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Misinformation abounds regarding the hygiene of the intact penis. In the United States, especially, doctors tend to be ignorant, misinformed, or simply uninformed concerning the hygienic care of intact men and children, and this happens for a variety of reasons. As of yet now, America is primarily a country where circumcision is prevalent, and thus intact male genitals are unfamiliar to many Americans. Many American medical doctors, are ignorant of the subject because they are themselves circumcised, wives to circumcised men, and/or mothers to circumcised children. Additionally, care of the intact male genitals is rarely mentioned in medical school. The foreskin and the proper care for intact genitals tends to be absent in pediatric literature.<ref name="osborn1981">{{REFjournal