Surgical foreskin restoration: Difference between revisions
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}}</ref> Celsus was not himself a doctor, so it is possible that ''On Medicine'' (which was once part of a much larger encyclopedia) is a translation of an earlier Greek text. | }}</ref> Celsus was not himself a doctor, so it is possible that ''On Medicine'' (which was once part of a much larger encyclopedia) is a translation of an earlier Greek text. | ||
Surgical foreskin reconstruction has remained largely unchanged since Celsus first described the procedure 2000 years ago. An incision is made around the base of the penis and the penile shaft is denuded (in other words, the [[skin]] is peeled off), leaving the shaft [[skin]] attached only beneath the glans penis. This [[skin]] is then pulled forward to replicate a foreskin. To tighten the new foreskin and improve its contour, a wedge-shaped section may be removed and the opening sutured shut. [[Skin]] is then harvested from the scrotum and grafted onto the penis to patch the missing shaft [[skin]]. This is performed as a series of three operations, followed by several sessions of electrolysis to kill the hair follicles in the grafted | Surgical foreskin reconstruction has remained largely unchanged since Celsus first described the procedure 2000 years ago. An incision is made around the base of the penis and the penile shaft is denuded (in other words, the [[skin]] is peeled off), leaving the shaft [[skin]] attached only beneath the glans penis. This [[skin]] is then pulled forward to replicate a foreskin. To tighten the new foreskin and improve its contour, a wedge-shaped section may be removed and the opening sutured shut. [[Skin]] is then harvested from the scrotum and grafted onto the penis to patch the missing shaft [[skin]]. This is performed as a series of three operations, followed by several sessions of electrolysis to kill the hair follicles in the grafted [[scrotal skin]]. | ||
Celsus described two methods, the above method mostly for children with naturally short [[foreskin]], and a different method for patients circumcised after the customs of certain races. | Celsus described two methods, the above method mostly for children with naturally short [[foreskin]], and a different method for patients circumcised after the customs of certain races. | ||
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According to the literature, there were Polish doctors who devised hasty, crude surgical techniques to help Jews in occupied areas of Europe avoid detection. Some of these procedures were surprisingly reminiscent of those described by Celsus nearly 2000 years earlier. There is no evidence that any of these methods was continued after the collapse of the Nazi regime.<ref name="schultheiss1998" /> | According to the literature, there were Polish doctors who devised hasty, crude surgical techniques to help Jews in occupied areas of Europe avoid detection. Some of these procedures were surprisingly reminiscent of those described by Celsus nearly 2000 years earlier. There is no evidence that any of these methods was continued after the collapse of the Nazi regime.<ref name="schultheiss1998" /> | ||
Feriz performed several operations on circumcised patients in occupied Holland. After a circumferential incision at the base of the penis the penile [[skin]] was pulled over the glans, forming the new prepuce. The proximal [[skin]] defect was then covered by burying the penis under a tunnel of ventral | Feriz performed several operations on circumcised patients in occupied Holland. After a circumferential incision at the base of the penis the penile [[skin]] was pulled over the glans, forming the new prepuce. The proximal [[skin]] defect was then covered by burying the penis under a tunnel of ventral [[scrotal skin]]. In a second stage operation about 10 days later he mobilized the penis and closed the new [[skin]] layer at the underside of the penis. The scrotal defect was easily closed in all cases. In his publication from 1962, Feriz reported no complications, and all of his patients were satisfied with the postoperative result; none of them requested a reversal of the surgery after the war.<ref name="schultheiss1998" /> | ||
In 1965, Tushnet reported three different procedures to restore the prepuce depending on the age of the patient, the remaining preputial [[skin]], and the skill of the surgeon.<ref name="tushmet1965">{{REFjournal | In 1965, Tushnet reported three different procedures to restore the prepuce depending on the age of the patient, the remaining preputial [[skin]], and the skill of the surgeon.<ref name="tushmet1965">{{REFjournal | ||