Penoscrotal web, how did that happen
An overzealous circumcision. Definetely the underside cannot be too tight lest the scrotum be drawn into the penile shaft. If there is looseness post circumcision on the underside, chances are the circumference is too loose and this requires a longitudinal incision to gather in the sides, not more circumcsion.
Here’s the letter…
Hello. I’ve got a question. I am 28 yrs old. I weigh 210 lb. and am 5 ft. 8. I was circumcised when I was 20 yrs. old. I thought the procedure went okay. The cut looked alright, but I noticed that the doctor left my frenulum. I don’t remember if I opted for this or not. Within the last few years however, I have put on 50 to 60 pounds and I’ve noticed that my penis feels a bit tight. Is tightness weight related? I am having 2 problem areas.
#1 When I am erect my scrotum seems to hang higher and pull forward so that I’m not getting full range of my shaft. When I was uncircumcised and 150 lbs. I could grip the base of my shaft and my hand would come into contact with my pubic area. Now the base of my hand seems to come into contact with my scrotum.
#2 I feel like my frenulum prevents me from a full retraction of shaft skin because its tethered to the glans (perhaps pulling my scrotum forward as well during erections). My glans don’t bend down or anything, but I still feel some tightness between the glans and the top of my shaft. If I have a (frenectomy?) won’t that loosen that V shaped skin on the underside of my shaft thus loosening more of my shaft skin relieving any forward tension of my scrotum when erect and allowing for a better retraction of shaft skin particularly the underside of the shaft.
FYI, I saw a urologist in my town about my tightness concern. He recommended that I leave it alone because he thought my penis looked normal and thought I wouldn’t like the scarring that could result from a frenectomy. He seemed convinced that weight loss would help. He also recommended that I get a 2nd opinion.
In that the head of the penis is liked a cocked cap more on the top than the bottom, for this reason, less tissue need be removed on the underside. Or another way of saying it is, the underside needs more skin, and if there is a little extra, the weight of scrotum pulls that down.
Harold M. Reed, M.D.