Day -2

Today Dr. Baum called me with answers to my questions. He only performs preputioplasty with one dorsal incision. I guess this is my second best option because studies show that two incisions leave a slightly better cosmetic result and avoid a cleft in the foreskin on the top of the penis. I also wonder if two incisions make the foreskin wider than one incision. He gave me no reply to my question about BXO. I am still going to stick with the plan.

At the same time, I find more sources that say preputioplasty is not an option if BXO is present because the continuing inflammatory process results in recurrent stenosis of the preputial orifice. I am still going to try preputioplasty for two reasons. If I do have BXO indeed, it is of the slightest form (my penis is not nearly as scary as some penises on pictures of BXO). Also, I can always undergo circumcision if preputioplasty does not help, but not vice versa.

More information: http://www.ispub.com/journal/the-internet-journal-of-surgery/volume-18-number-1/bilateral-lateral-slit-preputial-plasty-a-technique-preferred-over-circumcision-in-primary-phimosis.html

http://urologycentre.com.sg/bxo_treatment.html

http://www.google.com/url?sa=t&rct=j&q=prepuce%3A%20phimosis%2C%20paraphimosis%2C%20and%20circumcision&source=web&cd=4&ved=0CDkQFjAD&url=http%3A%2F%2Fdownloads.tswj.com%2F2011%2F405910.pdf&ei=in1yT7fLEcPi2gWU-OGCDw&usg=AFQjCNE0otITK0wYPDmAFxqaInJrj714Ug

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