In PROCIRCORG@yahoogroups.com, “John O”
Dr. Reed,
After looking through lots of on-line material, I believe I’ve come to a decision on style of cut and relative tightness, and my good woman agrees with me (though she’s supportive of whatever I want to do). For the cut, as low as is reasonable without distortions caused by mismatching of circumferences, and on the tight side – all with the moderation you recommend. For the style, my reasons are 1) esthetic – I don’t really care for the “two-tone paint job” which others find pleasing, 2) sensory – I’ve always found the sensations from my inner foreskin more irritating than pleasing, 3) speed of healing – you note that higher cuts tend to have longer recovery times from post-op swelling.
However, I am still a bit lost about the benefits of removal of the frenulum …or not. What do I need to know to make that choice?
…and on the last of your 4 considerations, could you also explain “obliquity of cut”?
Thanks for you time.
John O.
Hi John,
Obliquity of the cut refers the whether you want the incision line perpendicular to the shaft of your penis or parallel to the rim which is slightly tilted backwards.
Convention is to follow the rim or the corona and keep the inner skin width even all the way around.
Of the 20% of our patients who say do not cut the frenulum, 80% come back and say “now do it.” The frenulum if tight may cause the head or glans to point downwards (SST deformity) but generally cutting the frenulum is just an option and of course there is no additional charge.
All the best,
Harold M. Reed, M.D.