Achieving a high cut

I get the idea some medical folk (as good as they are) may be trained in a single method of circumcision. It might be a one-size fits all approach to outpatients. This might not be true for private practices, opposed to nationalised health services.

For achieving a high cut (more inner skin retained) are doctors/urologists able to achieve this with clamps? or is this done specifically free-hand?

I mean, I wouldn't want the gallows to take more than I would otherwise request, if the same tool/clamp yields a results that can not adjust for a higher or lower cut. If you get what i'm trying to say..

Thoughts and experience?

[S2BC]

It depends what is your opinion about high cut. If you think so called "All American High and Tight" in 90's adult videos, you can't have similar as an adult with a clamp method. Those were done non-consent to an infant with Mogen/Gomco clamp.

The problem/issue with any clamp or stapler method is that operator can't see under the foreskin where incision line in fact locates. It's just a guess. Higher type of cut needs stretch shaft skin further over the clamp or staplers blade . It may cause uneven and unsymmetrical result. IMO, staplers are just those one-size fits all devices. All together 10 minutes and you can go. It's fact in med school there are so much more to learn than just different types of cosmetic procedures of penis. Non-theist world circumcision is last option to cure medical condition.

Sleeve resection/freehand method is way to go if you like scar above mid of your shaft. Then almost all of your inner foreskin can be saved.

[Hidden in reply to S2BC]

Thanks,

I think the way I see my preference, is to have the frenelum cut horizontally where it attaches to the glans. Then, pulling the corners together then stitched vertically, it lengthens the under-skin as well as retains the frenelum. (Essentially the surgery treating frenelum breve).

Once this is stitched (the first cut) the next move would be to choose on the shaft-skin where abouts to remove 2~ inches or more of skin. This could be anywhere I suppose?

It would end up looking like an upside down T, however the cuts do not touch each other, having the gap of normal skin between.

I have seen some images of circumcision done very much at the base of the penis, the polar opposite of the low cut, of course cut/stitched snug under the glans. Doesn't seem popular however, though that would retain 100% of the inner skin.

It seems free hand with a steady surgeon may best get this result.

[S2BC in reply to Hidden]

bjui-journals.onlinelibrary...

This might be the frenuloplasty you are looking for? (page 1548, figure N)

[Hidden in reply to S2BC]

Looks on point.

Though I guess a fairly loose or 'normal' foreskin gives the surgeons a few more options on how to achieve that release. I've seen other methods to do a 'Zoro' cut (Z shape), which then folds the arrows to create a wider diamond shape which is then stitched.. If I could screen grab and paste here it would be much easier.

So let's spread rumors and misinformation and call it the Zoro stitch haha.

(Moderators; this is a joke and I recommend medical experts describe the zoro cut in their terms )

[S2BC in reply to Hidden]

It's called Z-plasty.

[Hidden in reply to S2BC]

haha, love it.

[KOTFrank in reply to S2BC]

Yes and there are different variations of z-plasty.

[8thfloorben]

I can recommend a brilliant surgeon in the UK if you want high and tight.

[Hidden in reply to 8thfloorben]

Alas, i'm on the other side of the world in NZ.

I guess also being constrained by $$$ i've already been scared off by some private quotes I got from a cosmetic surgeon. I'm a $$ kinds of spender as I also will be getting the snip as well as the chop over the next 12 months I would imagine.

[8thfloorben in reply to Hidden]

You mean chop as in losing your job mate? Sorry if that's the case. Over here general anaesthetic doubles the cost, both mine were local anaesthetic and it allows you to watch what they're doing as well.

[Hidden in reply to 8thfloorben]

Oh no, nothing of that sort of economic hardship. By chop I mean foreskin lol. Fortunately, i'm in essential services.

3 kids and single income doesn't get to taste much High Street pricing these days

[KOTFrank]

Your concern that doctors seem to only do one type of circumcision is exactly true under UK public healthcare. Only one type is done no matter what, which is the removal off all the sensitive mucosa except where it continues onto the glans. Then the shaft skin is stitched into the glans sulcus “neck” and rough out shape approximating the area of the now amputated frenulum. This type tends to deform the glans being so close to stitching. I don’t know about NZ.