Wow! I’m circumcised now!
Appt was this morning at the office of Dr. David Cornell - The Circumcision Center in Atlanta, GA. Aside from the generous consultation time he gave me the total procedure time took about 1hr 15min and included the prepping, figuring out exact inner and outer incision points to allow for the result I wanted, and some chit chat. A numbing injection was applied at the base of penis, which did burn for a few seconds before subsiding and then I felt nothing. After that, Dr Cornell got forceps and clamped them at two different points on my retracted foreskin to “mock up” potential incision sites he felt would accomplish the result and scar placement I wanted. He would pull the forceps together to give a me good idea of how it would look and I was able to see it flaccid and how it would look erect.
I told him I wanted to keep most, if not all of my inner foreskin so we went with a point just above the band of tissue where inner and outer foreskin meet. I also asked for a moderately tight skin-fit with some movement upon erection. He marked these points around the penis with a surgical marker and tapered it to match the angle of the glans and it came together on the ventral (back) side in a nice looking V shape I requested. The scar line would be located a little over 2 centimeters from the coronal ridge. He then got started.
I sat up and watched the entire thing! He said it’s been a while since a patient watched everything.
The doctor was fantastic explaining everything to me as he went along. He has a very gentle and methodical technique and mentioned how important it is to take great care in handling all the tissues to minimize trauma. I have quite a number of veins on my penis and there was some cauterizing that had to be done to stop bleeding though he said it wasn’t an excessive amount of bleeding.
He said, referring to my penis anatomy, I have a lot of skin movement in general and that quite a bit of outer foreskin was removed. On most men, that amount of removed skin would result in a pretty tight circumcision, but on me it’s moderate tightness. Based on the mock ups we did and how it looked when he was done suturing, there shouldn’t be any rollover of skin on the glans when my penis is flaccid and hanging at normal length, but when I’m cold and it shrinks, it may bunch. That’s cool. I don’t care much about that.
Suturing was accomplished with 8 stitches total. He said these are very light weight cosmetic grade sutures that are 10% the weight of regular ones used by most urologists. He explained his technique is to approximate and line up the edges of skin with a goal of symmetry and bring them together closely with just enough stitches to do that. He took care to make sure he was precise in his placement of the sutures very close to edges of the skin. I asked about night time erections and if 8 stitches are enough to keep the skin from pulling apart; he said No, they are not. The strength does not come from the stitches in his technique. After suturing he applied maybe 9 or 10 of these skinny but long adhesive wound closure papers overlapping the seam- all around.. Then he wrapped my penis with a pressure bandage pretty tightly to keep the gauze on and inflammatory response & fluid build up to a minimum. The bandage is very durable and will stay on for 10 days. The bandage is what keeps everything in place and secure and protects the open wound from debris and rubbing on clothing etc.
When the bandage comes off he said it will be helpful to keep penis aimed up toward abdomen if I am able to. He said at that point, the skin edges should be closed together and recommended the application of any kind of natural oil or something as simple and cheap as Vaseline to apply to the scar to keep it from getting irritated. He didn’t seem to agree that bio-oil is as miracle a product as some people think. It’s just a mixture of different oils and vitamin E. He said you just need something to keep it from drying out while healing & even without any oil or product, the body will do just fine healing on its own.
I was told when I remove the bandage in 10 days, not to be alarmed to see what looks like a dark blood blister under the skin at the frenulum area since I have lots of veins and vessels there and right now blood is somewhat leaking out while the natural coagulation process is underway. It will go away.
After I was wrapped up and all the post care instructions were discussed, I headed to pharmacy to fill my painkiller prescription. The nerve block injections were beginning to wear off at this point and I felt a bit of a burning sensation. It wasn’t unbearable. I took the Vicodin at pharmacy and by the time I got back to my hotel I felt no discomfort at all and none for the rest of the day. I was able to go out and run some errands. The bandage on my penis is pretty discreet so no one in public knows anything.
One great tip he gave me for preventing Nocturnal erections is to take 1 or 2 30mg Sudafed tablets in the evening before bed. Sudafed is a nasal decongestant with a temporary side effect of constricting the erectile tissues in the penis. If you were to go to the hospital with a prolonged/dangerous erection, they would give medicine that has same ingredients.
That’s my experience from today. I’ll do another update if anything important comes up (hopefully nothing will!) and certainly when I remove the bandage on November 10th I’ll post.
Cheers guys. I’m so glad I finally had this done and felt like I was in excellent hands with Dr Cornell. Highly recommend him if you are willing & able to make the trip.