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 erect so as to provide the necessary skin to accommodate the expansion that occurs during erection.
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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.
  
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 estimated "an estimated shortfall in shaft skin of 20-25%."<ref>{{TaylorJR LockwoodAP TaylorAJ 1996}}</ref>
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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>
  
 
[[Tissue expansion]] has been found to be effective in relieving erection pain and to allow full expansion. Tissue expansion is accomplished by the patient through manual [[stretching]].
 
[[Tissue expansion]] has been found to be effective in relieving erection pain and to allow full expansion. Tissue expansion is accomplished by the patient through manual [[stretching]].

Revision as of 04:05, 22 January 2022

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. 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%."[1]

Tissue expansion has been found to be effective in relieving erection pain and to allow full expansion. Tissue expansion is accomplished by the patient through manual stretching.

References

  1. REFjournal 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.