Challenges with GP referral

Hi dadrobbie,

To get the appropriate treatment takes a bit of thought and self education.

Maybe your sons foreskin could stretch, some do others don't - it depends on if the phimotic ring is secondary or primary - primary ring i.e. from birth stretches, secondary ring from infection etc. doesn't - it also depends on how short the frenulum is ... (you can probably only tell by running a q tip around under the foreskin)

You report irritation, - irritation can always develop to inflammation and infection! and this is an added complication and means that it might have started as a primary ring but now has developed to secondary.

The simplest practical thing to do is a very small dorsal (top-side) slit, just long enough to cut through the phimotic ring, which runs very near the front of the foreskin on top. (if necessary it can be tidied up later with a 2nd OP) - but first you need to stop the infections, to be able to get at the glans and clean it.

For an adult, the simplest way to do this is by using the method described in tying the frenulum. (to be found top of page on frenulum_treatment.html)

copy paste quote:
A needle with a thin strong thread is pricked underneath the frenulum. It is tightened with knots as tight as possible. The first night afterwards will be somewhat painful but the following days it's hardly noticeable. The thread and knot really pinch up the skin tissue and cut through the frenulum (even a substantial frenulum) after about 7 days. Cutting by means of tying up the frenulum makes a much nicer - later on even invisible - scar. The penis has to be softened in hot water for about 15 minutes three times a day. This assists and eases the healing of the wound. After about a week the thread just falls off.

Any nurse could do this with one stitch ...

BUT I'm thinking it's too much for a young child, in which case any nurse could make a small cut with a scalpel.

There are (usually) no thick blood vessels running on top of the foreskin (mainly underneath in the frenulum) however stilling the bleeding and healing the wound is the problem.

And then the main problem is 'taking responsibility' - and for all this i must ask that you view the disclaimer male-initiation.net/library/xtras/disclaimer.html and advise you to go to a medical professional, and yes, to get profi treatment in the UK you need to go private.

But a private doc isnt going to know any more about phimosis than a normal GP, so you need to be clear about appropriate treatment - otherwise i fear you'll be advised to get a full circ. (just because that's what they usually do) (and if its private that costs more than a dorsal slit *** ?!)

yes so partial circumcision is better than a full circ, but i believe in minimal surgery and a dorsal slit should be enough, this can always be turned into a half-circ later - but leaves the choice till later when its not so urgent (urgent due to the irritation - and possibly infection) - and when he's adult your son can then decide for himself ...

I realise my answer is neither optimal or complete - however i am wondering how much time to spend on it and if you will return and read it ? so, if you want more info. please answer here, but also send a short message - probably easiest on the contact form of my new project animalsense.online/contact.html - so that i know you've answered and are interested.

Thanks Robin