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When as infant boy is circumcised, as remains common in the United States, in preparation for the [[circumcision]], the preputial synechia must first be broken by passing a blunt probe under the foreskin in an intensely painful procedure.
==Premature forcible foreskin retraction==
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. 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
|last=Wright
|first=JE
|author-link=
|coauthors=
|title= Further to the "Further Fate of the Foreskin."
|journal=Med J Aust
|date=1994
|volume=160
|issue=
|pages=134-5
|url=http://www.cirp.org/library/normal/wright2/
|quote=
|pubmedID=8295581
|pubmedCID=
|DOI=
|accessdate=2019-10-08
}}</ref>
{{REF}}