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The [[preputial mucosa]] of the [[foreskin]] is fused with the [[glans penis]] by the [[synechia]] in infancy and childhood so the [[foreskin]] cannot be retracted. No attempt to retract the foreskin should be made. Forcible retraction is traumatic and painful. Agawal et al. (2005) report that the [[foreskin]] separates from the [[glans penis]] without intervention.<ref>{{REFjournal |last=Agawal |first= |init=A |author-link= |last2=Mohta |first2= |init2=A |author2-link= |last3=Anand |first3= |init3=RK |author3-link= |etal=no |title=Preputial retraction in children |trans-title= |journal=Journal of Indian Association of Pediatric Surgeons |location= |date=2005 |volume=10 |issue=2 |article= |page= |pages=89-91 |url=https://journals.lww.com/jiap/fulltext/2005/10020/preputial_retraction_in_children.5.aspx |archived= |quote=Preputial nonseparation is the major cause of preputial nonretraction in the pediatric age group. Prepuce spontaneously separates from the glans as age increases and true phimosis is rare in children. Surgical intervention should be avoided for nonseparation of prepuce. |pubmedID= |pubmedCID= |DOI=10.4103/0971-9261.16468 |doi= |accessdate=2025-08-02}}</ref> Wright (1994) advised that the first person to retract the boy’s [[foreskin]] should be the boy himself.<ref name="Wright1994">{{REFjournal
|last=Wright
|init=JE