Changes

When an infant boy is to be [[circumcised]], as remains a practice in the [[United States]], in preparation for the [[circumcision]], the preputial synechia must first be forcibly separated by passing a blunt probe under the foreskin in an intensely [[Pain| painful]] procedure.

Premature forcible foreskin retraction (PFFR) of a boy's [[foreskin ]] will rip the boy's synechia apart and cause severe pain and injury to the boys.<ref>{{REFjournal

}}</ref> Unfortunately, many American physicians are ignorant of normal penile anatomy and cause severe pain and grave injury to boys whom they examine in their practice. The first person to retract a boy's [[foreskin ]] should be the boy himself.<ref>{{REFjournal

The synechia spontaneously disintegrates to release the [[foreskin]].<ref name="deibart1933" /> The disintegration usually occurs in childhood but will persist into adolescence in a few cases.