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Glamorgan Urology: Non Retractile Foreskin

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Non Retractile Foreskin

Non Retractile Foreskin / Circumcision

The management of foreskin conditions varies amongst medical practitioners from observation to circumcision.

Therapeutic circumcision is performed in the U.K for specific indications.

Foreskin Retraction

Almost all boys have a non retractile foreskin at birth. The inner foreskin is attached to the glans. Foreskin adhesions break down and are often associated with smegma pearls ‘white cysts under the foreskin’ which then extrude.

The foreskin does not retract before the age of 2 years after which it ‘pouts like a flower’- (physiological phimosis). The process of retractility is spontaneous and does not require manipulation.

The majority of boys will have a retractile foreskin by 10 years of age and 95% by 16-17 years of age


Male circumcision is the most common surgical procedure in the world. It may be performed for clinical reasons or to comply with religious/cultural practice.

Cultural circumcisions are not uniformly available on the NHS (where they are performed by medical practitioners) and are also performed in the community by general practitioners and non-clinicians. We provide a consultant-delivered service to include assessment and treatment as required.

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