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Hygiene

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The word '''hygiene''' comes from Greek, and it means "the protection and promotion of health." It has been mis-understood to mean ''cleanliness''. Keeping the body clean is only part of what it takes to be healthful. In some cases, excessive washing can actually cause health problems.<ref name="birley1993">{{Construction SiteREFjournal |last=Birley |init=HDL |author-link= |last2=Walker |init2=MM |author2-link= |last3=Luzzi |init3=GA |author3-link= |last4=Bell |init4=R |author4-link= |etal=yes |title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing] |trans-title= |language= |journal=Genitourin Med |location= |date=1993-10 |volume=69 |issue=5 |pages=400-3 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf |quote= |format=PDF |pubmedID=8244363 |pubmedCID=1195128 |DOI=10.1136/sti.69.5.400 |accessdate=2023-12-19}}</ref>
The word '''hygiene''' comes from Greek==Victorian usage== Victorian doctors falsely believed that thinking immoral or impure thoughts could cause neurological disorders such as feeblemindedness or epilepsy. They also believed that [[masturbation]] would cause one to think immoral or impure thoughts that would cause brain damage! Therefore, and it means "the protection [[foreskin]] and promotion of healthmasturbation were viewed as unhygenic." Keeping the body clean is only part So when a Victorian doctor spoke of what it takes to be healthful. In some cases[[circumcision]] being hygienic, excessive washing can actually cause he meant mental health problems, ''not'' physical cleanliness.
== Ignorance and misinformation ==
Misinformation abounds regarding the hygiene of the [[intact ]] [[penis]]. In the [[United States]], especially, doctors tend to be ignorant, misinformed, or simply uninformed concerning the hygenic hygienic care of [[intact ]] men and childrenboys, and this happens for a variety of reasons. As of yet now, America is primarily a country where circumcision is [[United_States_of_America#Prevalence_of_circumcision| prevalent]], and thus [[intact ]] male genitals are unfamiliarto many Americans. Many American medical doctors, are ignorant of the subject because they are themselves [[circumcised]], wives to circumcised men, and/or mothers to circumcised children. Additionally, care of the intact male genitals is rarely mentioned in medical school. The [[foreskin ]] and the proper care for [[intact ]] genitals tends to be absent in pediatric literature.<refname="osborn1981">{{REFjournal |last=Osborn |init=LM, |author-link= |last2=Metcalf |init2=TJ, |author2-link= |last3=Mariani |init3=EM. |author3-link= |etal=no |title=Hygienic care in uncircumcised infants. |trans-title= |language= |journal=Pediatrics |location= |date=1981;-03 |volume=67: |issue= |pages=365-7 |url=http://www.cirp.org/library/hygiene/osborn1/ |archived= |quote= |pubmedID=7243473 |pubmedCID= |DOI= |accessdate=2020-06-07}}</ref>
This this article provides factual information to help medical personnel and parents understand the proper care of the penis in its unaltered state.
== The AAP concerning circumcision and hygiene ==
One of the most common alibis justifications cited for non-theraputic therapeutic [[circumcision ]] of a boy is that it is supposed to facilitate hygiene. However, according the "Circumcision Policy Statement" produced by the "Task Force on Circumcision" appointed by the [[American Academy of Pediatrics]], which was published in ''Pediatrics '' in 1999 and reaffirmed on September 1, 2005, "there is little evidence to affirm the association between [[circumcision ]] status and optimal penile hygiene".<refname="aap1999">American Academy of Pediatrics: Circumcision Policy Statement; {{REFjournal |last=Task Force on Circumcision" |first= |author-link= |etal=no |title=Circumcision Policy Statement |trans-title= |language= |journal=Pediatrics Vol |location= |date=1999-03 |volume=103 |issue=3 |pages=686-93 |url=http://www.cirp.org/library/statements/aap1999 |archived= |quote= |pubmedID=10049981 |pubmedCID= |DOI= |accessdate=}}</ref> ==Care of newborn, infants, toddlers, and boys==Boys are born with a non-retractable [[foreskin]].<ref>{{REFjournal |last=Simpson |first=Errol T. |init=ET |author-link= |last2=Barraclough |first2=Phillip |init2=P |author2-link= |etal=no |title=The management of the paediatric foreskin |trans-title= |language= |journal=Aust Fam Physician |location= |date=1998 |volume=27 |issue=5 |pages=382-3 |url=http://www.cirp.org/library/hygiene/simpson1/ |archived= |quote= |pubmedID=9613002 |pubmedCID= |DOI= |accessdate=2020-05-28}}</ref> Retraction cannot be done because the tip of the foreskin is too narrow to pass over the [[glans penis]] and/or the inner foreskin is fused with the glans penis by a [[synechia]]. Noattempt should be made to retract a boy's [[foreskin]].3 March 1999Attempts to retract a non-retractile foreskin will injure the boy. Caregivers should wash the outside of the [[penis]] as one might wash a finger.<ref>{{REFweb |url=https://www.doctorsopposingcircumcision.org/for-parents/care-of-the-intact-penis/ |archived= |title=Care of the intact penis |trans-title= |language=English |last=Geisheker |first=John V. |author-link=John V. Geisheker |publisher=[[Doctors Opposing Circumcision (D.O.C.)]] |website= |date=2016-03 |accessdate=2020-05-28 |format= |quote= }}</ref> The [[foreskin]] is self-cleaning, ppso no further cleaning is necessary. The first person to retract a boy's foreskin should be the boy himself.<ref>{{REFjournal |last=Wright |init=JE |author-link= |etal=no |title=Further to "the further fate of the foreskin" |trans-title= |language=English |journal=Med J Aust |location= |date=1994-02-07 |volume=160 |issue= |pages=134-5 |url=http://www.686cirp.org/library/normal/wright2/ |archived= |quote= |pubmedID=8295581 |pubmedCID= |DOI=10.5694/j.1326-6935377. (Statement Reaffirmed Sept1994.tb126559.x |accessdate=2020-05-28}}</ref> The information provided by supposed authorities regarding when the [[foreskin]] of a boy becomes retractable is usually wrong. 1The foreskin may be become retractable after a few years, but it usually does not. Thorvaldsen & Meyhoff (2005)conducted a survey of young men in [[Denmark]] where boys are preserved [[intact]]. They found that the average age of first foreskin retraction is 10.4 years.<ref name="thorvaldsen2005">{{REFjournal |last=Thorvaldsen |init=MA |author-link= |last2=Meyhoff |init2=H |author2-link= |etal=no |title=Pathologic or physiologic phimosis? |trans-title=Patologisk eller fysiologisk fimose? |language=Danish |journal=Ugeskr Læger |location= |date=2005-04-25 |volume=167 |issue=17 |pages= 1858-62 |url=http://www.cirp.org/library/normal/thorvaldsen1/ |archived= |quote= |pubmedID=15929334 |pubmedCID= |DOI= |accessdate=2020-05-28}}</ref>This means that many boys' foreskins become retractable even later. ==Penile care for adolescents and teens== By the onset of puberty, most, but not all boys, have a retractable [[foreskin]]. Boys with a retractable foreskin should retract and wash their foreskin when they bathe. Excessive washing and use of soap, shampoo, and body wash on the [[mucosa]] inside the foreskin should be avoided because it dries the oils from the [[mucosa]]l tissue.<ref name="birley1993" /> Warm water is sufficient for cleaning, which should not be done to excess. {{SEEALSO}}* [[Foreskinned]]* [[Immunological and protective function of the foreskin]]* [[Intact]]* [[Penis]]* [[Preputial sac]]* [[Retraction of the foreskin]]* [[Uncircumcised]] {{LINKS}}* {{REFweb |url=http://www.cirp.org/library/hygiene/ |archived= |title=Penile hygiene for intact (non-circumcised) males |trans-title= |language=English |last= |first= |author-link= |publisher=Circumcision Reference Library |website= |date=2004-08-08 |accessdate=2020-05-28 |format= |quote=}}
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