Gangsters
A tu sev blakus neesi mēģinājusi ņemt?
NEVER!!! The foreskin is supposed to be attached after birth. It seals the urinary tract from germs and feces. The foreskin will slowly retract on its own over time. The average age of full retraction is 10 years. Forcibly retracting the foreskin on a baby boy is just like bursting the hymen on a baby girl. Don't do it. The first step in a circumcision is to TEAR the connective tissue. Never forcibly retract his foreskin, it is very painful and can cause bleeding and adhesions.
In uncircumcised boys, the foreskin at first remains firmly attached to the glans, but gradually over time the attachments are broken (mostly by the stretching resulting from repeated normal erections). In 90% of boys the foreskin is loose and mobile by age 2, but the process can sometimes take five or more years. When the foreskin has separated from the glans, the foreskin can easily be retracted, or pulled back, to leave the glans exposed. Throughout life, a cheesy white material called smegma, consisting primarily of dead skin cells and secretions from sebaceous glands, will accumulate underneath it.
In uncircumcised boys, forcibly ripping the foreskin from the glans in the name of hygiene can lead to pain, scarring and adhesions. Do not try to forcibly retract the foreskin or to clean under an adherent foreskin with swabs, antiseptics, or even water.
Only the outside of the foreskin needs to be cleaned during the first year. It should be cleaned and bathed with soap and water just like the rest of the diaper area. After his first birthday, you might want to very gently pull back on the skin of the shaft to see if the foreskin retracts. If it doesn’t at all, don’t worry — and don’t force it! There is certainly no rush. If urine can flow freely, the hole in the foreskin is big enough. As long as the foreskin doesn’t easily retract (even in a ten year old), only the outside needs to be washed. If the foreskin retracts a little, it would be okay to gently clean the exposed part of the glans with water (but don’t use soap while the foreskin is still partially attached to the glans, since this can irritate this tender area). After cleaning, always pull the foreskin forward to its usual position. This is very important — otherwise it can get stuck and lead to serious damage.
Once the foreskin has completely separated and retracts freely, begin to teach your son to retract his own and clean underneath it when he bathes, or at least once a week. For most little boys this personal cleaning will not become a habit unless you encourage it. Mentioning it positively and frequently throughout the years can instill an important sense of responsibility, prevention, and health that will benefit him for years to come.
Forcing the foreskin back before the natural separation of the foreskin from the glans has happened causes tearing of the connective tissue. This is painful and can lead to problems:
*tearing the foreskin from the head of the penis leaves an open wound which can lead to infection
*the raw surfaces touching each other can heal together and form areas that stick together (adhesions) between the foreskin and the head of the penis leading to permanent problems with pulling back (retraction)
*small tears in the opening of the foreskin can heal to form non-stretchable scar tissue, possibly causing acquired narrowing (phimosis)
*the foreskin can get 'stuck' behind the head of the penis (paraphimosis)
Phimosis refers to a foreskin that cannot be pulled back because its opening is too small to expand over the head of the penis. This is normal during infancy and childhood. In later childhood if the child is still unable to retract the foreskin, a course of steroid cream can be prescribed which thins the skin and helps it to stretch over the head of the penis. Your GP (general practitioner) can advise you about this.
11429
