Preputial sac: Difference between revisions
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|DOI=https://doi.org/10.1002/ar.1090570409 | |DOI=https://doi.org/10.1002/ar.1090570409 | ||
|accessdate=2023-05-23 | |accessdate=2023-05-23 | ||
}}</ref> so it cannot be [[Infection| infected]]. The preputial sac will remain closed for a variable number of years. Thorvaldsen & Meyhoff (2005) conducted a survey of 4000 young men in [[Denmark]]. They reported that the mean age of first foreskin retraction is 10.4 years in [[Denmark]].<ref name="Thorvaldsen">{{REFjournal | }}</ref> so it cannot be [[Infection| infected]]. The preputial sac will remain closed for a variable number of years. Thorvaldsen & Meyhoff (2005) conducted a survey of 4000 young men in [[Denmark]]. They reported that the mean age of first [[foreskin]] retraction is 10.4 years in [[Denmark]].<ref name="Thorvaldsen">{{REFjournal | ||
|last=Thorvaldsen | |last=Thorvaldsen | ||
|init=MA | |init=MA | ||
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|date=2005 | |date=2005 | ||
|accessdate=2025-03-06 | |accessdate=2025-03-06 | ||
}}</ref> Non-retractile foreskin is the more common condition until about 10-11 years of age. | }}</ref> Non-retractile [[foreskin]] is the more common condition until about 10-11 years of age. | ||
===Penile health=== | |||
The preputial sac is lined with [[mucosa]] as is appropriate for an internal organ where moisture is present.<ref name="cold-taylor1999">{{ColdCJ TaylorJR 1999}}</ref> [[Urine]] and other sources of moisture are not harmful to it. | The preputial sac is lined with [[mucosa]] as is appropriate for an internal organ where moisture is present.<ref name="cold-taylor1999">{{ColdCJ TaylorJR 1999}}</ref> [[Urine]] and other sources of moisture are not harmful to it. | ||
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|ref=<ref>{{DeWitte etal 2007}}</ref> | |ref=<ref>{{DeWitte etal 2007}}</ref> | ||
}} | }} | ||
Fendereski et al. (2024) compared the penile health of [[circumcised]] boys without a preputial sac to [[intact]] boys with a preputial sac during the first five years of life. The authors reported that the [[circumcised]] boys had three times as many complaints when compared with [[intact]] boys.<ref name=fendereski2024">{{REFjournal | |||
|last=Fendereski | |||
|first= | |||
|init=K | |||
|author-link= | |||
|last2=Horns | |||
|first2= | |||
|init2=JJ | |||
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|last3=Driggs | |||
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|last4=Lau | |||
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|last5=Shaeffer | |||
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|init5=AJ | |||
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|etal=no | |||
|title=Comparing Penile Problems in Circumcised vs. Uncircumcised Boys: Insights From a Large Commercial Claims Database With a Focus on Provider Type Performing Circumcision | |||
|trans-title= | |||
|language= | |||
|journal=J Pediatr Surg | |||
|date=2024-11 | |||
|volume=59 | |||
|issue=11 | |||
|article=161614 | |||
|url=https://www.sciencedirect.com/science/article/abs/pii/S002234682400407X | |||
|archived= | |||
|quote= | |||
|pubmedID=39084960 | |||
|pubmedCID=11486584 | |||
|DOI=10.1016/j.jpedsurg.2024.06.022 | |||
|accessdate=2025-12-03 | |||
}}</ref> | |||
=== Sub-preputial moisture === | === Sub-preputial moisture === | ||
A longer [[foreskin]] improves wetness in the preputial sac.<ref name="ofarrell2008">{{REFjournal | A longer [[foreskin]] improves wetness in the preputial sac.<ref name="ofarrell2008">{{REFjournal | ||
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}}</ref> Moistness also may be maintained by [[transudation]].<ref name="cold-taylor1999" /> The preputial sac may also receive [[pre-ejaculate]], which may be distinguished because it is more slippery. The sac may vary from very slightly moist to wet when one is aroused. | }}</ref> Moistness also may be maintained by [[transudation]].<ref name="cold-taylor1999" /> The preputial sac may also receive [[pre-ejaculate]], which may be distinguished because it is more slippery. The sac may vary from very slightly moist to wet when one is aroused. | ||
Nevertheless, some men report dryness in their preputial sac and with their [[glans penis]]. Some men recommend coconut oil and others recommend jojoba oil<ref>{{REFweb | Nevertheless, some men report dryness in their preputial sac and with their [[glans penis]]. Some men recommend coconut oil and others recommend [[jojoba]] oil.<ref>{{REFweb | ||
|url=https:// | |url=https://supremepenis.com/blog/best-natural-oils-for-penis-skin-care/ | ||
|title= | |title=Best Natural Oils for Penis Skin Care: Ultimate Guide to Healthy Skin | ||
|last=Anonymous | |last=Anonymous | ||
|first= | |first= | ||
|init= | |init= | ||
|author-link= | |author-link= | ||
|publisher= | |publisher=Supreme Penis | ||
|date= | |date=2025-07-14 | ||
|accessdate=2025- | |accessdate=2025-08-21 | ||
}}</ref> to moisturize the preputial sac. | }}</ref> to moisturize the preputial sac. A few drops, applied once or twice a day, appears to be enough to keep the sac moisturized, lubricated, and comfortable. | ||
=== Foreskin fragrance === | === Foreskin fragrance === | ||
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|date= | |date= | ||
|accessdate=2024-04-26 | |accessdate=2024-04-26 | ||
}}</ref> <ref>{{REFweb | |||
|url=https://www.reddit.com/r/uncircumcised_talk/comments/1llu8bi/what_does_it_smell_like/ | |||
|title=What does it smell like? | |||
|last=Anonymous | |||
|first= | |||
|init= | |||
|author-link= | |||
|publisher=REDDIT | |||
|date=2025-06-27 | |||
|accessdate=2025-06-28 | |||
}}</ref> from their [[penis]]. Musk is also produced by deer to create sexual arousal.<ref name="vocabulary2024" /> The fragrance, when it occurs, is emitted from the preputial sac. | }}</ref> from their [[penis]]. Musk is also produced by deer to create sexual arousal.<ref name="vocabulary2024" /> The fragrance, when it occurs, is emitted from the preputial sac. | ||
The fragrance may contain stimulating pheromones and is variously characterized. A few find it offensive, but others find it attractive, pleasing, exciting, stimulating, or arousing.<ref name="vocabulary2024" /> <ref>{{REFweb | The fragrance may contain stimulating [[pheromone| pheromones]] and is variously characterized. A few find it offensive, but others find it attractive, pleasing, exciting, stimulating, or arousing.<ref name="vocabulary2024" /> <ref>{{REFweb | ||
|url=https://www.reddit.com/r/uncircumcised_talk/comments/1juhht2/scent/ | |url=https://www.reddit.com/r/uncircumcised_talk/comments/1juhht2/scent/ | ||
|title=Scent | |title=Scent | ||
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|author-link= | |author-link= | ||
|publisher= | |publisher=REDDIT | ||
|date= | |date= | ||
|accessdate=2025-04-09 | |accessdate=2025-04-09 | ||
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Some believe that the use of soap in the preputial sac harms the natural [[microbiome]] and increases the strength of the fragrance. The musky foreskin fragrance may be contained by avoiding retraction of the [[foreskin]]. | Some believe that the use of soap in the preputial sac harms the natural [[microbiome]] and increases the strength of the fragrance. The musky foreskin fragrance may be contained by avoiding retraction of the [[foreskin]]. | ||
Several manufacturers offer musk-scented cologne for men. | |||
==Washing== | ==Washing== | ||
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The presence of the healthy [[microbiome]], the [[Langerhans cells]], and the lytics in the sub-preputial moisture give the preputial sac strong immunological functions. [[Circumcision]] destroys the preputial sac and its protective immunological functions and makes the patient more vulnerable to [[infection]] throughout life.<ref name="fleiss1998" /> | The presence of the healthy [[microbiome]], the [[Langerhans cells]], and the lytics in the sub-preputial moisture give the preputial sac strong immunological functions. [[Circumcision]] destroys the preputial sac and its protective immunological functions and makes the patient more vulnerable to [[infection]] throughout life.<ref name="fleiss1998" /> | ||
One frequently hears the advice to wash the preputial sac at least daily to prevent [[infection]]. This advice | One frequently hears the advice to wash the preputial sac at least daily to prevent [[infection]]. This advice does not reflect the [[Immunological and protective function of the foreskin| immunological functions]] of the [[foreskin]] and the need to maintain skin oil to avoid [[balanitis]].<ref name="birley1993" /> <ref name="fleiss1998" /> It is not consistent with medical science, and is outmoded and inaccurate. Washing may introduce pathogens into the preputial cavity.<ref name="fleiss1998" /> It also removes the skin oil and protective lytic substances described above. It is better to rinse only as necessary, using only clear warm water without soap, body wash, or shampoo.<ref>{{REFbook | ||
|last=Bigelow | |last=Bigelow | ||
|first=Jim | |first=Jim | ||
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|publisher=Hourglass Book Pub | |publisher=Hourglass Book Pub | ||
|isbn=978-0934061223 | |isbn=978-0934061223 | ||
}}</ref> It is customary to wash before and after sex. | }}</ref> One or twice a week is sufficient.<ref name="damon2010">{{REFweb | ||
|title=Intact Care of Elderly Men in Nursing Homes | |||
|url=http://www.drmomma.org/2010/05/intact-care-of-elderly-men-in-nursing.html | |||
|archived= | |||
|trans-title= | |||
|language= | |||
|last=Damon | |||
|first= | |||
|init=KL | |||
|author-link= | |||
|publisher=Peaceful Parenting | |||
|website=www.drmomma.org | |||
|date=2010 | |||
|accessdate=2023-12-12 | |||
|format= | |||
|quote=It is true that nursing programs (and medical school programs) in the [[United States]] have a long way to go in teaching proper [[intact]] care and development. | |||
}}</ref> It also is customary to wash before and after sex. | |||
If the [[foreskin]] is non-retractable, then a rubber-bulb ear syringe may be used to squirt warm water into the [[foreskin]] to flush it out for an occasional washing. Washing is recommended before and after sex and as | If the [[foreskin]] is non-retractable, then a [https://www.amazon.com/s?k=rubber%20bulb%20ear%20syringe rubber-bulb ear syringe] may be used to squirt warm water into the [[foreskin]] to flush it out for an occasional washing. Washing is recommended before and after sex and as needed to remove accumulated [[smegma]]. | ||
<b>Soap, body wash, and shampoo should not be used inside the preputial sac, because they remove the beneficial skin oil.</b> | <b>Soap, body wash, and shampoo should not be used inside the preputial sac, because they remove the beneficial skin oil.</b> | ||
== Urination by foreskinned men== | == Urination by foreskinned men== | ||
The | The text of this section has been relocated to its own article. Please see [[Urination by foreskinned men]]. | ||
{{SEEALSO}} | {{SEEALSO}} | ||
* [[Autocircumcision]] | * [[Autocircumcision]] | ||
* [[Balanitis]] | * [[Balanitis]] | ||
* [[Care of intact elderly men]] | * [[Care of intact elderly men]] | ||
* [[Fusions and adhesions]] | |||
* [[Hygiene]] | * [[Hygiene]] | ||
* [[Immunological and protective function of the foreskin]] | * [[Immunological and protective function of the foreskin]] | ||
* [[Jojoba]] | |||
* [[Living with a foreskin in circumcised America]] | * [[Living with a foreskin in circumcised America]] | ||
* [[Long foreskin]] | |||
* [[Meatus]] | * [[Meatus]] | ||
* [[Microbiome]] | * [[Microbiome]] | ||
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{{LINKS}} | {{LINKS}} | ||
* {{URLwikipedia|Preputial_mucosa|Preputial mucosa}} | |||
* {{REFweb | * {{REFweb | ||
|url=https://www.cirp.org/library/hygiene/ | |url=https://www.cirp.org/library/hygiene/ | ||
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|date=2025-04-08 | |date=2025-04-08 | ||
|accessdate=2025-04-12 | |accessdate=2025-04-12 | ||
}} | |||
* {{REFweb | |||
|url=https://www.reddit.com/r/uncircumcised_talk/comments/1o8su5n/comment/njy0dyz/ | |||
|title=Mom of intact son here (: | |||
|last=Anonymous | |||
|first= | |||
|init= | |||
|author-link= | |||
|publisher=REDDIT | |||
|date=2025-10-17 | |||
|accessdate=2025-10-17 | |||
}} | }} | ||
{{REF}} | {{REF}} | ||
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[[Category:Education]] | [[Category:Education]] | ||
[[Category:Foreskin anatomy]] | [[Category:Foreskin anatomy]] | ||
[[Category:Foreskinned life]] | |||
[[Category:Medical term]] | [[Category:Medical term]] | ||
[[Category:Parental information]] | [[Category:Parental information]] | ||