Difference between revisions of "Synechia"
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| − | There are some synechiae that are natural. Baby boys are born with the inner foreskin fused with the glans penis by a synechial membrane that is common to both parts,<ref name="deibart1933">{{REFjournal | + | There are some synechiae that are natural. Baby boys are born with the inner [[foreskin]] fused with the [[glans penis]] by a synechial membrane that is common to both parts,<ref name="deibart1933">{{REFjournal |
|last=Deibart | |last=Deibart | ||
|init=GA | |init=GA | ||
|title=The separation of the prepuce in the human penis | |title=The separation of the prepuce in the human penis | ||
|journal=Anat Rec | |journal=Anat Rec | ||
| − | |date=1933 | + | |date=1933-11 |
|volume=57 | |volume=57 | ||
|issue= | |issue= | ||
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==Penile synechia in childhood== | ==Penile synechia in childhood== | ||
| − | [[Jakob Øster| Øster]] (1968) was a school physician in [[Denmark]] where boys are not usually circumcised. Øster conducted regular examinations of school boys from age 6 through age 17 and recorded his results. Øster reported that 63% of 6-7 year old boys; 48% of 10-11 year old boys; and 3% of 16-17 year old boys had a prepuce that was not fully separated.<ref name="Øster1968">{{ | + | [[Jakob Øster| Øster]] (1968) was a school physician in [[Denmark]] where boys are not usually [[circumcised]]. Øster conducted regular examinations of school boys from age 6 through age 17 and recorded his results. Øster reported that 63% of 6-7 year old boys; 48% of 10-11 year old boys; and 3% of 16-17 year old boys had a prepuce that was not fully separated.<ref name="Øster1968">{{OesterJ 1968}}</ref> The separation and breakdown and the synechia is natural, normal, spontaneous, and requires no special care. Thorvaldsen & Meyhoff (2005) report about 50 percent of boys can retract their [[foreskin]] by age 10.4, thus confirming Øster's report.<ref name-"thorvaldsen2005">{{REFjournal |
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| − | }}</ref> The separation and breakdown and the synechia is natural, normal, spontaneous, and requires no special care. Thorvaldsen & Meyhoff (2005) report about 50 percent of boys can retract their [[foreskin]] by age 10.4, thus confirming Øster's report.<ref name-"thorvaldsen2005">{{REFjournal | ||
|last=Thorvaldsen | |last=Thorvaldsen | ||
|init=MA | |init=MA | ||
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==Synechia destruction prior to infant circumcision== | ==Synechia destruction prior to infant circumcision== | ||
| − | When an infant boy is circumcised, as remains | + | When an infant boy is to be [[circumcised]], as remains a practice in the [[United States]], in preparation for the [[circumcision]], the preputial synechia must first be forcibly separated by passing a blunt probe under the foreskin in an intensely [[Pain| painful]] procedure. |
==Premature forcible foreskin retraction== | ==Premature forcible foreskin retraction== | ||
| − | Premature forcible foreskin retraction (PFFR) of a boy's foreskin will rip the boy's synechia apart and cause severe pain and injury to the boys.<ref>{{REFjournal | + | Premature forcible foreskin retraction (PFFR) of a boy's [[foreskin]] will rip the boy's synechia apart and cause severe pain and injury to the boys.<ref>{{REFjournal |
|last=Narvaez | |last=Narvaez | ||
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|DOI= | |DOI= | ||
|accessdate=2019-10-08 | |accessdate=2019-10-08 | ||
| − | }}</ref> Unfortunately, many American physicians are ignorant of normal penile anatomy and cause severe pain and grave injury to boys whom they examine in their practice. The first person to retract a boy's foreskin should be the boy himself.<ref>{{REFjournal | + | }}</ref> Unfortunately, many American physicians are ignorant of normal penile anatomy and cause severe pain and grave injury to boys whom they examine in their practice. The first person to retract a boy's [[foreskin]] should be the boy himself.<ref>{{REFjournal |
|last=Wright | |last=Wright | ||
|init=JE | |init=JE | ||
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}}</ref> | }}</ref> | ||
| − | [[Doctors Opposing Circumcision]] offers information and aid to parents of boys who have been injured and/or traumatized by PFFR.<ref>{{REFweb | + | [[Doctors Opposing Circumcision (D.O.C.)]] offers information and aid to parents of boys who have been injured and/or traumatized by PFFR.<ref>{{REFweb |
|url=https://www.doctorsopposingcircumcision.org/for-parents/help-with-forcible-foreskin-retraction/ | |url=https://www.doctorsopposingcircumcision.org/for-parents/help-with-forcible-foreskin-retraction/ | ||
|title=Wrongful Foreskin Retraction | |title=Wrongful Foreskin Retraction | ||
|last= | |last= | ||
|first= | |first= | ||
| − | |publisher=Doctors Opposing Circumcision | + | |publisher=[[Doctors Opposing Circumcision (D.O.C.)]] |
|website= | |website= | ||
|date=2016-04-01 | |date=2016-04-01 | ||
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|format= | |format= | ||
|quote= | |quote= | ||
| + | }}</ref> | ||
| + | |||
| + | ==Spontaneous disintegration of the synechia== | ||
| + | |||
| + | The synechia spontaneously disintegrates to release the [[foreskin]].<ref name="deibart1933" /> The disintegration usually occurs in childhood but will persist into adolescence in a few cases. | ||
| + | |||
| + | Some [[intact]] boys will report pain when they urinate during the period in which separation is occurring. The condition is temporary and will end when separation is complete.<ref>{{REFweb | ||
| + | |url=https://www.rch.org.au/kidsinfo/fact_sheets/penis_and_foreskin_care/#foreskin-separation | ||
| + | |title=Foreskin separation | ||
| + | |last= | ||
| + | |first= | ||
| + | |init= | ||
| + | |publisher=The Royal Children's Hospital Melbourne | ||
| + | |date=2018-02 | ||
| + | |accessdate=2023-08-15 | ||
}}</ref> | }}</ref> | ||
Latest revision as of 07:36, 18 June 2024
Synechia is the medical name for an adhesion between body parts in any area of the body that are not normally adherent . The plural is synechiae. The word comes to us from Greek (συνέχεια).[1]
There are some synechiae that are natural. Baby boys are born with the inner foreskin fused with the glans penis by a synechial membrane that is common to both parts,[2] which is called the balanopreputial lamina.
Contents
Penile synechia in childhood
Øster (1968) was a school physician in Denmark where boys are not usually circumcised. Øster conducted regular examinations of school boys from age 6 through age 17 and recorded his results. Øster reported that 63% of 6-7 year old boys; 48% of 10-11 year old boys; and 3% of 16-17 year old boys had a prepuce that was not fully separated.[3] The separation and breakdown and the synechia is natural, normal, spontaneous, and requires no special care. Thorvaldsen & Meyhoff (2005) report about 50 percent of boys can retract their foreskin by age 10.4, thus confirming Øster's report.[4]
Synechia destruction prior to infant circumcision
When an infant boy is to be circumcised, as remains a practice in the United States, in preparation for the circumcision, the preputial synechia must first be forcibly separated by passing a blunt probe under the foreskin in an intensely painful procedure.
Premature forcible foreskin retraction
Premature forcible foreskin retraction (PFFR) of a boy's foreskin will rip the boy's synechia apart and cause severe pain and injury to the boys.[5] [6] Unfortunately, many American physicians are ignorant of normal penile anatomy and cause severe pain and grave injury to boys whom they examine in their practice. The first person to retract a boy's foreskin should be the boy himself.[7]
Doctors Opposing Circumcision (D.O.C.) offers information and aid to parents of boys who have been injured and/or traumatized by PFFR.[8]
Spontaneous disintegration of the synechia
The synechia spontaneously disintegrates to release the foreskin.[2] The disintegration usually occurs in childhood but will persist into adolescence in a few cases.
Some intact boys will report pain when they urinate during the period in which separation is occurring. The condition is temporary and will end when separation is complete.[9]
See also
External links
Milos, Marilyn: Answers to Your Questions About Premature (Forcible) Retraction of Your Young Son's Foreskin (Pamphlet), National Organization of Circumcision Information Resource Centers. (1 September 2007). Retrieved 9 October 2019.
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- Freeing of Preputial (Foreskin) Adhesions
, British Association of Urological Surgeons(BAUS). (June 2017). Retrieved 3 March 2021.
References
- ↑
Synechia
, The Free Dictionary, The Free Medical Dictionary. Retrieved 7 October 2019. - ↑ a b
Deibart GA. The separation of the prepuce in the human penis. Anat Rec. November 1933; 57: 387-99. DOI. Retrieved 7 October 2019.
- ↑ Øster J. Further Fate of the Foreskin: Incidence of Preputial Adhesions, Phimosis, and Smegma among Danish Schoolboys . Arch Dis Child. 1968; 43(228): 200-3. PMID. PMC. DOI. Retrieved 18 June 2024.
- ↑ Thorvaldsen MA, Meyhoff HH. Phimosis: pathological or physiological?. Ugeskr Læge. 2005; 167(17): 1858-62. PMID. Retrieved 7 October 2019.
- ↑ Narvaez DF, Geisheker J. What Is the Greatest Danger for an Uncircumcised Boy?. Psychology Today. 23 October 2011; Retrieved 8 October 2019.
- ↑ Narvaez DF, Geisheker J. Doctor Ignorance of Male Anatomy Harms Boys. Psychology Today. 30 October 2011; Retrieved 8 October 2019.
- ↑ Wright JE. Further to the "Further Fate of the Foreskin.". Med J Aust. 1994; 160: 134-5. PMID. Retrieved 8 October 2019.
- ↑ (1 April 2016).
Wrongful Foreskin Retraction
, Doctors Opposing Circumcision (D.O.C.). Retrieved 9 October 2019. - ↑ (February 2018).
Foreskin separation
, The Royal Children's Hospital Melbourne. Retrieved 15 August 2023.
