Cura dei genitali delle bambine

Genitali delle femminucce: i problemi più comuni

Anche nelle bambine piccolissime si possono presentare piccoli problemi legati all'apparato genitale, le mamme devono quindi saperli riconoscere per intervenire tempestivamente con la terapia giusta o, se necessario, chirurgicamente

Anche nelle bambine piccolissime, così come nei maschietti come vi abbiamo già elencato, si possono presentare piccoli problemi legati all'apparato genitale, le mamme devono quindi saperli riconoscere per intervenire tempestivamente con la terapia giusta o, se necessario, chirurgicamente

Tra i piu' frequenti casi che preoccupano la mamma, la classica "falsa mestruazione" che si manifesta tra la 2° e la 4° settimana di vita della bimba per via del passaggio degli ormoni trasmessi in utero, o ancora le aderenze vulvari che si risolvono in genere nei primi mesi di vita.

FALSA MESTRUAZIONE: puo' capitare che la mamma, cambiando il pannolino alla bimba noti delle goccioline di sangue: non è il caso di preoccuparsi perchè dipendono da una stimolazione degli ormoni materni che durante la vita in utero sono passati ai genitali della bimba e al momento del parto, quando questi calano bruscamente, talvolta provocano delle perdite ematiche proprio come accade col ciclo mestruale. Per tranquillizzarsi ci si puo' rivolgere al pediatra o ad un urologo ma generalmente si risolve tutto in 3/4 giorni e senza nessun intervento nè bisogno di terapia

VULVOVAGINITE: si manifesta con delle secrezioni biancastre e causa fastidio e bruciore, anche durante la minzione e i genitali appaiono arrossati. In genere il problema si presenta quando la bimba inizia asilo o scuola, e cioè quando entra a far parte della "comunita'", puo' essere legata ad una cistite ma se la mamma soffre di infezioni vaginali anche la bimba ne sara' piu' soggetta. Per sapere se si tratta effettivamente di questa infezione e per attuare la giusta terapia si dovra' fare l'urinocoltura, e in alcuni casi un tampone vulvare esterno, e somministrare poi pomate locali o terapie orali. Fondamentale è l'igiene per evitare l'insorgere di infezioni ed irritazioni ed è bene insegnare alla bimba a non trattenere la pipi' e la popo', per evitare il ristagno e favorire cosi' la proliferazione dei germi

ADERENZE VULVARI: chiamate anche sinechie, corrispondono alla fimosi maschile; le piccole labbra appaiono fuse tra loro e e la rima vulvare sembra chiusa lasciando solo un forellino per la fuoriscita della pipi'. Se presenti già' alla nascita sono dovute ad un mancato sviluppo e non corretta maturazione dell'apparato genitale in utero, mentre se compaiono tardivamente (tra i 2 e i 6 anni) sono la conseguenza di infiammazioni locali o infezioni dell'apparato. Quando sono presenti alla nascita bisogna aspettare qualche mese per vedere se si risolvono da sole altrimenti, se dopo l'anno il problema persiste, si puo' provare con delle pomate cortisoniche o con delle manovre manuali (non da effettuarsi a casa!) eseguite da personale esperto in ambiente asettico e sotto leggera anestesia. Se tutto questo si rilevasse inutile,o se le aderenze si riformano,sara' indispensabile un piccolo intervento chirurgico per separare le piccole labbra ed eliminare le aderenze chirurgicamente

 

FONTE: http://www.pianetamamma.it/il-bambino/mala...piu-comuni.html

Possono capitare soprattutto quando le bambine cominciano a frequentare l’asilo o la scuola. Per prevenirle, sono molto importanti le regole igieniche; se i disturbi compaiono, occorre seguire per alcuni giorni una terapia locale.



Le infezioni vaginali possono capitare soprattutto quando le bambine cominciano a frequentare l’asilo o la scuola. Per prevenirle, sono molto importanti le regole igieniche; se i disturbi compaiono, occorre seguire per alcuni giorni una terapia locale.


Infezioni o infiammazioni?

“Innanzitutto dobbiamo distinguere tra infezioni e infiammazioni vaginali” premette Maria Chiara Lucchetti, Responsabile Alta Specializzazione Ginecologia Pediatrica presso l’Ospedale Bambino Gesù di Roma. “La maggior parte di quelle che vengono ritenute infezioni infatti sono banali infiammazioni della mucosa genitale, che però, se trascurate, potrebbero favorire l’accesso di germi”.

Le infiammazioni si manifestano con arrossamento, bruciore, gonfiore della mucosa accompagnati talvolta ad una lieve secrezione di muco; le infezioni sono caratterizzate da secrezione bianco-giallastra un po’ più abbondante, associata spesso a prurito e bruciore durante la minzione, fino a tracce di sangue se la mucosa è particolarmente irritata.

Le cause delle infezioni/infiammazioni

“Le infiammazioni possono avere molteplici cause” prosegue la ginecologa. “La principale è l’uso – e abuso - di detergenti, che, se non vengono risciacquati con cura, restano a contatto con la mucosa vaginale (che non ha le barriere naturali di noi adulte, offerte da peli, muco e grandi labbra più sviluppate). Sul banco degli imputati anche i detersivi – più ammorbidenti e additivi vari – usati per il lavaggio della biancheria intima, di cui spesso restano residui sulle mutandine.

Quanto alle infezioni, a favorirle c’è la vicinanza con le feci (da cui proviene la gran parte dei germi, soprattutto l’Escherichia Coli); “a questo si aggiunge l’abitudine di toccarsi con manine non sempre pulitissime, specie a scuola, dove le bambine di solito vanno in bagno da sole. Si consideri poi che la maggior parte delle volte le infezioni, oltre che di provenienza intestinale, sono di origine respiratoria, provocate dagli stessi virus che provocano i vari raffreddori e che i bambini inconsapevolmente si portano ai genitali attraverso le mani”.


C’è predisposizione alle infezioni?

Le più esposte, sia ad infiammazioni che infezioni, sono le bambine con pelle a tendenza allergica o in cura con antibiotici, che indeboliscono le naturali difese.


Regole di prevenzione
- Dopo la doccia, il bagno o di ritorno dalla piscina, fare un veloce bidet con sola acqua per eliminare residui di detergenti (bagnoschiuma, shampoo, balsamo).
- Non esagerare con l’uso di detersivi e risciacquare accuratamente la biancheria intima.
- Per lavare i genitali, no ai detergenti della mamma, che hanno un pH indicato a chi ha già subito lo sviluppo puberale. Fino all’adolescenza, il detergente migliore è il bicarbonato - 1-2 cucchiai sciolti nella vaschetta del bidet o in una bottiglietta d’acqua – da usare un paio di volte al giorno; in alternativa, può andar bene il sapone di Marsiglia puro, cioè privo di profumazioni o altri additivi, o al massimo un detergente a pH alcalino (superiore a 7).
- Lavare di frequente le mani: è la forma di prevenzione più efficace contro qualunque infezione, delle vie respiratorie e vaginali. L’ideale sarebbe lavarsele sia prima di andare in bagno che dopo.
- Controllare che le bambine vadano in bagno durante il giorno: sovente, concentrate nei giochi, tendono infatti a rimandare la pipì (o a farla frettolosamente, a gambe strette e con indumenti non completamente scesi) e questo aumenta il ristagno delle urine e la concentrazione di batteri.

Come si curano le infezioni/infiammazioni

Per l’infiammazione non c’è una terapia, basta semplicemente evitare il contatto con tutti gli agenti irritanti e mantenere lubrificata la zona con una crema base idratante e lenitiva; da evitare invece le pomate all’ossido di zinco, che ostacolano la corretta traspirazione.
Se si sospetta un’infezione, è consigliabile una visita del pediatra che, in caso di dubbio, prescriverà un tampone vaginale (si può fare anche alle bambine, perché si raccoglie solo la secrezione esterna). Per curarla, si applica esternamente una pomata per 4-5 giorni; solo se non passa, potrebbe essere necessaria una terapia orale ed eventualmente una visita dallo specialista.

 

FONTE: http://www.nostrofiglio.it/bambino-3-6-ann...li_bambine.html

Book

Your Uncircumcised Son:
Expert Medical Advice for Parents by: Paul M. Fleiss



Increasing numbers of American parents today are protecting their sons from routine circumcision at birth, but as their boys grow up, they often find themselves at odds with doctors who cling to old-fashioned opinions and hospital routines.

I often receive calls from distraught parents who say that a doctor insists that their little boy needs to be circumcised because there is something wrong. When they bring their son into my office, I almost always find that there's nothing wrong with the child's penis. Occasionally there's a slight infection, but that can be quickly cleared with an antibiotic cream. In all my years of practice, I've never had a patient who had to be circumcised for medical reasons.

  When a doctor advises that your son be circumcised, it's usually because he or she is unfamiliar with the intact penis, misinformed about the true indications for surgical amputation of the foreskin, unaware of the functions of the foreskin, and uncomfortable with the movement away from routine circumcision.

Doctors can be psychologically challenged by the sight of an intact boys. They may see problems with the penis that do not really exist. They may try to convince you that the natural penis is somehow difficult to care for. They may cite "studies" and "statistics" that appear to support circumcision.

Probably the only problem you will encounter with a foreskin is that someone will think that he has a problem. The foreskin is a perfectly normal part of the human body, and it has very definite purposes, as do all body parts, even if we do not readily recognize them. There's no need to worry about your son's intact penis.

WHAT TO SAY WHEN THE DOCTOR SAYS TO CUT

Below is a list of some of the things that doctors have said to parents in an attempt to convince them to agree to a circumcision. After each incorrect statement, I've given you the medical facts to help you understand what your doctor may not know about the intact penis and its care, and what you need to know to protect your child from unnecessary penile surgery. If you ever find yourself in a situation where a doctor suggests that your child should be circumcised, the best thing that you can say is simply: "Leave it alone."

Your son's foreskin should be cut off in order to facilitate hygiene.
My experience as a pediatrician has convinced me that circumcision makes the penis dirtier, a fact that was confirmed by a study recently published in the British Journal of Urology.1 For at least a week after circumcision, the baby is left with a large open wound that is in almost constant contact with urine and feces--hardly a hygienic advantage. Additionally throughout life the circumcised penis is open and exposed to dirt and contaminants of all kinds. The wrinkles and folds that often form around the circumcision scar frequently harbor dirt and germs.

Thanks to the foreskin, the intact penis is protected from dirt and contamination. While this important protection is extremely useful while the baby is in diapers, the foreskin provides protection to the glans and urinary opening for a lifetime. At all ages the foreskin keeps the glans safe, soft, and clean.

Throughout childhood, there is no need to wash underneath the foreskin. Mothers used to be advised to retract the foreskin and wash beneath it every day. This was very bad advice indeed. When the foreskin becomes fully retractable, usually by the end of puberty, your son can retract it and rinse his glans with warm water while he is in the shower.

Your son's foreskin is too tight, it doesn't retract. He needs to be circumcised.
The tightness of the foreskin is a safety mechanism that protects the glans and urethra from direct exposure to contaminants and germs. The tight foreskin also keeps the boy's glans warm, clean, and moist, and when he is an adult, it will give him pleasure. As long as your son can urinate, he is perfectly normal. There is no age by which a foreskin must be retractable. Don't let your doctor or anyone try to retract your son's foreskin. Optimal hygiene demands that the foreskin of infants and children be left alone. Premature retraction rips the foreskin of the penis open and causes your child extreme pain. There is no legitimate medical justification for retraction. The child's discomfort is proof of that.

Do NOT let your doctor or anyone else try to retract your child's foreskin.

Your son's foreskin is "adhered" to the glans. It must be amputated.
The attachment of the foreskin and glans is nature's way of protecting the undeveloped glans from premature exposure. Detachment is a normal physiological process that can take almost two decades to complete. By the end of puberty, the foreskin will have detached from the glans because hormones that are produced in great quantities at puberty help with the process. There is no age by which a child's foreskin must be fully separated from the glans.

Some misguided doctors might suggest that the "adhesions" between the foreskin and the glans should be broken so that your son can retract his foreskin. This procedure is called synechotomy. To perform it a doctor pushes a blunt metal probe under the foreskin and forcibly rips it from the glans. It's as painful and traumatic as having metal probe stuck under your fingernail to pull it off. It will also cause bleeding and may result in infection and scarring of the inner lining of the foreskin and the glans. The wounds that are created by this forced separation can fuse together, causing true adhesions. There is no medical justification for this procedure because the foreskin is not supposed to separate from the glans in childhood. If any doctor suggests this procedure for your son, firmly refuse, stating, "Leave it alone!"

Your son's foreskin is getting tighter. It no longer retracts. Something is wrong. He will have to be circumcised.
Sometimes, in childhood, a previously retractable foreskin will become resistant to retraction for reasons that are unrelated to impending puberty. In these cases, the opening of the foreskin may look chapped and sting when your son urinates. This is not an indication for surgery any more than chapped lips. This is just the foreskin doing its job. If the foreskin were not there, the glans and urinary opening would become chapped instead. Chapping is most often caused by overly chlorinated swimming pools, harsh soap, bubble baths, or a diet that is too high in sugar, all of which destroy the natural balance of skin bacteria and should be avoided if chapping occurs. The foreskin becomes resistant to retraction until a natural and healthy bacterial balance is reestablished.

You can aid healing by having your son apply a little barrier cream or some ointment to the opening of the foreskin. Acidophilus culture (which can be purchased from a health food store) can be taken internally and also applied to the foreskin several times a day to assist healing, and should be given any time a child is taking antibiotics.

Your son's foreskin is red, inflamed, itching, and uncomfortable, It has an infection and needs to be cut off.
Sometimes the tip of the foreskin does become reddened. During the diaper-wearing years, this is usually ammoniacal dermatitis, commonly known as diaper rash. When normal skin bacteria and feces react with urine, they produce ammonia, which burns the skin and causes inflammation and discomfort. If the foreskin were amputated, the inflammation would be on the glans itself and could enter the urethra. When the foreskin becomes reddened, it is doing its job of protecting the glans and urinary meatus.

Circumcision will have no effect on diaper rash. Change your baby's diaper more frequently and use a barrier cream until the rash clears. Harsh bath soaps can also cause inflammation of the foreskin. Use only the gentlest and purest of soap on your child's tender skin. Resist the temptation to give your child bubble baths, because these are harmful to the skin. Never use soap to wash the inner foreskin because it is mucous membrane just like the inner lining of the eyelid.

Foreskin infections are extremely rare, but if they occur, one of the many simple treatment options is antibiotic ointment along with bacterial replacement therapy. (Acidophilus culture). We don't amputate body parts because of an infection. Most infections of the foreskin are actually caused by washing the foreskin with soap. Leave the foreskin alone, remembering that it doesn't need any special washing, and infections will be unlikely to occur.

Your son is always pulling on his foreskin. He should be circumcised.
I can assure you that, whether circumcised or not, all little boys touch and pull on their penis. It is perfectly normal. Intact boys pull on the foreskin because it is there to pull on. Circumcised boys pull on the glans because it is that is all they have to pull on. Little boys sometimes will adjust the position of their penis in their underpants. They will sometimes explore the interior of the foreskin with their fingers -- a perfectly normal curiosity and nothing to worry about. It is important for parents to cultivate an enlightened and tender congeniality about such matters, otherwise they risk transferring unhealthy attitudes to their children.

Sometimes a boy will pull on his foreskin because it itches. All parts of the body itch occasionally. Even a circumcised boy has to scratch his penis. Just as you don't worry every time your child scratches his knee, so you should not worry when he scratches his penis. If the itch is caused by dry skin, then have your son avoid using soap on his penis. Treat the foreskin as you would any other part of the body.

If the real fear is masturbation, calmly remind yourself of the simple, natural fact that all children will explore their bodies, including their genitals. Touching the genitals gives children a pleasant feeling and relaxes them. Classic anatomical studies demonstrate that the foreskin is the most pleasurably sensitive part of the body. You can congratulate yourself for having protected your child from a surgical amputation that would have permanently denied him normal sensations.

Your son's foreskin is too long, it should be cut off.
There is tremendous variation in foreskin length. In some boys, the foreskin represents over half the length of the penis. In others it barely reaches the end of the glans. All variations are normal. The foreskin is never "just extra skin" or "redundant." It is all there for a reason.

Your child should be circumcised now because it will hurt more if it has to be done later, or worse when he is an adult.
This excuse is tragically wrong and has resulted in a very serious crisis in American medical practice. It is based on the false notion that infants and young children do not feel pain. Babies can see, hear, taste, smell, and feel. In fact babies feel pain more acutely than adults, and the younger the baby, the more acutely the pain is felt. If an adult needed to be circumcised, he would be given anesthesia and postoperative pain relief. Doctors almost never give babies either of these. The only reason doctors get away with circumcising babies without anesthesia is because the baby is defenseless and cannot protect himself. His screams of pain, terror, and agony are ignored. In any event, this all too common excuse is merely a scare tactic, one with tragic consequences for any baby forced to endure a surgical amputation without the benefit of anesthesia.

Your son is having anaesthesia for another operation, we'll just go ahead and circumcise him.
Most parents are never told that their son is in danger of being circumcised during a tonsillectomy or surgery for an undescended testicle. It would never occur to them. If your child is going into hospital for any reason, be certain that you tell the physician, surgeon, and nurse that under no circumstances is your child to be circumcised. Write "No Circumcision" on the consent form, too. Then if your child is circumcised against your wishes, remember that you have legal recourse.

Your son has cysts under his foreskin. He needs to be circumcised.
During the period when the foreskin is undergoing the slow process of detaching itself from the glans, sloughed skin cells (smegma) may collect into small pockets of white "pearls." These are not cysts. Some doctors mistakenly think that the smegma under the foreskin is an infection, even though it is white rather than red, is cold to the touch, and is painless. As the foreskin proceeds with detachment, the body will do its job, and those pearls will pass out of the foreskin all by themselves. These collected pockets of cells are nothing to worry about. They are simply an indication that the natural process of detachment is occurring.

In all my years of practice, I have never had a patient who had to be circumcised for medical reasons.

Your son has a urinary tract infection (UTI) and needs to be circumcised to prevent it from happening again.
The belief that the foreskin is slightly increases the chances of a boy having UTI is highly controversial and, more importantly, unproven. Members of the medical profession in Europe do not accept it. Medical research proves that UTIs are most often caused by internal congenital deformities of the urinary tract.2,3,4 The foreskin has nothing to do with this. Even if it could be proven that circumcision slightly reduces the risk of UTI, it is an absurd proposal because UTIs in boys are extremely rare and are easily treated with antibiotics. Breastfeeding, too, helps prevent UTIs. Child-friendly doctors advocate breastfeeding not penile surgery.

Your son sprays when he urinates. Circumcision will correct this.
In almost every intact boy, the urine stream flows out of the urinary opening in the glans and through the foreskin in a neat stream. During the process of penile growth and development, some boys go through a period where the urine stream is diffused. Undoubtedly, many of these boys take great delight in this phase, while mothers, understandably find it less amusing. If your boy has entered a spraying phase, simply instruct him to retract his foreskin enough to expose the meatus when he urinates. He will soon outgrow this phase.

Your son's foreskin balloons when he urinates. He needs to be circumcised or else he will suffer kidney damage.
Ballooning of the foreskin during urination is a normal and temporary condition in some boys. It results in no discomfort and is usually a source of great delight for little boys. Ballooning comes as a surprise only to those adults who have no experience with this phase of penile development. It certainly does not cause kidney damage; it has nothing to do with the kidneys. Ballooning disappears as the foreskin and glans separate and the opening of the foreskin increases in diameter. It requires no treatment.

Your son caught his foreskin in the zipper of his trousers; we will have to cut it off.
There have been rare cases where a boy has accidentally caught part of the skin of his penis in the zipper of his trousers. This is painful and can cause a lot of bleeding. Cutting off the foreskin, however, is illogical in this situation. By cutting across the bottom of the zipper with scissors, the zipper can easily be opened to release the penile tissue. Any laceration in the skin can then be closed with either sutures or surgical tape, depending on the situation. The proper standard of care in this situation is to minimize and repair the injury, not make to worse by cutting off the foreskin and creating a larger and more painful surgical wound.

Your son has phimosis. He needs to be circumcised to correct this problem.
Phimosis is often used as a diagnosis when a doctor does not understand that the child's foreskin is supposed to be long, narrow, attached to the glans, and resistant to retraction. Some doctors use prescribing steroid creams for phimosis, but this is unnecessary in children, since the foreskin does not need to be retracted in young boys. The hormones of puberty will do the same thing at the appropriate time that a steroid cream is doing prematurely. In adults who have a foreskin that is securely attached to the glans or a foreskin with such a narrow opening that the glans cannot pass easily pass through it, steroid creams are a conservative therapy. This is if the adult wants a foreskin that fully retracts. Many males don't, preferring a foreskin that remains securely over the glans. It is purely a matter of personal choice, one that only each male can decide for himself.

Your son has paraphimosis and must be circumcised to prevent it from happening again.
Paraphimosis is a rare dislocation of the foreskin. It is caused by the foreskin being prematurely retracted and becoming stuck behind the glans. The dislocation can most often be corrected by applying firm but gentle pressure on the glans with the thumbs as though you were pushing a cork into a bottle. To reduce the swelling, an injection of hyaluronidase may be effective. Doctors in Britain have also reported good results from packing the penis in granulated sugar.5 Ice packs work well, too.

Your son has BXO and will have to be circumcised.
Some doctors equate phimosis with an extremely rare skin disorder called balanitis xerotica obliterans (BXO) which is also called lichen scherosus et atrophicus (LSA). BXO can appear anywhere on the body, but if this disorder affects the foreskin, it may turn the opening hard, white, sclerotic, and make retraction almost impossible. BXO is usually painless and progresses very slowly. Many times it goes away by itself. To an experienced dermatologist, there is no mistaking BXO, but a diagnosis must be confirmed by an biopsy. The good news is that BXO can almost always be successfully cured with steroid creams, carbon dioxide laser treatment, or even antibiotics. Circumcision should be considered only after every other treatment option has failed. Just as we do not amputate the labia of females with BXO or the glans of circumcised boys with BXO, it is logical that we should not amputate the foreskin of intact boys with BXO.

Your son needs to be circumcised or else he won't enjoy oral sex as an adult.
I'm afraid that doctors really have said such inappropriate things to parents. Such a statement is evidence of ignorance of the normal functions of the foreskin ad sensations of the intact penis. Classic anatomical investigations have proven that the foreskin is the most richly innervated part of the penis. It has specialized nerve receptors that are directly connected to the pleasure centers of the brain. Your intact son is far better equipped to enjoy all aspects of lovemaking than his circumcised peers.

The myth that American women prefer the circumcised penis, in my opinion, demeaning to women. It may be true that American women of a certain generation and social background were more likely to be familiar with the circumcised penis than the intact penis, but this was the result of the mass circumcision campaigns of the 1950s not personal preference. I suspect that what women prefer in men is more related to the personal qualities of consideration, gentleness, sensitivity, warmth, and supportiveness. It is very unlikely that circumcision increases a male's capacity to develop these qualities.

Your son needs to be circumcised so that he looks like his father.
A child is a mixture of both his mother's and his father's genetic heritage. He doesn't need to look like his father, nor will he ever look like his father in every way. Each child is a unique gift, and that uniqueness should be cherished. The idea that a boy will be disturbed if his penis does not look like his father's was invented to manipulate people into letting doctors circumcise their children. It has no basis in medical fact.

There are no published reports of an intact boy being disturbed because part of his penis was not cut off when he realized that part of his father's penis had been cut off. When intact boys with circumcised fathers express their feelings on the matter, they consistently report their immense relief and gratitude that they were spared penile surgery. They express sadness, as well, for the suffering their dads experienced as infants.6

Occasionally, a circumcised father will state that he wants his child circumcised because he think that it will create a bond between him and his son. It is a wonderful thing for a father to want to establish such a bond, but circumcision cannot accomplish this worthy goal. If a father wants to establish a lasting and meaningful bond with his son, the very best way, and perhaps the only way, he can achieve this is by spending quality time with him and by showing him much affection.

Sadly, some fathers who have been circumcised have an unhealthy attitude may look for any excuse to schedule the child for circumcision. Putting a child in a position where he fears that part of his penis is going to be cut off is abusive. When fathers demand that their son be circumcised, I suspect that they are desperately trying to justify their own circumcised condition. The emotions that some fathers feel when they are forced to confront the fact that part of their penis is missing can be so disturbing that they will do anything to block them out.

A father who forcibly circumcises has son will not win his son's gratitude, affection, trust, or love. I am aware of instances where such events have permanently destroyed the father-son bond and changed a son's love for this father into rage and bitter resentment. In situations where the father suffers from an unhealthy attitude about his son's normal penis, I think it is best for everyone concerned--especially the son--for the father to receive compassionate psychological counseling to help him overcome his problem. All children deserve the safest, most nurturing, and most loving home possible.

When physicians realize the important functions of the foreskin, they'll realize that just about every problem with it can and should be solved without cutting it off. Cutting off part of the body--especially part of the penis--is an extreme measure that should be reserved for the most extreme of circumstances. The only legitimate indications for cutting off any part of the body, including the foreskin, are life-threatening disease, life-threatening deformity, or irreparable damage. These situations are extremely rare.

The best advice for care of the intact penis is simply to leave it alone. The intact penis needs no special care. Let your boy take care of it himself, and when he is old enough, he will enjoy taking care of his own body. After all, it is his business. Just relax and avoid worrying about your son's intact penis. Remind yourself that the foreskin is a natural and healthy part of the body. If European boys grow up healthy and unconcerned about foreskins, so can your son.

Circumcision Horror - Who Cares?

Circumcision Horror - Who Cares?

BOY (11) SUFFERS AFTER PROCEDURE GOES WRONG BUT AUTHORITIES FAIL TO HELP CLAIMS MUM
Like many mothers Lungisani Thini decided to have her 11-year-old son circumcised because she wanted him to have a healthier future.
Now she fears he may not have much of a future at all.
The distraught mum, 47, described how the boy’s penis was sliced open during the procedure that went terribly wrong at Tutume Primary hospital. She has now threatened to sue the government P5 million for negligence.

The botched procedure occurred in December last year, but Lungisani claims the hospital neither gave her an apology nor reacted urgently to repair the damage.
“I know mistakes do occur, but the way the hospital is handling my son’s case makes me feel they don’t care.
All I need now is compensation so that I can find medication and doctors to correct the blunder before it’s too late,” she said.
The mother of six revealed that the problem became evident shortly after the procedure when the boy experienced pain and difficulty when trying to urinate.

Although he was then referred to Nyangabgwe hospital, it soon became apparent that measures taken to repair the damage had been unsuccessful.
“When after a week they removed the pipe they had inserted in his penis they assured us that all would be well.

But before long the boy started complaining again.”
Lungisani went on to say that after returning to Nyangabgwe doctors said there was nothing they could do as her son urgently needed to see a specialist.
She told how he was then transferred to Maun, but claims all they are doing there is draining the urine twice every month from the pipe in his penis.
“As I speak, the boy’s education is being seriously affected because of the repeated journeys to hospital,” she added.

What upsets her most is the fact that apart from providing transport to Maun, the hospital does not assist the family financially for the numerous trips.
She also complained that the hospital has never counselled either her or her son.
“As a single mum it is very difficult for me to cope and since the people who are responsible don’t seem to care, I have decided to take legal action. Although I am poor, I will fight until I get justice,” Lungisani promised.

Taking up the case area councillor Moseki Mathodi said that he tried to follow up the matter, but was told it was none of his business.

“I went to the clinic where the operation was carried out, but the nurse in charge refused to talk to me regarding the case claiming confidentiality.
They even failed to liaise with the school regarding the boy’s problem until I personally went to alert the headmaster,” he said.

Tutume District Health Management Team (DHMT) Coordinator Dr Ntumba Kamayi, although acknowledging there was a problem, dismissed allegations that the hospital was not treating the matter with urgency.

“What happened is very sad, but mistakes do happen,” he said. [Medical mistakes are not supposed to happen; accidents should be dealt with.] Kamayi went on to assure the public that such cases were rare, saying that at least 40 people a day were being circumcised at the Thini clinic. [Yes, and how many are botched?] “Why the boy’s case went wrong is still a shock to me,” the doctor said.

Pulire ciuccio con bocca protegge bimbi

Grazie al contatto con i microbi degli adulti

(ANSA) - ROMA, 6 MAG - La pratica dei genitori di 'pulire' il ciuccio dei figli mettendolo in bocca e' efficace nel ridurre il rischio di allergie e asma, ma per i motivi opposti a quello che si puo' pensare. Secondo uno studio del Queen Silvia Children's Hospital di Goteborg l'effetto e' infatti dovuto al contatto dei bimbi con i microbi degli adulti. I ricercatori hanno monitorato 184 bambini e hanno scoperto che il rischio di eczema e' cosi' piu' basso del 63%, mentre per l'asma scende dell'88%.

Hpv: con vaccino scendono i casi di lesioni genitali

Hpv: con vaccino scendono i casi di lesioni genitali

Il vaccino contro il papillomavirus umano (Hpv) funziona. «Ne è una prova il declino dei casi di verruche genitali tra le giovani donne immunizzate in Australia a partire dal 2007». Lo afferma Basil Donovan, capo del programma di salute sessuale al Kirby Institute, University of New South Wales di Sydney, Australia, e coordinatore di uno studio pubblicato su British medical journal. «Inoltre, questa osservazione è supportata dalla riduzione delle verruche genitali anche nei giovani uomini eterosessuali, dovuta probabilmente all'instaurarsi di un'immunità di gruppo. In altre parole, vaccinare gran parte delle donne suscettibili protegge anche gli uomini della stessa età non immunizzati» riprende il ricercatore. Nel 2007 l'Australia è stata tra i primi paesi al mondo ad adottare un programma di vaccinazione quadrivalente contro l'Hpv finanziato dal governo e rivolto alle giovani donne. «Il programma, ancora in corso, offre la vaccinazione gratuita alle studentesse di età compresa tra i 12 e i 13 anni, mentre dal 2007 al 2009 erano attivi altri due programmi: uno per le alunne fra i 13 e i 18 anni, e l'altro per le donne dai 18 ai 26 anni» spiega Donovan, sottolineando che il vaccino quadrivalente protegge sia dagli Hpv tipo 16 e 18, che causano il cancro, sia dai tipi 6 e 11, responsabili dei condilomi. Morale: due anni dopo l'introduzione del vaccino, i condilomi genitali sono crollati del 59% nelle ragazze fra 12 e 26 anni immunizzate nel 2007, e del 39% negli uomini eterosessuali della stessa età. I dati di questo studio, invece, descrivono l'effetto del programma di vaccinazione anti-Hpv a 5 anni dal suo inizio. «In questo periodo il calo di verruche genitali nelle donne sotto i 21 anni e in quelle tra i 21 e i 30 anni è stato rispettivamente del 92 e del 72%. Analogamente una flessione rilevante si è registrata tra i maschi eterosessuali sotto i 21 anni (81,8%) e tra i 21 e i 30 anni (51,1%)» osserva Donovan. Viceversa, nessun calo si è verificato nella fascia di età non vaccinata: donne e uomini sopra i 30 anni. «Questi sono tempi entusiasmanti per la lotta contro l'Hpv, e il mondo può guardare con fiducia all'eliminazione di verruche genitali, papilloma laringeo ricorrente, molti tumori genitali e di circa il 60% dei tumori della testa e del collo» spiega in un editoriale di commento Simon Barton, ricercatore del Chelsea and Westminster foundation trust di Lontra, Regno Unito. «Inoltre, l'interruzione della trasmissione di un'importante infezione sessuale con un'iniziativa di sanità pubblica offre in prospettiva un notevole risparmio. Visti i risultati, l'Australia ne è un esempio».

FONTE: http://www.dica33.it/cont/news/1304/2300/h...ni-genitali.asp