Monday, August 8, 2011

The Fusion Challenge

This is a topic which seems to come up every now and then, but since I've dealt with it twice in the past week, I write about it again. [Here is the original posting on this subject]

The two cases I dealt with in the past week were on babies who were circumcised by physicians, one two weeks ago and one 2 years ago. In both cases, the babies' parents were unaware of "why" the baby did not look circumcised. With no need to re-invent the wheel, I refer you to the post I linked before, where I explain how parents should deal with this to avoid it being a long-term problem.

When the skin on the shaft (especially since it may be a little more loose after the circumcision) is looking to settle down and get comfortable, it can easily sort-of-kind-of fuse itself to the edge of the glans, or even climb up on the edge of the glans.

THE GLANS SHOULD BE DISTINCT. YOU SHOULD SEE THE OUTER EDGE OF THE GLANS, AND IT SHOULD NOT BE FLUSH WITH ANY SKIN OF THE SHAFT.

As some babies develop, their body fat is deposited most heavily in the groin area. So it is not uncommon for the penis to seem as if it sinks in to itself. It is constantly being constricted inside the diaper, and the baby fat likes to swallow whatever might appear "extra."

In this case, the glans' rim sometimes appears to fall back into the shaft, but you can still see that there is a glans and a shaft.

There is a more extreme case, where the glans and shaft disappear entirely into the hole from which they may otherwise seem to emerge, and when you open the diaper, you only see a scrotum and a hole where the shaft should be.

Not surprisingly, this condition is called "The Disappearing Penis."

To avoid boring you with details (it is apparently a little more common, just people don't talk about it), I refer you to Dr Greene, where he more than adequately deals with all the possible scenarios.

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