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</blockquote>
==Considerations before consent is granted==
[[Alfonso Cepeda-Emiliani| Cepeda-Emiliani]] et al. (2025) have provided this warning to men who are considering an adult circumcision.
<blockquote>
Regarding adult circumcision, the current knowledge of preputial
of meticulous patient selection for this procedure. Specifically, when
adult circumcision is to be performed, factors such as the position of
the [[circumcision scar ]] line, the amount of inner prepuce retained, the
tightness of the remaining penile skin, and whether a frenulectomy
is performed should be carefully discussed and agreed upon by both
the patient and the surgeon, with all decisions clearly documented in
the [[informed consent]]. Recent survey findings underscore this need
for dialogue: Callegari et al. showed that preferences regarding the
amount of inner preputial remnant retained after circumcision vary
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|init=A
|author-link=Alfonso Cepeda-Emiliani
|last2=Otero-Alén
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[[Issues_with_American_urologists_and_the_practice_of_male_circumcision| Urologic surgeons]] in the [[United States]] derive a substantial fee from the performance of a [[circumcision]], so some may have a [[bias]] in favor of circumcision and may inappropriately recommend adult circumcision to patients when a conservative treatment would be satisfactory or even when no treatment is necessary. Patients should be wary and do their own research before granting consent for an <u>irreversible</u> [[circumcision]].
[[Marilyn Fayre Milos | Milos]] (2022) advises:
<blockquote>
* A penis without a foreskin doesn’t work as nature intended for its owner or his sexual partner.
===A word to intact teens===
Boys are born with a [[foreskin]] that is non-retractable for reasons of protectionagainst [[trauma]] and [[infection]]. The inner surface is fused with the [[glans penis]] by a [[synechia]] (similar to a fingernail that is glued to the nail bed of the finger). Also the tip of the foreskin is too narrow to retract. As a boy gets older, the synechia disintegrates and releases the foreskin and the foreskin gets wider as a boy ages, so the foreskin gradually becomes [[Retraction of the foreskin| retractable]]. Some boys go through [[puberty]] but find that their [[foreskin]] is still too narrow to permit retraction.
Beaugé (1997) reported that boys, who masturbate by pulling their [[foreskin]] away from the body, will not stretch the tight part of the foreskin so non-retractile foreskin will persist. He advised changing the method of [[masturbation]] to the more conventional method of pulling the foreskin toward the body so that the narrow orifice gets stretched.<ref name="beauge1997">{{REFjournal
* [[Frenectomy]]
* [[Frenuloplasty]]
* [[Fusions and adhesions]]
* [[Ischemia of the glans penis]]
* [[Issues with American urologists and the practice of male circumcision]]* [[Neurotomy]]
* [[Penis]]
* [[Phimosis]]