Tissue expansion: Difference between revisions
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}}</ref> Other biological phenomena such as tissue inflammation can also be considered expansion. | }}</ref> Other biological phenomena such as tissue inflammation can also be considered expansion. | ||
==Skin expansion== | == Skin expansion == | ||
[[Skin]] expansion is a common surgical procedure to grow additional [[skin]] through controlled mechanical overstretch.<ref name="whyitworks2021" /> It creates [[skin]] that matches the color, texture, and thickness of the surrounding tissue, while minimizing scars and eliminating risk of rejection. | [[Skin]] expansion is a common surgical procedure to grow additional [[skin]] through controlled mechanical overstretch.<ref name="whyitworks2021" /> It creates [[skin]] that matches the color, texture, and thickness of the surrounding tissue, while minimizing scars and eliminating risk of rejection. | ||
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|pages=166-75 | |pages=166-75 | ||
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278515/ | |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278515/ | ||
|pubmedID=3278515 | |pubmedID=3278515 | ||
|pubmedCID=22227432 | |pubmedCID=22227432 | ||
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}}</ref> | }}</ref> | ||
==Applications== | == Applications == | ||
=== Relief of phimosis or tight foreskin === | |||
Tissue expansion by manual [[stretching]] effectively widens the [[foreskin]] to treat [[phimosis]] or [[paraphimosis]].<ref>{{REFjournal | Tissue expansion by manual [[stretching]] effectively widens the [[foreskin]] to treat [[phimosis]] or [[paraphimosis]].<ref>{{REFjournal | ||
|last=Dunn | |last=Dunn | ||
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|DOI=10.1111/j.1445-2197.1989.tb07640.x | |DOI=10.1111/j.1445-2197.1989.tb07640.x | ||
|accessdate=2019-11-07 | |accessdate=2019-11-07 | ||
}}</ref> <ref name="beauge1997">{{REFjournal | }}</ref><ref name="beauge1997">{{REFjournal | ||
|last=Beaugé | |last=Beaugé | ||
|init=M | |init=M | ||
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}}</ref> One should continue to stretch until one's [[foreskin]] [[Gliding action| glides]] smoothly back and forth. This works best when topical steroid ointment (available by prescription) is used along with the stretching. | }}</ref> One should continue to stretch until one's [[foreskin]] [[Gliding action| glides]] smoothly back and forth. This works best when topical steroid ointment (available by prescription) is used along with the stretching. | ||
====A word to intact teens==== | ==== A word to intact teens ==== | ||
Boys are born with a [[foreskin]] that is non-retractable for reasons of protection. The inner surface is fused with the [[glans penis]] by a [[synechia]] (similar to a fingernail that is glued to the nail bed of the finger). Also the tip of the foreskin is too narrow to retract. As a boy gets older, the synechia disintegrates and releases the foreskin and the foreskin gets wider as a boy ages, so the foreskin gradually becomes [[Retraction of the foreskin|retractable]]. Some boys go through puberty but find that their [[foreskin]] is still too narrow to permit retraction. | Boys are born with a [[foreskin]] that is non-retractable for reasons of protection. The inner surface is fused with the [[glans penis]] by a [[synechia]] (similar to a fingernail that is glued to the nail bed of the finger). Also the tip of the foreskin is too narrow to retract. As a boy gets older, the synechia disintegrates and releases the foreskin and the foreskin gets wider as a boy ages, so the foreskin gradually becomes [[Retraction of the foreskin|retractable]]. Some boys go through puberty but find that their [[foreskin]] is still too narrow to permit retraction. | ||
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The traditional way of addressing this issue was to consult a urologist and get a [[Adolescent and adult circumcision| circumcision]], however we now understand that in the vast majority of cases, manual stretching over a few months will widen the foreskin by tissue expansion, make the foreskin retractable and eliminate the need for a destructive [[Adolescent and adult circumcision| circumcision]]. | The traditional way of addressing this issue was to consult a urologist and get a [[Adolescent and adult circumcision| circumcision]], however we now understand that in the vast majority of cases, manual stretching over a few months will widen the foreskin by tissue expansion, make the foreskin retractable and eliminate the need for a destructive [[Adolescent and adult circumcision| circumcision]]. | ||
===Foreskin restoration=== | === Foreskin restoration === | ||
Tissue expansion has also been used for the technique of non-surgical [[foreskin restoration]], which applies tension externally using specialized devices and/or manual stretching to replace circumcised tissues with newly expanded residual [[shaft skin]].<ref>{{REFjournal | Tissue expansion has also been used for the technique of non-surgical [[foreskin restoration]], which applies tension externally using specialized devices and/or manual stretching to replace circumcised tissues with newly expanded residual [[shaft skin]].<ref>{{REFjournal | ||
|last=Radovan | |last=Radovan | ||
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|url=http://www.noharmm.org/snip.htm | |url=http://www.noharmm.org/snip.htm | ||
|title=Not a "Snip," But 15 Square Inches | |title=Not a "Snip," But 15 Square Inches | ||
|last=Hammond | |last=Hammond | ||
|first=T | |first=T | ||
|author-link=Tim Hammond | |||
|publisher= | |publisher= | ||
|website=NOHARMM | |website=[[NOHARMM]] | ||
|date=2012-02-28 | |date=2012-02-28 | ||
|accessdate=2019-10-10 | |accessdate=2019-10-10 | ||
}}</ref> This process does not regenerate or restore the function of the [[frenulum]] or the [[ridged band]]. It does, however, typically involve growing more [[shaft skin]] and [[preputial mucosa]], which serves to moisten and protect the [[glans penis|glans]]. Men who have restored their foreskin typically notice increased sensitivity and dekeratinization of the glans.<ref>{{REFweb | }}</ref> This process does not regenerate or restore the function of the [[frenulum]] or the [[ridged band]]. It does, however, typically involve growing more [[shaft skin]] and [[preputial mucosa]], which serves to moisten and protect the [[glans penis|glans]]. Men who have restored their foreskin typically notice increased sensitivity and dekeratinization of the glans.<ref>{{REFweb | ||
|url=http://www.cirp.org/pages/restore.html | |url=http://www.cirp.org/pages/restore.html | ||
|title=Foreskin restoration for circumcised men | |title=Foreskin restoration for circumcised men | ||
|publisher=[[CIRP]] | |||
|publisher= | |||
|date=2013-08-17 | |date=2013-08-17 | ||
|accessdate=2019-10-10 | |accessdate=2019-10-10 | ||
}}</ref> | }}</ref> | ||
===Excessive circumcision=== | === Excessive circumcision === | ||
Men who have been [[circumcised]] sometimes report that there is not enough [[skin]] left to allow full [[erection]] of the [[penis]], so the [[penis]] is shorter than before [[circumcision]]. They may also experience tight, painful [[erection]]s. In such cases, tissue expansion may help to get full length and relieve pain during [[erection]]. | Men who have been [[circumcised]] sometimes report that there is not enough [[skin]] left to allow full [[erection]] of the [[penis]], so the [[penis]] is shorter than before [[circumcision]]. They may also experience tight, painful [[erection]]s. In such cases, tissue expansion may help to get full length and relieve pain during [[erection]]. | ||
===Short natural foreskins=== | === Short natural foreskins === | ||
[[Intact]] men who have a short natural [[foreskin]] may use tissue expansion to lengthen their [[foreskin]]. It frequently results in [http://acroposthion.com/ancient-greeks-and-the-foreskin/ improved appearance] as well as increased comfort and sensation with improved [[gliding action]]. One uses the same techniques as used for for non-surgical [[foreskin restoration]]. | [[Intact]] men who have a short natural [[foreskin]] may use tissue expansion to lengthen their [[foreskin]]. It frequently results in [http://acroposthion.com/ancient-greeks-and-the-foreskin/ improved appearance] as well as increased comfort and sensation with improved [[gliding action]]. One uses the same techniques as used for for non-surgical [[foreskin restoration]]. | ||