[ ARC forum 2 ]

More good adhesion management.

Written by Paul B. at 10 Oct 2002 19:45:47:

As an answer to: Re: Good adhesion management. written by nano at 10 Oct 2002 18:20:41:

> If I get to this stage with no surgical intervention it will be very good. Do you know of some similar case?

Well, I am moderately familiar with adhesions, having seen the odd case but mostly in older gentlemen and children.

> Anyone posting here or somewhere else had this same problem and solved it by his own?

I'm not sure whether Ralesk was saying he had adhesions to some extent, or just a tight foreskin which he "fixed" on his own. Other than that, we have few people describing the problem, and I can't bring any to mind.


The really important message is that were you to go to a doctor, the "surgical intervention" should not involve circumcision (for what it's worth, "AJ" is correct on that minor detail) and indeed, would not even involve a knife at all. To fix adhesions, the doctor would apply some topical local anaesthetic ("EmlaŽ"), then simply pull them free. He might use a blunt probe to assist, but the point about adhesions is that the aim is to separate them along their natural line - as soon as a knife is used, separation occurs at the knife cut, which may not be along the natural plane of division.

The only exception, and it is quite unlikely in your case (corresponding to the "older gentlemen" that I mentioned), is where there is actual scar tissue from infection or trauma (cutting or major tearing; and that is why Jim became curious; the commonest cause for these is in fact, circumcision!) in which case the attachment is not natural and would have to be cut away to restore the correct form.

Now our concern here regarding doctors is not whether what they do might hurt, or whether it is embarrassing to see them (which people need to simply ignore - embarrassment is a particularly dangerous form of guilt when it prevents you from looking after yourself properly with is far more important), but their motivation. In the USA, there is an unbelievable degree of corruption amongst surgeons who find "reasons" to perform useless and mutilating surgery, including circumcision, because quite simply - it is profitable!

Whilst I am not in the USA myself, it is still the case that separation of adhesions attracts no "surgical" fee - it is something that can and should (unless part of another, necessary operation) be performed in an office setting requiring no instruments other than a probe (or the smooth tip of a good-quality "mosquito" forcep) and the anaesthetic gel. So, the doctor profits little from this whereas if he were to talk you into a "real" operation such as a circumcision, or maybe even a (less money, but much simpler and quicker) "release" of the fraenulum, then there is an "operation" that attracts a fee.

So, if you were to see a doctor - and again, I don't think you need to at all because one way or another, I think you can do this all yourself - you would need to be very astute and make absolutely sure that whatever he recommended, he was not offering you an "operation" involving cutting (and paying), because the moment he did, you might reasonably suspect you were being "taken for a ride". Now I'm not sure what reputation the medical profession has in Spain, but since circumcision is pretty rare there, it might be more competent in that regard, but you still need to be cautious.


Answers: