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Care of intact, foreskinned boys

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'''{{FULLPAGENAME}}''' provides parents with basic information on the care of [[intact]] boys.
Boys Newborn [[intact]] boys are easier to care for than [[circumcised]] boys because intact boys do not have an open surgical wound,<ref>{{REFweb |url=https://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Caring-For-Your-Sons-Penis.aspx |title=How to Care for Your Baby's Penis |publisher=American Academy of Pediatrics |date=2021-08-02 |accessdate=2024-08-18}}</ref> <ref name="milos2022-08-08">{{REFweb |url=https://intactamerica.org/ask-marilyn-circumcised-vs-uncircumcised-babies-how-do-you-care-for-one-or-the-other/ |title=Ask Marilyn – Circumcised vs Uncircumcised Babies: How Do You Care for One or the Other? |last=Milos |first= |init=MF |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-08-08 |accessdate=2024-10-24}}</ref> and because [[intact]], non-traumatized boys are easier to [[Breastfeeding| breastfeed]]. [[Foreskinned]] boys are likely to enjoy better health because of the [[immunological and protective function of the foreskin]]. The [[foreskin]] has the duty of protecting the [[glans penis]] and [[meatus]] from physical [[trauma]] and [[infection]], so boys are born with a [[foreskin]] that does not retract. <ref name="agarwal2005">{{REFjournal |last=Agarwal |first= |init=A |author-link= |last2=Mohta |first2= |init2=A |author2-link= |last3=Anand |first3= |init3=RK |author3-link= |etal=no |title=Preputial retraction in children |trans-title= |language= |journal=J Indian Assoc Pediatr Surg |location= |date=2005-04 |season= |volume=10 |issue=2 |article= |pages=89-91 |url=https://journals.lww.com/jiap/fulltext/2005/10020/preputial_retraction_in_children.5.aspx |archived= |quote= |pubmedID= |pubmedCID= |DOI=10.4103/0971-9261.16468 |accessdate=2024-06-26}}</ref> There are two reasons that the foreskin of infant boys does not retract:
* The tip of the foreskin is too narrow to pass over the [[glans penis]].
* The inner layer of foreskin is fused with the underlying glans penisby a [[synechia]]. These developmental conditions are normal and expected in infancy and childhood.
[[Forced foreskin retraction]] is harmful and must be avoided.
|author-link=Dan Bollinger
|title=The Penis-Care Information Gap: Preventing Improper Care of Intact Boys
|url=https://0www.academia-photos.com/attachment_thumbnailsedu/332057176394928/mini_magick20180818-27425-cmfzq0.pngThe_Penis_Care_Information_Gap_Preventing_Improper_Care_of_Intact_Boys?1534629656email_work_card=thumbnail&li=0
|journal=Thymos The Journal of Boyhood Studies
|date=2007
|pages=205-19
|format=PDF
|accessdate=20232024-11-07-15}}</ref> Therefore, it has been necessary to establish an educational program for both parents and physicians on the normal care of the [[intact ]] [[penis]].<ref name="bollinger2007" /> Parents of [[intact]] boys in the [[United States]] have an additional responsibility of protecting their [[intact]], [[foreskinned]] son from harmful, painful [[Forced foreskin retraction| premature forcible foreskin retraction]] (PFFR) by ignorant doctors and nurses.<ref>{{REFweb |url=https://www.doctorsopposingcircumcision.org/for-parents/help-with-forcible-foreskin-retraction/ |title=Wrongful Foreskin Retraction |last=Anonymous |first= |init= |author-link= |publisher=Doctors Opposing Circumcision |date=1916 |accessdate=2024-06-27}}</ref>
==Discussion==
The intact human [[foreskin]] is nature's protection against injury and [[infection]] of the [[penis]]. Since it has [[Immunological and protective function of the foreskin| protective and immunological functions]] that work best when the [[foreskin ]] is left alone. Only , only the outside of the [[foreskin ]] should be washed as one washes a finger.Bubble bath can be irritating to a child's foreskin so it is best to avoid bubble bath products in the bath water.<ref name="milos2022-03-07">{{REFweb |url=https://intactamerica.org/ask-marilyn-bath-time-turns-a-boys-foreskin-red/ |title=Ask Marilyn – Bath Time Turns a Boy’s Foreskin Red |last=Milos |first= |init=MF |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-03-07 |accessdate=2024-10-24}}</ref>
The [[preputial mucosa]] of the [[foreskin]] is fused with the [[glans penis]] by the [[synechia]] in infancy and childhood so the [[foreskin ]] cannot be retracted. No attempt to retract the foreskin should be made. Forcible retraction is harmfultraumatic and painful. Wright (1994) advises advised that the first person to retract the boy’s [[foreskin ]] should be the boy himself.<ref name="Wright1994">{{REFjournal
|last=Wright
|init=JE
|date=2005
|accessdate=2019-11-14
}}</ref> [[Jakob Øster | Øster]] (1968) reported that some boys will not develop retractable [[foreskin ]] until after puberty.<ref name="Øster1968">{{REFjournal |last=Øster |first=Jakob |init=J |title=Further fate of the foreskin: incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys |journal=Arch Dis Child |date=OesterJ 1968-04-01 |volume=43 |issue= |pages=200-3 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2019851/pdf/archdisch01557-0066.pdf |quote= |pubmedID=5689532 |pubmedCID=2019851 |DOI=10.1136/adc.43.228.200 |accessdate=2021-07-18}}</ref> 
==Behavior of young intact boys==
Parents observe that many young, [[intact]] boys will pull and tug on their [[foreskin]]. Some parents express concern that the boy may be hurting himself, however that is not the case. The boy would not do that if it caused him pain.<ref>{{REFweb
|accessdate=2023-07-12
}}</ref> which are specialized nerves that sense motion and [[stretching]] as pleasurable. Such behavior is normal and parents need not be concerned.
 
Intact, [[foreskinned]] boys should give their (usually non-retractile) [[foreskin]] a gentle tug away from their body to get the wrinkles out prior to [[urination]], so that the [[urine]] flows out in a smooth stream.
==Spontaneous disintegration of the synechia==
}}</ref> The disintegration usually occurs in childhood but will persist into adolescence in a few cases.
When a young boy urinates, the [[foreskin]] may [[Ballooning of the foreskin| balloon]] slightly and the pressure will tend to lift the [[foreskin]] away from the [[glans penis]].<ref name="milos2022-03-21">{{REFweb |url=https://intactamerica.org/ask-marilyn-let-the-balloon-go/ |title=Ask Marilyn – Let the Balloon Go! |last=Milos |first= |init=MF |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-03-21 |accessdate=2024-10-24}}</ref>
Some [[intact]] boys will report pain when they urinate during the period in which separation is occurring. <ref name="milos2022-09-26">{{REFweb |url=https://intactamerica.org/ask-marilyn-kiddo-is-having-painful-erections/ |title=Ask Marilyn—Kiddo Is Having Painful Erections |last=Milos |first= |init=MF |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-09-26 |accessdate=2024-10-24}}</ref> The condition is temporary and will end when separation is complete.<ref>{{REFweb
|url=https://www.rch.org.au/kidsinfo/fact_sheets/penis_and_foreskin_care/#foreskin-separation
|title=Foreskin separation
}}</ref> It does not require a visit to a doctor or any kind of care.
==Not recommendedMayo Clinic information should be rejected==Mayo Clinic provides information on the care of [[foreskinned]] boys. This advice is ''not'' recommended. The language indicates Midwestern prejudice [[bias]] against [[intact]] boys, a lack of understanding of the [[Immunological and protective function of the foreskin| immmunological and protective functions]], and lack of current information on [[Development of retractable foreskin| development of foreskin retraction]].==Care at daycare centers==Parents must ''not'' assume that the staff of a daycare facility know how to care for [[intact]], [[foreskinned]] boys. In America it is most likely that the staff of a daycare center will not know the proper care of [[foreskinned]] boys,<ref>{{REFweb |url=https://intactamerica.org/the-daycare-risk-for-intact-uncircumcised-babies-and-boys-forcible-foreskin-retraction/ |title=The Daycare Risk for Intact, Uncircumcised Babies and Boys: Forcible Foreskin Retraction |last=Ashford |first=Jeannie |init= |author-link= |publisher=Intact America |date=2024-09-12 |accessdate=2024-09-13}}</ref> which may place your [[foreskinned]] son at risk of [[forced foreskin retraction]].
==Video==
<br>
<youtube>rpN13irwvGk</youtube>
<br><youtube>?v=dqexM8uqDes&list=PLAWLXIFlrYdr0cuWb81Qy155NqXh0bnnP&index=3</youtube>
{{SEEALSO}}
* [[Ballooning of the foreskin]]
* [[Catheterization of intact boys]]
* [[Development of retractable foreskin]]
* [[Lists of foreskin-friendly and intact-friendly physicians]]
* [[DoNoHarm.report]]
* [[Forced foreskin retraction]]
* [[Immunological and protective function of the foreskin]]
* [[Intact-friendly]]
* [[Development of retractable foreskinMeatal stenosis]]
* [[Protection of intact newborns in hospital]]
* [[Synechia]]
|pages=381-3
|url=http://www.cirp.org/library/hygiene/simpson1/
|quote=Minor foreskin related complaints are very common in the first few years of life. Most of these can be managed with advice and reassurance, or with medical treatment alone. Circumcision is very rarely indicated in young boys, particularly under the age of 5 years.
|pubmedID=9613002
|pubmedCID=
}}
* {{REFweb
|url=httpshttp://www.intactamericadrmomma.org/wp-content2009/uploads06/2019/10/Intacthow-to-care-for-Careintact-Guidepenis-2018protect.pdfhtml |title=How to Care for Your Intact care guide for parents and caregivers.Son
|last=
|first= |init= |author-link= |publisher=Intact AmericaPeaceful Parenting |date=2018 |format=PDF |accessdate=20222024-1209-2917
}}
* {{REFdocument
|date=2016-07
|accessdate=2019-11-08
}}
* {{REFdocument
|title=Intact care guide for parents and caregivers
|url=https://intactamerica.org/wp-content/uploads/2024/03/Intact-Care-Guide.factsheet.pdf
|contribution=
|last=Anonymous
|first=
|publisher=Intact America
|format=PDF
|date=2018
|accessdate=2024-10-12
}}
* {{REFweb
|format=
|quote=
}}
* {{REFweb
|url=https://www.yourwholebaby.org/smegma/
|title=Smegma Pearls
|publisher=Your Whole Baby
|date=
|accessdate=2024-08-24
}}
* {{REFweb
}}
* {{REFweb
|url=httphttps://intactamerica.org/ask-marilyn-bath-time-turns-a-boys-foreskin-red/ |title=Ask Marilyn – Bath Time Turns a Boy’s Foreskin Red |last=Milos |first=Marilyn |init= |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-03-07 |accessdate=2024-06-21}}* {{REFweb |url=https://intactamerica.org/ask-marilyn-circumcised-vs-uncircumcised-babies-how-do-you-care-for-one-or-the-other/ |title=Ask Marilyn – Circumcised vs Uncircumcised Babies: How Do You Care for One or the Other? |last=Milos |first=Marilyn |init= |author-link=Marilyn Fayre Milos |publisher=Intact America |date=2022-08-08 |accessdate=2024-06-21}}* {{REFweb |url=https://www.yourwholebody.org/teens
|title=I’m an intact teen. What do I need to know?
|last=
|date=
|accessdate=2023-04-16
}}
* {{REFweb
|url=https://www.yourwholebaby.org/smegma/
|title=Smegma Pearls
|last=
|first=
|init=
|author-link=
|publisher=Your Whole Body
|date=
|accessdate=2024-08-24
}}
* {{REFweb
|url=https://intactamerica.org/intact-penis-care/
|title=Intact Penis Care: Embracing Natural Well-being
|last=Garrett
|first=Connor
|init=
|author-link=Connor Judson Garrett
|publisher=Intact America
|date=2024-03-09
|accessdate=2024-03-10
}}
{{REF}}
 
[[Category:Education]]
[[Category:Film]]
[[Category:Film about circumcision and intactivism]]
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