Boys have had physiological foreskin elongation since childhood. Most boys naturally retract their foreskin as the penis grows naturally. However, the power of nature is limited, making it difficult for all boys to retract their foreskin to an ideal state, leaving some boys with some regrets. According to statistics, the incidence of phimosis in boys as adults is 48.97%.
From an anatomical perspective, the foreskin is like a "leather garment" worn on the penis, forming double folds on the glans, resembling a "sandwich leather jacket". The inner skin is called the inner plate, and the outer skin is called the foreskin. Two layers of skin wrap around the glans, forming a small opening at the end called the foreskin opening. The glans and urethral opening are hidden inside the foreskin opening. If the opening of the foreskin is too small to retract, it is medically called phimosis. The incidence of phimosis is 6.31%.
In early childhood, there is a layer of epithelial cells on the inner plate of the foreskin that adhere to the glans. The foreskin and glans are like a whole, and forcefully peeling the foreskin off the glans can cause discomfort or pain. During childhood, with the continuous development of the penis, especially at night or during urination, the penis naturally erects from time to time, causing the foreskin to elongate and then retract. The back and forth movement causes slow detachment between the foreskin and the glans, gradually separating the foreskin from the glans, and the foreskin opening becomes wider due to the repeated expansion of the penis erection. Due to the elastic retraction of the foreskin and the longer and larger the glans, the larger the opening of the foreskin. By adolescence, the glans gradually reveals its true appearance, with both the glans and the urethral opening exposed outside the opening of the foreskin, eliminating the temporary phenomenon of excessive foreskin in childhood.
However, many boys reach puberty and still cannot take off the "sandwich leather jacket", with the glans hidden deep inside. This is because some "fur coats" are "designed" too long during embryonic development, and despite long-term efforts by the penis, the glans remains hidden within the foreskin, manifested as phimosis or even foreskin elongation.
To achieve perfect foreskin development in all boys, relying solely on the natural movement of the penis is not enough. If boys can artificially and frequently flip the foreskin upwards, gradually expand the foreskin opening, and accelerate the separation speed between the foreskin and the glans, the incidence of phimosis or phimosis can be reduced. This is the simplest and most effective method.
How to help with the development of the foreskin? How much length should be flipped each time? This is a scientific question. The degree of foreskin turnover should be determined based on the different states of the individual foreskin. Generally, the first time the foreskin is flipped, it should be gently attempted. If the foreskin easily turns over and exposes the glans, and the child does not feel any obvious discomfort, such foreskin does not require too much effort. As the penis develops, the foreskin will gradually retract, and without flipping it, phimosis will not occur. For those who experience significant discomfort or even pain when flipping the foreskin due to the small opening of the foreskin, they should not reluctantly do so. Instead, they should gradually expand gradually. Under multiple artificial expansions, the opening of the foreskin will gradually expand and the foreskin will gradually shorten, ultimately causing the hidden glans to "stand out".
The development of foreskin is not a temporary matter, it takes several years of slow process. Therefore, manual circumcision cannot rely on one or several attempts to achieve the goal. It is not advisable to act too hastily, as it can backfire and even cause tearing and infection of the foreskin, exacerbating the pathological changes of the foreskin. So it is best to perform the first few manual circumcision under the guidance of a doctor.