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'''Ballooning of the foreskin''' occurs when [[urine]] flows out of the [[urethra]] of the [[penis]] faster than it flows out of the [[foreskin]] of an [[intact]] boy. Ballooning cannot occur until the inner layer of the foreskin has separated from the [[glans penis]] to which it is attached by a [[synechia]].<ref>{{REFweb
'''Ballooning of the foreskin''' occurs when urine flows out of the urethra of the [[penis]] faster than it flows out of the [[foreskin]]. Ballooning cannot occur until the inner layer of the foreskin has separated from the [[glans penis]] with which it is attached by a [[synechia]]. Ballooning is a developmentally normal condition. Ballooning may cause some transient discomfort if it pulls apart the synechial connection to the glans penis.
|url=https://www.kidshealth.org.nz/how-care-your-childs-foreskin
|title=How To Care For Your Child's Foreskin
|publisher=KidsHealth of New Zealand
|date=2020-06-04
|accessdate=2023-01-26
}}</ref> Although ballooning is a developmentally normal condition, not every boy experiences ballooning. Ballooning contributes to separation of the [[foreskin]] from the [[glans penis]], but may cause some transient, temporary discomfort as it pulls apart the [[Synechia| synechial]] connection to the glans penis. Ballooning assists in the creation of the [[preputial sac]].


Babu ''et al''. (2005) compared boys with ballooning with boys without ballooning. No evidence of obstructed urinary flow was found. Ballooning is a self-limiting condition that disappears with normal development.<ref name="babu2005">{{REFjournal
The layer of [[dartos]] muscle in the foreskin keeps the tip closed to protect the penis from [[infection]].<ref name="fleiss-hodges-vanhowe1998">{{FleissP HodgesF VanHoweRS 1998}}</ref> The pressure of the [[urine]] is necessary to open it to allow passage of [[urine]]. The pressure is what causes the ballooning.
 
Babu et al. (2004) compared boys with ballooning with boys without ballooning. No evidence of obstructed urinary flow was found. Ballooning is a self-limiting condition that disappears with normal development.<ref name="babu2005">{{REFjournal
  |last=Babu
  |last=Babu
  |first=Ramesh
  |first=Ramesh
|init=R
  |author-link=
  |author-link=
  |last2=Harrison
  |last2=Harrison
  |first2=Sara K
  |first2=Sara K.
|init2=SK
  |author2-link=
  |author2-link=
  |last3=Hutton
  |last3=Hutton
  |first3=Kim
  |first3=Kim
|init3=K
  |author3-link=
  |author3-link=
  |etal=no
  |etal=no
  |title=Ballooning of the foreskin and physiological phimosis: is there any objective evidence of obstructed voiding?
  |title=Ballooning of the foreskin and physiological phimosis: is there any objective evidence of obstructed voiding?
|trans-title=
|language=
  |journal=BJU Int
  |journal=BJU Int
  |location=
  |location=
Line 30: Line 38:
  |accessdate=2020-05-17
  |accessdate=2020-05-17
}}</ref>
}}</ref>
No attempt to retract the [[foreskin]] should be made. Forcible retraction is harmful. Wright (1994) advises that the first person to retract the boy’s foreskin should be the boy himself.<ref name="Wright1994">{{REFjournal
|last=Wright
|init=JE
|title=Further to the "Further Fate of the Foreskin"
|journal=Med J Aust
|volume=160
|issue=
|pages=134-135
|url=http://www.cirp.org/library/normal/wright2/
|quote=
|pubmedID=8295581
|pubmedCID=
|DOI=
|date=1994-02-07
|accessdate=2020-05-17
}}</ref>
The [[Canadian Urological Association]] states:
<blockquote>
<b>Ballooning of the foreskin during voiding is not associated with obstructed voiding and is not an indication for circumcision.</b><ref>{{REFdocument
|title=CUAJ • February 2018 • Volume 12, Issue 2
© 2018 Canadian Urological Association
E76
CUA GUideline
Canadian Urological Association guideline on the care of the normal
foreskin and neonatal circumcision in Canadian infants (full version)
|url=https://www.cua.org/system/files/Guideline-Files/5033_foreskin_guideline_longversion.pdf
|contribution=
|last=Dave
|first=Sumit
|last2=Afshar
|first2=Kourosh
|author2-link=
|last3=Braga
|first3=Luis
|author3-link=
|last4=Anderson
|first4=Peter
|author4-link=
|publisher=Canadian Urological Association
|format=PDF
|date=2017-12-01
|accessdate=2024-12-12
}}</ref>
</blockquote>
{{SEEALSO}}
* [[Development of retractable foreskin]]
* [[Foreskin Care for Boys]]


{{LINKS}}
{{LINKS}}
*{{REFweb
|url=https://www.intactamerica.org/?s=ballooning
|archived=
|title=Do You Know: Foreskin Ballooning is Normal?
|trans-title=
|language=English
|last=
|first=
|author-link=
|publisher=Intact America
|website=www.intactamerica.org
|date=2015-10-01
|accessdate=2020-05-17
|format=
|quote=
}}
* {{REFweb
|url=https://www.yourwholebaby.org/ballooning
|archived=
|title=Ballooning
|trans-title=
|language=English
|last=
|first=
|author-link=
|publisher=Your Whole Baby
|website=www.yourwholebaby.org
|date=2019-08-25
|accessdate=2020-05-17
|format=
|quote=
}}
* {{REFweb
|url=https://intactamerica.org/ask-marilyn-let-the-balloon-go/
|title=Ask Marilyn – Let the Balloon Go!
|last=Milos
|first=Marilyn
|init=
|author-link=Marilyn Fayre Milos
|publisher=Intact America
|date=2022-03-21
|accessdate=2024-06-21
}}
* {{REFweb
|url=https://www.reddit.com/r/uncircumcised_talk/comments/1q3hq6p/widowed_mama_to_intact_3_year_old_help_pleaseeee/
|title=Widowed mama to intact 3 year old! Help pleaseeee.
|last=Anonymous
|publisher=REDDIT
|date=2026-01-03
|accessdate=2026-01-04
}}


{{REF}}
{{REF}}
[[Category:Parental information]]
[[Category:Foreskin anatomy]]
[[Category:Penile anatomy]]
[[Category:Penile function]]
[[de:Aufblähung der Vorhaut]]
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