A Modern Initiation - Prevention
2012 : note from author: My previous idea of monitoring boys before puberty is impractical, unnecessary and now only of historical interest. In the immediate future, health care with self-education through internet videos is more practical - please see Postscript.
The solution to complex problems is often very simple.
Dr. Øster presented the lowest statistics for adolescents
with phimosis in recorded medical history. This figure was the result
of a seven year long study with annual monitoring and education. However, Øster made the classical mistake of overlooking
the effect he had on his own study. Please check these
findings yourself on re-Øster.
Unfortunately, every subsequent medical study giving statistics
since Øster, (ie. since 1968 - (up until 2003),), quotes him directly and uncritically. The real value of his study has not been appreciated
in general practice.
It is clear, that apart from the logical advantages of checking
for problems before they occur, monitoring and educating boys encourages their
awareness and stimulates the self manipulation which in some cases
is necessary to stretch a stiff foreskin.
Therefore our culture`s normal caring
medical approach of monitoring and education, is of particular relevance to this subject because
monitoring and education directly promote prevention.
The first step here is explained by Dr. med Jenny Splieth. "Mothers
should check this, they see their childrens erections" and again,
"It would be best for parents to check their son's erections during
infancy ... this would be simplest to do at bath times." (22)
There is another consideration. A child with persisting epithelial
adhesions must avoid the pain inherant in his condition and must
limit his casual self exploration and self confirmation during all
his erections. This cannot be expected to lead to a relaxed sexual
psychology, or to encourage the early development of a healthy and
supple foreskin. This is discussed in Chapter 2 Adhesions and Early Learning
I examine the possibility of greatly reducing or even completely
preventing all stiff foreskin problems by gently releasing or dissolving
these epithelial adhesions, as early as possible to allow the foreskin
to develop in a fully healthy flexible, supple manner. A number
of methods and research ideas are collected under "The
Search for a Solvent for Adhesions".
and: Please see POSTSCRIPT