At birth, and often for several years afterward, most or all of the foreskin usually remains attached to the head of the penis. The foreskin normally detaches from the penis tip (so that it can be retracted) by age 5, but it can take until puberty in some cases. Until that time, don't try to forcibly pull back a foreskin that is still attached. Forcibly pulling back an attached foreskin will cause a great deal of pain and can lead to skin tears, bleeding, scarring, and possibly nerve damage. Before puberty, you generally don't need to pull back the foreskin to clean beneath it, even if it has detached from the head of the penis. Cleaning the outer surface of the penis regularly with a mild soap and clean water is sufficient under normal circumstances.  If smegma buildup is causing odor or discomfort, and the foreskin has detached so that it can be pulled back, go ahead and start cleaning beneath it. If smegma buildup is creating discomfort under a foreskin that hasn't yet detached, talk to a doctor for guidance. Once the foreskin detaches from the head of the penis and can be retracted, demonstrate proper cleaning technique to the child. Advise them to slowly  pull back the foreskin to expose the penis head while bathing or showering. After they pull back the foreskin, instruct them to gently wash the penis head and underside of the foreskin with a mild soap, rinse the area thoroughly with clean water, and slide the foreskin back into place. If a child's foreskin is still connected to the penis head after puberty begins, or if they can't retract it because it's too tight (phimosis), make an appointment with their doctor. The doctor might recommend foreskin stretching exercises, prescribe topical steroids, or simply advise a wait-and-see approach. In rare cases, circumcision may be recommended as the best course of action for severe phimosis.
لا تسحب قلفة الطفل للخلف بالقوة. لا تشغل نفسك بمسألة تنظيف ما تحت القلفة عند الأطفال تحت سن البلوغ. علّم الطفل كيفية الحفاظ على نظافة قلفته بعد انفصالها عن رأس القضيب وإمكانية سحبها للخلف. استشر الطبيب إذا ظلت القلفة ملتصقة برأس القضيب ولا ترجع للخلف بعد سن البلوغ.