A most unusual circumcision revision
The fallout seems that 50% of my work is revising the work of other doctors and that is all well and good.
Have to be careful not to cast aspersions, afterall most of what that other urologist does may be excellent.
Two days ago, received a patient from Canada, a college graduate in the science of physical wellness, who
had a circumcision about 6 months ago. Heavy dense thick scars like pebbles and an irregular suture line, large suture tracts spaced somewhat widely apart, a tough thick frenulum, mis-match of the frenulum and raphe. But fairly tight circumcision and also low.
My mission was to remove as much underlying scar, (all of it hopefully) freshen up the incision line, remove the frenulum and realign the raphe. The case took longer than 2 “virginal” circumcisions back to back. Had to use loupes.
Ultimately the patient had a very acceptable result. Hand held mirror nearby throughout the case for his review and comment.
Seen at the Whitehouse Inn yesterday and looks great. Bed rest for 2 more days. A hematoma or collection of blood under the skin is a set-up for inflammatory fibrosis which is a great enemy of good cosmetic (soft natural) wound healing. Even if a patient looks dry on the operating table, simple hydraulics tell us
If a patient is upright, even sitting up, there is a venous column of blood potentially pushing trace oozing out of every ruptured capillary that has yet to seal off. Simply raise your hand above your heart and the veins on the back collapse. Less blood, less oozing.
We are careful never to promise perfection, but usually we can greatly improve appearance.
Harold M. Reed, M.D.
Tags: Add new tag, adult circumcision, adult circumcision revision, circumcision scar, frenulum, revision of circumcision, revision of circumsision