Difference between revisions of "Excessive skin removal"
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| − | '''Excessive skin removal''' is a frequent [[complication]] of male [[circumcision]]. The [[foreskin]] has many important functions. One of those functions is to unfold at times when the [[penis]] becomes [[erection| erect]] so as to provide the necessary skin to accommodate the expansion that occurs during erection. | + | '''Excessive skin removal''' is a frequent [[complication]] of male [[circumcision]]. The [[foreskin]] has many important [http://www.intactaus.org/information/functionsoftheforeskin/ functions]. One of those functions is to unfold at times when the [[penis]] becomes [[erection| erect]] so as to provide the necessary skin to accommodate the expansion that occurs during erection. |
| − | Male circumcision is not a precise operation. There are few, if any, guidelines to direct the surgeon on how much skin should be removed. The surgeon has to guess at how much skin should be removed. If excessive skin is removed, the patient will have tight, painful erections. In extreme cases, there may be insufficient skin to allow the shaft of the penis to expand to its full length. Taylor et al. (1996) said "[s]kin and mucosa sufficient to cover the penile shaft was frequently missing from the circumcised penis." They reported "an estimated shortfall in shaft skin of 20-25%."<ref>{{TaylorJR LockwoodAP TaylorAJ 1996}}</ref> | + | Male circumcision is not a precise operation. There are few, if any, guidelines to direct the surgeon on how much skin should be removed. There is a lot of variation in normal penile anatomy. The surgeon has to guess at how much skin should be removed.<ref name="romberg2021">{{REFbook |
| + | |last=Romberg | ||
| + | |first=Rosemary | ||
| + | |init= | ||
| + | |author-link=Rosemary Romberg | ||
| + | |year=2021 | ||
| + | |title=Circumcision — The Painful Dilemma | ||
| + | |url=https://circumcisionthepainfuldilemma.wordpress.com/ | ||
| + | |work= | ||
| + | |editor=[[Ulf Dunkel]] | ||
| + | |edition=Second Edition, Revised | ||
| + | |volume= | ||
| + | |chapter=Excessive skin loss | ||
| + | |scope= | ||
| + | |page= | ||
| + | |pages=280-2 | ||
| + | |location= | ||
| + | |publisher=Kindle | ||
| + | |ISBN=23: 979-8683021252 | ||
| + | |quote= | ||
| + | |accessdate=2023-08-31 | ||
| + | |note= | ||
| + | }}</ref> | ||
| + | |||
| + | [[Denuded penis]] is a possibility.<ref name="romberg2021" /> | ||
| + | ==Painful erections are a complication of circumcision== | ||
| + | If excessive skin is removed, the patient will have tight, painful erections. In extreme cases, there may be insufficient skin remaining to allow the shaft of the [[penis]] to expand to its full length. Taylor et al. (1996) found that [[circumcision]] removes about 51 percent of penile [[skin]] and said "[s]kin and [[mucosa]] sufficient to cover the penile shaft was frequently missing from the [[circumcised]] penis." They reported "an estimated shortfall in shaft skin of 20-25%."<ref>{{TaylorJR LockwoodAP TaylorAJ 1996}}</ref> | ||
[[Tissue expansion]] has been found to be effective in relieving erection pain and in allowing full expansion of the [[penis]]. Tissue expansion is accomplished by the patient through manual [[stretching]]. | [[Tissue expansion]] has been found to be effective in relieving erection pain and in allowing full expansion of the [[penis]]. Tissue expansion is accomplished by the patient through manual [[stretching]]. | ||
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{{REF}} | {{REF}} | ||
| + | [[Category:Circumcision complication]] | ||
| − | + | [[de:Übermäßige Hautentfernung]] | |
| − | [[ | ||
Latest revision as of 13:30, 4 September 2023
Excessive skin removal is a frequent complication of male circumcision. The foreskin has many important functions. One of those functions is to unfold at times when the penis becomes erect so as to provide the necessary skin to accommodate the expansion that occurs during erection.
Male circumcision is not a precise operation. There are few, if any, guidelines to direct the surgeon on how much skin should be removed. There is a lot of variation in normal penile anatomy. The surgeon has to guess at how much skin should be removed.[1]
Denuded penis is a possibility.[1]
Painful erections are a complication of circumcision
If excessive skin is removed, the patient will have tight, painful erections. In extreme cases, there may be insufficient skin remaining to allow the shaft of the penis to expand to its full length. Taylor et al. (1996) found that circumcision removes about 51 percent of penile skin and said "[s]kin and mucosa sufficient to cover the penile shaft was frequently missing from the circumcised penis." They reported "an estimated shortfall in shaft skin of 20-25%."[2]
Tissue expansion has been found to be effective in relieving erection pain and in allowing full expansion of the penis. Tissue expansion is accomplished by the patient through manual stretching.
References
- ↑ a b
Romberg, Rosemary (2021): Excessive skin loss
, in: Circumcision — The Painful Dilemma. Ulf Dunkel (ed.). Edition: Second Edition, Revised. Kindle. Pp. 280-2. ISBN 23: 979-8683021252. Retrieved 31 August 2023. - ↑
Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized mucosa of the penis and its loss to circumcision. Br J Urol. 1996; 77: 291-5. PMID. DOI. Retrieved 23 September 2019.
