[ ARC forum 2 ]

Re: Questions - Consulting Circ.

Written by halfclip at 29 Aug 2004 19:42:18:

As an answer to: Questions - Consulting Circ. written by James at 29 Aug 2004 10:38:28:

>* As far as the frenulum is concerned, I frankly do not know the difference. Having had my glans covered for the duration of my life, I have yet to experience any pleasure from it anyway.

Since you have pinhole phimosis, the doc could not examine your frenulum to determine if it needs to be snipped or not prior to begining the incisions, and once incision has begun, it is probably hard to gauge the real impact. You may want to just keep the frenulum for now, and once the circumcision has healed, you cold just go back for a tiny snip if necessary. (takes just a few minutes to do, but takes a while to heal.)

>* I am in Canada. Unaware of the procedural involvements in Canada for circumcision. Does somebody here know?

Depends on the province. Get your general doctor to provide a referal to a urologist. Then choose yoru urologist, mention you have pinhole phimosis etc. (since you clearly have a medical need for circumcision, it should be covered by health insurance).


>* Local anesthetic. I do not feel it necessary to be 'put out' for the simple five-minute removal of a 'quarter-sized' amount of skin.

Correct. Beware of a doctor who insists on general anesthetic, it is probably a singn that he is not very experienced. General anesthetic gives the doc MUCH longer time to work and fix up screw ups withouy you knowing it. Also, under general anesthetic, you the doctor is free to perform the circ the way he wants (or knows) and totally forget about your requests.

>* Tight or loose circumcision: what is the difference? what is preferred--what is believed to be the most satisfying longterm? What is the difference in recovery?

Tough question. It is really up to you. Tight circs will be painful during erections at first. There are a whoel slew of variations, from a partial circumcision that retains as much foreskin as you wish, to the tight circ that have tight skin even when soft.

Consider circumcision to be cosmetic surgery. Get the look and feel that you like best. It also depends on whether you are a grower or a shower. Make sure the doc examines you while erect and soft to gauge how much skin can safely be removed.

When hard, the many guys have the option of having tight skin, or sufficient mobility to still pull a bit over the rim of head during masturbation.

Remember that if you shoose a partial circumcision, the doctor must remove all of the "deffective" tight skin at a minimum. During the healing period, try to leave remaining skin retracted as much as possible to ensure the scar heals well and wide.

>* What area does the 'foreskin' in context actually cover? Is it the entire shaft, or just below the glans?

There are 2 skins on your penis. The outer (shaft) skin and the inner skin. The inner skin is the skin that is directly against your glans, the shaft skin is all of the rest. These skins are joined and combined, have a certain total length. For uncircuymcised, that total length is roughtly the length of the shaft (shaft skin only), and twoce the length of the glans (one layer of inner foreskin and one layer of outer skin).

Cosnider the skin to be "redundant" and it it too long to cover just the area between the base of glans and the rim of head, so the excess rolls over to cover the glans, as it rolls over, it has the 2 layers due to it being skin folder over itself.

Technically, circumcision simply shortens the total amount of skin. In a healthy male, circumcision can remove any amount of skin from anywhere on the penis to shorten the total amount of skin. In your case, the skin must be removed from a location that will include the tight portion of your foreskin.


>I know there are different regions of skin, I've just never identified what
>constitutes full (or tight) circumcision.

When sufficient amount of skin has been removed to ensure your glans is never covered with skin when at its softest.

>* Non-related injury -- what likelihood is there that I may end up with some moron surgeon that will injure anything other than the foreskin itself?

When you consult the urologist, you must gauge his experience. A urologist who doesn't know about different circumcision styles should be discarded. A urologists who insisis on general anesthesia should be discarded (unless he has convincing arguments about your own condition).

>* Bleeding: is it a factor?

You will have some beeding around the scar for a coulpe of days. But nothing to really worry about.


>* Post-op. urinating: any issues?

Won't hurt. But since your penis will be toatlly ugly for the first week (swollen and tender), the piss slit may be sligltly swollen and you may not piss straight, but that will clear up.


>* How long does it take for the 'raw-like' appearance to dissolve and reach some form of normality?

Depends on individuals. Usually, your penis will be really ugly for the first week, and then the swelling subsides and the penis gains a more normal appearance, when the stitches are removed (usually between day 10 and 14), the penis feels and looks MUCH MUCH better from then on.

>* Discomfort: does acetaminophen do the trick?

You coudl try. You can also try anbesol (tooth ache stuff), It is 20% benzocaine.

>* What is the cost of circumcision?

Because you have a true blue phimosis, it should be covered by health care. If you wanted a purely cosmetic circumcision, you could expect to pay betwene $300 and $400 in Canada. (Between $1000 and $3000 in USA).


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