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Surgical foreskin restoration

No change in size, 14:01, 30 December 2021
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wikify penile skin
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 [[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 1981, Mohl presented the first detailed analysis of psychiatric aspects in a group of eight patients seeking prepuce restoration. He described several psychological disorders in these patients as narcissistic and exhibitionistic body image, depressions, major defects in early mothering, and ego pathology. Nowadays the understanding of the psychological motivations for uncircumcision is increasing, and the problem is dealt with more seriously.<ref name="watson2017" />
In 1963 Penn from Johannesburg, after performing a proximal circular incision and pulling forward the penile [[penile skin]] to form a new prepuce, covered the denuded shaft with a "free graft", not indicating from where he took this graft.<ref name="penn1963" />
Goodwin covered the same defect in 1990 by implantation of the penis into the scrotum first and then liberating it in a second stage.<ref>{{REFjournal
While reviewing the results of the implanted-ring procedure, an engineer living in the Pacific Northwest hit upon the idea of using tape to hold the [[skin]] in place over the glans. His intent was to avoid both the surgery needed to have the platinum ring implanted and the unsightly fibrous band it left. This simple idea was circulated among a small network of men who had been sharing whatever information they could find on foreskin restoration as well as their ideas and experimentation. As a result, in 1982, [[BUFF]] (Brothers United for Future Foreskins) was born.<ref name="bigelow1994" />
Despite the possible complications of surgery and the inevitable presence of scars, the main disadvantage seems to be the different color and texture of the original penile [[penile skin]] and the graft. This outcome may not be what the patient had expected; therefore, most foreskin restoration seekers nowadays prefer [[Tissue expansion|skin expansion]] systems, which avoid these problems.
Surgical foreskin restoration is only rarely, if ever, practiced today.
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