Circumcision to harvest preputial flap, and failure of flap to take
Hi Dr. Reed,
Almost 3 years ago i lost a part of my penile skin as a result of car accident.The surgeon who took care for me did something terible to me destroying all my life.He circumcised me because he wanted to use the prepucium to cover my penile shaft.This flap necrotized and after it was removed i had to leave the hospital with a big wound on the right side of my penis.
Since then my life is a real hell.Let me start with the pain-almost three yaers now i have a permanent pain at this place and the skin around and very bad pain in the circumcisison line. Because of this pain i am not able even to dress myself normaly-for example i can not wear any jeans because they make the pain worse. The only clothes i can wear are my scrubs(i am working in hospital as cardiac tech)and sport clothes. When i am at home i am staying only with boxers. Because of this i do not have any social life- i am not going out except for job or shopping. After this surgery i had terible edema of my penile skin that last almost 12 months. Over the time the wound started to cover itself with something that resemble skin at first sight but it isn’t.In addition it is so short and doesn’t allow any normal erection-any erection is so painfull because of the extreme pulling of this short tissue.In addition this tissue is very painfull itself when i try to touch it.
As yuo can understand i don’t have any possibility for sexual life , I can not even masturbate. Don’t ask me for the cosmetic appereance of my penis -first of all after this circumcision it looks much shorter than before. It is not facing the floor like normaly,but is facing foreward.Sometimes it causes me voiding problems. As far as i know the circumcision can cause hidden penis and may be something like this but not comletely happen to me. Second, on my “health” side i have much more skin compare with the affected side. It makes the skin ofmy left side excessevly wide and loosed, and in the same time on the other side is short and tight. The third thing is the line of circumcision the cicatrix i have is very thick and looks like a railroad and is very painfull. I realy would like to come to your office for consultation , so you will be able to see the problem and i will be very happy if you are able to help me. May be i need some kind of grafting or scrotal flap to be rotated in order to cover the shaft of my right side but i think is better if you take a look. Thanks God i don’t have problems under the skin -all my structures are in a good condition and functioning normally. Only the skin is the problem. I belive with all my heart you can help me to restore my health and to rebuild my life. Thank you in advance,
Best regards,
Stanislav
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Good afternoon Stanislav,
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- Thank you for your excellent medical presentation. There are several options
- that could be proposed.
- Please call the office and speak with Anne, our amiable office manager and
- schedule in.
- If you are anticipating a visit with surgery to follow, plan on staying at a
- nearby hotel (The Baltic Hotel) and being on strict bed rest for 5 days and
- the day of the procedure. The only exceptions are using the commode and sitting
- up to eat.
- Early mobilization is the great enemy of graft of flap or graft survival.
- With kindest regards,
- Harold M. Reed, M.D.
- 305-865-2000
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