Restored foreskin may be created by surgical or non-surgical means. Surgical restoration is very rare. The vast majority of restored foreskins have been created by non-surgical tissue expansion.
Creators normally fall into two categories:
- The first category consists of men who involuntarily received a non-therapeutic circumcision as an infant or small child.
- The second category consists of men who voluntarily granted consent as an adult for adolescent or adult circumcision, but now regret their decision.
Both categories of creators seek a sense of wholeness or completeness, a restoration of normal appearance of the penis, and a restoration of lost sensory and other functions to the extent possible. Other reasons are to regain control over one's body and anger management.
Surgically restored foreskin
The surgically restored foreskin is rare.
Penn (1963) pulled the shaft skin forward to create a foreskin and then used a graft from an unidentified source to cover the defect in the shaft skin.
Greer (1982) described a four-stage procedure in which scrotal skin was used to create a foreskin.
Goodwin (1990) described a procedure in which the shaft skin of the penis is advanced forward and scrotal skin is used to cover the defect so that the foreskin is made up of shaft skin with scrotal skin replacing it on the shaft of the penis.
Dr. Paul Tinari was operated on by Dr. Robert H. Stubbs of Montreal who used the scrotal skin to replace the shaft skin which was pulled forward to create a foreskin in a manner that appears to be similar to that of Dr. Goodwin.
A combination of shaft skin plus scrotal skin was used in all reported cases to create a surgically restored foreskin.
Shane Peterson of Perth, Australia excessively circumcised at birth, encountered significant issues and complications with his surgical foreskin restoration.
Non-surgically restored foreskin
On the shaft of the circumcised penis, one finds the circumcision scar at a midway point on the shaft. From the scar to the abdominal wall, one finds residual penile shaft skin. From the scar to the glans penis one finds residual preputial mucosal foreskin tissue, usually in a desiccated condition. Application of traction, either manually or by the aid of a commercial device sold for the purpose, is used to cause longitudinal tissue expansion.
The circumcision scar will migrate toward the tip of the penis as the residual shaft skin expands. In some cases it will turn inside the new restored foreskin and become invisible. Some restorers recommend that the expansion of the internal and outer skin be regulated so that the scar is at the tip of the restored foreskin.
The non-surgically restored foreskin will consist of both expanded inner mucosa and expanded shaft skin. The location of the circumcision scar will vary.
Restored foreskins typically are somewhat looser than natural foreskins. After the restored foreskin becomes long enough to extend beyond the glans penis, the dartos usually will tighten it to some extent. Some restorers are experimenting with the use of o-rings to tighten the restored foreskin. The results are unclear.
What is missing
- The frenulum found on the natural intact penis, which limits foreskin retraction, cannot be regained.
- The ridged band area of the natural intact penis, which enhances sensation, cannot be regained.
What is regained
- The natural intact appearance is regained.
- The comfort of having the glans penis covered and protected is regained.
- The provision of skin oil and moisture to the glans penis is regained.
- Dekeratinization of the glans penis will gradually occur, causing sensitivity to be regained.
- Mobility of the foreskin and gliding action are regained.
- Ease of penetration is regained.
- improved chance of female partner's orgasm is regained.
- Sensation in the restored foreskin and ease of reaching orgasm are regained.
- ↑ Bigelow J (1995):
Ch. 11: Why men today want to uncircumcise, in: The Joy of Uncircumcising. Aptos, California: Hourglass Book Publishing. Pp. 113-20. ISBN 0-934061-22-X.
- ↑ Penn J. Penile reform. Br J Plast Surg. 1963; 16: 287-8. Retrieved 31 August 2022.
- ↑ Greer DM, Mohl PC, Sheley JA. A technique for foreskin reconstruction and some preliminary result. J Sex Res. 1982; 18(4): 324-30. Retrieved 31 August 2022.
- ↑ Goodwin WE. Uncircumcision: a technique for plastic reconstruction of a prepuce after circumcision. J Urol. November 1990; 144(5): 1203-5. PMID. DOI. Retrieved 31 August 2022.
- ↑ LaLiberté J. BC man's foreskin op a success. National Review of Medicine. 30 June 2006; 3(12) Retrieved 31 August 2022.
- ↑ Peterson, Shane E.: Assaulted and Mutilated: Surviving Circumcision Trauma, Washington, DC. Springer. (5 April 2002) Presented at the Seventh International Symposium on Human Rights and Modern Society. Retrieved 24 May 2023.
- ↑ (2016).
Repositioning the scar line to the tip; how I restored.. Retrieved 1 September 2022.
- ↑ Taves DR. The intromission function of the foreskin.. Med Hypotheses. August 2002; 59(2): 180-2. PMID. DOI. Retrieved 1 September 2022.
- ↑ Warren J, Bigelow J. The case against circumcision. Br J Sex Med. September 1994; : 6-8. Retrieved 1 September 2022.
- ↑ O'Hara K, O'Hara J. The effect of male circumcision on the sexual enjoyment of the female partner. BJU Int. 1 January 1999; 83 Suppl 1: 79-84. PMID. DOI. Retrieved 1 September 2022.
Why Restore Your Foreskin, Restoring for Men. Retrieved 1 September 2022.>