HOW TO CHECK The medical profession needs some sort of guideline about what to check for. - to ask the boy to retract his own foreskin and then to check the frenulum is the essential test. (A boy with frenulum breve can only see the problem with difficulty i.e. endure the tension while retracting and then turn the erect penis sidewards,). - Checking the frenulum would reveal any other condition - (except a relative phimosis, - and if no ring is visible when flaccid, then this will not lead to paraphimosis, so the school doctor`s responsibility is fulfilled). The most appropriate attitude would be to always ask the boy to retract his own foreskin, (for a variety of reasons which are discussed in prevention). BUT, when the boy is asked, does he understand the question? If not, then the idea that an important part of his manhood lies hidden, is probably not apparent to the boy. The doctor is truly in the position of leading an important part of the boy's initiation into manhood. It would be exemplary of an adult attitude to tactfully inform the boy that the foreskin normally retracts, and possibly even to make a further appointment, to give the boy a little time to get used to this new idea. See: How Not To Check reports of checking in Germany.