Another problem is that smegma or bacteria can accumulate under the adhesion if it covers the preputial cavity and can cause infection. When the shaft skin is fully retracted, the glans should look like the top of a mushroom, with the corona and preputial cavity plainly visible. Another reason to retract the skin is to clean around the base of the glans, being certain to remove smegma and any other debris. This way it is evident if the parent has an aversion to touching the penis and if an honest attempt will be made to release the adhesion. If your child has adhesions, dead skin cells and oil penis ridge not visible after circumcision get trapped under the skin and create a white discharge called smegma.

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Overview Management and Treatment. When the mothers who were the ones bringing the children to the clinic were shown the adhesions, many were unaware that the adhesions were present. A diagram of a penile adhesion can be seen in Figure 2.

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If the skin is loosely attached, it will separate easily. We do not endorse non-Cleveland Clinic products or services. Penile adhesions in circumcised boys occur when the penile shaft skin sticks, or adheres, to the glans of the penis.

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Sometimes, however, the fusion is so complete that simple retraction will not work, and the child must be referred to a urologist. The index fingers are placed under the thumbs and penis, supporting the penis. Summary A penile adhesion is an unnecessary and preventable complication in the circumcised male child.

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Nursing Care of Children 9th ed. If the practitioner is unsuccessful, the child should be referred to a urologist.

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A penile adhesion can cause problems. The major one is that it can completely fuse, causing total reattachment of the shaft skin, and require surgical release or "recircumcision. To the authors knowledge, a practical model is not available.