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ISSN 0973 - 0958
Genital Problems in
Children
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
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CIRCUMCISION IN CHILDREN
Dr. Vivek M. Rege
Pediatric Surgeon & Pediatric Urologist
B J Wadia Hospital For Children, Hurkisondas Hospital, Wockhardt Hospital, Mumbai
This is a minor operation that needs to be done in boys as a type of therapy. In order to understand the reasons for the operation, one needs to know what is normal.
Pediatric Surgeon & Pediatric Urologist
B J Wadia Hospital For Children, Hurkisondas Hospital, Wockhardt Hospital, Mumbai
This is a minor operation that needs to be done in boys as a type of therapy. In order to understand the reasons for the operation, one needs to know what is normal.
The normal penis has a urethra running through its length, which opens at the top from where boys pass urine. There are 2 parts of the penis - the shaft, and the globular tip called the glans. The skin over the penis is thin supple, stretchable and goes beyond the glans. However, the part of the skin distal to the glans is double layered. As is seen in the picture the skin of the prepeuce folds on itself inwards and ends at the glanular groove. Thus, the covering of the glans is an outer and an inner layer. When the skin on the shaft of the penis is retracted backwards, normally the terminal skin prepeuce opens inside out to expose the glans.
Difficulty in Passing Urine
The parents in younger children may notice this or the older ones may be able to vocalize and tell their parents. The boy may be straining to pass urine, have a thin stream of urine, which may fall close to his feet. The child may cry when passing urine, may pull at the penile skin after passing urine, or have a habit of rubbing the penile tip skin off and on.
During the course of the day the parents may notice that the child continuously has his hand on his penis. All these are signs of irritation, infection, inflammation of the prepucial skin, which is long standing. The parent may notice a ballooning of the prepucial skin before the urine stream comes out.
During the course of the day the parents may notice that the child continuously has his hand on his penis. All these are signs of irritation, infection, inflammation of the prepucial skin, which is long standing. The parent may notice a ballooning of the prepucial skin before the urine stream comes out.
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