A 4-year-old boy is brought to the pediatric clinic by his parents, who are concerned about the inability to retract his foreskin. They have noticed that during diaper changes and baths, the foreskin remains tight and does not fully pull back over the head of the penis. The child has had no history of infections or pain during urination, but the parents are worried as they believe this is abnormal.

Upon examination, the pediatrician observes that the boy has a tight, non-retractable foreskin, consistent with physiologic phimosis, which is common in young children. There is no sign of redness, infection, or scarring. The pediatrician reassures the parents that this condition is typically normal at the boy’s age and often resolves on its own as the child grows older.

The pediatrician advises gentle hygiene practices, avoiding forceful retraction of the foreskin. They discuss the possibility of using a topical steroid cream to help with foreskin retraction if necessary, in the future. The parents are advised to return for follow-up if the child develops any symptoms such as pain, infection, or difficulty urinating.