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<youtube>rpN13irwvGk</youtube>These developmental conditions are normal and expected in infancy and childhood.
The Intact, [[foreskinned]] boys should give their (usually non-retractile) [[foreskin]] a gentle tug away from their body to get the wrinkles out prior to [[urination]], so that the [[urine]] flows out in a smooth stream. ==Spontaneous disintegration of the synechia==The inner foreskin is fused from birth with the [[glanspenis]] penis by the a [[synechia]] in infancy and childhood so it cannot be retracted. No attempt to retract the foreskin should be made. Wright (1994) advises that the first person The synechia spontaneously disintegrates to retract release the boy’s foreskin should be the boy himself.<ref name="Wright1994deibart1933">{{REFjournal |last=WrightDeibart |firstinit=J.E.GA |title=Further to The separation of the "Further Fate of prepuce in the Foreskin"human penis |journal=Med J AustAnat Rec |date=1933-11 |volume=16057
* ==Mayo Clinic information should be rejected==Mayo Clinic provides information on the care of [[foreskinned]] boys. This advice is ''not'' recommended. The language indicates Midwestern [[bias]] against [[intact]] boys, a lack of understanding of the [[Immunological and protective function of the foreskin| immmunological and protective functions]], and lack of current information on [[Development of retractable foreskin| development of foreskin retraction]].==Care at daycare centers==Parents must ''not'' assume that the staff of a daycare facility know how to care for [[intact]], [[foreskinned]] boys. In America it is most likely that the staff of a daycare center will not know the proper care of [[foreskinned]] boys,<ref>{{REFweb |url=https://intactamerica.org/the-daycare-risk-for-intact-uncircumcised-babies-and-boys-forcible-foreskin-retraction/ |title=The Daycare Risk for Intact, Uncircumcised Babies and Boys: Forcible Foreskin Retraction |last=Ashford |first=Jeannie |init= |author-link= |publisher=Intact America |date=2024-09-12 |accessdate=2024-09-13}}</ref> which may place your [[foreskinned]] son at risk of the [[forced foreskinretraction]].
|trans-title=
|language=
|trans-title=
|language=
→Introduction: Revise URL.
'''{{FULLPAGENAME}}''' provides parents with basic information on the care of [[intact]] boys.
Newborn [[intact]] boys are easier to care for than [[circumcised]] boys because intact boys do not have an open surgical wound,<ref>{{REFweb
|url=https://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Caring-For-Your-Sons-Penis.aspx
|title=How to Care for Your Baby's Penis
|publisher=American Academy of Pediatrics
|date=2021-08-02
|accessdate=2024-08-18
}}</ref> <ref name="milos2022-08-08">{{REFweb
|url=https://intactamerica.org/ask-marilyn-circumcised-vs-uncircumcised-babies-how-do-you-care-for-one-or-the-other/
|title=Ask Marilyn – Circumcised vs Uncircumcised Babies: How Do You Care for One or the Other?
|last=Milos
|first=
|init=MF
|author-link=Marilyn Fayre Milos
|publisher=Intact America
|date=2022-08-08
|accessdate=2024-10-24
}}</ref> and because [[intact]], non-traumatized boys are easier to [[Breastfeeding| breastfeed]]. [[Foreskinned]] boys are likely to enjoy better health because of the [[immunological and protective function of the foreskin]].
The [[foreskin]] has the duty of protecting the [[glans penis]] and [[meatus]] from physical [[trauma]] and [[infection]], so boys are born with a [[foreskin]] that does not retract.<ref name="agarwal2005">{{REFjournal
|last=Agarwal
|first=
|init=A
|author-link=
|last2=Mohta
|first2=
|init2=A
|author2-link=
|last3=Anand
|first3=
|init3=RK
|author3-link=
|etal=no
|title=Preputial retraction in children
|trans-title=
|language=
|journal=J Indian Assoc Pediatr Surg
|location=
|date=2005-04
|season=
|volume=10
|issue=2
|article=
|pages=89-91
|url=https://journals.lww.com/jiap/fulltext/2005/10020/preputial_retraction_in_children.5.aspx
|archived=
|quote=
|pubmedID=
|pubmedCID=
|DOI=10.4103/0971-9261.16468
|accessdate=2024-06-26
}}</ref> There are two reasons that the foreskin of infant boys does not retract:
* The tip of the foreskin is too narrow to pass over the [[glans penis]].
* The inner layer of foreskin is fused with the underlying glans penis by a [[synechia]].
[[Forced foreskin retraction]] is harmful and must be avoided.
==Introduction==
After many decades of excision of the [[foreskin]] at birth, American and Canadian healthcare providers lost the knowledge of how to care for the normal, [[intact]], [[foreskinned]] boy's [[penis]].<ref name="bollinger2007">{{REFjournal
|last=Bollinger
|init=D
|author-link=Dan Bollinger
|title=The Penis-Care Information Gap: Preventing Improper Care of Intact Boys
|url=https://www.academia.edu/6394928/The_Penis_Care_Information_Gap_Preventing_Improper_Care_of_Intact_Boys?email_work_card=thumbnail&li=0
|journal=Thymos The Journal of Boyhood Studies
|date=2007
|season=fall
|volume=1
|issue=2
|pages=205-19
|format=PDF
|accessdate=2024-11-07
}}</ref> Therefore, it has been necessary to establish an educational program for both parents and physicians on the normal care of the [[intact]] [[penis]].<ref name="bollinger2007" />
Parents of [[intact]] boys in the [[United States]] have an additional responsibility of protecting their [[intact]], [[foreskinned]] son from harmful, painful [[Forced foreskin retraction| premature forcible foreskin retraction]] (PFFR) by ignorant doctors and nurses.<ref>{{REFweb
|url=https://www.doctorsopposingcircumcision.org/for-parents/help-with-forcible-foreskin-retraction/
|title=Wrongful Foreskin Retraction
|last=Anonymous
|first=
|init=
|author-link=
|publisher=Doctors Opposing Circumcision
|date=1916
|accessdate=2024-06-27
}}</ref>
==Discussion==
The human [[foreskin]] is nature's protection against injury and [[infection]] of the [[penis]]. Since it has [[Immunological and protective function of the foreskin| protective and immunological functions]] that work best when the [[foreskin]] is left alone, only the outside of the [[foreskin]] should be washed as one washes a finger. Bubble bath can be irritating to a child's foreskin so it is best to avoid bubble bath products in the bath water.<ref name="milos2022-03-07">{{REFweb
|url=https://intactamerica.org/ask-marilyn-bath-time-turns-a-boys-foreskin-red/
|title=Ask Marilyn – Bath Time Turns a Boy’s Foreskin Red
|last=Milos
|first=
|init=MF
|author-link=Marilyn Fayre Milos
|publisher=Intact America
|date=2022-03-07
|accessdate=2024-10-24
}}</ref>
The [[preputial mucosa]] of the [[foreskin]] is fused with the [[glans penis]] by the [[synechia]] in infancy and childhood so the [[foreskin]] cannot be retracted. No attempt to retract the foreskin should be made. Forcible retraction is traumatic and painful. Wright (1994) advised that the first person to retract the boy’s [[foreskin]] should be the boy himself.<ref name="Wright1994">{{REFjournal |last=Wright |init=JE |title=Further to the "Further Fate of the Foreskin" |journal=Med J Aust |volume=160 |issue= |pages=134-135 |url=http://www.cirp.org/library/normal/wright2/ |quote= |pubmedID=8295581 |pubmedCID= |DOI= |date=1994-02-07 |accessdate=2019-10-17}}</ref> Thorvaldsen & Meyhoff (2005) conducted a survey of 4,000 boys in [[Denmark]] where most boys are [[intact]]. They report reported that the mean age of first [[foreskin]] retraction is 10.4 years in [[Denmark]].<ref name="Thorvaldsen-meyhoff2005">{{REFjournal
|last=Thorvaldsen
|firstinit=M.A.MA
|last2=Meyhoff
|first2init2=H.
|title=Patologisk eller fysiologisk fimose?
|trans-title=Pathological or physiological phimosis?
|date=2005
|accessdate=2019-11-14
}}</ref> [[Jakob Øster| Øster]] (1968) reported that some boys will not develop retractable [[foreskin]] until after puberty.<ref name="Øster1968">{{OesterJ 1968}}</ref>
==Behavior of young intact boys==
Parents observe that many young, [[intact]] boys will pull and tug on their [[foreskin]]. Some parents express concern that the boy may be hurting himself, however that is not the case. The boy would not do that if it caused him pain.<ref>{{REFweb
|url=https://www.kidshealth.org.nz/how-care-your-childs-foreskin
|title=How To Care For Your Child's Foreskin
|publisher=KidsHealth of New Zealand
|date=2020-06-04
|accessdate=2023-01-25
}}</ref>
The foreskin has many [[Meissner's corpuscles]],<ref name="winkleman1956">{{REFjournal
|last=Winkelmann
|first=
|init=RK
|author-link=
|etal=no
|title=The cutaneous innervation of human newborn prepuce
|trans-title=
|language=
|journal=J Invest Dermatol
|location=
|date=1956-01
|volume=26
|issue=1
|article=
|page=
|pages=53-67
|url=https://www.jidonline.org/article/S0022-202X(15)48804-9/pdf
|archived=
|quote=
|pubmedID=13295637
|pubmedCID=
|DOI=10.1038/jid.1956.5
|doi=
|format=PDF
|accessdate=2023-07-12
}}</ref> which are specialized nerves that sense motion and [[stretching]] as pleasurable. Such behavior is normal and parents need not be concerned.
|issue=
|pages=134387-13599 |url=http://www.cirp.org/library/normalanatomy/wright2deibert/
|quote=
|pubmedID=8295581
|pubmedCID=
|DOI=https://doi.org/10.1002/ar.1090570409 |accessdate=2023-08-16}}</ref> The disintegration usually occurs in childhood but will persist into adolescence in a few cases. When a young boy urinates, the [[foreskin]] may [[Ballooning of the foreskin| balloon]] slightly and the pressure will tend to lift the [[foreskin]] away from the [[glans penis]].<ref name="milos2022-03-21">{{REFweb |url=https://intactamerica.org/ask-marilyn-let-the-balloon-go/ |title=Ask Marilyn – Let the Balloon Go! |last=Milos |first= |init=MF |author-link=Marilyn Fayre Milos |publisher=Intact America |date=19942022-0203-0721 |accessdate=20192024-10-1724
}}</ref>
Some [[intact]] boys will report pain when they urinate during the period in which separation is occurring.<ref name="milos2022-09-26">{{SEEALSOREFweb |url=https://intactamerica.org/ask-marilyn-kiddo-is-having-painful-erections/ |title=Ask Marilyn—Kiddo Is Having Painful Erections |last=Milos |first= |init=MF |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-09-26 |accessdate=2024-10-24}}</ref> 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> It does not require a visit to a doctor or any kind of care.
==Video==
<br>
<youtube>rpN13irwvGk</youtube>
<br>
<youtube>?v=dqexM8uqDes&list=PLAWLXIFlrYdr0cuWb81Qy155NqXh0bnnP&index=3</youtube>
{{SEEALSO}}
* [[Ballooning of the foreskin]]
* [[Catheterization of intact boys]]
* [[Development of retractable foreskin]]
* [[Lists of foreskin-friendly and intact-friendly physicians]]
* [[DoNoHarm.report]]
* [[Forced foreskin retraction]]
* [[Immunological and protective function of the foreskin]]
* [[Intact-friendly]]
* [[Meatal stenosis]]
* [[Protection of intact newborns in hospital]]
* [[Synechia]]
* [[Intact versus Circumcised Baby Care]]
{{LINKS}}
* {{REFdocument
|title=Care of the Intact (When Your Baby Boy is Not Circumcised) Penis in the Young Child |url=https://wwwpool.doctorsopposingcircumcisionintactiwiki.org/wp-content/uploads/2016w/01images/care-of-the-intact-not-circumcised-penis-in-the-young1982-child02_Wallerstein-professionalsWhenYourBabyBoyIsNotCircumcised.pdf |contributionlanguage=English |last=Wallerstein |first=Edward |author-link=Edward Wallerstein |publisher=''Doctors Opposing Circumcision''Pennypress |location=Seattle |format=PDFFour-page pamphlet |date=20161982-0702 |accessdate=20192021-1105-0830
}}
* {{REFweb
|url=http://www.yourwholebabynocirc.org/basic-intact-caresymposia/first/fleiss.html |title=https:Basic Care (Intact Penis)of the intact male
|trans-title=
|language=
|last=Fleiss |first=Paul M. |author-link=Paul M. Fleiss |publisher=Your Whole BabyNOCIRC
|website=
|date=1989-03 |accessdate=20192021-1210-0805
|format=
|quote=Leave the penis of the newborn infant alone. }}* {{REFjournal |last=Simpson |first=Errol T. |init=ET |author-link= |last2=Baraclough |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=381-3 |url=http://www.cirp.org/library/hygiene/simpson1/ |quote=Minor foreskin related complaints are very common in the first few years of life. Most of these can be managed with advice and reassurance, or with medical treatment alone. Circumcision is very rarely indicated in young boys, particularly under the age of 5 years. |pubmedID=9613002 |pubmedCID= |DOI= |accessdate=
}}
* {{REFweb
|url=http://www.nocirc.org/publish/4pam.pdf
|title=Answers To Your Questions About Your Young Son's Intact Penis
|last=Milos
|first=Marilyn
|author-link=Marilyn Fayre Milos
|publisher=
|website=NOCIRC
|quote=
}}
* {{REFweb
|url=http://www.nocirc.org/publish/6pam.pdf
|title=Answers To Your Questions About Premature (Forcible) Retraction of Your Young Son's Foreskin
|last=Milos
|first=Marilyn
|author-link=Marilyn Fayre Milos
|publisher=
|website=NOCIRC
|quote=
}}
* {{REFjournal
|last=SimpsonBollinger |init=D |author-link= |url=https://www.academia.edu/6394928/The_Penis_Care_Information_Gap_Preventing_Improper_Care_of_Intact_Boys? |title=The Penis-Care Information Gap: Preventing Improper Care of Intact Boys |journal=The Journal of Boyhood Studies |date=2007 |season=Fall |volume=1 |issue=2 |pages=205-19 |accessdate=2023-05-25}}* {{REFweb |url=http://www.drmomma.org/2009/06/how-to-care-for-intact-penis-protect.html |title=How to Care for Your Intact Son |last= |first=Errol T. |init=
|author-link=
|last2publisher=BaracloughPeaceful Parenting |first2date=Phillip |author2-linkformat=PDF |etalaccessdate=no2024-09-17}}* {{REFdocument |title=The management Care of the Intact (Not Circumcised) Penis in the Young Child |url=https://www.doctorsopposingcircumcision.org/wp-content/uploads/2016/01/care-of -the-intact-not-circumcised-penis-in-the paediatric foreskin-young-child-professionals.pdf |contribution= |last= |first= |publisher=[[Doctors Opposing Circumcision (D.O.C.)]] |format=PDF |date=2016-07 |transaccessdate=2019-11-08}}* {{REFdocument |title=Intact care guide for parents and caregivers |url=https://intactamerica.org/wp-content/uploads/2024/03/Intact-Care-Guide.factsheet.pdf |contribution= |last=Anonymous |first= |publisher=Intact America |format=PDF |languagedate=2018 |journalaccessdate=Aust Fam Physician2024-10-12}}* {{REFweb |locationurl=//www.yourwholebaby.org/basic-intact-care |title=https:Basic Care (Intact Penis) |publisher=Your Whole Baby |website= |date=1998 |volumeaccessdate=2019-12-08 |format= |quote=}}* {{REFweb |url=https://www.yourwholebaby.org/smegma/ |title=Smegma Pearls |publisher=27Your Whole Baby |issuedate=5 |pagesaccessdate=3812024-308-24}}* {{REFweb |url=httphttps://www.cirprch.org.au/libraryclinicalguide/hygieneguideline_index/simpson1The_penis_and_foreskin/ |title=The penis and foreskin |publisher=The Royal Children's Hospital of Melbourne |website= |date=2018-07 |accessdate=2019-12-23 |format=
|quote=
}}* {{REFweb |url=https://intactamerica.org/ask-marilyn-bath-time-turns-a-boys-foreskin-red/ |title=Ask Marilyn – Bath Time Turns a Boy’s Foreskin Red |last=Milos |first=Marilyn |init= |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-03-07 |accessdate=2024-06-21}}* {{REFweb |url=https://intactamerica.org/ask-marilyn-circumcised-vs-uncircumcised-babies-how-do-you-care-for-one-or-the-other/ |title=Ask Marilyn – Circumcised vs Uncircumcised Babies: How Do You Care for One or the Other? |last=Milos |first=Marilyn |init= |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-08-08 |accessdate=2024-06-21}}* {{REFweb |url=https://www.yourwholebody.org/teens |title=I’m an intact teen. What do I need to know? |last= |first= |init= |publisher=Your Whole Body |date= |accessdate=2023-04-16}}* {{REFweb |url=https://www.yourwholebaby.org/smegma/ |title=Smegma Pearls |last= |first= |init= |author-link= |publisher=Your Whole Body |date= |accessdate=2024-08-24}}* {{REFweb |url=https://intactamerica.org/intact-penis-care/ |title=Intact Penis Care: Embracing Natural Well-being |last=Garrett |first=Connor |init= |pubmedIDauthor-link=9613002Connor Judson Garrett |pubmedCIDpublisher=Intact America |DOIdate=2024-03-09 |accessdate=2024-03-10
}}
{{REF}}
[[Category:Education]]
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