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}}</ref> Most of the rest develop a retractable foreskin in their teenage years.<ref name="Øster1968"/> About two percent of adult males live with a non-retractable [[foreskin]].<ref name="shahid2012" />
If treatment is deemed necessary, the application of topical steroid ointment to assist manual [[stretching ]] is the most cost-effective treatment.<ref name="vanhowe1998">{{REFjournal
|last=Van Howe
|first=Robert S.
==== Manual stretching ====
The growth and hormonal surge during puberty alter both the size and size ratio of the [[penis]] and [[penile skin]] significantly. Also, the first [[masturbation]] aids in the process of [[stretching]] of the [[skin]] and detachment of any remaining childhood fusion. Manual [[stretching ]] causes [[tissue expansion]] and a wider, retractable foreskin.
If, after that, the [[foreskin]] still remains too tight, resulting in pain during sexual activities, and making genital hygiene difficult, treatment is indicated. The individual should engage in [[stretching ]] exercises, if needed with the aid of corticosteroid cream, which is available by prescription. Depending on the active substances, success rates of 80-90% have been documented.<ref>{{REFjournal
|last=Orsola
|init=A