Catheterization without foreskin retraction.

Over the past century, numerous boys born in Canada and the United States have been circumcised.1 However, this trend is changing, with neonatal circumcision being performed less commonly than in years past.2,3 Because of these historical practices, many physicians and nurses have limited experience treating patients with intact foreskins and engage in illadvised procedures such as premature foreskin retraction for purposes of “hygiene” or catheterization. Premature retraction of the foreskin can lead to tearing of healthy tissue, which is painful and increases the risk of preputial scarring and infection.4-6 We describe a method for catheterization in which premature retraction of the foreskin is not necessary.