15,426
edits
Changes
Jump to navigation
Jump to search
====A word to intact teens====
Boys are born with a [[foreskin]] that is non-retractable for reasons of [[Immunological_and_protective_function_of_the_foreskin#The_protective_and_hygienic_function_of_the_foreskin| protection]]. The inner surface is fused with the [[glans penis]] by a [[synechia]] (similar to a fingernail that is glued to the nail bed of the finger). Also the tip of the foreskin is too narrow to retract. As a boy gets older, the synechia disintegrates and releases the foreskin and the foreskin gets wider as a boy ages, so the foreskin gradually becomes [[Retraction of the foreskin| retractable]]. Some boys go through puberty but find that their [[foreskin]] is still too narrow to permit retraction.
Beaugé (1997) reported that boys, who masturbate by pulling their [[foreskin]] away from the body, will not stretch the tight part of the foreskin so non-retractile foreskin will persist. He advised changing the method of [[masturbation]] to the more conventional method of pulling the foreskin toward the body so that the narrow orifice gets stretched.<ref name="beauge1997">{{REFjournal
|last=Beaugé
|init=Michel
|author-link=
|last2=
|init2=
|author2-link=
|url=http://www.cirp.org/library/treatment/phimosis/beauge2/
|title=The causes of adolescent phimosis
|journal=Br J Sex Med
|date=1997
|volume=
|issue=September/October
|pages=26
|accessdate=2021-04-21
}}</ref>
The traditional way of addressing this issue was to consult a urologist and get a [[Adolescent and adult circumcision| circumcision]], however we now understand that in the vast majority of cases, manual stretching over a few months will widen the foreskin by [[tissue expansion]], make the foreskin retractable and eliminate the need for a destructive [[Adolescent and adult circumcision| circumcision]].
One should continue to stretch until one gets good [[gliding action]].
Where the [[phimosis]] It is very mild it may be possible to stretch the [[foreskin]] by pulling it back tightly against the head [[glans]] of the erect [[penis]]. One should pull the [[foreskin]] back until one feels non-painful tension in the tight part of the foreskin and hold that for perhaps five minutes. Do that twice two or more times a day. <u>'''Do not force retraction and do not cause yourself pain.'''</u>. One should gradually see the narrow tip widen and become more retractable.
→Video: Revise section; Add video.
|accessdate=2022-09-20
}}</ref>
Foreskin stretchers should take care to avoid [[paraphimosis]].
=== A word to intact teens ===
Boys are born with a [[foreskin]] that is non-retractable for reasons of [[Immunological_and_protective_function_of_the_foreskin#The_protective_and_hygienic_function_of_the_foreskin| protection]]. The inner surface is fused with the [[glans penis]] by a [[synechia]] (similar to a fingernail that is glued to the nail bed of the finger). Also the tip of the foreskin is too narrow to retract. As a boy gets older, the synechia disintegrates and releases the foreskin and the foreskin gets wider as a boy ages, so the foreskin gradually becomes [[Retraction of the foreskin| retractable]]. A survey carried out in [[Denmark]] found that the mean age of first foreskin retraction is 10.4 years.<ref name="Thorvaldsen">{{REFjournal
|last=Thorvaldsen
|init=MA
|last2=Meyhoff
|init2=H
|title=Patologisk eller fysiologisk fimose?
|trans-title=Pathological or physiological phimosis?
|language=Danish
|journal=Ugeskr Læger
|volume=167
|issue=17
|pages=1858-1862
|url=http://www.cirp.org/library/normal/thorvaldsen1/
|quote=
|pubmedID=
|pubmedCID=
|DOI=
|date=2005
|accessdate=2023-12-09
}}</ref> This means that 1/2 of boys become retractable earlier and 1/2 of boys become retractable later. a few [[intact]] boys go through puberty but find that their [[foreskin]] is still too narrow to permit retraction.
Beaugé (1997) reported that boys, who [[masturbation| masturbate]] by pulling their [[foreskin]] away from the body, will not stretch the tight part of the foreskin so non-retractile foreskin will persist. He advised changing the method of [[masturbation]] to the more conventional method of pulling the foreskin toward the body so that the narrow orifice gets stretched.<ref name="beauge1997">{{REFjournal
|last=Beaugé
|init=Michel
|author-link=
|last2=
|init2=
|author2-link=
|url=http://www.cirp.org/library/treatment/phimosis/beauge2/
|title=The causes of adolescent phimosis
|journal=Br J Sex Med
|date=1997
|volume=
|issue=September/October
|pages=26
|accessdate=2021-04-21
}}</ref>
The traditional way of addressing this issue was to consult a [[Issues_with_American_urologists_and_the_practice_of_male_circumcision#Issues_with_care_of_adult_intact_males| urologist]] and get a [[Adolescent and adult circumcision| circumcision]], however we now understand that in the vast majority of cases, manual [[stretching]] over a few months will widen the narrow [[foreskin]] by [[tissue expansion]], make the foreskin retractable and eliminate the need for a destructive and harmful [[Adolescent and adult circumcision| circumcision]].
One should continue to stretch until one gets satisfactory [[gliding action]].
== Methods ==
Human [[skin]] can be stretched and normally returns to its normal size and position. But when stretching is done over a longer period of time, chances are that this stretching causes new [[skin]] cells to grow and [[tissue expansion]] to occur. We all know this from the [[skin]] which covers e.g. the human stomach or the breast area.
=== Topical steroid cream for stretching ===Basically, all curative or constructive stretching of human [[skin]] should be accompanied by applying a steroid cream or lotion to the [[skin]]. The steroid thins the skin and makes stretching easier. Topical steroid treatment is also useful to hasten foreskin retraction in boys with nonretractile foreskins. A number of steroid preparations have been used, including [https://www.webmd.com/drugs/2/drug-4897-722/betamethasone-valerate-topical/betamethasone-valerate-topical/details Betamethasone Valerate] 0.05% to 0.1%, triamcinolone 0.1% and mometasone furoate 0.1%.<ref name="cps2015">{{REFjournal |last=Sorokin |first=S. Todd |init=ST |author-link= |last2=Finlay |first2=JC |author2-link= |last3=Jeffries |first3=AL |author3-link= |etal=yes |title=Newborn male circumcision |journal=Paediatr Child Health |location= |date=2015-08 |volume=20 |issue=6 |pages=311-20 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578472/ |quote= |pubmedID=26435672 |pubmedCID=4578472 |DOI=10.1093/pch/20.6.311 |accessdate=2023-06-15}}</ref> It does not work without stretching. Betamethasone valerate<ref>{{REFweb
|url=https://en.wikipedia.org/wiki/Betamethasone
|title=Betamethasone
Manual stretching should continue until the [[foreskin]] will [[Gliding action| glide smoothly]] back and forth while the [[penis]] is erect.
=== Fingers ===
Or the fingers can be inserted into the opening and used to stretch the foreskin. If the foreskin is only slightly tight, a minor case of phimosis, then the stretching can be accomplished using fingers inserted into the opening in the foreskin and applying outward pressure.<ref name="glansie">{{REFweb
}}</ref>
* [... more to be added ...]
==Video==
<br>
<b>Tips for a tight foreskin</b>
<youtube>v=LoyZ_ur1IqI</youtube>
<br>
<b>4 common treatments for phimosis</b>
<youtube>v=NPwFMSZjiII</youtube>
{{SEEALSO}}
* [[Acroposthion]]
* [[Development of retractable foreskin]]
* [[Frenulum breve]]
* [[Gliding action]]
* [[Issues with American urologists and the practice of male circumcision]]
* [[Mitosis]]
* [[Retraction of the foreskinParaphimosis]]* [[Preputial sac]]* [[Preputioplasty]]
* [[Tissue expansion]]
[[Category:Foreskin anatomy]]
[[Category:Genital]]
[[Category:Penile function]]
[[Category:Physiology]]