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====Manual stretching====
====Manual stretching====


The growth and hormonal surge during puberty alter both the size and size ratio of the penis and penile skin significantly. Also, the first masturbations aid the process of stretching of the skin and detachment of remaining adhesions.
The growth and hormonal surge during puberty alter both the size and size ratio of the penis and penile skin significantly. Also, the first masturbations aid the process of stretching of the skin and detachment of any remaining chlidhood fusion.


If, after that, the foreskin still remains too tight, resulting in pain during sexual activities, and
If, after that, the foreskin still remains too tight, resulting in pain during sexual activities, and
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stretching exercises, if needed with the aid of corticosteroid cream. Depending on the active
stretching exercises, if needed with the aid of corticosteroid cream. Depending on the active
substances, success rates of 80-90% have been documented.
substances, success rates of 80-90% have been documented.
<ref>Orsola A, Caffaratti J, Garat JM. Conservative treatment of [[phimosis]] in children using a topical steroid. ''Urology'' 2000;56(2):307-10.</ref>
<ref>Orsola A, Caffaratti J, Garat JM. [http://www.cirp.org/library/treatment/phimosis/orsola1/| Conservative treatment of phimosis in children using a topical steroid]. ''Urology'' 2000;56(2):307-10.</ref>
<ref>Ashfield JE, Nickel KR, Siemens DR, ''et al''. Treatment of [[phimosis]] with topical steroids in 194 children. ''J Urol.'' 2003;169(3):1106-8.</ref>
<ref>Ashfield JE, Nickel KR, Siemens DR, ''et al''. [http://www.cirp.org/library/treatment/phimosis/ashfield1/| Treatment of [[phimosis]] with topical steroids in 194 children]. ''J Urol.'' 2003;169(3):1106-8.</ref>
<ref>Pileggi Fde O, Vicente YA. Phimotic ring topical corticoid cream (0.1% mometasone furoate) treatment in children. ''J Pediatr Surg''. 2007 Oct;42(10):1749-52.</ref>
<ref>Pileggi Fde O, Vicente YA. [http://www.circinfo.org/pdf/Phim-Pileggi.pdf| Phimotic ring topical corticoid cream (0.1% mometasone furoate) treatment in children]. ''J Pediatr Surg''. 2007 Oct;42(10):1749-52.</ref>
<ref>Ghysel C, Vander Eeckt K, Bogaert GA.Long-term efficiency of skin stretching and a topical corticoid cream application for unretractable foreskin and [[phimosis]] in prepubertal boys. ''Urol Int''. 2009;82(1):81-8.</ref>
<ref>Ghysel C, Vander Eeckt K, Bogaert GA. [https://reference.medscape.com/medline/abstract/19172103| Long-term efficiency of skin stretching and a topical corticoid cream application for unretractable foreskin and phimosis in prepubertal boys]. ''Urol Int''. 2009;82(1):81-8.</ref>
<ref>Reddy S, Jain V, Dubey M, Deshpande P, Singal AK. Local steroid therapy as the first line treatment for boys
<ref>Reddy S, Jain V, Dubey M, Deshpande P, Singal AK. [https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1651-2227.2011.02534.x| Local steroid therapy as the first line treatment for boys with symptomatic phimosis - A long term prospective study]. ''Acta Paediatr''. 2011 Nov 21. [Epub ahead of print]</ref>
with symptomatic [[Phimosis|phimosis]] - A long term prospective study. ''Acta Paediatr''. 2011 Nov 21. [Epub ahead of print]</ref>


Should those therapies not yield the desired outcomes, there is a surgical option, namely a preputioplasty.
Should those therapies not yield the desired outcomes, there is a surgical option, namely a preputioplasty.
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