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Date Posted: 00:16:07 11/02/08 Sun
Author: Alex J.
Subject: Re: partial penile adhesion
In reply to: Hissy 's message, "partial penile adhesion" on 15:38:27 10/30/08 Thu

This sounds like a normal stage of the progression from the infant foreskin (which adheres to the glans), to the adult foreskin (which is fully retractable). There's an intermediate stage where the adhesions are partially dissolved, leaving the 'holes' you describe, which are just the spaces between remaining adhesions. The separation should be complete within a few months to a year, and the penis should certainly have achieved the adult appearance and range of movement before he will be needing to engage in any sexual activities! One way to remove smegma that accumulates behind the unseparated adhesions is to get him to take a bath rather than a shower, and allow the water to get all the way in and around the remaining adhesions. The smegma will just float out in the water with a little rinsing. A nice side-effect of this is that the warm water also helps dissolve the remaining adhesions. The reason smegma appears to be a problem could be that the penis has not yet been fully immersed and washed clean since the separation began. Once he starts washing in this way on a regular basis, the problem will disappear, and of course once the foreskin totally separates, smegma is no longer even an issue, as long as he takes showers on a regular basis. It's much easier to clean once the foreskin can be fully retracted.

BUT, never force it! Let nature take its course. The best thing you can do is to recommend regular warm baths and gentle manipulation to dislodge any trapped material and loosen adhesions. Another strategy might be to encourage "ballooning" when he urinates, by lightly 'pinching' the opening of the foreskin together. The sterile urine, under this pressure, washes under the glans in addition to coming out, and it serves the same function as a warm water bath, washing out smegma and dissolving adhesions. However, it's not easy to direct urine into the toilet bowl if it's not coming directly from the urethral opening, so be sure to do this into a wide urinal or while actually sitting on the toilet, to avoid 'spillage'.

Rest assured that once the penis finishes adjusting to the adult state, it will function perfectly in all these capacities, and none of these measures will be necessary any longer. Finally, smegma does not cause cancer! Penile cancer is extremely rare, and occurs in old age. Even if smegma did have some causal association, this current phase you're describing will last for less than 6 months, and with regular bathing, there shouldn't even be any smegma during that time.

One more note...it will be very surprising for him when his glans suddenly appears fully exposed for the first time (perhaps in the bath)! Be sure he knows to expect the full emergence of this exciting new body part!

Hope that helps.

>My 9 yr old son has a partial foreskin adhesion. Ive
>searched the internet for an actual diagnosis but to
>no avail all i keep coming up with is tight foreskin??
>my sons foreskin is not tight and can be retracted
>with no pain however the skin cannot be pulled back
>behind the glans as its fused just pass the glans and
>frenelum which you cant see, there are lots of small
>holes that secrete smegma, my concern is that it
>causes some discomfort and smells and now ive just
>heard on a tv programme that smegma can cause cancer
>later on in life. I dont want my son to be circumcised
>as the foreskin is not tight nor is it causing any
>major problems at the moment other than slight
>irritation caused by the smegma buildup,(i cant remove
>the smegma under the glans as this is covered) will
>this fusion of skin detatch itself as he gets older or
>engages in sexual activities? I just hope it doesnt
>rip and cause more problems in the future when i
>couldve sorted it out when he was young. Any advice is
>appreciated.

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