Adult Circumcision, how tight can it be?
Many patients ask for “high and tight.” Actually we try to discourage the extremes of high and tight, because when there is lifting of the pubic skin or as we say triangulation of the penile-pubic junction when erect, this is way too tight, and for sure the doctor is not off the hook because after some deliberation by the patient he’ll realize that the doctor made it too tight. We say shiny tight. Not good. There is no more pleasure that can be derived from a shiny tight penis than a penis with somewhat mobile penile skin, but in no way comes close to covering the glans.
Of course no patient wants it that loose it covers the glans in any part. For that reason, we have hand held mirrors in the operating room and tell patients to be sure they are happy with the laxity or degree of tightness before we close. We can also put the penis on the stretch to simulate an erection.
Harold M. Reed, M.D. 305-865-2000