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Do You Know: About premature forced foreskin retraction?

You protected your son from circumcision at birth and now you’ll need to protect him from premature forcible foreskin retraction (PFFR). Too often, uninformed healthcare professionals and caregivers do not understand the anatomy, functions, development, and care of the normal penis. Many doctors still don’t know that the foreskin and glans develop as one structure and are attached by a membrane called the balano-preputial lamina. Sometime between birth and the end of puberty (for each man, it’s different), these two structures naturally separate. The average age of foreskin retractability is 10.4 years.

When you wash your son’s penis, no special care is needed. Wash it like you would a finger, from the body to the tip, with warm water only. No retracting or even checking to see if it retracts a little! The boy should be the first person to retract his own foreskin.

If your son’s foreskin is red, it’s probably caused by an overgrowth of yeast, which occurs when bacteria die from the use of soap, shampoo, bubble baths, or swimming in a chlorinated pool. The solution is simple: bacterial replacement therapy. Apply liquid Acidophilus culture or another probiotic to the boy’s outer foreskin six times a day for three days and watch it return to normal health.

If your son’s foreskin has a white lump, it’s called a smegma pearl. Smegma is made up of sloughed-off cells, and smegma pearls tell you that the foreskin and glans are separating. As the separation of the foreskin and glans makes its way to the tip of the foreskin, the smegma is easily wiped away.

Let your son’s penis develop naturally as it should, and make sure no one – not a doctor or nurse, not a babysitter or another relative – tries to forcibly retract his foreskin. This is the best way to avoid injury and make sure he’s healthy and happy.

Marilyn

Marilyn Fayre Milos, multiple award winner for her humanitarian work to end routine infant circumcision in the United States and advocating for the rights of infants and children to genital autonomy, has written a warm and compelling memoir of her path to becoming “the founding mother of the intactivist movement.” Needing to support her family as a single mother in the early sixties, Milos taught banjo—having learned to play from Jerry Garcia (later of The Grateful Dead)—and worked as an assistant to comedian and social critic Lenny Bruce, typing out the content of his shows and transcribing court proceedings of his trials for obscenity. After Lenny’s death, she found her voice as an activist as part of the counterculture revolution, living in Haight Ashbury in San Francisco during the 1967 Summer of Love, and honed her organizational skills by creating an alternative education open classroom (still operating) in Marin County. 

After witnessing the pain and trauma of the circumcision of a newborn baby boy when she was a nursing student at Marin College, Milos learned everything she could about why infants were subjected to such brutal surgery. The more she read and discovered, the more convinced she became that circumcision had no medical benefits. As a nurse on the obstetrical unit at Marin General Hospital, she committed to making sure parents understood what circumcision entailed before signing a consent form. Considered an agitator and forced to resign in 1985, she co-founded NOCIRC (National Organization of Circumcision Information Resource Centers) and began organizing international symposia on circumcision, genital autonomy, and human rights. Milos edited and published the proceedings from the above-mentioned symposia and has written numerous articles in her quest to end circumcision and protect children’s bodily integrity. She currently serves on the board of directors of Intact America.

Georganne

Georganne Chapin is a healthcare expert, attorney, social justice advocate, and founding executive director of Intact America, the nation’s most influential organization opposing the U.S. medical industry’s penchant for surgically altering the genitals of male children (“circumcision”). Under her leadership, Intact America has definitively documented tactics used by U.S. doctors and healthcare facilities to pathologize the male foreskin, pressure parents into circumcising their sons, and forcibly retract the foreskins of intact boys, creating potentially lifelong, iatrogenic harm. 

Chapin holds a BA in Anthropology from Barnard College, and a Master’s degree in Sociomedical Sciences from Columbia University. For 25 years, she served as president and chief executive officer of Hudson Health Plan, a nonprofit Medicaid insurer in New York’s Hudson Valley. Mid-career, she enrolled in an evening law program, where she explored the legal and ethical issues underlying routine male circumcision, a subject that had interested her since witnessing the aftermath of the surgery conducted on her younger brother. She received her Juris Doctor degree from Pace University School of Law in 2003, and was subsequently admitted to the New York Bar. As an adjunct professor, she taught Bioethics and Medicaid and Disability Law at Pace, and Bioethics in Dominican College’s doctoral program for advanced practice nurses.

In 2004, Chapin founded the nonprofit Hudson Center for Health Equity and Quality, a company that designs software and provides consulting services designed to reduce administrative complexities, streamline and integrate data collection and reporting, and enhance access to care for those in need. In 2008, she co-founded Intact America.

Chapin has published many articles and op-ed essays, and has been interviewed on local, national and international television, radio and podcasts about ways the U.S. healthcare system prioritizes profits over people’s basic needs. She cites routine (nontherapeutic) infant circumcision as a prime example of a practice that wastes money and harms boys and the men they will become. This Penis Business: A Memoir is her first book.