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Suggest Treatment For Phimosis

Posted on Fri, 17 Oct 2014

Question: My doctor has told me that because I have a very short frenulum and a tight foreskin that I need to have a circumcisioni, what I would like to know it, can my circumcision be done >>whtiout the stitches going into my penis, can the cut end of the shaft skin be folded over so what was on the inside is now on the outside and the stitches go only into that folded skin ? Is there any real reason why the stitches have to go into the penis? I want m shaft skin to be moveable like it is now
thank you

Answered by Dr. Manuel C See IV (1 hour later)

Brief Answer:
ask your doctor to do a dorsal slit technique.

Detailed Answer:
Good Day and thank you for being with Healthcare Magic!

Your doctor / Urologist would probably do a Dorsal slit technique meaning he will just cut the top part of the foreskin to expose the head(glans penis) which is causing your problems. After that he will put some sutures on the cut edge of the foreskin to control the bleeding. With a dorsal slit circumcision since we do not remove any foreskin then your penis and skin around it will feel and look essentially the same with the same degree of motion or movability.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.

Regards, Manuel C. See IV, M.D. DPBU FPUA

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (12 hours later)

I looked at the dorsil slit, I did not like the way that looks, I would rather have my cut made 1/4 inch behind the head let me please ask again about folding the shaft skin over, rather than putting the stitches through the end of the shaft skin and into my penis, can the shaft skin be folded over so what was on the inside is now on the outside and the stitches go through only the fold of shaft skin, this "overlap" of skin will only be 1/4 inch long. I would rather not have the stitches put into my penis because I want the shaft skin, all of the shaft skin (cut end to ) to be moveable
thank you

Answered by Dr. Manuel C See IV (44 minutes later)

Brief Answer:
Phalatoplasty might be suitable

Detailed Answer:
you may check a procedure called phalatoplasty where in an incision will be made on the top part of the skin and there will be opening and widening of the prepuce so the glans can be exposed.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (4 hours later)

Dear Doctor: I am sorry I am so dumb but you have not answered my question
can the cut end of the shaft skin be folded over so what was on the inside is now on the outside and the circumcision stitches be put through that double layer of skin and NOT into the penis. Please answer that, YES it can be done that way or NO it can not be done that way and if it can not be done that way then please tell me why
That fold over only needs to be about 1/4 inch. like the hem in your paints.
I want my shaft skin to be moveable, all of it from the cut end down
thank you

Answered by Dr. Manuel C See IV (3 hours later)

Brief Answer:
No not possible.

Detailed Answer:
No it cannot be done because it will cause constriction of the penile shaft and head. This may lead to ischemia and possible organ loss.

I Am sorry to have cause frustration and I hope you find my explanation satisfactory.

Regards, Manuel C. See IV, M.D. DPBU FPUA

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (3 days later)

I will have my frenulum removed and a circumcisioin, is it better to have the frenulum removed first and when that has healed then have the circumcisioin or better to do it all at the same time ?
thanks for your help

Answered by Dr. Manuel C See IV (57 minutes later)

Brief Answer:
Do it both in one sitting.

Detailed Answer:
Good Day and thank you for being with Healthcare Magic!

It would be better to have it done at the same time. The reason for this is your recovery period for the two procedures will happen simultaneously. Cosmetically it would be easier for the urologist to ensure a good outcome if he'll do it at the same time.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar