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  • This is tightness of the penile foreskin with occlusion of the meatus

  • It can be adherent to the glans penis for up to 5–6 yrs

  • It usually ‘separates’ by age of 6

  • Discourage forceful retraction; leave until spontaneous separation

  • Circumcise if unretractable by 7 yrs and problems (e.g. balanitis, ballooning)

  • Can treat cases of mild balanitis with topical 0.05% betamethasone valerate cream tds for 4 wks (apply to tight shiny part of the foreskin)

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