Attachment of the foreskin

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The attachment of the foreskin to the penis may occur in three different ways that tend to be confusing. They are fusion, adhesion, and the frenulum.

Fusion

Baby boys are born with the inner surface of their foreskin fused with the underlying glans penis by the balano-preputial lamina, which is a thin sheet of connective tissue. The balano-preputial lamina seals the preputial sac and prevents infection. It spontaneously breaks down over a widely-variable span of years and releases the foreskin from the glans penis.