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Doctors Opposing Circumcision happily helps families with forcibly retracted boys (with first-aid, medical, and legal advice).

by John Geisheker, JD, LL.M.
Executive Director/General Counsel
of Doctors Opposing Circumcision


We at DOC have been tracking the pernicious practice of premature forcible foreskin retraction (PFFR) of intact boys for many years, and have developed a process for reporting doctors and nurses who do so. We get 2 or 3 complaints a week, and intervene on a regular basis on behalf of boys and their parents.

You may know that this 'intervention' was common in decades past, where mothers were urged to do it at each bath. Now ranks as ignorant cruelty, is forbidden by the AAP ---but is still very common.

I enclose a published article on the practice, which we wrote, and which we send to parents who contact us. 

We formerly just contacted the doctor enclosing some literature and made nice with re-education. Now we fire both barrels and complain, formally, to the state MD or RN licensing people directly. We justify that aggressive stance with a small story:

"There is an old joke about a young farmer whose mule refuses to work. He summons a much older and experienced nearby farmer to assist him. The old farmer arrives and examines the recalcitrant mule. The old farmer then picks up a 2 x 4 and whacks the mule across the forehead. The young farmer is appalled by this apparent cruelty, and asks the old farmer why this was necessary. The old farmer replies, "First you have to get his attention.""

It is unfortunate that we need to lodge a formal complaint to get appropriate attention in these instances, but unfortunately, over ten years experience, it has proved necessary and the only strategy which appears to work.

We caution parents, however, that they should expect not only resistance from the offending physician or nurse, and his or her clinic colleagues, but perhaps blacklisting. So we urge parents to make sure that they have alternate medical care before they report any physician to the licensing authorities.

A formal complaint on the record has minimal effect on the Dr, except that he or she might be obliged to reveal it to his or her insurance carrier, and it might be available to those Googling the doctor's record with the state agency.

To date we have contacted 20 or so states and NONE has ever taken any meaningful action against the doctor or nurse, including our home state of Washington, alas. That's because state health departments and boards of medical licensing are made up mostly of doctors (older ones). They do not police their ranks in any meaningful way. The effort to date is thus mostly educational, a slow process, but eventually we will get there.

But we at DOC no longer take the time merely to correspond with the doctor or lodge an 'anonymous' complaint, as we have found this to be a waste of our medical and legal time. It gets no ones 'attention.'

We always urge those parents who are able, to allow us to formally report the physician or nurse on their behalf, with mega-medical documentation (since that is likely to save many other young boys down the line). When a physician or nurse forcibly retracts a child to bleeding and infection, without apology, it is likely that he or she has been doing this for years, and will continue to do so until reprimanded, formally, by his or her licensing authority or shamed before his or her colleagues.

We happily help families with forcibly retracted boys (with first-aid, medical, and legal advice) at NO charge, though donations are, of course, appreciated.

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Please direct questions or requests for assistance directly to DOC at http://www.doctorsopposingcircumcision.org/

 


Comments

Ian D. Samson
08/06/2011 07:36

Please help me understand. What exactly is this "forcibly retracted" foreskin? I have retracted all my life and have no skin tags, but nephews whom I assisted in raising, had skin tags by age 2 from not being retracted. Which is right? Not retracting at all and having skin tags and tight foreskins, or having the skin retracted carefully, not forcibly?

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The WHOLE Network
08/06/2011 07:51

The male foreskin is fused to the head of the penis at birth (just like the female foreskin- the clitoral hood- is normally fused to the glans of infant and young preadolescent girls). This is the body's way of protecting the genitals against urine and feces. Because it is fused shut, bacteria and other foreign particles cannot invade.

The foreskin will begin to separate from the glans at about age 10.5 (average). Although, some boys will experience separation much earlier or later. The key is to let them separate it themselves, and not break the fused tissue before it is ready.

Forceful retraction is dangerous because it can cause scarring, bleeding, and infections. The problem with repeated forceful retractions is that it damages the tissue and causes scar tissue to form on the foreskin.

Since the scar tissue is not as flexible as the normal tissue, some boys may have problems with phimoses (or paraphimosis). These conditions are caused by the foreskin not being elastic enough to retract past the glans (or head) of the penis. The positive news is that phimosis can be cured easily by gentle stretching of the foreskin over time.

That being said, it is not certain that the boy will have problems because he was forcefully retracted. Some boys do not experience any problems, but it is just something the parents need to be aware of and keep an eye on.

As for now, the parents should stop retracting, and wait until the boy can retract it himself. Until puberty, there isn't anything that needs to be rinsed under the foreskin. Sitting in a warm water bath (without soap) will clean sufficiently. Once he is old enough to retract his own foreskin, he can use a warm water rinse under the foreskin (no soap or scrubbing needed).

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Yeoman Roman
08/06/2011 12:59

I have two boys aged 9 and 12. I have never retracted either one.

Occasionally I ask if they can retract their foreskin. So far the answer is "No". This is perfectly normal. Their foreskins are mostly unfused at this point, -no longer attached to the glans. They once were more retractable but, as the glans grew a little, the foreskin is now not retractable, thought it was a retractable before.

As the glans and foreskin separate and become mobile, the cells that are shed can cause some irritation and inflammation. -Gentle rinse with plain water resolves this quite well, without any retraction at all.

Age 10.5 is about right -as in 10.5 +/- 8 years! This really is a highly evolved system and "leaving it alone" is good advice. Skin tags would be caused by premature retraction. There is no need for this.

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Claudia Hernandez
12/22/2011 22:10

I would hope someone can contact me, last night I went to the emergency room because my son had a probable urinary infection. The first thing the nurse said was that I wasn't properly cleaning my son and showed me how by forcibly retracting, when I came home and noticed some bleeding around the penis, I thought that was not normal and began looking this up on the internet. I wished I had come across this website before. I am so furious and angry and more importantly scared that my son is permanently injured. I don't know what step to take next but feel that this nurse needs to be seriously reprimanded.

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Monica
01/22/2013 15:51

I just went through the same thing my son is at home now screaming in pain everytime he pees...or moves wrong..he is only 7m old and now im reading all this on the net and im crying and sad and feel like a bad mother....i had no idea that they should not force it back...

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Jamie
05/14/2013 21:03

I took my son to the ER last week for a high fever. The dr said he might have a uti because he was not circumcised. She said they needed a urine sample. I agreed.  The nurse came in to straight cath him and pulled back his foreskin.  He began peeing before she could get the cath in. They waited 20 mins and repeated the procedure. He was screaming. I feel like the hospital injured him and I feel helpless! I feel like I failed him as a mother. I'm worried about the damage that was caused. I'm not sure where to turn. I think the dr and nurses need to be educated.  Can you offer an advice?  Should I report the dr? I'm sick... it's all I have thought about for a week.  Thank you for your help.

James Snyder, MD, FACS
02/14/2012 16:19

Your son probably suffered unnecessary discomfort because of the forcible retraction of his foreskin in the emergency room. This separation is similar to what happens when fingernails are forcibly separated from the nail bed - it hurts, and it is not useful. Unfortunately, several generations of medical personnel, doctors and nurses alike, have been trained that the foreskin has to be retracted for cleaning. They would not do this to the eyes of their newborn pet dogs or cats, but see it as a medical duty in the case of a human child. This is on top of the medical myth that the child does not feel pain in his penis, particularly during a circumcision.
For now, assuming that any infection has been identified and treated, it is best to leave your son's penis alone and clean only what can be seen. Don't retract it or allow anyone else to do so. As he ages, the natural process of separation of the foreskin from the glans penis will gradually evolve. This sometimes causes an itching sensation which will cause him to pull at his penis. This should be allowed, as it is his way of encouraging the separation of the foreskin from the glans. This process may take years to complete, and is not abnormal. The presence of "Skin bridges" or "Adhesions" in boys of six, eight, or ten years of age is not a reason for circumcision. This is no more abnormal than for a young girl to have an intact hymen. Both the hymen and the preputial opening are genital openings, and they will open fully when their owners feel the time is right.
People in most other industrial societies do not practice routine infant circumcision, and greater than 90% of their males come to maturity without the need or desire for it. We can learn from this and discard notions that the normal, natural, intact penis is in need of circumcision, forcible retraction, or any unnatural manipulation.

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Rachel
08/09/2012 18:56

How do I report the doctor who retracted my 4 month old baby? He was unapologetic.

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08/10/2012 15:58

To take action, please visit: http://www.doctorsopposingcircumcision.org/

And contact them!

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T. W. Huning
08/25/2012 19:28

Call "circumcision" what it really is, cutting (whacking?) off part of the penis. No person can be allowed to put a knife to another person's normal penis for any reason whatsoever. It IS an assault and a human rights violation, a de facto crime. The only person who has any rights, including religious, and interests in the matter is the infant person. Since injury to the penis is permanent, the infant person is also the adult person. What is being done to the infant is being done to the adult. Parents and doctors are totally irrelavant. They have absolutely no rights or interests in the matter. The human right to genital integrity is a human right that trumps EVERYTHING including religion! Removing part of the penis does not treat, cure, or correct any disease, disorder, deformity, or abnormality. It is therefore NOT a legitmate medical procedure! It is de facto malpractice. The one who has been violated has a de facto genuine tort. "Circumcision" puts the child at riak of serious problems including death. It IS de facto child endangerment. No enlightened, knowledgeable person with a conscience would ever cut off part of another person, be it part of a finger, ear, penis or anything else. It's time for physicians and parents to be sued and arrested for assault.

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Amy Gray
09/04/2012 19:53

Please Help! My son is 7 and experienced ballooning and painful urination 5 days ago, continuing to present. Today I took him to the pediatrician, whose retracted since our first visit and says the American Medical Association for Pediatrics (or something close to that) says by 4yrs old he should be fully retracting. Todayshe put my son through a very painful and brutal office visit. Along with the ballooning and painful urination has been a tightening of the foreskin hole-prepuce opening of the foreskin??? Anyway this hole has decreased in size and has caused spraying(not fine mist) and substantial decrease in flow of urine. So today, she put local anasthetic on, got out a metal device with a tip smaller than a pencil head, and started stretching and separating away. My poor baby was crying and in severe pain- it was awful to say the least. There was blood of course and she said I needed to continue to try and stretch out the opening each night over the head of the penis. She also said it was an adhesion which caused the closure. We're referred to a urologist tomorrow for possible more stretching or a reccomendation for circumcision. However- he felt fine soon after, is doing fine now, and urinated without any pain when we got home. I am sooo freaked out and confused about what to do at this point. Its probably damaged forever and scar tissue and consequential adhesions will cause the inability to fully retract later on...??? What the hell am I supposed to do here? Did we do the right thing by opening it up more or not, I don't want to circumcise at all, but my god, seeing your little guy in that much pain makes me wonder...
Especially if doctors here don't know what they're doing with intact patients. That to me is almost more dangerous than the doctors knowing what they're doing with the circumcised patients. Thank you for your time, Amy

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T W Huning
09/10/2012 19:15

Mother Nature knows best. The prepuce becomes retractable on its own in due course. Do other mammals forcibly retract? Of course not.

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