A 5yo uncircumcised boy comes in because his parents are unable to retract the foreskin of his penis. They have not been able to retract it ever, but now note also that he is having ballooning of the foreskin when he urinates. On exam, the opening of the foreskin is very tight. Appropriate treatment includes:

A. Forceful retraction of the foreskin to break any adhesions

B. Topical steroid cream and close follow-up

C. Topical estrogen cream and close follow-up

D. Emergent consultation with a urologist for immediate circumcision

E. Reassurance that the condition will resolve by age 10 years