Fusions and adhesions - Revision history

WikiModEn2: Add category.

2026-04-13T03:30:37Z

Add category.

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	[[Category:Male circumcision]]		[[Category:Male circumcision]]
	[[Category:Parental information]]		[[Category:Parental information]]
			[[Category:Penile disorder]]
	[[Category:Penile surgery]]		[[Category:Penile surgery]]

WikiModEn2: /* Adhesion */ Revise text.

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	==Adhesion==		==Adhesion==
	Adhesions of the residual [[skin]] to the [[glans penis]] usually occur after the [[circumcision]] of an infant boy. They are a pathological condition. When a young boy is to lose his [[foreskin]] to [[amputation]] by the surgical operation euphemistically known as "circumcision", the first step is to break the normal, healthy fusion described above. The surgeon does this in an incredibly brutal manner that causes extreme [[pain]] and [[trauma]] by passing a blunt probe under the foreskin to break the normal fusion with the [[glans penis]]. This preliminary step leaves the [[glans penis]] in a raw condition. After the [[foreskin]] is cut away, the residual shaft skin of the [[penis]] is also left with raw ends.		Adhesions of the residual [[skin]] to the [[glans penis]] usually occur after the [[circumcision]] of an infant boy. They are an iatrogenic, pathological condition. When a young boy is to lose his [[foreskin]] to [[amputation]] by the surgical operation euphemistically known as "circumcision", the first step is to break the normal, healthy fusion described above. The surgeon does this in an incredibly brutal manner that causes extreme [[pain]] and [[trauma]] by passing a blunt probe under the foreskin to break the normal fusion with the [[glans penis]]. This preliminary step leaves the [[glans penis]] in a raw condition. After the [[foreskin]] is cut away, the residual shaft skin of the [[penis]] is also left with raw ends.

	The surgical wound is not commonly closed with sutures after [[circumcision]] of young boys, so the residual shaft skin is left to fall where it may. If the raw end of the shaft [[skin]] is in contact with the raw [[glans penis]], the two are likely to heal together, which creates a pathological adhesion.<ref>{{REFjournal		The surgical wound is not commonly closed with sutures after [[circumcision]] of young boys, so the residual shaft skin is left to fall where it may. If the raw end of the shaft [[skin]] is in contact with the raw [[glans penis]], the two are likely to heal together, which creates a pathological adhesion.<ref>{{REFjournal

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2026-02-18T13:50:21Z

Adhesion

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	\|accessdate=2025-12-04		\|accessdate=2025-12-04
	}}</ref>		}}</ref>

			Adhesion may also result after premature forcible foreskin retraction (PFFR).

	Adhesions take many possible forms. The [[skin bridge]] is a common one.		Adhesions take many possible forms. The [[skin bridge]] is a common one.

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	Adhesions take many possible forms. The [[skin bridge]] is a common one.		Adhesions take many possible forms. The [[skin bridge]] is a common one.

	~~Unlike fusions~~, ~~adhesions do not spontaneously~~ dissolve. The ~~services of~~ a ~~pediatric urologist are needed~~ to ~~release~~ the ~~adhesion~~.		==The difference==
			The <b>fusion</b> with which one is born has a synechial membrane between the [[glans penis]] and the [[foreskin]]. The synechial membrane breaks down with increasing maturity and releases the foreskin, so that it can be retracted and have [[gliding action]]. Fusions are normal and healthy.

			The <b>adhesion</b> forms when two raw tissues heal together. There is no synechial membrane to dissolve and release the connection. The adhesion is pathological and requirs a surgeon to separate the adhesed tissue.
	{{SEEALSO}}		{{SEEALSO}}
	* [[Forced foreskin retraction]]		* [[Forced foreskin retraction]]

WikiModEn2: /* Fusion */

2025-12-17T19:59:15Z

Fusion

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	The fusion of the balanopreputial lamina gradually breaks down over a widely variable period of years, so the foreskin can be retracted.		The fusion of the balanopreputial lamina gradually breaks down over a widely variable period of years, so the foreskin can be retracted.

	When the fusion is separating, it is normal for an [[intact]] boy to report feeling pain when he urinates. When the separation is complete, he will no longer feel pain ~~when the urinates~~.		When the fusion is separating, it is normal for an [[intact]] boy to report feeling pain when he urinates. When the separation is complete, he will no longer feel pain during [[urination]].

	Thorvaldsen & Meyhoff (2005) reported the mean age of first foreskin retraction to be 10.4 years.<ref name="thorvaldsen2005">{{REFjournal		Thorvaldsen & Meyhoff (2005) reported the mean age of first foreskin retraction to be 10.4 years.<ref name="thorvaldsen2005">{{REFjournal

WikiModEn2: /* Fusion */ Add text.

2025-12-17T19:45:52Z

Fusion: Add text.

← Older revision		Revision as of 19:45, 17 December 2025
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	}}</ref> Boys with a protective foreskin do not develop [[meatal stenosis]].		}}</ref> Boys with a protective foreskin do not develop [[meatal stenosis]].

	The fusion of the balanopreputial lamina gradually breaks down over a widely variable period of years, so the foreskin can be retracted. Thorvaldsen & Meyhoff (2005) reported the mean age of first foreskin retraction to be 10.4 years.<ref name="thorvaldsen2005">{{REFjournal		The fusion of the balanopreputial lamina gradually breaks down over a widely variable period of years, so the foreskin can be retracted.

			When the fusion is separating, it is normal for an [[intact]] boy to report feeling pain when he urinates. When the separation is complete, he will no longer feel pain when the urinates.

			Thorvaldsen & Meyhoff (2005) reported the mean age of first foreskin retraction to be 10.4 years.<ref name="thorvaldsen2005">{{REFjournal
	\|last=Thorvaldsen		\|last=Thorvaldsen
	\|init=MA		\|init=MA

WikiModEn2: /* Adhesion */ Add link in SEEALSO section.

2025-12-05T13:41:46Z

Adhesion: Add link in SEEALSO section.

← Older revision		Revision as of 13:41, 5 December 2025
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	Unlike fusions, adhesions do not spontaneously dissolve. The services of a pediatric urologist are needed to release the adhesion.		Unlike fusions, adhesions do not spontaneously dissolve. The services of a pediatric urologist are needed to release the adhesion.
	{{SEEALSO}}		{{SEEALSO}}
			* [[Forced foreskin retraction]]
	* [[Synechia]]		* [[Synechia]]
	{{REF}}		{{REF}}

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← Older revision		Revision as of 13:33, 5 December 2025
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	==Adhesion==		==Adhesion==
	Adhesions of the residual [[skin]] to the [[glans penis]] usually occur after the [[circumcision]] of an infant boy. They are a pathological condition. When a young boy is to lose his [[foreskin]] to [[amputation]] by the surgical operation euphemistically known as "circumcision", the first step is to break the normal, healthy fusion described above. The surgeon does this in an incredibly brutal manner that causes extreme [[pain]] by passing a blunt probe under the foreskin to break the normal fusion with the [[glans penis]]. This preliminary step leaves the [[glans penis]] in a raw condition. After the [[foreskin]] is cut away, the residual shaft skin of the [[penis]] is also left with raw ends.		Adhesions of the residual [[skin]] to the [[glans penis]] usually occur after the [[circumcision]] of an infant boy. They are a pathological condition. When a young boy is to lose his [[foreskin]] to [[amputation]] by the surgical operation euphemistically known as "circumcision", the first step is to break the normal, healthy fusion described above. The surgeon does this in an incredibly brutal manner that causes extreme [[pain]] and [[trauma]] by passing a blunt probe under the foreskin to break the normal fusion with the [[glans penis]]. This preliminary step leaves the [[glans penis]] in a raw condition. After the [[foreskin]] is cut away, the residual shaft skin of the [[penis]] is also left with raw ends.

	The surgical wound is not commonly closed with sutures after [[circumcision]] of young boys, so the residual shaft skin is left to fall where it may. If the raw end of the shaft [[skin]] is in contact with the raw [[glans penis]], the two are likely to heal together, which creates a pathological adhesion.<ref>{{REFjournal		The surgical wound is not commonly closed with sutures after [[circumcision]] of young boys, so the residual shaft skin is left to fall where it may. If the raw end of the shaft [[skin]] is in contact with the raw [[glans penis]], the two are likely to heal together, which creates a pathological adhesion.<ref>{{REFjournal
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	Unlike fusions, adhesions do not spontaneously dissolve. The services of a pediatric urologist are needed to release the adhesion.		Unlike fusions, adhesions do not spontaneously dissolve. The services of a pediatric urologist are needed to release the adhesion.
			{{SEEALSO}}
			* [[Synechia]]
	{{REF}}		{{REF}}

WikiModEn2: /* Fusion */ Add DOI.

2025-12-04T20:53:02Z

Fusion: Add DOI.

← Older revision		Revision as of 20:53, 4 December 2025
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	\|title=The Ulcerated Meatus in the Circumcised Child		\|title=The Ulcerated Meatus in the Circumcised Child
	\|journal=Am J Dis Child		\|journal=Am J Dis Child
	\|date=1921		\|date=1921-01
	\|volume=21		\|volume=21
	\|issue=		\|issue=1
	\|pages=38-47		\|pages=38-47
			\|doi=10.1001/archpedi.1921.01910310043003
	\|format=PDF		\|format=PDF
	\|accessdate=2025-12-04		\|accessdate=2025-12-04

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@@ Line 17: / Line 17: @@
   |DOI=https://doi.org/10.1002/ar.1090570409
   |accessdate=2025-12-03
-}}</ref> The membrane, which is called the <i>balanopreputial lamina</i>, is common to both parts, so retraction of the boy's foreskin is prevented by nature. There is good reason for this, since the [[foreskin]] provides protection to the [[penis]] while in the diaper, which usually contains feces, urine, and ammonia. Boys with a protective foreskin do not develop [[meatal stenosis]].
+}}</ref> The membrane, which is called the <i>balanopreputial lamina</i>, is common to both parts, so retraction of the boy's foreskin is prevented by nature. There is good reason for this, since the [[foreskin]] provides protection to the [[penis]] while in the diaper, which usually contains feces, urine, and ammonia.<ref>{{REFjournal
 The fusion of the balanopreputial lamina gradually breaks down over a widely variable period of years, so the foreskin can be retracted. Thorvaldsen & Meyhoff (2005) reported the mean age of first foreskin retraction to be 10.4 years.<ref name="thorvaldsen2005">{{REFjournal