Infant Penile Adhesion: What is It, Why Does it Happen, and How to Treat It 28


With all of our sons, my husband and I decided to circumcise. Within a month of our first baby boy’s circumcision, we noted it just didn’t look quite right. Less of the head of the penis appeared visible than we expected, and when the remaining foreskin was pulled back the edges of the head could not be seen. After further research and a pediatrician visit, we found our son had a penile adhesion.

infant penile adhesions adhesion

What is a penile adhesion?

A penile adhesion occurs when the remaining foreskin after a circumcision reattaches to the glans or head of the penis. Penile adhesions vary in severity and can be located anywhere around the glans. If you gently pull back the skin of a baby’s penis that has a penile adhesion you can see skin sticking to the edge of the head in locations or may not be able to see the edge of the head at all. Remember that a circumcised penis should resemble a mushroom. If it doesn’t, your baby may have an adhesion.

Can penile adhesions be prevented?

In my first son’s case, he was born with an unusual amount of foreskin, so after his circumcision more than usual remained. I was told simply to place Vaseline on the diaper to prevent sticking and allow it to heal. What I was not told is after healing the remaining foreskin should be gently pulled back during diaper changes and baths until 18 months of age to prevent infant penile adhesion. Not only can this process greatly reduce the risk of penile adhesion, but many parents find it to be cleaner. It’s a misconception that a circumcised penis requires no care. Even a circumcised infant will form smegma, or a white substance in the folds of skin around the penis, under the penis itself, and under the remaining foreskin. Choosing not to circumcise will also not prevent the chance of adhesion. Both circumcised and uncircumcised boys suffer adhesion.

It should be noted even with regular retraction of the remaining foreskin infant penile adhesions can still form. With my second baby boy, I was more versed in how to care for an infant circumcision and my baby still developed minor adhesions, yet my third son had no issues.

How are penile adhesions treated?

Expert opinions on how infant penile adhesion should be treated vary. Some feel that the adhesion should be gently pulled free in an office visit to prevent the need for surgery later. Others feel most penile adhesions resolve themselves by the time the baby turns five. Studies currently support the later of the two opinions finding that of the 71 percent of infants that had penile adhesions shortly after birth, only 28 percent still had adhesions by age 5, 8 percent by age nine, and 2 percent beyond this.

It’s recommended that all infant penile adhesions be evaluated by a pediatrician. While some adhesions will indeed resolve themselves, others will not. A medical professional is the best person to make this determination. With my first son, we opted to have the manual retraction. A numbing agent was placed on his penis, and then an hour later his doctor gently pulled the attached skin free. He had some redness for a day or so, but didn’t even cry. The skin did reattach again. It’s not uncommon for a baby that has had a penile adhesion to experience a reoccurrence of penile adhesions. We had the skin unattached a second time, and kept Vaseline between the remaining foreskin and the head this time until redness faded entirely. The adhesion has not returned.

In our second son, the adhesion was less severe. A pediatrician, in this case, recommended either leaving it alone or slow detachment. This should be done at the tail end of a bath. The bath will help soften the tissue. Place one thumb below the adhesion and another on the glans or head of the penis. Then you simply gently push in opposite directions. After a few baths, many adhesions are resolved. You can ask your pediatrician how to do this, and whether or not it is a good idea in your particular case.

In rare cases, penile adhesions exceed the fifth year of life. In these cases, surgery is usually recommended.

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Jenn

My, newly born (3weeks) THIRD boy just had his circ done two weeks ago, comparing to my previous experiences, his penis did not heal correctly and on one side of his penis the foreskin is definitely attached to the gland/head of the penis. It’s looks very much stuckor fused and I don’t understand the method of gently pulling it apart. I plan to visit our doctor this week. It’s just making me very nervous for him. I don’t want him to be embarrassed or ashamed by this later in his life. And I don’t necessarily want to “wait it out”… Read more »

Mrs Moon

This was really reassuring, thank you! My 1st son was circumsized and I never had any problems, but he hardly seemed to have any foreskin left. My 2nd son had tons of foreskin, even after his circumcision at birth, and at his 2 and 4 month check ups his Dr had to retract and detach the foreskin. I’m a LVN and didn’t even realize it had developed an adhesion, it was in the exact same place on both sides next to the urethra. Either way, I am trying the bath methods and will be much more persistent and vigilant with… Read more »

Rita

Hi there! I came across this article when i started suspecting my baby might have the adhesion and i was wondering if maybe somebody could help me with figuring out if he does or does not actually have it fromthe photos? We went to the doctor who operated on him immediatelly when i started suspecting (4 days after the operation) and she said everything is fine and we should just air the wound.. I keep checking on it while airing and im still having my doubts..

Fatty fatty

Hi. I noticed my sons foreskin has attached back and a small part is still left unattached. I can see some smegma buildup under the attached skin and I have no way to clean it! any tips will help pls

Anonymous

were u able to fix it im dealing with thie rn

Amanda

Thank you for this great write-up! You described this condition very well.