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Foreskin

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Part Five: The Common Narratives Debunked: Add link in SEEALSO section.
The '''foreskin''' or '''prepuce''' is the double-layered fold of smooth muscle tissue, blood vessels, neurons, [[skin]], and [[mucosa| mucous membrane]] part of the [[penis]] that creates the [[preputial sac]], while covering and protecting the [[glans penis]] and the [[urinary meatus]].
The nature of the prepuce or foreskin, which is [[Amputation| amputated ]] and destroyed by circumcision, must be considered and fully understood in any discussion of male [[circumcision]].<ref name="cold-taylor1999">{{ColdCJ TaylorJR 1999}}</ref>
Purpura et al. (2018) described the foreskin as follows:
<blockquote>
Few parts of the human anatomy can compare to the incredibly multifaceted nature of the human foreskin. At times dismissed as “just [[skin]],” the adult foreskin is, in fact, a highly vascularized and densely innervated bilayer tissue, with a surface area of up to 90 cm, and potentially larger. On average, the foreskin accounts for 51% of the total length of the penile [[shaft skin]] and serves a multitude of functions. The tissue is highly dynamic and biomechanically functions like a roller bearing; during intercourse, the foreskin “unfolds” and glides as abrasive friction is reduced and lubricating fluids are retained. The sensitive foreskin is considered to be the primary erogenous zone of the male [[penis]] and is divided into four subsections: [[Preputial mucosa|inner mucosa]], [[ridged band]], [[frenulum]], and outer foreskin; each section contributes to a vast spectrum of sensory pleasure through the [[gliding action]] of the foreskin, which mechanically stretches and stimulates the densely packed corpuscular receptors. Specialized immunological properties should be noted by the presence of [[Langerhans cells]] and other lytic materials, which defend against common microbes, and there is robust evidence supporting [[HIV]] protection. The [[glans penis| glans]] and inner [[mucosa]] are physically protected against external irritation and contaminants while maintaining a healthy, moist surface. The foreskin is also immensely vascularized and acts as a conduit for essential blood vessels within the [[penis]], such as supplying the [[glans]] via the frenular artery.<ref>{{REFjournal
|last=Purpura
|first=Valeria
The foreskin is considered to have three parts:
* The outer foreskin which is coverer with true [[skin]].
* The inner foreskin and [[ridged band]] which is covered with mucosal membrane. ([[Mucosa]])
* The [[frenulum]] which connects the foreskin to the [[glans penis]] and usually limits retraction.
Baby boys are born with the foreskin fused with the [[glans penis]] by the balanopreputial lamina, a [[synechia| synechial membrane]], which prevents retraction. The [[preputial sac]] is closed by the synechia and cannot be infected.<ref name="fleiss-hodges-vanhowe1998"/> The synechia breaks down over a widely variable period of years to release the foreskin and allow retraction.
In addition, the tip of the foreskin ([[acroposthion]]) is usually too narrow to allow [[retraction of the foreskin]], but usually widens as [[puberty ]] approaches to permit retraction.
Forcible attempts to retract the foreskin result in injury to the boy, so should be avoided. The first person to retract the foreskin should be the boy himself since he will not retract if it is painful.<ref name="Wright1994">{{REFjournal
===Foreskin in adolescence===
The foreskin is in a transitional state during [[puberty ]] and adolescence, in which it is changing from the non-retractile foreskin of childhood to the fully retractable foreskin of adulthood. Many adolescents complain of a non-retractable foreskin. Many teens need to do manual [[stretching]] to widen the tip of their foreskin if they wish it to retract. They usually achieve full retraction by age 16. The foreskin facilitates normal [[masturbation]].
===Foreskin in adulthood===
The foreskin may be retractable or non-retractable. Most men have a retractable foreskin, but about two to four five percent have a longer, tighter, non-retractable foreskin, which is a normal variant.
The foreskin (also known as the ''prepuce'') is the layered fold of smooth muscle tissue, blood vessels, neurons, [[skin]], and [[Preputial mucosa|mucous membrane]] part of the [[penis]] that covers and protects the [[glans penis]] and the urinary meatus.<ref name="cold-taylor1999"/> There are four layers of tissue in the foreskin. The top layer is either epidermis in the outer foreskin or [[mucosa]], in the inner foreskin. The second layer is the lamina propria. The third layer is the [[dartos]]. The fourth layer is the dermis. It is normal for the foreskin to become darker in color than the rest of one's body after [[puberty]]. This condition is called hyperpigmentation.
The adult foreskin measures about 3 inches by 5 inches or [[The Foreskin: 15 Square Inches of Erogenous Tissue| 15 square inches]].<ref name="taylor1996">{{TaylorJR LockwoodAP TaylorAJ 1996}}</ref> The foreskin creates the [[preputial sac]]. The two foreskin layers provide a [[skin]] reserve. When the penis becomes erect, the foreskin may wholly or partially unfold to provide the necessary [[skin]] to allow for expansion of the penis during [[erection]].
|quote=
|accessdate=
}}</ref> The foreskin is internally lubricated between the inner and outer layer by [[lymph]], so it can move without friction. The [[gliding action]] reduces the friction of intercourse and helps to prevent abrasions, while conserving vaginal lubrication and moisture.<ref name="warren-bigelow1994">{{REFjournal
|last=Warren
|first=John
The highly innervated [[ridged band]] area is found at the mucocutaneous junction. The ridged band area is characterized by rete ridges with [[Meissner's corpuscles]] in the ridges.<ref name="taylor1996"/>
As with other neurologic structures such as the brain, the tip of the prepuce is richly supplied with blood by important vascular structures.<ref name="taylor1996"/> The prepuce serves as a conduit for several important veins.<ref name="fleiss-hodges-vanhowe1998">{{FleissP HodgesF VanHoweRS 1998}}</ref> The [[glans penis ]] receives blood through the frenular artery.<ref>{{REFjournal
|last=Persad
|init=R
}}</ref>
About one two to two five percent of men have a foreskin that did not become retractable in adulthood. That condition is called [[phimosis]] and is a normal variant that does not require treatment. Some believe that the longer foreskins may not get naturally stretched by [[erection]], so are more likely to remain tight and non -retractable. Treatment is optional. Many men happily live out their lives with a non-retractableforeskin.
The outer foreskin usually becomes somewhat darker after [[puberty ]] due to increased melanin.<ref>{{REFweb
|url=https://medical-dictionary.thefreedictionary.com/hyperpigmentation
|title=hyperpigmentation
|date=2012
|accessdate=2024-09-25
}}</ref>The color may vary from slightly darker than the other skin to (rarely) almost black.
===Foreskin length===
Natural foreskins are found in all lengths from very short to very long. Most appear to fall near the center of the rangewith very few at the two extremes in accordance with the rules for [https://en.wikipedia.org/wiki/Normal_distribution normal distribution]. Longer foreskins appear to perform their [[Immunological and protective function of the foreskin| protective and immunological function]] more satisfactorily. A short or inadequate foreskin may be lengthened by [[tissue expansion]] to improve function and aesthetics.
The tapered tip of a longer foreskin that extends beyond the [[glans penis]] is known as the ''[[acroposthion]]''. A very few of the longest foreskins will not remain retracted when released, but will spontaneously [[Gliding action| glide]] forward to recover the [[glans penis]]. Longer foreskins improve protection and [[gliding action]] and do not usually create an issue. There is no recognized definition of an excessively long or so-called "redundant" foreskin.<ref name="tip2022">{{REFweb
|url=http://acroposthion.com/the-tip-at-the-end/
|title=The ‘Tip’ At The End
|accessdate=2022-06-21
}}</ref> It appears that [[Longer foreskin is favored| longer foreskins have been favored]] by men through the centuries.
===Kinsey study of foreskin length===
Sex researcher Alfred C. Kinsey (1963) carried out a study of the amount of the [[glans penis]] covered by the foreskin in white college men. Kinsey measured foreskin length by the extent of coverage and protection of the [[glans penis]]. He reported:
* None, foreskin kept retracted: 11.2%
* Foreskin just covers corona: 16.5%
* Most of head covered, tip shows: 17.6%
* Head completely covered: 48.4%
* Foreskin extends beyond head: 6.4%<ref>Gebhard, P. H., Johnson, A. B., & Kinsey, A. C. (1998). Table 81. In: <i>The Kinsey Data: Marginal Tabulations of the 1938–1963 Interviews Conducted by the Institute for Sex Research.</i> Indiana University Press. </ref>
 
Please note that the last two categories, totalling 54.8%, provide complete covereage of the [[glans penis]].
 
<i>See [[Development_of_retractable_foreskin#Adult_foreskin| Adult foreskin]].</i>
|format=PDF
|accessdate=2023-10-01
}}</ref> <ref>{{REFdocument
|title=Policy Paper: Newborn Circumcision as a Negative Wellness Factor
|url=https://www.researchgate.net/publication/394517060_Policy_Paper_Newborn_Circumcision_as_a_Negative_Wellness_Factor
|contribution=
|last=Bollinger
|first=Dan
|publisher=Research Gate
|format=PDF
|date=2025-08
|accessdate=2025-08-29
}}</ref>
The human race evolved over perhaps 700 millenia. The foreskin evolved its physiological functions that improve fitness for survival during that time.<ref>{{URLwikipedia|Evolution|Evolution}}</ref>
=== Urination functions ===
The foreskin functions as a hose nozzle during [[urination]]. It confines and consolidates the multiple urine streams from the [[urethra]] into one stream that can easily be controlled and aimed as necessary.
 
[[Foreskinned]] men advise that [[Urination by foreskinned men| the foreskin should be stretched out to its full length]] to remove wrinkles before commencing [[urination]].
 
=== Erection functions ===
When [[erection]] of the [[penis]] occurs, the penis also expands in both circumference and length, so more skin is needed to cover it and allow painless erection. The foreskin unfolds to provide additional skin and permits [[intact]] men to enjoy painless erection, unlike many [[circumcised]] men who experience very tight, painful skin when [[erection]] occurs.
 
=== Protective functions ===
|DOI=10.1001/jama.1965.03090030045013
|accessdate=2024-05-21
}}</ref> supplying moisture and natural oils by [[transudation]], while protecting the [[mucosa]]l tissue from pathogens, pollutants, friction, injury, [[keratinization]], de-sensitization, and drying out. The foreskin protects the glans penis and meatus of infant boys from abrasion and irritation from ammoniacal diapersto prevent [[meatal stenosis]].<ref name="gairdner1949">{{GairdnerDM 1949}}</ref> <ref name="dobanavacki2012">{{REFjournal
|last=Dobanavacki
|init=D
|DOI=10.1016/j.surge.2016.11.002
|accessdate=2019-10-23
}}</ref> Frisch & Simonsen (2016) reported the incidence of meatal stenosis to be 3.7 times higher in [[circumcised]] boys.<ref name="frisch2016"/> Fendereski et al. (2024)carried out a massive study to compare intact boys to circumcised boys. The authors reported that [[intact]] ([[foreskinned]]) boys have only one-third as many penile problems as do [[circumcised]] boys.<ref name=fendereski2024">{{REFjournal
|last=Fendereski
|first=
|DOI=10.1111/joa.13481
|accessdate=2021-11-15
}}</ref>
 
Vega et al. (2025) reported that the number of Meissner's corpuscles vary with age with the highest number being found between the ages of 20 and 40.<ref>{{REFjournal
|last=Vega
|first=
|init=JA
|author-link=
|last2=Aiello
|first2=
|init2=V
|author2-link=Vincenzo Aiello
|last3=Martin-Cruces
|first3=
|init3=J
|author3-link=
|last4=Suazo
|first4=
|init4=I
|author4-link=
|last5=Jones
|first5=
|init5=R
|author5-link=
|last6=Musa
|first6=
|init6=W
|author6-link=
|last7=Szebeni-Varga
|first7=
|init7=B
|author7-link=
|last8=Garcia-Suảrez
|first8=
|init8=O
|author8-link=
|last9=Garcỉa-Mesa
|first9=
|init9=Y
|author9-link=
|etal=no
|title=Sexual Mechanosensitivity: Age-Related Changes in the Innervation of the Human Prepuce
|trans-title=
|journal=J Clin Med
|location=
|date=2025-07-04
|volume=14
|issue=13
|page=4730
|url=https://www.mdpi.com/2077-0383/14/13/4730
|archived=
|quote=
|pubmedID=40649104
|pubmedCID=12250474
|DOI=10.3390/jcm14134730
|accessdate=2025-07-31
}}</ref>
"Circumcision was associated with frequent orgasm difficulties in Danish men and with a range of frequent sexual difficulties in women, notably orgasm difficulties, dyspareunia and a sense of incomplete sexual needs fulfilment."<ref name="frisch lindholm groenbaek 2011"/>
</blockquote>
Cold & Taylor (1999) declared, "[t]he prepuce is primary, erogenous tissue necessary for
normal sexual function."<ref name="cold-taylor1999">{{ColdCJ TaylorJR 1999}}</ref> This statement was affirmed by Cepeda-Emiliani et al. in 2025.<ref name="cepeda2025">{{REFjournal
|last=Cepeda-Emiliani
|first=
|init=A
|author-link=Alfonso Cepeda-Emiliani
|last2=Otero-Alén
|first2=
|init2=M
|author2-link=
|last3=Suárez-Quintanilla
|first3=
|init3=J
|author3-link=
|last4=Gándara-Cortés
|first4=
|init4=M
|author4-link=
|last5=García-Caballero
|first5=
|init5=T
|author5-link=
|last6=García-Caballero
|first6=
|init6=R
|author6-link=
|last7=García-Caballero
|first7=
|init7=L
|author7-link=
|etal=no
|title=The sensory penis: A comprehensive immunohistological and ontogenetic exploration of human penile innervation
|trans-title=
|journal=Andrology
|date=2025-09-19
|volume=
|issue=
|article=
|pages=1-41
|url=https://onlinelibrary.wiley.com/doi/epdf/10.1111/andr.70118
|archived=
|quote=
|pubmedID=40970806
|pubmedCID=
|DOI=10.1111/andr.70118
|accessdate=2025-09-30
}}</ref>
<!--
''The following content is part of the [[Circumpendium]].''
In other words, in monkeys and apes, the [[glans]] is more sensitive than the foreskin. In humans, this is reversed, so that the foreskin is more sensitive than the [[glans]].
==Popularity==
There has been a sharp increase in the popularity of the foreskin in the [[United States]] as indicated by the decrease in the incidence of [[circumcision]].<ref name="jacobson2021">{{REFjournal
|last=Jacobson
|first=Deborah L.
|init=
|author-link=
|last2=Balmert
|first2=Lauren C.
|init2=
|author2-link=
|last3=Holl
|first3=Jane L.
|init3=
|author3-link=
|last4=Rosoklija
|first4=Ilina
|init4=
|author4-link=
|last5=Davis
|first5=Matthew M.
|init5=
|author5-link=
|last6=Johnson
|first6Emilie K.
|init6=
|author6-link=
|etal=no
|title=Nationwide Circumcision Trends: 2003 to 2016
|trans-title=
|language=
|journal=J Urol
|location=
|date=2021-01
|volume=205
|issue=1
|pages=257-63
|url=https://www.auajournals.org/doi/abs/10.1097/JU.0000000000001316
|pubmedID=32716676
|pubmedCID=
|DOI=10.1097/JU.0000000000001316
|accessdate=2025-11-13
}}</ref> <ref name="yang2025">{{REFjournal
|last=Yang
|first=
|init=P
|author-link=
|last2=Zhu
|first2=
|init2=X
|author2-link=
|last3=Patel
|first3=
|init3=EU
|author3-link=
|last4=Quin
|first4=
|init4=PC
|author4-link=
|last5=Grabowski
|first5=
|init5=MK
|author5-link=
|last6=Tobian
|first6=
|init6=AAR
|author6-link=Aaron Tobian
|etal=no
|title=Trends in Circumcision Among Newborn Males in the US
|trans-title=
|language=
|journal=JAMA Pediatrics
|location=
|date=2025-09-15
|season=
|volume=
|issue=
|article=e252464
|page=
|pages=
|url=https://jamanetwork.com/journals/jamapediatrics/fullarticle/2838312
|archived=
|quote=
|pubmedID=40952753
|pubmedCID=12439174
|DOI=10.1001/jamapediatrics.2025.2464
|accessdate=2025-11-23
}}</ref>
 
This has been noticed in the online discussions.<ref>{{REFweb
|url=https://www.reddit.com/r/uncircumcised_talk/comments/1p1i35o/recent_growing_foreskin_love/
|title=Recent growing Foreskin love
|last=Anonymous
|publisher=REDDIT
|date=2025-11-19
|accessdate=2025-11-23
}}</ref>
==Videos==
===The Prepuce: Anatomy and Physiology of the Foreskin===<youtube>v=luDqvvGbhzU</youtube> ===Why you need to pull back your foreskin.====
<youtube>v=PcxwW4KH3Wg</youtube>
Dr. Palmer's advice applies to adults, NOT pre-pubescent boys.
====Male Foreskin is Important - Here's Why====
<youtube>v=EtIYx8WnOvg</youtube>
<br>=== Anatomy of the Penis: Penile and Foreskin Neurology ===
Pathologist [[Ken McGrath]], Senior Lecturer in Pathology at the Faculty of Health, [https://www.aut.ac.nz/ Auckland University of Technology] and Member of the New Zealand Institute of Medical Laboratory Scientists, discusses the neurological structures in the foreskin:
<youtube>v=lmToXLVrZ7c</youtube>
<br>====Take care of your foreskin====
<youtube>v=OfeK75HWW7k</youtube>
 
===Part Five: The Common Narratives Debunked===
<youtube>v=exQPABHKjRo</youtube>
 
{{SEEALSO}}
* [[Acroposthion]]
* [[Care of intact, foreskinned boys]]
* [[Circumcision: Effect upon erectile function]]
* [[Circumcision - Penis SensitivityTest]]
* [[Erogenous sensation of the foreskin]]
* [[Foreskin in Motion]]
* [[Frenulum]]
* [[Fusions and adhesions]]
* [[Gliding action]]
* [[Immunological and protective function of the foreskin]]
* [[Living with a foreskin in circumcised America]]
* [[Longer foreskin is favored]]
* [[Pre-ejaculate]]
* [[Preputial sac]]
{{LINKS}}
* {{REFweb
|url=https://www.noharmm.org/advantage.htm
|title=The Foreskin Advantage
|last=
|first=
|init=
|author-link=
|publisher=NOHARMM
|date=2013-11-24
|accessdate=2025-07-04
}}
* {{REFdocument
|title=When Your Baby Boy is Not Circumcised
|url=http://www.noharmm.org/mothering.htm
|accessdate=2020-06-29
}}
*{{REFweb
|url=http://www.foreskin.org/
|title=33 Photographs of the foreskin (Non-Pornographic)
|last=Erickson
|first=John
|author-link=John A. Erickson
|publisher=
|website=Foreskin
|date=1999
|accessdate=2019-10-25
|format=
|quote=
}}
* {{REFbook
|accessdate=2022-08-03
|note=
}}
* {{REFweb
|url=https://www.cirp.org/pages/anatomy/
|title=Anatomy of the Penis and Mechanics of Intercourse
|last=Anonymous
|first=
|init=
|author-link=
|publisher=Circumcision Information Pages
|date=2004
|accessdate=2025-08-23
}}
* {{REFweb
|format=
|quote=
}}
* {{REFweb
|url=https://www.noharmm.org/advantage.htm
|title=The Foreskin Advantage
|last=
|first=
|init=
|author-link=
|publisher=NOHARMM
|date=2013-11-24
|accessdate=2025-07-04
}}
* {{REFweb
|date=2022
|accessdate=2022-12-03
}}
* {{REFweb
|url=https://wikionlymen.com/does-foreskin-grow-with-age/
|title=Does Foreskin Grow With Age?
|last=
|first=
|init=
|author-link=
|publisher=Wiki Only Men
|date=2022-06-12
|accessdate=2024-10-05
}}
* {{REFweb
|url=http://www.savingsons.org/2015/09/foreskin-and-its-16-functions-not-just.html
|title=Foreskin and its 16+ Functions: Not 'Just Skin'
|last=Anonymous
|publisher=Saving Our Sons
|date=
|accessdate=2025-11-30
}}
* {{REFweb
|date=2024-04-19
|accessdate=2024-11-06
}}
* {{REFweb
|url=https://wikionlymen.com/does-foreskin-grow-with-age/
|title=Does Foreskin Grow With Age?
|last=
|first=
|init=
|author-link=
|publisher=Wiki Only Men
|date=2022-06-12
|accessdate=2024-10-05
}}
* {{REFweb
|accessdate=2025-06-24
}}
* {{REFjournalREFweb |url=https://intactamerica.org/foreskin-functions-you-were-never-told/ |title=The Penis You Were Supposed to Have: 10 Functions of the Foreskin You Were Never Taught |last=Alissa |first= |init=K |author-link=Kristel Alissa |publisher=Intact America |date=2025-07-03 |accessdate=2025-09-06}}* {{REFweb |url=https://www.reddit.com/r/Pro_Male_Collective/comments/1nnaycl/the_importance_of_the_foreskin/ |title=The importance of the foreskin |last=Anonymous |first= |init= |author-link= |publisher=REDDIT |date=2025-09-21 |accessdate=2025-09-24}}* {{REFweb |url=https://www.reddit.com/r/foreskininfo/comments/1oh0za3/the_foreskin_is_more_than_just_extra_skin_here/ |title=The foreskin is more than just "extra skin." Here are 5 of its functional benefits |last=VegaAnonymous
|first=
|init=JA
|author-link=
|last2=Aiello |first2= |init2=V |author2-link=Vincenzo Aiello |last3= |first3= |init3= |author3-link= |last4= |first4= |init4= |author4-link= |last5= |first5= |init5= |author5-link= |last6= |first6= |init6= |author6-link= |last7= |first7= |init7= |author7-link= |last8= |first8= |init8= |author8-link= |last9= |first9= |init9= |author9-link= |etal=yes |title=Sexual Mechanosensitivity: Age-Related Changes in the Innervation of the Human Prepuce |trans-title= |language= |journal=J Clin Med |locationpublisher=REDDIT |date=2025-0710-04 |volume=14 |issue=13 |article= |page=4730 |pages= |url= |archived= |quote= |pubmedID=40649104 |pubmedCID=12250474 |DOI=10.3390/jcm14134730 |doi=26 |accessdate=2025-0711-3103
}}
 
{{REF}}
 
 
[[Category:Foreskin anatomy]]
[[Category:Parental information]]
[[Category:Penile anatomy]]
[[Category:Physiology]]
[[Category:Male sexuality]]
[[Category:Education]]
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