Changes

===Infant penile anatomy===When boys are born, the preputial sac is sealed shut by a [[synechia]] called the ''balanopreputial lamina'',<ref name="deibart1933">{{REFjournal |last=Deibart |init=GA |title=The separation of the prepuce in the human penis |journal=Anat Rec |date=1933 |volume=57 |issue= |pages=387-99 |url=http://www.cirp.org/library/anatomy/deibert/ |quote= |DOI=https://doi.org/10.1002/ar.1090570409 |accessdate=2023-05-23}}</ref> so it cannot be [[Infection| infected]]. The preputial sac will remain closed for a variable number of years and the [[foreskin]] cannot be retracted without severe injury and pain. The preputial sac is lined with [[mucosa]] as is appropriate for an internal organ where moisture is present.<ref name="cold-taylor1999">{{ColdCJ TaylorJR 1999}}</ref> [[Urine]] and other sources of moisture are not harmful to it. Newborn [[intact]] boys are easier to care for than [[circumcised]] boys because intact boys do not have an open surgical wound.,<ref>{{REFweb

 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

These developmental conditions are normal and expected in infancy and childhood. The foreskin must cover the [[meatus]] to protect it from the ammonia which forms in wet diapers.<ref name="brennemann1921">{{REFjournal |last=Brennemann |first= |init=J |author-link= |etal=no |title=The Ulcerated Meatus in the Circumcised Child |trans-title= |journal=Am J Dis Child |date=1921 |volume=21 |issue= |pages=28-47 |url=https://www.cirp.org/library/complications/brennemann1/ |archived= |quote=An ulcerated meatus in the circumcised child only is a frequent symptom. |accessdate=2025-01-01}}</ref> If the foreskin does not cover and protect the meatus, then the ammonia will likely attack the meatus and cause [[meatitis]] and [[meatal stenosis]].

Parents of ==Discussion==The human [[foreskin]] is nature's protection against injury and [[intactinfection]] boys in of the [[United Statespenis]] have an additional responsibility of protecting their . Since it has [[intactImmunological and protective function of the foreskin| protective and immunological functions]], that work best when the [[foreskinnedforeskin]] son from harmfulis left alone, painful only the outside of the [[Forced foreskin retraction| premature forcible foreskin retraction]] (PFFR) by ignorant doctors and nursesshould 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.<refname="milos2022-03-07">{{REFweb |url=https://www.doctorsopposingcircumcisionintactamerica.org/forask-parents/helpmarilyn-bath-time-turns-witha-forcibleboys-foreskin-retractionred/ |title=Wrongful Ask Marilyn – Bath Time Turns a Boy’s Foreskin RetractionRed |last=AnonymousMilos

|init=MF |author-link=Marilyn Fayre Milos |publisher=Doctors Opposing CircumcisionIntact America |date=19162022-03-07 |accessdate=2024-0610-2724

==Discussion==The intact [[foreskin]] 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. 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 harmfultraumatic and painful. Agawal et al. (2005) report that the [[foreskin]] separates from the [[glans penis]] without intervention.<ref>{{REFjournal |last=Agawal |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= |journal=Journal of Indian Association of Pediatric Surgeons |location= |date=2005 |volume=10 |issue=2 |article= |page= |pages=89-91 |url=https://journals.lww.com/jiap/fulltext/2005/10020/preputial_retraction_in_children.5.aspx |archived= |quote=Preputial nonseparation is the major cause of preputial nonretraction in the pediatric age group. Prepuce spontaneously separates from the glans as age increases and true phimosis is rare in children. Surgical intervention should be avoided for nonseparation of prepuce. |pubmedID= |pubmedCID= |DOI=10.4103/0971-9261.16468 |doi= |accessdate=2025-08-02}}</ref> Wright (1994) advises advised that the first person to retract the boy’s [[foreskin ]] should be the boy himself.<ref name="Wright1994">{{REFjournal

}}</ref> [[Jakob Øster | Øster]] (1968) reported that some boys will not develop retractable [[foreskin ]] until after [[puberty]].<ref name="Øster1968">{{OesterJ 1968}}</ref> ==Visiting the doctor==After a century or more of relentless promotion of unnecessary, non medically indicated [[circumcision]], many American healthcare providers are ill-trained in the care of the natural, normal, healthy [[foreskin]] and are likely to harm the [[penis]] of a [[foreskinned]] boy by [[Forced foreskin retraction| premature forcible retraction]] of his protective non-retractile foreskin. Parents must be alert and on guard, ready to aggressively jump in to protect a boy's foreskin during the examination by the doctor.<ref name="saltalamacchia2019">{{REFweb |url=https://www.yourwholebaby.org/common-sense |title=What's Okay and What's Not |last=Saltalamacchia |first=Angela |init= |author-link=Angela Saltalamacchia |publisher=Your Whole Baby |date=2019-11-06 |accessdate=2025-04-05}}</ref>

[[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 , controlable stream.

==Spontaneous disintegration of the synechiaPain during urination==The inner foreskin is fused from birth with the [[glans penis]] by a [[synechia]]. The synechia spontaneously disintegrates to release the foreskin.<ref name="deibart1933">{{REFjournal |last=Deibart |init=GA |title=The separation of the prepuce in the human penis |journal=Anat Rec |date=1933-11 |volume=57 |issue= |pages=387-99 |url=http://www.cirp.org/library/anatomy/deibert/ |quote= |pubmedID= |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=2022-03-21 |accessdate=2024-10-24}}</ref>

Some [[intact]] boys will report pain when they urinate during the period in which separation is occurring. <ref name="milos2022-09-26">{{REFweb |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

Mayo Clinic provides information on the care of [[foreskinned]] boys. This advice is ''not'' recommended. The language indicates Midwestern prejudice [[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 name="ashford2024">{{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 [[forced foreskin retraction]].

==VideoVideos ==<br>=== Proper care of intact aka uncircumcised boys ===

|url=httpshttp://www.intactamericadrmomma.org/wp-content2009/uploads06/2019/10/Intacthow-to-care-for-Careintact-Guidepenis-2018protect.pdfhtml |title=How to Care for Your Intact care guide for parents and caregivers.Son

|first= |init= |author-link= |publisher=Intact AmericaPeaceful Parenting |date=2018 |format=PDF |accessdate=20222024-1209-2917

|url=https://www.yourwholebaby.org/basic-intact-care |title=https:Basic Care (Intact Penis)

|first=MarilynFayre |init=MF

|first=MarilynFayre |init=MF

|url=httphttps://www.yourwholebody.org/teens

|init=C

[[de:{{FULLPAGENAME}}Pflege intakter Jungen mit Vorhaut]]