Excessive skin removal
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 estimated "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.
