The foreskin naturally retracts in boys, typically beginning around one year of age and often completing by 10 years old. This natural separation is crucial for hygiene, allowing for the removal of urine residue and smegma. Proper foreskin retraction helps prevent bacterial or fungal infections and supports healthy penile development.

Parents can gently check for natural foreskin retraction at home. With clean hands, ensure the child is relaxed. Using warm water or a lubricant, gently pull the foreskin towards the base of the penis. If it retracts easily without pain, and the child urinates normally with the urethral opening visible, it indicates a natural retraction process. If the child experiences pain or tension, stop immediately and proceed slowly. Avoid forceful pulling to prevent skin tears or bleeding. Once the foreskin has retracted, gently clean the area beneath the glans.

Dr. Nguyen Duc Tuan, Head of Pediatric Surgery, and his team performing circumcision on a child. Photo: Tam Anh General Hospital.

For children like Khanh's 6-year-old son, whose foreskin has not retracted but shows no inflammation or difficulty urinating, careful monitoring and proper hygiene are key. Surgical intervention is considered only if symptoms like inflammation, difficult urination, or urinary tract infections occur. In such cases, a doctor will evaluate the condition and recommend surgery. Modern hospitals, including Tam Anh General Hospital, are equipped with advanced tools like high-power Holmium lasers for endoscopic surgery and microscopes for microsurgery, ensuring precise and safe procedures for children.

Beyond delayed natural retraction, several medical conditions necessitate surgical intervention. These include phimosis (a tight foreskin that cannot be retracted), balanitis (inflammation of the glans and foreskin), or paraphimosis (when the retracted foreskin becomes trapped behind the glans, causing swelling and pain). A doctor will conduct an examination to assess the condition and determine if surgery is required to prevent complications.

Dr. Nguyen Huu Dung

Department of Pediatric Surgery

Tam Anh General Hospital, Ho Chi Minh City