An invisible circumcision: modified penile root circumcision with sleeve

  Recently there have been a lot of inquiries about root sleeve circumcision, and many people lack sufficient knowledge and understanding of this procedure, plus many hospitals do not carry it out, so we will briefly introduce it to you. We say that the traditional circumcision requires the removal of the superficial fascia of the penis (meatus) and its superficial blood vessels, and there are abundant lymphatic vessels in the superficial fascia, which can easily lead to impaired blood and lymphatic circulation in the inner plate after surgery, complicated by lymphedema in the inner plate, long postoperative edema, poor wound healing, which affects postoperative recovery and quality of life, and it is not easy to deal with the foreskin tether, which can easily lead to too much or too little removal of the foreskin tether. If too much is removed, it may cause the head of the penis to bend down or pain during erection; if too little is removed, it may cause bloating in the area, forming a subcutaneous lump, affecting the beauty and the quality of sexual life. If the foreskin tether is damaged, it can cause bleeding of small arteries. Then the modified penile root cuff circumcision cleverly solves the above-mentioned drawbacks, therefore, it is widely welcomed by male friends.  1, cleverly hidden surgical traces, known as the “invisible circumcision”. Modified penis root cuff circumcision using local anesthesia, pain is slight, the whole use of plastic instruments, fine operation, both to protect the dorsal penile vein and foreskin tie, and no incision edema, small surgical scar, after surgery can be effectively hidden by hair, high concealment. The foreskin at the coronary sulcus has not undergone surgical operation, which looks more natural and beautiful.  2. Preserve the intact lining tissue and a large number of lymphatic vessels. The surgical design is reasonable, because the surgery only removes a section of the skin of the inner and outer plates, not the whole layer of the skin, avoiding the injury to the larger blood vessels of the superficial fascia such as the dorsal superficial penile vein, preserving the intact endothelial tissue and a large number of lymphatic vessels, and significantly reducing the secondary bleeding and edema after the surgery.  3. The excision of excess foreskin is “just right”. The incision design is reasonable and flexible, with two circumferential incision lines, the lower one being the base line of excision and the upper one being adjustable according to the amount of skin excised. It can satisfy the penis to remove the excessively long foreskin under relaxed condition. Therefore, it can remedy the effect that cannot be achieved by traditional circumcision due to the longitudinal cutting of the inner plate and the limitation of the length of the inner plate. The excess edematous stored skin in the upper part of the coronal sulcus after traditional circumcision is a sign that the excision range is not enough.  4.Surgery to correct mild penile curvature at the same time. The use of two circumferential incision lines are not parallel to correct the partial ventral flexion of the penis. This method is used for adults with well-developed penis, and the dorsal side is more excised than the ventral side by 0.5~0.8cm, which can correct the ventral curvature of the penis by 10°~15°. This unique advantage is also not achieved by the traditional circumcision.  5. The integrity of the circumcision ties is preserved, and bleeding, edema, infection and complications are significantly reduced. The difficulty of traditional circumcision is at the circumcision tie, which is rich in blood vessels and not easy to clamp, and is the key site of bleeding. The modified penile root cuff circumcision avoids the difficult point of surgery at the tether, the two circumferential incisions are parallel, the excised ventral and dorsal foreskin are equal, and the skin on the dorsal side of the abdominal pain is equal after anastomosis, avoiding the retention of too long or too short on the side of the tether and the tether folds and outer plate skin do not anastomose to affect wound healing and aesthetics.  6, light postoperative pain, not easy to infection. The foreskin is especially rich in peripheral nerves near the coronary sulcus, and the pain is more sensitive. The modified penile root cuff circumcision is far away from the coronary sulcus and the ligament, so the pain intensity is smaller and the pain time is shorter than the traditional surgery, and it has no effect on sexual sensation. The incision of traditional operation is close to the urethra, so the dressing is not easy to be wrapped, fixed and changed after the operation, and it is easy to be soaked by urine when the patient urinates, and the incision is easy to be infected by bacteria in a humid environment, but the modified penile root cuff circumcision incision is at the root of the penis, so the dressing can always be kept dry and the postoperative care is convenient.