Development of retractable foreskin: Difference between revisions

(7 intermediate revisions by the same user not shown)

Line 302:

== Avoidance of premature retraction ==

Care-givers and healthcare providers must be careful to avoid [[forced retraction|premature retraction]] of the foreskin, which is contrary to medical recommendations, painful, traumatic, tears the attachment points (synechiae), may cause [[infection]], is likely to generate medico-legal issues, and may cause [[paraphimosis]], with the tight foreskin acting like a tourniquet. The first person to retract the boy’s [[foreskin]] should be the boy himself.<ref name="Wright1994"/> <ref name="agarwal2005" /> <ref>{{REFweb

Care-givers and healthcare providers must be careful to avoid [[forced retraction|premature retraction]] of the [[foreskin]], which is contrary to medical recommendations, painful, traumatic, tears the attachment points (synechiae), may cause [[infection]], is likely to generate medico-legal issues, and may cause [[paraphimosis]], with the tight foreskin acting like a tourniquet. The first person to retract the boy’s [[foreskin]] should be the boy himself.<ref name="Wright1994"/> <ref name="agarwal2005" /> <ref>{{REFweb

|url=https://www.doctorsopposingforcibleretraction.org/

|title=Doctors Opposing Forcible Retraction

Line 314:

|quote=

}}</ref>

== Avoidance of excessive retraction ==

The [[foreskin]] developed by natural selection over an aeon of time to provide survival of the fittest. The presence of the foreskin makes mankind more fit to survive. The foreskin is endowed with [[Immunological and protective function of the foreskin| immunological and protective functions]] to improve health and well-being. Retraction of the foreskin opens the [[preputial sac]] and allows entry of contaminants and pathogens,<ref name="fleiss-hodges-vanhowe1998">Fleiss PM, Hodges FM, Van Howe RS. [https://www.cirp.org/library/disease/STD/fleiss3/ Immunological functions of the human prepuce]. Sex Transm Infect. 1998 Oct;74(5):364-7. doi: 10.1136/sti.74.5.364. PMID: 10195034; PMCID: PMC1758142.</ref> so retraction should be minimized.

Birley et al. (1993) reported excessive washing, especially with the use of soap, will dry the oils out of tissues and cause a [[balanitis]]-like inflammation. The use of soap (including body wash, shower gel, and shampoo) should be avoided and emollients should be applied.<ref name="Birley1991">{{REFjournal

|last=Birley

|init=HDL

|author-link=

|last2=Wasker

|init2=MM

|last3=Luzzi

|init3=GA

|etal=yes

|title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing

|journal=Genitourin Med

|date=1993-10-01

|volume=69

|issue=5

|pages=400-3

|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf

|quote=

|pubmedID=8244363

|pubmedCID=1195128

|DOI=10.1136/sti.69.5.400

|accessdate=2026-05-01

}}</ref> [[Jojoba]] oil has been recommended as an emollient.

The [[foreskin]] should be kept in its normal forward position so that the protective functions are operative. Retraction and washing should be minimized.

== Making the foreskin retractable ==

Line 535:

Line 562:

* [[Physiological phimosis]]

* [[Preputioplasty]]

* [[Puberty]]

* [[Stretching]]

* [[Synechia]]

Line 671:

Line 699:

[[Category:Physiology]]

[[Category:Parental information]]

[[Category:Teen]]

[[Category:From Intactipedia]]

@@ Line 302: / Line 302: @@
 == Avoidance of premature retraction ==
-Care-givers and healthcare providers must be careful to avoid [[forced retraction|premature retraction]] of the foreskin, which is contrary to medical recommendations, painful, traumatic, tears the attachment points (synechiae), may cause [[infection]], is likely to generate medico-legal issues, and may cause [[paraphimosis]], with the tight foreskin acting like a tourniquet. The first person to retract the boy’s [[foreskin]] should be the boy himself.<ref name="Wright1994"/> <ref name="agarwal2005" />  <ref>{{REFweb
+Care-givers and healthcare providers must be careful to avoid [[forced retraction|premature retraction]] of the [[foreskin]], which is contrary to medical recommendations, painful, traumatic, tears the attachment points (synechiae), may cause [[infection]], is likely to generate medico-legal issues, and may cause [[paraphimosis]], with the tight foreskin acting like a tourniquet. The first person to retract the boy’s [[foreskin]] should be the boy himself.<ref name="Wright1994"/> <ref name="agarwal2005" />  <ref>{{REFweb
   |url=https://www.doctorsopposingforcibleretraction.org/
   |title=Doctors Opposing Forcible Retraction
@@ Line 314: / Line 314: @@
   |quote=
 }}</ref>
+== Avoidance of excessive retraction ==
+The [[foreskin]] developed by natural selection over an aeon of time to provide survival of the fittest. The presence of the foreskin makes mankind more fit to survive. The foreskin is endowed with [[Immunological and protective function of the foreskin| immunological and protective functions]] to improve health and well-being. Retraction of the foreskin opens the [[preputial sac]] and allows entry of contaminants and pathogens,<ref name="fleiss-hodges-vanhowe1998">Fleiss PM, Hodges FM, Van Howe RS. [https://www.cirp.org/library/disease/STD/fleiss3/ Immunological functions of the human prepuce]. Sex Transm Infect. 1998 Oct;74(5):364-7. doi: 10.1136/sti.74.5.364. PMID: 10195034; PMCID: PMC1758142.</ref> so retraction should be minimized.
+Birley et al. (1993) reported excessive washing, especially with the use of soap, will dry the oils out of tissues and cause a [[balanitis]]-like inflammation. The use of soap (including body wash, shower gel, and shampoo) should be avoided and emollients should be applied.<ref name="Birley1991">{{REFjournal
+ |last=Birley
+ |init=HDL
+ |author-link=
+ |last2=Wasker
+ |init2=MM
+ |last3=Luzzi
+ |init3=GA
+ |etal=yes
+ |title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing
+ |journal=Genitourin Med
+ |date=1993-10-01
+ |volume=69
+ |issue=5
+ |pages=400-3
+ |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf
+ |quote=
+ |pubmedID=8244363
+ |pubmedCID=1195128
+ |DOI=10.1136/sti.69.5.400
+ |accessdate=2026-05-01
+}}</ref> [[Jojoba]] oil has been recommended as an emollient.
+The [[foreskin]] should be kept in its normal forward position so that the protective functions are operative. Retraction and washing should be minimized.
 == Making the foreskin retractable ==
@@ Line 535: / Line 562: @@
 * [[Physiological phimosis]]
 * [[Preputioplasty]]
+* [[Puberty]]
 * [[Stretching]]
 * [[Synechia]]
@@ Line 671: / Line 699: @@
 [[Category:Physiology]]
 [[Category:Parental information]]
+[[Category:Teen]]
 [[Category:From Intactipedia]]