Care of intact, foreskinned boys: Difference between revisions

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}}</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

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

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|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>

}}</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 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

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

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==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

Many 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

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|accessdate=2023-01-25

}}</ref>

The foreskin has many [[Meissner's corpuscles]],<ref name="winkleman1956">{{REFjournal

The foreskin has many [[Meissner's corpuscles]] at birth,<ref name="winkleman1956">{{REFjournal

|last=Winkelmann

|first=

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|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.

}}</ref> which are specialized nerves that sense motion and [[stretching]] as pleasurable. Such behavior is normal and common. 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 stream.

==~~Spontaneous disintegration of the synechia~~==

==Urination==

===Pain 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.

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

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!

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|date=2022-03-21

|accessdate=2024-10-24

}}</ref>

}}</ref> causing some temporary pain.

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

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|accessdate=2023-08-15

}}</ref> It does not require a visit to a doctor or any kind of care.

===Control of urination===

Some parents complain because their [[intact]] son cannot control where the stream of [[urine]] goes. ''Some'' adult [[intact]] men report that tugging on their [[foreskin]] to get the wrinkles out before starting to urinate helps to get a smooth, controllable stream.

If an [[intact]] boy gives his [[foreskin]] a gentle tug to get the wrinkles out before he starts to urinate, this ''may'' help to get a splatter-free urination.

==Mayo Clinic information should be rejected==

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* [[DoNoHarm.report]]

* [[Forced foreskin retraction]]

* [[Fusions and adhesions]]

* [[Immunological and protective function of the foreskin]]

* [[Intact-friendly]]

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[[Category:Film about circumcision and intactivism]]

[[Category:Parental information]]

[[Category:Penis]]

[[Category:Teen]]

@@ Line 176: / Line 176: @@
 }}</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
+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
@@ Line 212: / Line 244: @@
   |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>
+}}</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 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
+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
@@ Line 227: / Line 260: @@
 ==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
+Many 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
@@ Line 234: / Line 267: @@
   |accessdate=2023-01-25
 }}</ref>
-The foreskin has many [[Meissner's corpuscles]],<ref name="winkleman1956">{{REFjournal
+The foreskin has many [[Meissner's corpuscles]] at birth,<ref name="winkleman1956">{{REFjournal
   |last=Winkelmann
   |first=
@@ Line 260: / Line 293: @@
   |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.
+}}</ref> which are specialized nerves that sense motion and [[stretching]] as pleasurable. Such behavior is normal and common. 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 stream.
-==Spontaneous disintegration of the synechia==
+==Urination==
+===Pain 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.
-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
+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!
@@ Line 277: / Line 309: @@
   |date=2022-03-21
   |accessdate=2024-10-24
-}}</ref>
+}}</ref> causing some temporary pain.
 Some [[intact]] boys will report pain when they urinate during the period in which separation is occurring.<ref name="milos2022-09-26">{{REFweb
@@ Line 299: / Line 331: @@
   |accessdate=2023-08-15
 }}</ref> It does not require a visit to a doctor or any kind of care.
+===Control of urination===
+Some parents complain because their [[intact]] son cannot control where the stream of [[urine]] goes. ''Some'' adult [[intact]] men report that tugging on their [[foreskin]] to get the wrinkles out before starting to urinate helps to get a smooth, controllable stream.
+If an [[intact]] boy gives his [[foreskin]] a gentle tug to get the wrinkles out before he starts to urinate, this ''may'' help to get a splatter-free urination.
 ==Mayo Clinic information should be rejected==
@@ Line 329: / Line 365: @@
 * [[DoNoHarm.report]]
 * [[Forced foreskin retraction]]
+* [[Fusions and adhesions]]
 * [[Immunological and protective function of the foreskin]]
 * [[Intact-friendly]]
@@ Line 556: / Line 593: @@
 [[Category:Film about circumcision and intactivism]]
 [[Category:Parental information]]
+[[Category:Penis]]
 [[Category:Teen]]