I would do the cream. To me that no different that apply diaper rash cream. I would not hold his penis while he peeing. Why can't he sit down to pee? If you turn him to face the back of toilet (reverse of normal), then he has more space. This what I done in past with toilet training boys who have very small penis because they can lean forward more and urine go into bowl better.
If parent not on board with him sitting to pee, then yes, I think he should be home. It not appropriate to hold the penis of 4 year old child unless you parent.


































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