Typical outcome images can be viewed on the Website.Īs mentioned in the initial paragraph, the outcome may be customized to patient preference. I then close the wound with fine sutures, placed in a very precise manner so that suture marks and tunnels will not occur, and finally apply a compression bandage to the surgical site. The frenulum is then removed if the patient desires this to be done. Bleeding points are identified and cauterized with electrocautery. Once I have determined the correct location of the incision lines, I make the outer incision, retract the foreskin and make the inner incision and remove the foreskin as one piece of tissue. I want these two points to come together without excessive tension. I mark incision lines with an ink marker and then stretch the penis and move the two incision lines into proximity. I simulate erect length by stretching the penis. An adult circumcision should be crafted to accommodate the dimensions of the erect penis. I mark the incision lines before making any incision and make measurements to be certain that the incisions will result in removing enough foreskin to meet the patient’s cosmetic preferences and allow for comfortable erections. I then retract the foreskin and make an incision in the inner (mucosal) surface of the foreskin following the contour of the glans. This involves making an incision on the outer surface of the foreskin at the level where the edge of the glans (corona) is visible making an impression through the foreskin. In addition to a refined scar line, this technique allows the outcome to be customized to the patient's specifications if he has a particular outcome concept he wishes me to produce. In my opinion, this gives a symmetrical, fine incision line. Which Circumcision Technique We Use?įor adult circumcision, I use the sleeve resection technique in which the foreskin is removed as a ring of tissue with a scalpel. Only after the patient is comfortable, do I begin the procedure. After the anesthetic is injected, I allow five to ten minutes for the effect to occur and then check the patient’s sensation to ascertain that he is not able to feel pain. The injections are not particularly painful since the injections are just beneath the skin surface. This involves a series of injections around the base of the penis to encircle the penile circumference with the anesthetic agent. I perform almost all of the procedures for my patients utilizing local anesthetics. This is a more complicated and expensive procedure than local anesthesia. Many urologists perform adult circumcisions with general anesthesia. In addition to a refined scar line, this technique allows the final result to be customized to the patient's specifications if he has a particular outcome in mind. Nothing goes out without being tested by members of the community who have given their feedback and thumbs up to the final design.Circumcision Surgery - Before And After Picturesįor adult circumcision, I use the sleeve resection technique in which the foreskin is removed as a single ring of tissue utilizing a scalpel. We set our standards high, we won 't provide you items that we wouldn't use ourselve s. If spending your hard earned dollars on products that will last is important, you've come to the right place. We also use high end professional materials, including professional grade elastic and actual Cock rings, thick and made to last, not thin Home Depot plumbing "O" rings that are inexpensive and will snap after a few uses of taking your packer in and out of the ring. We have experienced sewists to make your gear to your specifications. Please check our tab " When will my discrete package ship?" for more info We are able to adjust to your size or other requests as we make all the itemsĪll right here under one roof in our shopĬustomized to fit you just the way you want Making us the one stop shop for all things - FTM
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