Removal of adult circumcision sutures
May 24, 2009
Good afternoon Will,
Yes, sutures need to be removed by a person with some skills and training.
Three ingredients are needed: a bright overhead light, delicate plastic surgery instruments such as would be used for removing eyelid sutures, and, loupes (eye glasses that magnify like jewelers use).
It is entirely improper to dig down under the skin to left up the suture, rather the tail should be lifted and the stitch cut underneath.
One of many technical things that a cosmetically oriented urologist could tell you. It takes about 2 to 3 weeks to train a nurse who has not done this before to fully understand all aspects based upon post op patients coming back to our office and we see usually a few a day.
Any urgent care center or “quiet” ER could do this, or at any plastic surgeon’s office perhaps one of his nurses could do this. Most importantly is not to let anyone talk you out removing them, saying “they will dissolve.”
Sincerely,
Harold M. Reed, M.D.
305-865-2000
At 05:16 PM 5/24/2009, you wrote:
Thanks for your quick reply!
I’m a bit confused… When you say “the sutures should be removed on the 12th post-operative day”, do you mean that they need to be removed PROFESSIONALLY (i.e.. by a doctor/nurse) or is it something that I would have to do personally (to which I have no objections…)? I get the impression that it’s the latter but I just wanted to be sure…
Thanks for a very informative site and hope you have a great Memorial Day as well!
— On Sat, 5/23/09, Harold M. Reed, M.D. <admin@srsMiami.com> wrote:
- From: Harold M. Reed, M.D. <admin@srsMiami.com>
- Subject: Hi Will from Dr. Reed!!! Re: Cosmetically Performed Adult Cir
- To: myxtrash1@yahoo.com
- Date: Saturday, May 23, 2009, 4:26 PM
- May 23, 2009
- Good afternoon Will,
- Thank you for your interest in what we do.
- Yes, you could have an elective meatotomy
- at the time of your circumcision revision..
- Allow an additional 250.
- Please present a detailed work list of what you
- would like done. Our policy is to offer our patients
- a hand held mirror so you can approve of work
- in progress.
- We use an expensive suture called Vicryl Rapide
- which does dissolve faster than most, but even so,
- if you wish to avoid ghost lines and pin holes, the sutures
- should be removed on the 12th post-operative day.
- Have a restful and safe Memorial Day weekend,
- Harold M. Reed, M.D…
- 305-865-2000
- At 02:47 PM 5/22/2009, you wrote:
- > Hi Dr. Reed…
- >
- > I was circumcised when I was a baby. The circumcision is somewhat tight on top and VERY loose on the underside with a LOT of skin. This skin sometimes covers the underside of the glans when not erect. This skin just “gets in the way” sexually, is a magnet for fuzzies, was commented on by others, etc. I was looking at getting a very high & tight circ (within reason) and have the frenulum removed. On the top-side of my penis, the scar line is just over 1cm from the head when flaccid. Obviously, this would be elective…
- >
- > But I was also wondering, since we’d be doing a bunch of “gardening” in the neighborhood, if it’s also possible to get an (elective) meatotomy? If so, I’d like to know what my options are in what the final result looks like–i.e. I’d want one that looks “open”… (I found a picture online of what my “perfect” meatotomy would look like). I recognize & accept the “side-effects”–i.e. difficulty urinating. Let me know if you’d do this and whether it can be done at the same time as a circ…
- >
- > Finally, do you use self-dissolving sutures? Can’t really tell from your pictures. I’m not from the Miami area and I’m not looking to go to a doctor 2x (or worse, 2 different doctors)… Thanks.
- >
- > –”Will Smith”
- > (sorry for the fake name but I haven’t made a decision yet…)