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|SPECIAL INFORMATION ABOUT THE DEVELOPMENT OF THE INTACT BOY:
During childhood/adolescence your son will go through a normal separation process as the foreskin separates from the glans. As I said before, the foreskin is fused during childhood to protect the developing penis from feces and other pathogens. Separation is different for each boy and happens at a different age for each boy. During this time he might experience some irritation, itching, stinging, minor redness, minor swelling, ballooning, spraying, smegma pearls, uneven retraction, etc. These are all totally NORMAL and resolve by themselves. I get get many concerned parents come here asking about their son's irritated, red, or slightly inflamed penis. 97% of the time it is just normal separation occurring. Some boys don't experience any of this but most boys have 1 of these symptoms at some point especially around ages 2-5 when boys really begin to explore their genitals with their hands. During self-discovery is a prime time for separation trauma to appear. UNLESS it gets increasingly worse, extremely inflamed, he has fever, or you suspect yeast infection there is nothing to worry about. (Bacterial infections are VERY RARE and usually only occur only after forcible retraction or a wound to the penis.) Usually the symptoms of normal separation resolve themselves within 48 hours. Due to the fact that US doctors know very little about the development of the intact boy, it is wise to wait it out and let this resolve on its own. Since boys tend to be more "hands on" with their genitals and their genitals are not as internal these symptoms appear more frequently than with girls. You may want to remind your son to be gentle with his privates as he begins to self-explore.
Important Article--- Protect Your Intact Son, Expert Medical Advice.
Here is a helpful thread about separation and when to be concerned:
Remember that just b/c the foreskin has separated from the glans does NOT mean that anyone should try to retract your son. The opening of the foreskin remains very narrow and widens with sexual maturity. A foreskin only becomes retractable after the foreskin has separated and the opening has widened. Hormones play a big role in the widening process. These hormones replace the fiberous tissue with a more elasticy tissue. Through self-discovery your son will learn when he is retractable. Only 50% of boys are retractable by age 10. It is normal for a boy to not become retractable until after puberty. The only person to retract a boy should be the boy himself. Once a boy/man is retractable he can retract his foreskin, rinse with water only, and replace the foreskin back over the glans during his showers. Easy as that!
Thank you for your replies. He shouldn't have been retracted recently at least. When he was in the nicu at birth the doc said she was looking to see that his uretha? was in the correct place. And he has had some messy diapers lately. I don't think I dig in there to clean, but I do try to make sure the top of the foreskin is clean in the crease. But I definitely don't clean inside. Should I be doing something different? What does an adhesion look like? Do you think he would be hurt from the nicu experience? I don't think she pulled down and over , but she did push back somewhat.
Thanks for your help...
Hi. Ds had a sudden fever and a rash on friday so the doctor told us to take him to the children's hospital er. Long story short, they wanted a cathater urine sample. I think I freaked the nurse out because I was so nervous about his foreskin. Anyway, she said she wouldn't forcibly retract. When she looked around gently she said he was still fused? My ds peed into a bag instead. Anyway u/a was negative but the next day the culture grew bacteria and the doc prescribed antibiotics for a bladder infection. Now we might have to follow up with u/s and a catheter dye test in a couple weeks. nobody is sure it is a true uti because it wasn't sterile catheter sample. What do you think? I thought the nurse meant that his foreskin was fused, but maybe she meant his uretha? I asked the doctor today if a cath will hurt him in any way and he said no....
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