Ballooning of the foreskin: Difference between revisions
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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]]. Although ballooning is a developmentally normal condition, not every boy experiences ballooning. Ballooning may cause some transient, temporary discomfort | '''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 | ||
|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]]. | |||
The layer of [[dartos]] muscle in the foreskin keeps the tip closed to protect the penis from infection.<ref name="fleiss-hodges-vanhowe1998">{{ | 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. | ||
}}</ref> The pressure of the urine is necessary to open it to allow passage of urine. The pressure is what causes the ballooning. | |||
Babu | 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? | ||
|journal=BJU Int | |journal=BJU Int | ||
|location= | |location= | ||
| Line 54: | Line 39: | ||
}}</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 | 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 | |last=Wright | ||
| | |init=JE | ||
|title=Further to the "Further Fate of the Foreskin" | |title=Further to the "Further Fate of the Foreskin" | ||
|journal=Med J Aust | |journal=Med J Aust | ||
| Line 71: | Line 56: | ||
}}</ref> | }}</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}} | {{SEEALSO}} | ||
* [[Development of retractable foreskin]] | |||
* [[Foreskin Care for Boys]] | * [[Foreskin Care for Boys]] | ||
| Line 109: | Line 123: | ||
|format= | |format= | ||
|quote= | |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:Foreskin anatomy]] | ||
[[Category:Penile anatomy]] | [[Category:Penile anatomy]] | ||
[[Category:Penile function]] | [[Category:Penile function]] | ||
[[de:Aufblähung der Vorhaut]] | |||