Difference between revisions of "Hygiene"

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The word '''hygiene''' comes from Greek, and it means "the protection and promotion of health." It has been mis-understood to mean ''cleanliness''. Keeping the body clean is only part of what it takes to be healthful. In some cases, excessive washing can actually cause health problems.<ref name="birley1993">{{REFjournal
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|last=Birley
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|init=HDL
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|author-link=
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|last2=Walker
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|init2=MM
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|author2-link=
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|last3=Luzzi
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|init3=GA
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|author3-link=
 +
|last4=Bell
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|init4=R
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|author4-link=
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|etal=yes
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|title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing]
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|trans-title=
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|language=
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|journal=Genitourin Med
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|location=
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|date=1993-10
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|volume=69
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|issue=5
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|pages=400-3
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|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf
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|quote=
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|format=PDF
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|pubmedID=8244363
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|pubmedCID=1195128
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|DOI=10.1136/sti.69.5.400
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|accessdate=2023-12-19
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}}</ref>
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==Victorian usage==
  
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The word '''hygiene''' comes from Greek, and it means "the protection and promotion of health." Keeping the body clean is only part of what it takes to be healthful. In some cases, excessive washing can actually cause health problems.
+
Victorian doctors falsely believed that thinking immoral or impure thoughts could cause neurological disorders such as feeblemindedness or epilepsy. They also believed that [[masturbation]] would cause one to think immoral or impure thoughts that would cause brain damage! Therefore, the [[foreskin]] and masturbation were viewed as unhygenic. So when a Victorian doctor spoke of [[circumcision]] being hygienic, he meant mental health, ''not'' physical cleanliness.
  
 
== Ignorance and misinformation ==
 
== Ignorance and misinformation ==
  
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Misinformation abounds regarding the hygiene of the intact penis. In the United States, especially, doctors tend to be ignorant, misinformed, or simply uninformed concerning the hygenic care of intact men and children, and this happens for a variety of reasons. As of yet, America is primarily country where circumcision is prevalent, and thus intact male genitals are unfamiliar. Many American medical doctors, are ignorant of the subject because they are themselves circumcised, wives to circumcised men, and/or mothers to circumcised children. Additionally, care of the intact male genitals is rarely mentioned in medical school. The foreskin and the proper care for intact genitals tends to be absent in pediatric literature.<ref>Osborn LM, Metcalf TJ, Mariani EM. [http://www.cirp.org/library/hygiene/osborn1/ Hygienic care in uncircumcised infants]. ''Pediatrics'' 1981;67:365-7.</ref>
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Misinformation abounds regarding the hygiene of the [[intact]] [[penis]]. In the [[United States]], especially, doctors tend to be ignorant, misinformed, or simply uninformed concerning the hygienic care of [[intact]] men and boys, and this happens for a variety of reasons. As of now, America is primarily a country where circumcision is [[United_States_of_America#Prevalence_of_circumcision| prevalent]], and thus [[intact]] male genitals are unfamiliar to many Americans. Many American medical doctors, are ignorant of the subject because they are themselves [[circumcised]], wives to circumcised men, and/or mothers to circumcised children. Additionally, care of the intact male genitals is rarely mentioned in medical school. The [[foreskin]] and the proper care for [[intact]] genitals tends to be absent in pediatric literature.<ref name="osborn1981">{{REFjournal
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|last=Osborn
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|init=LM
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|author-link=
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|last2=Metcalf
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|init2=TJ
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|author2-link=
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|last3=Mariani
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|init3=EM
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|author3-link=
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|etal=no
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|title=Hygienic care in uncircumcised infants
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|trans-title=
 +
|language=
 +
|journal=Pediatrics
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|location=
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|date=1981-03
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|volume=67
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|issue=
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|pages=365-7
 +
|url=http://www.cirp.org/library/hygiene/osborn1/
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|archived=
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|quote=
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|pubmedID=7243473
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|pubmedCID=
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|DOI=
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|accessdate=2020-06-07
 +
}}</ref>
  
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This this article provides factual information to help medical personnel and parents understand the proper care of the penis in its unaltered state.
+
This article provides factual information to help medical personnel and parents understand the proper care of the penis in its unaltered state.
  
 
== The AAP concerning circumcision and hygiene ==
 
== The AAP concerning circumcision and hygiene ==
  
−
One of the most common alibis cited for non-theraputic circumcision is that it is supposed to facilitate hygiene. However, according the "Circumcision Policy Statement" produced by the "Task Force on Circumcision" appointed by the [[American Academy of Pediatrics]], which was published in ''Pediatrics'' in 1999 and reaffirmed on September 1, 2005, "there is little evidence to affirm the association between circumcision status and optimal penile hygiene".<ref>American Academy of Pediatrics: [http://www.cirp.org/library/statements/aap1999/ Circumcision Policy Statement]; Task Force on Circumcision" ''Pediatrics'' Vol 103 No.3 March 1999, pp.686-693. (Statement Reaffirmed Sept. 1, 2005).</ref>
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One of the most common justifications cited for non-therapeutic [[circumcision]] of a boy is that it is supposed to facilitate hygiene. However, according the "Circumcision Policy Statement" produced by the "Task Force on Circumcision" appointed by the [[American Academy of Pediatrics]], which was published in ''Pediatrics'' in 1999 and reaffirmed on September 1, 2005, "there is little evidence to affirm the association between [[circumcision]] status and optimal penile hygiene".<ref name="aap1999">{{REFjournal
 +
|last=Task Force on Circumcision
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|first=
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|author-link=
 +
|etal=no
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|title=Circumcision Policy Statement
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|trans-title=
 +
|language=
 +
|journal=Pediatrics
 +
|location=
 +
|date=1999-03
 +
|volume=103
 +
|issue=3
 +
|pages=686-93
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|url=http://www.cirp.org/library/statements/aap1999
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|archived=
 +
|quote=
 +
|pubmedID=10049981
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|pubmedCID=
 +
|DOI=
 +
|accessdate=
 +
}}</ref>
  
 
==Care of newborn, infants, toddlers, and boys==
 
==Care of newborn, infants, toddlers, and boys==
 
Boys are born with a non-retractable [[foreskin]].<ref>{{REFjournal
 
Boys are born with a non-retractable [[foreskin]].<ref>{{REFjournal
 
  |last=Simpson
 
  |last=Simpson
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  |first=Errol T  
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  |first=Errol T.
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|init=ET
 
  |author-link=
 
  |author-link=
 
  |last2=Barraclough
 
  |last2=Barraclough
 
  |first2=Phillip
 
  |first2=Phillip
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|init2=P
 
  |author2-link=
 
  |author2-link=
 
  |etal=no
 
  |etal=no
Line 38: Line 120:
 
  |DOI=
 
  |DOI=
 
  |accessdate=2020-05-28
 
  |accessdate=2020-05-28
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}}</ref> Retraction cannot be done because the tip of the foreskin is too narrow to pass over the [[glans penis]] and/or the inner foreskin is fused with the glans penis by a [[synechia]]. No attempt should be made to retract a boy's foreskin. Attempts to retract a non-retractile foreskin will injure the boy. Caregivers should wash the outside of the penis as one might wash a finger.<ref>{{REFweb
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}}</ref> Retraction cannot be done because the tip of the foreskin is too narrow to pass over the [[glans penis]] and/or the inner foreskin is fused with the glans penis by a [[synechia]]. No attempt should be made to retract a boy's [[foreskin]]. Attempts to retract a non-retractile foreskin will injure the boy. Caregivers should wash the outside of the [[penis]] as one might wash a finger.<ref>{{REFweb
 
  |url=https://www.doctorsopposingcircumcision.org/for-parents/care-of-the-intact-penis/
 
  |url=https://www.doctorsopposingcircumcision.org/for-parents/care-of-the-intact-penis/
 
  |archived=
 
  |archived=
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  |first=John V.
 
  |first=John V.
 
  |author-link=John V. Geisheker
 
  |author-link=John V. Geisheker
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  |publisher=Doctors Opposing Circumcision
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  |publisher=[[Doctors Opposing Circumcision (D.O.C.)]]
 
  |website=
 
  |website=
 
  |date=2016-03
 
  |date=2016-03
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  |format=
 
  |format=
 
  |quote=  
 
  |quote=  
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}}</ref> The foreskin is self-cleaning, so no further cleaning is necessary. The first person to retract a boy's foreskin should be the boy himself.<ref>{{REFjournal
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}}</ref> The [[foreskin]] is self-cleaning, so no further cleaning is necessary. The first person to retract a boy's foreskin should be the boy himself.<ref>{{REFjournal
 
  |last=Wright
 
  |last=Wright
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  |first=J E
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  |init=JE
 
  |author-link=
 
  |author-link=
 
  |etal=no
 
  |etal=no
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  |accessdate=2020-05-28
 
  |accessdate=2020-05-28
 
}}</ref>
 
}}</ref>
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The information provided by supposed authorities regarding when the [[foreskin]] of a boy becomes retractable is usually wrong. The foreskin may be become retractable after a few years, but it usually does not. Thorvaldsen & Meyhoff (2005) conducted a survey of young men in [[Denmark]] where boys are preserved [[intact]]. They found that the average age of first foreskin retraction is 10.4 years.<ref name="thorvaldsen2005">{{REFjournal
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|last=Thorvaldsen
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|init=MA
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|author-link=
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|last2=Meyhoff
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|init2=H
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|author2-link=
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|etal=no
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|title=Pathologic or physiologic phimosis?
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|trans-title=Patologisk eller fysiologisk fimose?
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|language=Danish
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|journal=Ugeskr Læger
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|location=
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|date=2005-04-25
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|volume=167
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|issue=17
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|pages= 1858-62
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|url=http://www.cirp.org/library/normal/thorvaldsen1/
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|archived=
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|quote=
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|pubmedID=15929334
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|pubmedCID=
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|DOI=
 +
|accessdate=2020-05-28
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}}</ref> This means that many boys' foreskins become retractable even later.
  
 
==Penile care for adolescents and teens==
 
==Penile care for adolescents and teens==
 +
 +
By the onset of puberty, most, but not all boys, have a retractable [[foreskin]]. Boys with a retractable foreskin should retract and wash their foreskin when they bathe. Excessive washing and use of soap, shampoo, and body wash on the [[mucosa]] inside the foreskin should be avoided because it dries the oils from the [[mucosa]]l tissue.<ref name="birley1993" /> Warm water is sufficient for cleaning, which should not be done to excess.
  
 
{{SEEALSO}}
 
{{SEEALSO}}
−
 
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* [[Foreskinned]]
 +
* [[Immunological and protective function of the foreskin]]
 +
* [[Intact]]
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* [[Penis]]
 +
* [[Preputial sac]]
 
* [[Retraction of the foreskin]]
 
* [[Retraction of the foreskin]]
 +
* [[Uncircumcised]]
  
 
{{LINKS}}
 
{{LINKS}}
−
 
 
* {{REFweb
 
* {{REFweb
 
  |url=http://www.cirp.org/library/hygiene/
 
  |url=http://www.cirp.org/library/hygiene/
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{{REF}}
 
{{REF}}
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[[Category:Parental information]]
  
 
[[Category:From Intactipedia]]
 
[[Category:From Intactipedia]]
 
[[Category:From IntactWiki]]
 
[[Category:From IntactWiki]]
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[[de:Hygiene]]

Latest revision as of 18:02, 19 December 2023

The word hygiene comes from Greek, and it means "the protection and promotion of health." It has been mis-understood to mean cleanliness. Keeping the body clean is only part of what it takes to be healthful. In some cases, excessive washing can actually cause health problems.[1]

Victorian usage

Victorian doctors falsely believed that thinking immoral or impure thoughts could cause neurological disorders such as feeblemindedness or epilepsy. They also believed that masturbation would cause one to think immoral or impure thoughts that would cause brain damage! Therefore, the foreskin and masturbation were viewed as unhygenic. So when a Victorian doctor spoke of circumcision being hygienic, he meant mental health, not physical cleanliness.

Ignorance and misinformation

Misinformation abounds regarding the hygiene of the intact penis. In the United States, especially, doctors tend to be ignorant, misinformed, or simply uninformed concerning the hygienic care of intact men and boys, and this happens for a variety of reasons. As of now, America is primarily a country where circumcision is prevalent, and thus intact male genitals are unfamiliar to many Americans. Many American medical doctors, are ignorant of the subject because they are themselves circumcised, wives to circumcised men, and/or mothers to circumcised children. Additionally, care of the intact male genitals is rarely mentioned in medical school. The foreskin and the proper care for intact genitals tends to be absent in pediatric literature.[2]

This article provides factual information to help medical personnel and parents understand the proper care of the penis in its unaltered state.

The AAP concerning circumcision and hygiene

One of the most common justifications cited for non-therapeutic circumcision of a boy is that it is supposed to facilitate hygiene. However, according the "Circumcision Policy Statement" produced by the "Task Force on Circumcision" appointed by the American Academy of Pediatrics, which was published in Pediatrics in 1999 and reaffirmed on September 1, 2005, "there is little evidence to affirm the association between circumcision status and optimal penile hygiene".[3]

Care of newborn, infants, toddlers, and boys

Boys are born with a non-retractable foreskin.[4] Retraction cannot be done because the tip of the foreskin is too narrow to pass over the glans penis and/or the inner foreskin is fused with the glans penis by a synechia. No attempt should be made to retract a boy's foreskin. Attempts to retract a non-retractile foreskin will injure the boy. Caregivers should wash the outside of the penis as one might wash a finger.[5] The foreskin is self-cleaning, so no further cleaning is necessary. The first person to retract a boy's foreskin should be the boy himself.[6]

The information provided by supposed authorities regarding when the foreskin of a boy becomes retractable is usually wrong. The foreskin may be become retractable after a few years, but it usually does not. Thorvaldsen & Meyhoff (2005) conducted a survey of young men in Denmark where boys are preserved intact. They found that the average age of first foreskin retraction is 10.4 years.[7] This means that many boys' foreskins become retractable even later.

Penile care for adolescents and teens

By the onset of puberty, most, but not all boys, have a retractable foreskin. Boys with a retractable foreskin should retract and wash their foreskin when they bathe. Excessive washing and use of soap, shampoo, and body wash on the mucosa inside the foreskin should be avoided because it dries the oils from the mucosal tissue.[1] Warm water is sufficient for cleaning, which should not be done to excess.

See also

External links

References

  1. ↑ a b REFjournal Birley HDL, Walker MM, Luzzi GA, Bell R, et al. Clinical Features and management of recurrent balanitis; association with atopy and genital washing] PDF. Genitourin Med. October 1993; 69(5): 400-3. PMID. PMC. DOI. Retrieved 19 December 2023.
  2. ↑ REFjournal Osborn LM, Metcalf TJ, Mariani EM. Hygienic care in uncircumcised infants. Pediatrics. March 1981; 67: 365-7. PMID. Retrieved 7 June 2020.
  3. ↑ REFjournal Task Force on Circumcision. Circumcision Policy Statement. Pediatrics. March 1999; 103(3): 686-93. PMID.
  4. ↑ REFjournal Simpson ET, Barraclough P. The management of the paediatric foreskin. Aust Fam Physician. 1998; 27(5): 382-3. PMID. Retrieved 28 May 2020.
  5. ↑ REFweb Geisheker, John V. (March 2016). Care of the intact penis, Doctors Opposing Circumcision (D.O.C.). Retrieved 28 May 2020.
  6. ↑ REFjournal Wright JE. Further to "the further fate of the foreskin". Med J Aust. 7 February 1994; 160: 134-5. PMID. DOI. Retrieved 28 May 2020.
  7. ↑ REFjournal Thorvaldsen MA, Meyhoff H. Pathologic or physiologic phimosis? [Patologisk eller fysiologisk fimose?] (Danish). Ugeskr Læger. 25 April 2005; 167(17): 1858-62. PMID. Retrieved 28 May 2020.
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