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Re: Questions - Consulting Circ.

Written by James at 30 Aug 2004 07:47:48:

As an answer to: Re: Questions - Consulting Circ. written by halfclip at 29 Aug 2004 19:42:18:

>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 don't think I'll mention it unless it is brought up, and just be satisfied with what happens. I have heard that in some cases the frenulum faces removal anyway.

>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).

Hopefully it is covered by health insurance. It is legit pinhole phimosis.

>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.

There is no way any man or woman is going near my penis with any utensil if I am not conscious. After seeing two images of severed genitilia resulting from adult circumcission on the television screen yesterday, that simply isn't going to happen.

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

So, essentially the difference between 'loose' circumcision and 'tight' circumcision is that 'loose' circumcision leaves some skin on the glans of the penis. Tight circumcision cuts just under the glans (not the beginning of the shaft), leaving no room for expansion over the glans. Is this correct?

>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).

That will be the first thing I ask: "You have done this before, right?"

>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.

Having pinhole phimosis I seem to have that issue from time-to-time anyway.

>>* 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).

That is awfully expensive--when you consider getting a haircut takes twice the time and effort, not taking to account the medicine involved. I suppose the message they are trying to send is not to circumcise unnecessarely, which is fair enough, I suppose. I'm definetely not an advocate of infant circumcision, but now having faced unsolvable issues of my own, I agree with adult circumcision by choice or requirement either way. The facts show that it is better for hygiene anyway, reducing the chance of AIDS/HPV infection and penile cancer. In the long run I am glad that I am taking the first steps to getting this addressed, rather than deciding to live my life with a phimotic foreskin. The internet has been a great source of information for me, but I am still quite cluess about circumcision / the effects of being circumcised. Thanks for all of your advice.


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