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wikify penile skin
:''"When the [[skin]] of the penis needs only a short stretch in order to give it a natural appearance, I have often obtained the desired result through simple tension: I roll around the circumference of the penis a strip of strong and soft papyrus, after having coated the [[skin]] with glue. It is clear that it is necessary to glue the end of the strip of papyrus to the part of the same strip placed on the underside of the end. In effect, this device dries quickly and pulls without discomfort. One places under the [[skin]] of the posthe, on the interior fold, a rounded object of suitable dimension, that one can easily remove when the strip of papyrus is adhered. When I have no such object at my disposal, I often roll up and introduce a piece of papyrus of average size to serve as a support for the one with which I surround the penis. I want to be careful to provide the patient with a way to urinate easily when the paper rolled around his penis is completely solidified and the supporting one is removed. Some of those who use thapsia to return the posthe over the glans construct the round object in question in the form of little lead spout. They stretch the [[skin]] of the posthe over the exterior of this spout and secure it with a soft leather cord.This procedure can sometimes also be useful for those individuals who are missing a large amount of posthe. I also treat this surgically."''<ref>Oribasius, ''Collectionum medicarum reliquiae'' 50.1 (Raeder, ''OCMR'' [n. 36 ], 4: 55).</ref>
The alternative method that Galen outlines, that of inserting a lead spout under the prepuce and holding it in place by binding the enveloping prepuce with a leather cord would have added weight and perhaps tension, depending on the length of the lead spout, to the restorative technique.<ref name="hodges2001" /> Like the technique of Soranus, Galen's method of manually stretching the deficient preputial [[skin]] over the glans and winding a leather cord around the "akroposthion" would have a similar effect to that of the [[kynodesme]]. These techniques depend for their efficacy on the principles of tissue expansion, today a major reconstructive technique. Given sufficient application of constant tension, new and permanent [[skin]] can be induced to grow. Penile [[penile skin]], noted for its great elasticity, is especially responsive to expansion techniques.
=== Surgical treatment ===