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Yes, this is normal. Some boys' foreskins can be easily retracted as early as age 4, but some boys will not be able to retract their foreskins until their teenage years. The most important thing is not to force the foreskin to retract and to allow the boy to retract it when it is comfortable. Forcing the foreskin to retract can cause tissue damage or result in paraphimosis, which is when the foreskin gets stuck behind the glans. For boys who can not retract their foreskin by their teenage years, studies have shown that up to 90% of cases can be resolved by exercises that gradually stretch the foreskin over a period of weeks or months. This treatment avoids the pain and possible adverse events following a circumcision.

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Q: My son is 9 years old and his foreskin is not retracted yet is this normal?
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Can your 2year old son get a circumcised?

No. A tight foreskin is normal for 2 year olds. Usually the foreskin can not be retracted until at least 4 years of age. There is no need to wash under the foreskin until the boy can comfortably pull back his foreskin himself. Parents should never try to force back the foreskin, as this can cause injury to the penis and scaring, making it hard for the foreskin to retract when the boy is older. If phimosis persists for older boys, teenagers, or adults, it can be treated with a corticosteroid cream (betamethasone 0.05%, available by prescription) and gentle gradual stretching. This fixes phimosis in 90% of cases. Only if this doesn't work would circumcision even be considered.


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