, which is what my son had, is sometimes repaired by using the foreskin as part of the reconstructive repair. However, that is generally only in severe cases. In milder cases, which are what is most common and what my son had, the foreskin is not used.
My son had a pretty extensive surgery to close an existing opening. create a new opening, remove a hooded foreskin which was causing torsion of the penis, and his penis was degloved and bands of chordee removed, and then the penis skin was reattached. It was a lot of repair. But his foreskin was not used for reconstruction.
It is possible circumcision is necessary to repair your son's penis- obviously I don't know. But in meeting with pediatric urologists and researching my son's options, I did find that urologists seem to be very, very pro-circ. in general. Over and over I ran across urologists saying circumcision was necessary so the child wouldn't have psychological problems about being "different".
I thin it's excellent you aren't just acepting as fact one doctor saying your son needs ot be circumcised. Obviously any surgery to the penis is likely to damage some tissue and/or nerves, so there's no point in adding to the surgery unnecessarily.