Dr. Harold Reed Blog

Category Archives: Penile Synechia

Had circumcision for phimosis but head still seems hidden

Dr. Reed,  Had a circumcision for phimosis several years ago, but still looks like I am uncircumcised.  Please look at some recent photos and would appreciate your opinion . Bill

Dear Bill, 

Thank you for visiting our web-site penisdoctor.com/before-after-adult-circumcision with many before and after photos.  Have reviewed your photos and I am noting a lack of the rim of the head of the penis or glans.  I’m sure it there but covered.  The rim is a distinguishing feature of the penis.  You may very well have a penile synechia or fusion of the inner foreskin to the head.  This usually separates as an infant becomes a child.  If still adhered, we can separate these tissue planes into 2 raw surfaces, which usually will heal completely with regenerated skin in about 3 to 4 weeks.  During the healing process, you’ll need to apply ointment to prevent them from sticking together.  

Also your circumcision seems loose, and that may be a reason why the head is partially covered.  You do see the rim on the left lateral side, so the result at this time is of course uneven.  A consultation in the office will provide more information than your well focused photos.  We usually do many circumcisions and revisions every month at the Reed Centro for Cosmetic Circumcision – Miami.

Best,

Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision – Miami
1-305-865-2000

Phimosis, before circumcision


Phimosis, after circumcision photo, note the rim or corona is seen all the way around

How does glanular synechia differ from a penile skin bridge or tunnel

Dr. Reed,  Please explain the difference between synechia of the glans vs.a penile skin bridge.  Roger Dear Roger, You can pass a fine blunt tipped instrument under a tunnel or unroof a tunnel by “cutting down” on a delicate instrument (under anesthesia of course). Synechia occurs when 2 normally epithelialized areas are “slapped or fused…Continue Reading

Penile Skin Bridge or Tunnel or Adhesion

A penile skin bridge or tunnel may be called a penile skin adhesion but differs from  synechia where the skin surfaces are incompletely separated or never fully separated.  In normal development the glans separates from the foreskin.. . Penile skin bridges or tunnels most commonly occur as a consequence of an improperly healed circumcision. Penile…Continue Reading