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<br>=== Proper Care of the Intact Penis ===
}}
* {{REFweb
|url=https://www.yourwholebaby.org/smegma/
|title=Smegma Pearls
|publisher=Your Whole Baby
|date=
|accessdate=2024-08-24
→Proper Care of the Intact Penis: Add link in SEEALSO section.
|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" />
Sadly, many health care providers promote harmful infant [[circumcision]] because they profit from it's performance. 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://intactamerica.org/protecting-intact-boys-from-harm/
|title=Where Circumcision Advocates Strike: Protecting Intact Boys From Harm
|last=KristelAlissa |first=AlissaKristel |init=K |author-link=Kristel Alissa Kristel
|publisher=Intact America
|date=2024-12-23
|accessdate=2024-12-23
}}</ref>
===Infant penile anatomy===
When boys are born, the preputial sac is sealed shut by a [[synechia]] called the ''balanopreputial lamina'',<ref name="deibart1933">{{REFjournal
|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]].
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]].
[[Forced foreskin retraction]] is harmful and must be avoided.
}}</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. 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) advised that the first person to retract the boy’s [[foreskin]] should be the boy himself.<ref name="Wright1994">{{REFjournal
|last=Wright
|init=JE
|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> ==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>
==Behavior of young intact boys==
}}</ref> which are specialized nerves that sense motion and [[stretching]] as pleasurable. Such behavior is normal and parents need not be concerned.
[[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" /> The disintegration usually occurs in childhood but will persist into adolescence in a few cases.
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,<refname="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
}}</ref> which may place your [[foreskinned]] son at risk of [[forced foreskin retraction]].
==VideoVideos ==<br>=== Proper care of intact aka uncircumcised boys ===
<youtube>rpN13irwvGk</youtube>
<youtube>?v=dqexM8uqDes&list=PLAWLXIFlrYdr0cuWb81Qy155NqXh0bnnP&index=3</youtube>
{{SEEALSO}}
* [[Angela Saltalamacchia]]
* [[Ballooning of the foreskin]]
* [[Catheterization of intact boys]]
* [[DoNoHarm.report]]
* [[Forced foreskin retraction]]
* [[Fusions and adhesions]]
* [[Immunological and protective function of the foreskin]]
* [[Intact-friendly]]
}}
* {{REFweb
|url=https://www.yourwholebaby.org/basic-intact-care |title=https:Basic Care (Intact Penis)
|publisher=Your Whole Baby
|website=
|format=
|quote=
}}
* {{REFweb
|title=Ask Marilyn – Bath Time Turns a Boy’s Foreskin Red
|last=Milos
|first=MarilynFayre |init=MF
|author-link=Marilyn Fayre Milos
|publisher=Intact America
|title=Ask Marilyn – Circumcised vs Uncircumcised Babies: How Do You Care for One or the Other?
|last=Milos
|first=MarilynFayre |init=MF
|author-link=Marilyn Fayre Milos
|publisher=Intact America
|last=Garrett
|first=Connor
|init=C
|author-link=Connor Judson Garrett
|publisher=Intact America
|date=2024-03-09
|accessdate=2024-03-10
}}
* {{REFweb
|url=https://4skin-health.alderhey.nhs.uk/children/
|title=What is a foreskin?
|last=Kenny
|first=Simon
|init=S
|author-link=Simon Kenny
|publisher=United Kingdom National Health Service
|accessdate=2025-02-21
}}
{{REF}}
[[Category:Education]]
[[Category:Film about circumcision and intactivism]]
[[Category:Parental information]]
[[Category:Penis]]
[[Category:Teen]]
[[Category:From IntactWiki]]
[[de:{{FULLPAGENAME}}Pflege intakter Jungen mit Vorhaut]]