A 5-year-old uncircumcised boy is brought to a family medicine clinic by his parents because the foreskin cannot be pulled back and balloons when he urinates. The parents would like it treated. He has had no dysuria, pain, urinary tract infection or foreskin infections, and takes no medications and has no allergies. On examination, the foreskin is non-retractile with a narrow ring at the tip; the preputial skin looks healthy, with no erythema, pallor, scarring, fissures or discharge, and his urinary stream is normal.
| Heart rate | 88/min |
| Respiratory rate | 20/min |
| Temperature | 36.8 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 96/58 mm Hg |
Question 1 of 3
Which one of the following is the most appropriate first-line management?
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