Problem: A 10-year-old boy presents with his mother with dysuria and skin irritation on the glans of the penis. His medical history includes two urinary tract infections in the last 6 months. The patient's mother noticed that postvoid there is mild ballooning of the prepuce. On physical exam, you note that the prepuce covering the glans of the penis does not retract. Which of the following is the most appropriate initial management for the likely condition? No intervention is needed, the findings are normal for his age Refer the patient to the emergency department Refer to a urologist for urgent circumcision Topical corticosteroids and foreskin stretching exercises