At 4yo he is supposed to have a tight foreskin. The avg age for retraction is 10.5yo and many boys do not retract until they are well into puberty. The urologist you saw is not up to date on her intact care unfortunately that is a common problem they are only taught about cutting off the foreskin not about how the foreskin works. At this age no one should be trying to make him retract it can hurt him and cause real harm.
She is a dangerous woman hurting many boys needlessly with her advice.
At 4yo my ds could retract at all he is 6 now and is about 1/2 way retractable, I know because I have seen him do it I dont touch it or allow anyone else to do so and he is 100% normal.. Many others here will tell you the same thing.
This link is by a Dr. who does know about the intact foreskin and how to watch out for Dr's who are not http://mothering.com/health/protect-your-uncircumcised-son-expert-medical-advice-for-parents
-Your son's foreskin is too tight. It doesn't retract. He needs to be circumcised.
The tightness of the foreskin is a safety mechanism that protects the glans and urethra from direct exposure to contaminants and germs. The tight foreskin also keeps the boy's glans warm, clean, and moist, and when he is an adult, it will give him pleasure. As long as your son can urinate, he is perfectly normal.
I hope you take the time to read the article and please contact the urologist and let her know how disappointed you are that she almost caused your son harm for no reason.
About the cancer that is not accurate. Having a foreskin does not make it more likely that he will get penile cancer, STD's are the deciding factor in that. I can provide you with links on that if you wish.
The human body is made to work on its own schedule and if left alone 99% of the time it will do the job when it is supposed to. It is when you start messing with things that things go wrong.
Remember the number one rule of intact penis care is never retract and never allow anyone else to try to do so.Edited by MCatLvrMom2A&X - 5/16/11 at 5:27pm