Hi, I had gone through your question and understand your concerns. Up to five pus cells in urine are normal, as your son does not cry during urination it is unlikely to be a urinary tract infection , on safer side you can get a urine culture and sensitivity report . Main problem is prepucial adhesion which needs to be taken care , because it is accumulated secretions which are causing him problem. You can either get surgeon help for adhesions or can try topical steroids which gentle retraction to loosen adhesions. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. Take care. • DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination