Preputial sac: Difference between revisions

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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" />

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 ~~is outmoded and inaccurate~~.<ref name="birley1993" /> <ref name="fleiss1998" /> 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.<ref>{{REFbook

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

|first=Jim

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}}</ref> It also is customary to wash before and after sex.

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 ~~desired~~ to remove accumulated [[smegma]].

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>

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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" />
-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 is outmoded and inaccurate.<ref name="birley1993" /> <ref name="fleiss1998" /> 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.<ref>{{REFbook
+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
   |first=Jim
@@ Line 329: / Line 329: @@
 }}</ref> It also is customary to wash before and after sex.
-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 desired to remove accumulated [[smegma]].
+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>