Long foreskins

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According to Laumann et al. (1997), the incidence of circumcision hit its maximum point in 1965 at about 88 percent of newborn boys.[1] The incidence has been slowly declining ever since. This has resulted in ever-increasing numbers of adult males in the United States with an intact foreskin, a portion of which are classifed as long foreskins.

These men are seeking more and more information about foreskin. Unfortunately, it appears that most of the information provided about the foreskin is provided by medical doctors who were circumcised as infants, so it frequently is inaccurate.

This article seeks to answer questions about long foreskins. Foreskins naturally come in a wide variety of lengths from very short to very long. Long forekins are in the normal range. Treatment or surgery is not indicated.

Definition

For the purpose of this discussion, long foreskins are defined as foreskins that are long enough to cover the glans penis even when the penis has a full erection. They may also be defined as a foreskin that is classified as CI-9 or CI-10 on the coverage index used by foreskin restorers.[2]

Can it be manually retracted?

Long foreskins do not spontaneously retract, but some can be manually retracted while others will not manually retract, usually due to a narrow tip of the foreskin that will not pass over the glans penis.

If a foreskin cannot be manually retracted, then this may indicate the existence of a natural variant condition that is called phimosis or another one called frenulum breve.

When a retractble long foreskin is retracted, folds typically form at the base of the penis that try to unfold and push the foreskin forward into its normal position.

A manually retractable foreskin may glide forward to recover and protect the glans penis by itself when it is released.

Urination

If a long foreskin is of the non-retractable variant, its owner, by necessity, will discharge urine through the tip of the foreskin.

There is much controversy regarding urination with a retractable foreskin. Either retraction of the foreskin or non-retraction of the foreskin is possible. Some believe that it is harmful in some way to have urine in the foreskin. There is no scientific basis for this view. The foreskin developed over about 1 million years of evolution based on survival of the fittest. If the foreskin made men less fit to survive, the principal of natural selection would have eliminated the foreskin, but it did not do so. The preputial sac of the foreskin is covered with mucosa, not skin, so it well tolerates the moisture provided by urine. Some men with a long foreskin report that it is awkward to retract the foreskin for urination, because the long foreskin is constantly pushing forward to return to its normal position, so they do not retract their long foreskin when urinating.

See also

References

  1. REFjournal Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States. JAMA. 1997; 277(13): 1052-7. PMID. Retrieved 21 January 2026.
  2. REFweb (2008). Coverage Index, NewForeskin. Retrieved 21 January 2026.