15 | 16
| P REVENTION It will be necessary to confirm this section with medical specialists, however until this happens, the following guide lines might be helpful for parents. A piece of advice which is sometimes given is not to force anything. The Best Way to Check Parents have asked me : If a boy is (unsexually) playing with his erect penis (e.g. during changing at two years old) does this mean that he's healthy? Yes. Simply look : Is the foreskin moving freely? Is the frenulum at all restictive? Adhesions Throughout the first three years of a boy's life the area between the foreskin and glans may be sealed by the natural adhesions. By the third year the adhesions should have released of their own accord. Forcing adhesions will cause pain, therefore they need attention from a urologist. Has anyone ever tried to devise a solvent for adhesions? Phimosis After the third year, the foreskin may be moveable, but if it still can not be pulled back, a degree of phimosis is indicated. Don't use any force, this can easily lead to secondary problems. A visit to the urologist is necessary. Frenulum Breve When flaccid or erect the frenulum breve pulls the glans downward, as the foreskin is retracted to its full extent16, (when flaccid this causes no pain, when erect force may cause the frenulum to rip). This condition calls for an incredibly simple operation, (in exactly the same place where it otherwise rips). |  | Once some form of these ideas is acknowledged and becomes practiced, it appears that in many countries and cultures one boy in ten would have a healthier and happier start to life. Books on child-care must mention the subject and a check is also necessary as normal practice in the school entry medical examination. Every boy with one of these conditions must be discovered and treated before puberty. ADULT CHECK Adult books which discuss circumcision must include adequate information. Every adolescent and adult male should have the opportunity of educating himself. When erect, the foreskin is normally movable, with the possibility of pulling it back inside out so that it sheathes the shaft. In doing this, the frenulum should not be so tight that it pulls the glans downward or the foreskin forward. A word of caution is necessary about late operations and after effects. In two cases these after effects were diagnosed as psychosomatic. The third was offered no alleviative for the burning sensations. Even if such after effects are psychosomatic, they could be prevented by corrective treatment before puberty. METHOD OF TREATMENT Careful consideration should be given to the treatment. Some methods of modernising the ancient technique of circumcision are indicated on internet. A few words about some of the ancient alternatives are given in appendix a. |
| 11 of 14 |