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Add tissue expansion.
==== 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 boy himself should engage in stretching exercises, if needed with the aid of corticosteroid cream. Depending on the active substances, success rates of 80-90% have been documented.<ref>{{REFjournal