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

Day -4, BXO

Today I think I found the answer to my question about the link between white patches and tight foreskin (see the very first post of this blog here). Lichen sclerosus. Thought to be the most common cause of phimosis, lichen sclerosus is a dermatological condition manifesting as white patches on the foreskin and glans; often a hard, white ring of tissue develops, which may prevent retraction. What causes lichen sclerosus is not certain, although theories range from bacterial or viral infection (especially with HPV – human papilloma virus) to autoimmune diseases. Lichen sclerosus is also called balanitis xerotica obliterans (BXO).

Here are more links to information about BXO:

http://www.dermaamin.com/site/atlas-of-dermatology/2-b/147-balanitis-xerotica-obliterans-.html

http://en.wikipedia.org/wiki/Balanitis_xerotica_obliterans

http://www.centerforreconstructiveurology.org/urethral-stricture/lichen-sclerosis-bxo.htm

I guess it is good that I found some explanation to my problem. Also, it seems like this finding does not change my treatment as most studies recommend circumcision/preputioplasty for BXO. Except for this study: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC539601/

I also see different techniques describing preputioplasty in different sources. Some recommend one incision, others recommend two or more.

Definitely now I have more questions to ask Dr. Baum.

I am still puzzled why it is I who searches for answers and then presents them to doctors, and not vice versa.

Hello!

Hello and Welcome to My Blog!

I am a normal guy, and there is nothing really special about me. I also have a problem that is common to thousands of guys. I have a tight foreskin. Unfortunately, I found little to no information about the problem on the Internet. I couldn’t find a single web page/blog that would describe someone’s personal experience about the issue. So, I decided to start this blog in the hope that it may help someone out there in a similar situation.

I am uncut and up until recently I had no problems with my foreskin and liked the way I am. I am sexually active, and my foreskin definitely adds to the pleasure I get during sex. Even though my frenulum on the penis has always been short (and I have been aware of that), I had no problems retracting my foreskin to fully open the head of the penis.

Foreskin is supposed to stretch easily, and it has been the case with me. Over the past year, however, I noticed that a defined ring of foreskin has become increasingly tighter and lost its elasticity. Finally, I reached the point when it became uncomfortable and at times even painful to have sex or to retract it when peeing.

I do not have a picture of my penis more than a year ago, before I started noticing any change, but I guess you can imagine what an uncut guy looks like. Here are pictures of me today. Flaccid…

…and erect (for comparison):

Notice the tight ring of foreskin that I can pull back no further than the head of my penis when I am erect. The ring can become so tight that some of my foreskin can get trapped inside (see the last picture). Even though I am white, my penis has always been somewhat dark. Much darker than the skin on any other part of my body, that is. I know it is normal but I also noticed that the very same ring of foreskin that is now tight has become lighter at the same time. You can easily see patches of lighter skin on pictures above. They were not there one year ago; the colors were pretty much smooth (evenly dark). At this point I don’t know if lightening of the foreskin has anything to do with it becoming tighter. I searched on-line and found that some guys have similar symptoms.

Notice that I am naturally curved down. This is caused by neither my tight foreskin, nor my short frenulum. Again, I know it is normal, and have no problems with that.

If this problem is similar to yours or you have similar symptoms,

Weclome to My Blog!