This site discusses phimosis in its specific forms of phimotic ring, frenulum breve, adhesions or skinbridges. During erection these conditions inhibit the relationship between foreskin and glans. This functionally restricts the erection, and thus has an effect on the sexuality. With our culture's attitudes on health care, it would be appropriate to encourage early prevention. Jan 2021 : Please read the new summary.

C HECKING IN G ERMANY In Germany checking is laid down by the Ministry of Health ... I receive a number of letters from men (always from Germany) who found "checking" to be an extremely confusing childhood experience. It will become clear that the doctors in Germany have no guide lines on how to check, what to check for, and what to do when they find any problem - It is somehow understood that every doctor obviously knows what to do with such simple problems. Many German boys are operated around the age of 6 yrs. (presumably with a congenital phimosis which may have otherwise stretched, - on the other hand forceful stretching exercises are still sometimes recommended (in 1999). Please see related file: How To Check How Not To Check The following story was written emotionally, it shows that it was certainly felt in a traumatic way by the man concerned. "Later, my mother took me to the paediatrician and I had one of the most painful experiences of my life. The doctor sat me down on the examination table and examined my little penis and its immobile foreskin. He then called for 2 nurses who held me down by force as the doctor attempted to brutally stretch the opening in my foreskin. The worst moment was when he used a scalpel to make a little incision in my frenulum. No anaesthetic was used..." "The doctor told my mother that my foreskin would have to be retracted and stretched daily but after a few days my mother gave up because I couldn't bear the pain and kept on crying. So, any treatment was forgotten and I continued to grow up with my phimosis." Full Letter Comment I am certain, that it is only the rarest of practical doctors who would thoughtlessly conduct such a sudden shock exposure of this important part of a child's future manhood, however it is clear from reports between 1997 - 1999 that such methods are still being practiced by a few isolated doctors. _____________________ For boys with problems, if the parents move home often, the diversity of individual approaches must be particularly confusing - Subject: To the Topic Examination of the Boy's Foreskin Hallo. I want to give you a short report of experiences with the prepuce from my point of view. My foreskin was examined at the age of two. The doctor tried to retract it and to solve the heavy adhesions between my foreskin and my glans. This had not much success because my foreskin was still quite tight and cannot be seen as a phimosis but as something very natural. The adhesions came back again and again because pulling back my prepuce was only possible by using real force. The pains I suffered by the doctor who was trying to retract my foreskin were very extreme, I remember especially one occasion when I was five years old. At this point he suggested a circumcision but wanted to retry it once more, I myself was never asked, but I am sure that if anyone had told me at that time, that a circumcision would make an end to the torturing pains of solving the adhesions, I would have agreed in cutting off my foreskin. Later I was examined by another doctor, who was a woman. We changed the doctor because we had to move to another city. She only tried to pull it back as far as it would go - 50 % at that time (I was 6 yrs. old) . I was surprised that she was satisfied with that, but she said she only wanted to see if the ring of the prepuce would be big enough. I was once more examined by her because of a problem with the urethra and she pulled back my foreskin again to see if I had balanitis - she said, then she would have suggested circumcision (at 7 years). The school doctor also pulled back my foreskin at that time and it could be retracted to almost two thirds, which was for her not enough. She said that a schoolboy must be able to retract his foreskin completely and if not, then immediate circumcision was the only choice because the adhesions could not be solved anymore, they had grown to skin bridges between foreskin and glans. So I got a date to be circumcised in the town hospital. But we still had to wait one year for the operation, because there was only one surgeon to cut the foreskins off and the school doctors sent at that time (1985) almost 50% to the circumcision. By this time we had moved to another town. At our new town we went after some time to a pediatrician, who examined my foreskin which had almost no adhesions anymore (with 9 years) and he said that he wouldn't cut the foreskin off. So I remained uncircumcised but I really don't feel happier about that fact. I did suffer a lot under the state of the medical doctors who had no real idea of what to do with my foreskin. ... Maybe you can understand why I think a little bit critical about your idea of the early examination which could prevent all prepuce problems: I think early examination yes but not before 5 years and if phimosis or strong adhesions then better circumcise immediately than waiting and causing a lot of pain and shame to the boy. Deutsch e.mail letter bescreibt ungenauer check (German e.mail describes inexact check)