Circumcision
Circumcision is a surgical procedure that involves the removal of the foreskin, the fold of skin that covers the tip of the penis. It is often performed for cultural, religious, or medical reasons. In some cultures and religions, circumcision is a traditional rite of passage or a religious requirement. Medically, it may be done to treat conditions such as phimosis (a condition where the foreskin is too tight to be pulled back over the head of the penis), recurrent infections, or inflammation.
Circumcision - Removal of the Foreskin
The foreskin is made up of different layers of skin that surround the penis and form a fold around the glans. This fold resembles a cuff around the glans. On the underside of the glans, there is a small fold of skin that connects the foreskin to the base of the glans, called the frenulum. At the base of the glans, there is a raised area in the shape of a crown, called the corona of the glans, which outlines the balanopreputial sulcus below.
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Aesthetic circumcision aims to improve the appearance of the penis by leaving the glans partially or completely exposed at all times, even when at rest.
During circumcision, the foreskin is not simply removed; it is skillfully repositioned and reduced.
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Dr. Danino aims for the best aesthetic results by taking the final appearance into account. He can modify the foreskin in four ways:
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low and loose, low and tight, high and loose, or high and tight. These terms describe how the foreskin will rest against the shaft after the operation.
For example, in a high and tight circumcision, the foreskin is retracted so that its inner surface faces outward, wrapping around the shaft in a supportive manner.
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The surgeon then removes the tissue that was on the outside of the foreskin and carefully sutures the incision to maintain the contours of this "high and tight" adaptation. The subtle scar will be positioned higher on the shaft when the penis is flaccid, providing a secure and supportive final result.
Main Medical Reasons for Circumcision
Phimosis and paraphimosis are two of the main medical reasons why circumcision may be recommended:
Treatment of Phimosis
Phimosis is a condition where the foreskin, the fold of skin covering the glans of the penis, is too tight to be easily or fully retracted. This can lead to difficulties in pulling the foreskin back over the glans, which may cause issues such as infections, pain during erection or sexual intercourse, and even difficulty urinating. Phimosis can be treated in various ways, including conservative methods like the application of steroid creams or, in more severe cases, through circumcision, where the foreskin is surgically removed. The choice of treatment often depends on the severity of the symptoms, the patient's preferences, and medical recommendations.
Treatment of Paraphimosis
Paraphimosis is a medical condition where the foreskin, once retracted behind the glans of the penis, becomes unable to return to its normal position over the glans. This can cause the glans to become constricted, leading to swelling, pain, and sometimes difficulty urinating. Paraphimosis is typically considered a medical emergency and may require immediate intervention to restore blood flow and prevent potential complications. Treatment can involve conservative methods such as manual compression of the glans to reduce swelling, or in severe cases, surgical intervention to return the foreskin to its normal position.
Before / After Results of Circumcision - Foreskin Removal
It is important to note that the examples of surgery performed by Dr. Alain Danino are provided for informational and educational purposes only. These illustrative cases are intended to offer insights into the surgical procedures performed, but they should in no way be considered a guarantee or assurance of the surgical outcomes that potential patients may achieve.
