Intact penis care:
a resource for foster families
You’ve opened your heart and home to a new little (or not so little) boy…
And now you’ve learned that your new foster son is intact (not circumcised). Close to half of all boys born in the United States have been kept intact in recent years, but depending on your geographical region, keeping a child intact may be more or less common.
Maybe you’re wondering about hygiene and washing, or how to prevent infections and problems. There’s no need to worry — the intact penis is easy to care for, and rarely experiences problems if cared for correctly. We’ll get you caught up with a quick version of intact care for all ages, a few tips, and links to further information if you need it!
Newborn and infant care
A good summary of intact care for infants is “When intact, do not retract. Only clean what is seen.” Simply wipe the outside of the penis from base to tip. The foreskin is normally fused to the glans (head of the penis) at this age, so there is no need to pull back (retract) the foreskin to clean “underneath” — trying to do so can be harmful and painful. More information can be found here: https://www.yourwholebaby.org/basic-intact-care/
Foster moms share their experiences
Most toddlers and preschoolers are not yet able to retract their foreskins, which is normal. Keep following “If intact, do not retract.” While using the toilet, intact boys do not need to retract in order to pee. If you notice anything that concerns or confuses you, Your Whole Baby has information about normal development and common worries on the Should I Worry? page.
If the foreskin has become retractable (this may not happen until sometime during puberty), then a boy can retract, rinse the area with water, and replace the foreskin back over the glans in the bath or shower. He should avoid soap, as it can cause irritation and disrupt the pH of the inner foreskin and glans. If his foreskin isn’t retractable, there is no need to do anything special.
At the doctor’s office
Not all doctors are familiar with how intact children develop and how to care for them. Make sure to have a conversation with the doctor BEFORE the diaper or underwear comes off at any visit, to ensure that they will not attempt to manipulate or retract the foreskin AT ALL. Some old-school doctors may still try to recommend circumcision as a treatment for a minor issue like a yeast infection, or for non-issues like being unable to retract by a certain age (https://www.yourwholebaby.org/phimosis/). The best move you can make in this case is to familiarize yourself with normal penis development in order to advocate effectively for your foster son.
Should he be circumcised later?
Circumcision of an older child usually requires general anesthesia in the hospital. Thankfully, it’s very rare for an older child to need a circumcision for medical reasons. Older children who are taught that their body is normal and healthy are unlikely to desire elective circumcision.
Have more questions? Your Whole Baby has lots of articles to help you navigate caring caring for an intact boy, as well as groups where you can ask questions to other parents, including some who are medical professionals.
Published Jan. 1, 2019