Common Urological Concerns in Preteens: A Guide for Parents - Urology

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Penile issues


I'm twelve years old, and I've started to grow pubic hair.
I can retract my foreskin, but I can't pull it all the way back; it seems like there's a white line (not very noticeable) that is attaching the foreskin to the penis, and no matter what I do, I can't separate them.
1.
What is this condition? Should I be concerned? 2.
I have a 5 cm penis when not erect and 11 cm when erect.
Is this normal for my age? Will I continue to grow? (Some classmates have 14 cm.) (I am overweight.) 3.
I rarely ejaculate when masturbating; most of the time, it's just a dribble, and the amount isn't much.
I do this almost every day and have never experienced nocturnal emissions.
How can I ejaculate further, or should I just wait until my development is complete?

Doraemon, 10~19 year old female. Ask Date: 2019/06/20

Dr. Du Shixi reply Urology


Hello: 1) If medical attention is needed, it should be for adhesions.
2) In the normal range, if development has concluded, such as pubic hair growth, voice change, and Adam's apple formation, there is less likelihood of further changes; however, it is important to pay attention to sleep and exercise.
3) There is no way to generalize, as individuals vary; some may experience discharge.
Wishing you good health.

Reply Date: 2019/06/20

More Info


Understanding common urological concerns in preteens is essential for parents to ensure their children are developing healthily and comfortably. Based on your description, it seems you have several questions regarding your urological health, particularly related to your foreskin, growth, and sexual development. Let's address each of your concerns one by one.

1. Foreskin Adhesion: The condition you are describing, where the foreskin cannot be fully retracted and seems to be attached to the glans (the head of the penis) by a thin band of tissue, is known as phimosis. This is quite common in preteens and younger boys. In many cases, this condition resolves naturally as the child grows older, and the foreskin becomes more retractable. However, if you are experiencing discomfort, pain, or recurrent infections, it is advisable to consult a healthcare professional for an evaluation. They can provide guidance on whether any treatment is necessary, which may include gentle stretching exercises or, in some cases, a minor surgical procedure.

2. Growth and Development: Regarding your concerns about penis size, it is important to understand that there is a wide range of what is considered normal. At age twelve, it is typical for boys to experience varying rates of growth and development. The average erect penis size for adult males is around 5 to 6 inches, but many boys will continue to grow and develop until their late teens. Your reported sizes of 5 cm (about 2 inches) when flaccid and 11 cm (about 4.3 inches) when erect are within the normal range for your age group. Factors such as genetics, nutrition, and overall health can influence growth, so it is essential to maintain a balanced diet and healthy lifestyle. If you have concerns about your growth or development, discussing them with a healthcare provider can provide reassurance and guidance.

3. Ejaculation and Sexual Development: It is also normal for preteens and early teens to experience variations in ejaculation. The frequency of ejaculation and the amount of semen produced can differ significantly from person to person. Many boys your age may not yet have experienced ejaculation, and it is common for some to have less volume or to experience "dry orgasms" (where no semen is expelled). As you continue to mature, your body will undergo changes that may lead to more typical ejaculation patterns. Engaging in masturbation is a normal part of sexual development, and it is essential to do so in a healthy and safe manner. If you have specific concerns about your sexual health or development, it may be beneficial to speak with a trusted adult or healthcare provider who can provide accurate information and support.

In summary, your concerns about phimosis, growth, and ejaculation are common among preteens and can often be addressed with the right information and support. It is crucial to maintain open communication with a healthcare professional who can provide personalized advice based on your individual health needs. Remember that every person's body develops at its own pace, and what is most important is that you feel comfortable and healthy as you grow.

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