Re: BXO and circs

Dear Dr. Reed,

I am a diabetic and suffered phimosis/balantis. I was circumcised the first time and the results were horrible. Instead of a regular circ as I was lead to beleive, I received a dorsal slit leaving almost the entire and ample foreskin.  After complications I had a foreskin that was totally non-retractable. I developed BXO and now 5 years later circumcised again.

 I have results that are very bad again. I am turtle necked, and the penile skin coveres the glans when soft. When erect it is still half covering the glands.
 I have a few questions. The first, why does surgeons not measure the erect penis before surgery to determine the correct tightness? That would solve a lot of problems.
Second, my inter foreskin was removed directly against the right side and an half/inch left intact on the left side. I have a severe bulge on the left side. Can this be fixed?
Third, I have so much penial skin left that it makes a foreskin and I look uncut. Will this prevent
Lastly, seeing how bad the circ scar is mal-placed and the scars left from scars are next to glands and where the frenulum used to be, can I be tightened up by placing the scar at the penis base where it will be covered with hair such as the circumcisions are done in Asia?
This has been a horrible 5 years. Please help me understand at least.
Thanks Dr. Reed
Coalbear_1
Dear Sir,
Thank you for an interesting inquiry.

Cosmetically performed circumcision at the Reed Centre must be getting more popular. This Tuesday we have 5 patients already on the schedule.

Balanitis xerotica obliterans (BXO), so named because the tissue is scarrified, usually white and tends to contract. Worse yet, it can be a precursor to a malignancy. Can even grow inside the urethra.

So when a patient has BXO, our first preference is to removed all unhealthy appearing skin, regardless of where the incision line may fall. Usually this can be done with great patient acceptance and in a way that would resemble any circumcision except, possibly less inner skin is left.

The remedy for you is to visit us and we’ll critique your penis together and make recommendations that would improve your appearance and function.

Placing an incision at the penis base would not be wise, if this means leaving possibly BXO tissue on your distal shaft. Patients who request this type of surgery have a lot of swelling afterwards and it can take in an adult several months, if ever for the swelling to come down.

All the best,

Harold M. Reed, M.D.

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