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The skin prepuce  seems tight  need physical examination,  why  this come back.? If very tight  than he need circumcision? You can apply apply  coconut  or Vaseline to retract it back.if it happens  than in few days it becomes smooth,  hygiene to be maintained,  clean the skin n apply  coconut oil  n pull to normal place. Consult a general surgeon for physical examination.

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A clinical examination is required to assess if the prepuce is too tight. You didn't mention the age of your nephew. In such cases there is always a danger of paraphimosis. So a circumcision is worthwhile.

Please consult a surgeon physically.

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Need further evaluation. Kindly consult for further management

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Pls have physical examination with nearby surgeon and have a follow-up.