The foreskin should not be forcibly retracted if physiologic phimosis is present
Children are physiologically born with tight foreskin at birth which appears to be intact, flexible and scarless. Separation occurs naturally over time: it resolves within 3 years of age in 90% of children, within 6 years in 92%, within 16 years in 99%.
In case of recurrent balanoposthitis, which may cause scar tissue or to quicken separation, topical steroid ointment application may be recommended.
Sources
1. Pathologic and physiologic phimosis. Approach to the phimotic foreskin. Thomas B. McGregor MD John G. Pike MD FRCSC Michael P. Leonard MD FRCSC FAAP https://www.seattlechildrens.org/conditions/a-z/foreskin-care-questions/
last Revised: 01/13/2022
2. The penis and foreskin https://www.rch.org.au/clinicalguide/guideline_index/The_penis_and_foreskin/ last revised 07/18
3. What are the treatment options for phimosis? https://www.ncbi.nlm.nih.gov/books/NBK326433/
last revised 10/18
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PDFAttention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.
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