Today was my first sex after preputioplasty. I should say that it felt great. To make a long story short, all the feelings are as if I am one year ago, before the tightening of the foreskin started.
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Preputioplasty 
Hey man – thanks for this blog. I am also thinking of having this procedure and was looking for patient’s direct experience with this procedure for last week and half.
Again, thanks!
I’ve been suffering from phimosis as well, but the two urologist I went said circumcision was my only option. Where can I have this procedure done. I live in Canada and can’t find a surgeon who will perform this type of procedure.
You are welcome! This is exactly the reason why I started this blog. Several months ago I was the one who was looking for any information on the procedure.
Hello, your blog seems very helpful, i’m glad your procedure went well! i have phimosis and i am nearly 17, the doctor i went to said that i could choose either circumcision or preputioplasty. The only thing i’m worried about for having the preutioplasty operation, is that it will leave behind unattractive scars that are noticeable and ugly, did you experience this problem as well? if so did it take long for the scarring to go?
Thank you for your comment. Please, see my latest pictures (“Final result”) for the update on scars. Don’t worry!
Hello ,It is an amazing coincidence to have come across your blog,as i had almost exactly the same operation 25 years ago.I have never heard of anyone else having this type of operation.In my case the doctor called it a “palliative circumcision”.It was certainly looser than yours ,but I have been very happy with the result.I would like to correspond directly with you re this ,recounting my history,if you’d be interested,Cheers,I look forward to hearing from you.
Thank you for your comment. Yes, I definately would like to hear your story!
Hi,Thanks for the invitation.Like you I am just an ordinary bloke,who happened to have a problem with his foreskin and who did not want to be circumcised.My foreskin was long ,and loose,but it always stayed completely covering the glans,even during an erection.This meant that sex was not so good as it might be,especially for partners,as there was no contact between the glans and the vagina,the foreskin just slid around.I of course assumed that this was “normal”.
I was always surprised by the statement in books that ,when erect ,there was no difference between a circumcised and an uncircumcised penis ;there certainly was in my case.
I married in my early 20’s and about this time my formerly very loose foreskin started to tighten,around the overhang or tip..I went to a doctor who referred my to a urologist,who said that i had developed phimosis and that it would continue to tighten and I would eventually have no opening,or I would get paraphimosis,where the foreskin gets stuck behind the glans and in effect ,”strangle” it.
This was in 1986,when there was no web etc and it was very hard to get any information about such things.WE talked a bit about it and I asked about stretching etc .creams[the cortisone type ones now used did not exist then.He said to have a think and talk to my wife etc.
My wife wasn’t happy with the idea,but we couldn’t think of an alternative.I asked my father who was also uncircumcised,who said ,I should follow the doctor’s advice.
I reluctantly went back to the doctor and agreed to be circumcised.He said that i wouldn’t be unhappy with the results of the operation, sex would be better and that he had a special operation.I didn’t ask about this as i knew what circumcision involved since my younger brothers were circumcised.
Like you I had a general anaesthetic,but stayed overnight.
In the morning the nurse asked if I’d had a look at it yet,I said no,she said you should you have to get used to it .I had just a light wrapping of gauze,which she lifted off;all i saw was what i though to be a mess.Later in the morning when the doctor came,he had a look and poked around a bit and asked how I was etc etc.During this I noticed the despite the “mess” ,my foreskin was some how “re-arranged” and held back behind the glans.Before I left ,shortly after I had a good look and poke around and realised that I hadn’t been circumcised,ie that the foreskin hadn’t actually been removed ,but something else had happened.
Things healed well and quickly and I had virtually no pain.
I had to see the doctor in a week,after his examination ,I asked what had he actually done and why,as i knew I had not been circumcised,certainly not like my brothers.What he retailed to me ,was a description ,virtually identical to your operation ,except,the dorsal slit was longer and where the two slits were made on the shaft,a little bit of the surface skin had been removed.I had also had my frenulum totally removed.In response to my ,Why,he said it healed better and faster .there was less blood and pain and the foreskin would ,after a while roll forward ,partially covering the glans to give it protection.Whilst i was very happy overall with this,I was worried that I’d get phimosis again when the skin rolled forward.He said that this was not possible as the opening was now very large and since the foreskin healed behind the glans ,the slit wouldn’t shrink or tighten during healing.
All happened as he said ad after about a month or so,when the swelling had gone down,my now very much shorter and looser foreskin slid forth over the corona.
I have less coverage than you ,probably about 2/3 rds. when “normal,’during relaxation the foreskin goes back off the glans of its own account and during sex slides right down on the shaft .Our first sex was a “revelation” and has stayed wonderful ever since.
On e advantage you also mentionned was that one doesn’t have to pull back the foreskin to pee and this keeps the head cleaner, drier and with virtually no odor..
I have been very happy with the result.You wrote that you’d like your foreskin looser,this needs a bigger dorsal slit and this takes longer to heal without the “cleft” in the foreskin,which you mentionned.
If you want anything further,just ask .
Both cases sound identical to what i am currently experiencing. I went and seen my GP today who has referred me to Urology and recommened preputioplasty and frenularplasty. I’ve read a couple of horror stories on the internet so I’m a little apprehensive. My foreskin retracts when flaccid but not when erect and i have the hard white band you both describe as phinosis. So the pain is not as bad as you would expect? How long is the healing process? And are you both entirely satisfied with results? I’m nervous that i may lose all sensitivity more than anything..
What kind of horror stories did you hear about???!!! I am really surprised! There was virtually no pain after the procedure in my case. You can read more in posts “Day 0”, “Day +1” and “Day +4” about pain.
I am back to having normal sexual activity on day +27.
I was somewhat nervous about losing sensitivity. However, there is NO change in sensitivity in my case. Plus, the unpleasant feeling of the tight foreskin in gone.
Hey man just want to know where you got the procedure done please help thanks
Louisiana, USA.
Hi anonymous,It is not a big deal.If you’ve got something not working properly,just fix it.Not much if any pain and everything now owrks well,with as little interference as possible.Preputioplasty is right in what he says,in my view.
Thanks for the replies. As i say, losing sensitivity is my main worry as ive read a few stories. A couple of other stories said that the foreskin was still not retractable after surgery. Do either of you have any scarring? And does it still look cosmetically pleasing? I’m tempted to ask if he can perform the double incision for a better final appearance.
I guess it was not clear from my first reply, but I am the owner of this blog. So, you can see my pictures here. I am still just one month after the procedure and will keep you updated about any changes.
No change in sensitivity AT ALL! And actually, the one incision place has evened out (see my “Final result” pictures).
Hey there, I have tight forskin and have had it all my life. I have always been worried and embrassed about it. I was wondering how hard was it to go though this whole surgery? From the point you thought it was a problem to the results. Are you very happy with the results? Is sex more pleasurable with your head fully exposed? As i have never been able to retract my forskin when im erect! Thanks for your extremely helpful blog!
The surgery was not a big deal at all. I could retract my foreskin before the procedure, so I cannot tell you if it is going to be very much different for you, but I think it will. In my case, sex became unpleasant and even painful at some point. After the procedure it feels the way it had felt before I started noticing the tightening of the foreskin.
When you had this surgery done, were you able to go back to work the next day?
Yes. No problems.
hi there, i am going through the extact same process
initials i was though to have bxo but was soon realised otherwise.
I wanted to ask you, some people feel having the preputioplasty makes you foreskin look like “dog ears” to which i do not understand? could you please explain it? where am i suppose to look on the your op pictures to see the relation to dog ears??
Also could you explained what the preputioplasty has acutaually done, e.g less tension on the dorsal went retracting/wider??
jas
A lot of people confuse preputioplasty and a dorsal slit. The latter does make your foreskin look like dog ears. Here is an example: http://images.medscape.com/images/541/801/art-un541801.fig5.jpg
Preputioplasty is less invasive and the comsetic result is better, especially if you have two incisions instead of one. I had just one incision but am still satisfied with the result. You still can see where the incision was made from my pictures here.
As per your second question, the result of the procedure is that the foresking becomes wider and slightly shorter. Preputioplasty treats narrow/tight foreskin by making an incision and thus widening it.
i really appreciate your feedback and time, i actually saw the hospital today and have booked both procedures. Would you be able to tell me the pron/cons of having 1/2 slit to the preputioplasty or is it just the cometic look?
I am no doctor, so I cannot tell you. Studies show a slightly better cosmetic result of two incisions. I would think that if two incisions are made instead of one, the resulting foreskin is wider, given the same size of incisions, but I may be wrong. This is definately one of the questions to ask your doctor. My doctor told me that he only performs one type of preputioplasty and that he wouldn’t want experimenting on me.
I have also gone ahead and booked both procedures for the 30th of August, however, i start my new job on 3rd Sept.. How much pain or interference will i experience from your experience?
I had no pain at all. And unless your job requires substantial physical activity, you should be just fine. For details, read my posts “Day 0”, “Day +1” and “Day +4”.
Hi, I was wondering where you had the surgery done? Is it in Canada? What is the name of the doctor? What would be the total cost if you have no insurance? Thanks a lot. Chris
Louisiana, USA. See my posts about costs.
Hey man where did you get this done at
Louisiana, USA.
Today i went through this operation preptioplasty… my skin specially from head is swallon like a fat pig.. can u please advise how it will look after couple of months?
what hospital or doctor’s clinic did you get this done at?
I have got frenuloplasty done but the foreskin is not removed. There is no problem in flaccid state but a bit pain in erect position as some foreskin to retrect back.
hey man thanks for the blog, had the operation myself about 17 days ago, still a little tender, and healing at the moment. and stitches still not dissolved. rolls back fine when flacid which is good, but have tried pulling foreskin back when erect a couple times, and its still a little tight going over the bellend, will things loosen up once its all completely healed?
Hope to hear from you soon! thanks
In my experience, there will be little change after everything heals.
Which physician performed the surgery
I’m going to share some of my experience here, as there are very few resources available online and hopefully my advice can help others.
I had my op on the 1st Nov 18, where I had a preputioplasty and frenuloplasty. I experienced prolonged frenulum swelling, and swelling in two places above the glans. When retracted, my penis looks somewhat like a sandworm from dune. I saw the surgeon again on the 6th, who stated I had more than usual swelling, mainly because the foreskin was retracted, which then led to more swelling, which led to the foreskin becoming stuck in its retracted position, which then led to more swelling, a ‘vicious cycle’ he called it. The surgeon had to essentially force my foreskin forward despite the swelling (an extremely painful experience). I am annoyed about how when I was discharged from the hospital, I was not advised whether to pull the foreskin forward or not during recovery, and so I just assumed that I needed to leave it in the retracted position they left it in after the surgery.
My first piece of advice is this:
Anyone undergoing this procedure should make it clear with your surgeon/nurses etc whether or not you do need to pull the foreskin forward whilst healing, and that swelling can be combated by pulling the foreskin forward. Having your penis face upwards towards your belly button and keeping it in that position also helps apparently.
I am also concerned about the so called ‘dog ear deformity’ where two flaps of skin remain like floppy dog ears either side of the glans. This mainly applies to the dorsal slit, a different type of procedure, but there IS a risk of it in preputioplasty. I currently have what looks like this, but as I am still swollen and not fully healed, it is impossible to tell whether it is the case or not. I did not learn of this risk until after my op, by reading a number of scientific journal articles on preputioplasty mentioning the risk. As you can imagine this really made me worried, and I raised this issue with the surgeon when I saw him about my swelling. He informed me that that if it is the case I would need to come back for more surgery to correct the cosmetic issue, either by removing them or by having a full circumcision.
My second piece of advice is this:
Anyone going in for a preputioplasty should make it clear with the surgeon what the risk of this is, and it is probably best to raise this issue BEFORE the surgery so that you know what you may be getting yourself into. Furthermore, try to have a discussion about what type of preputioplasty they will perform, as there are different methods, some reducing the risk of the dog ear deformity more than others.
Because of my more than usual swelling, I found it difficult to clean and also got an infection on day 8 of recovery, which produced a foul smell. I realised this may happen and also saw my doctor on the 8th, and a course of prescribed antibiotics has immediately cleared it up. I’m now on day 10 of recovery, and the swelling is slowly subsiding, but I am concerned that the prolonged period of swelling has affected the healing process. There is no way to be sure until it has fully healed.
My third and final piece of advice is this:
Do not judge what your penis looks like before it has fully healed! My penis looked like an absolute train wreck after the surgery, and at day 10 it still doesn’t look great. You need to go into this with patience and determination, because if you don’t and judge what you look like before its healed, its really gonna mess with your head and self-confidence, like it has mine.
Overall, try not to make the same mistakes I made and definitely do your research BEFORE the op! Despite all this, I would still recommend a preputioplasty over a full circumcision, especially if you want to retain your foreskin, and if it is unsuccessful you can always have a circumcision afterwards.
I’m happy to answer any questions, and will leave another update when I am more fully healed.
John