Doctor insights on:
At What Age Is Circumcision Done On Preemie
Size of penis: Circumcision is done based on the size of the newborn penis. The appropriate size is estimated based upon the circumference of the glans. For a correct fit, the edge of the bell should reach the frenulum and minimally extend over the corona, slightly stretching the preputial skin. ...Read moreSee 3 more doctor answers
Any newborn infant with a gestational age of less 37 weeks- since most pregnancies other than in vitro fertilization cannot determine exact dates of conception, several methods such as early ultrasound, last menstrual period, and the Ballard gestational assessment can ...Read more
Very accurate: Typically accurate to within +/- 5 days. ...Read more
My son had hypospadias repair at age 1 and meatoplasty at 3.5, which he now needs again. Is this common? Are there possible complications for repeats?
Yes, can recur: Meatal stenosis is quite a common complication after hypospadias repair. Usually taken care by a meatoplasty. Repeat meatal stenosis has occurred which is why meatoplasty needs to be repeated. Ask your urologist whether or not a different technique will be used or whether a larger opening will be created than last time. Consider a second opinion because meatal stenosis can recur time & again. ...Read moreSee 2 more doctor answers
So he looks lk daddy: Personal choice is the main issue behind circumcision today. Most of my parents who chose to or not to do so because daddy went thru the procedure. Frequency varies over the world. 30% france/australia 10% britain (not covered on nhi plan)~80% us with regional variation. The only boys i see with uti's are not, but that is uncommon. There is some data suggesting less risk of std's. ...Read more
Simple surgery: The infant is placed on a restraint that holds the arms & legs.The penis is exposed & injected with a local anesthetic.Antiseptic is applied to the penis.A sterile drape is placed. Using clamps & scissors, the foreskin in opened on top & pealed back exposing the glans.A clamp is placed to protect the glans & provide a safe point to cut back the foreskin.Foreskin is removed & the procedure completed. ...Read more
At what age is a frenectomy performed for a “tongue tied” baby? If a baby is born “tongue tied, ” how early is a frenectomy performed to correct the problem?
Can be done at birth: If there are feeding issues it can be done at birth. Pediatric ents are often comfortable doing this if pediatricians aren't. I do them all the time for this reason in clinic. If there aren't symptoms, it's your choice to do it or wait and see if other issues develop such as speech problems, issues with brushing teeth or licking an ice cream cone. See http://lowmilksupply.Org/tonguetie.Shtml. ...Read moreSee 3 more doctor answers
Not at all: Circumcision on a baby is done awake and hopefully with topical anesthetic cream. It only takes a few minutes, no sutures are used and baby only feels mild discomfrt for a few minutes and at most about 1/2 hour. Pre-teen should be done under general anesthesia, takes 20 -30 minutes, then pacu recovery for about an hour. Then needs pain meds for a few days and limited activity. Best done as a baby. ...Read moreSee 1 more doctor answer
What is the mortality rate of getting an ileostomy for the 10th time? Patient is male and 60 years of age. First ileostomy surgery was at 21 years old
I : I am so sorry that he is having to go through all of that. There is no simple answer for your question. Every surgery carries a risk as you know, including risk of infection, bleeding, and anesthesia. Morbidity and mortality also depends on the underlying condition of the patient, including other illnesses (co-morbid conditions), nutritional status, and body weight (too high or too low both carry risks). The most important thing is be sure that the patient has optimized their nutritional status, isn't smoking, and has other medical issues under control and has been cleared medically. Share all health concerns with the surgeon and anesthesiologist and be sure they are up to date with any current health issues of the patient. There are many patients who have to undergo repeat surgeries and they do well. I wish you the best through this procedure. ...Read more
I want to ask that at what age the height is stope for boys , my son is born in 26/10/1997 and he is 170 CM now , is there any chance to get more heig?
Some, yes: Males usually stop at 16-17 with a few into the early 20's.At 16 the growth centers have some potential for linear growth .If you want to know for sure an x-ray of the wrist ; hand can be analysed for bone maturity ; tell if the growth centers remain open to new growth. A bone maturity more consistent with 14 would leave some room for extra growth. ...Read more
Besides the apgar score, what determines a premature baby if the due date was in question, or if the baby was just small (5.5 lb baby at 35.5 weeks)?
Not sure of ?: Ballard score is used to estimate a babies gestational age at birth (weeks gestation). Apgar not used for this; it is an initial assessment of babies health at time of birth sometimes used to know if particular interventions (resuscitation) are needed and how successful they are. ...Read moreSee 3 more doctor answers
Does the corrected age always have to be factored in for assessing development of preemie babies? (35 weeks)
Yes and No: Sorry for the confusing answer, but especially with those babies we call late preterm (after 34 weeks but before 37 weeks), development often is not very affected unless there were a lot of compounding problems with the birth. So if i was doc for a big, fat healthy 35 weeker, i would not always correct. More important s to follow closely over time and are they making appropriate progress. ...Read more
At what age should an uncircumcised boy's foreskin retract, and how does one determine if the opening is too small?(phimosis ) thank you
Foreskin: It can occur at almost any age, it usually occurs with the normal erections that stretch the foreskin gradually. It may need some manual stretching at times by pulling the foreskin back gently and bringing it forward. If you are unable to do that, see the pediatrician or a urologist to determine if there is any concern. ...Read more
Survival rate: More than 90 percent of the babies survive. ...Read more
Premature baby: The survival rate for your baby depends on many factors concerning your babies health and condition. You should ask this question to your pediatrician who can give your the best information. ...Read more
At what age should club foot correction surgery be done? My son was born with a club foot, and i would like to know when is the optimal age to have the surgery performed on him.
Generally : Generally speaking, conservative management with serial casting (ponsetti) is the first line treatment. Most treatment plans with serial casting are effective and avoid the need for extensive surgical correction. Some patients require small surgeries such as an achilles lengthening with the casting treatment. If this fails, surgical correction can be performed. Most surgeons would like to have a plantigrade (corrected) foot by the time the child begins to walk-(around 12 months of age). For those that do not respond to serial casting( ponsetti) surgical correction should be performed between 6-9 months of age. ...Read moreSee 1 more doctor answer
Atrial SD age 2 cath: ?: At what age it sensible to catheterize a child with 12mm ASD if length/height growth is normal? ANS: This depends on so many things that cannot be answered here. Ask your team for their recommendations not someone who had never seen or examined your child and discussed issues with you and significant other. . ...Read more
What is a normal cervical length at 33 weeks of pregnancy? What should the bpd, ac, hc, fl of fetus be at this gestational age?
Cervix length: Should be more than 2.5 cm, as far as the rest your OB should be able to go over all of that with you as there is a range of normal. ...Read more
Usually excellent: “Babies born after 35 weeks are only mildly preterm and usually do very well.” (http://www.birth.com.au/premature-baby/survival-of-preterm-babies-gestation#.VVpX1fFdWM8) ...Read more
I've heard the mother's age at conception is important (below 35 usually best) for a baby's health. How much of a factor is the father's age?
Age effects: Women get the blunt of aging effect due to the basics of reproduction.Women are born with all the eggs they will ever release and the effect of background radiation/toxic exposures add up.Men produce sperm from stem cells and essentially make a new batch daily.The healthiest and best swimmers are the most successful for conception.This natural selection spares some of the age issue for men. ...Read moreSee 2 more doctor answers
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