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Foreskin Restoration

Foreskin restoration isn't just a physical journey, but an emotional and personal one too. For many men, it represents reclaiming bodily autonomy and healing from a decision made without their consent.

What Is Foreskin Restoration?

Foreskin restoration is the process of regenerating the foreskin, the natural skin covering the tip of the penis, which may have been removed due to circumcision. It's a blend of modern science and ancient understanding of the body's ability to heal and regenerate.

Why Consider It?

Many men seek foreskin restoration for various reasons — from physical comfort to aesthetic preferences. But, it's more than skin deep. Studies highlight potential benefits in sensitivity and sexual satisfaction. It's about reclaiming a part of oneself, both physically and psychologically.

View NCBI Study

The Science Behind It

The process isn't instantaneous; it's a journey of patience and persistence. Research sheds light on the gradual nature of foreskin regeneration, emphasizing the body's remarkable adaptability. Techniques vary, from manual stretching to devices, all aiming to gently encourage skin expansion over time.

View Nature Study

Personal Stories

Every journey is unique. For some, it's a smooth path, while for others, it's a road of trials and triumphs. The emotional aspect is significant, often intertwined with feelings of empowerment and healing.

Moving Forward with Care

If you're considering this path, it's crucial to approach it with informed care. Consulting healthcare professionals, reviewing scientific resources, and connecting with communities for support can make all the difference.

IntactiWiki Resources

Surgical Prepuce Reconstruction

A Novel Procedure from NCBI Research

Abstract

Background: Authors describe a novel procedure in a group of patients for prepuce reconstruction, ensuring complete glans penis coverage who had either been circumcised in childhood or had congenitally short prepuce.

Methods: Case records of 46 patients performed over the period from January 2010 to December 2019 were reviewed retrospectively. 32 had congenitally short prepuce and 14 had previous circumcision.

Results: All patients had complete glans penis coverage. None had complications like urinary infection, meatal stenosis, collection in neoprepucial sac, balanitis, or posthitis. The mean follow-up was 23.24 months in 37 patients.

Conclusions: The procedure is simple, gives reliable results, and is customized to the needs of the patients. It does not interfere with penile erections.

Keywords: prepuce reconstruction, circumcision, glans coverage

Introduction

In modern times, the prepuce is not considered a vestigial organ. It is densely innervated and contains erogenous tissue. It is responsible for a part of the blood supply to the glans penis via the frenular artery. The prepuce acts as a roller bearing during sexual intercourse, unfolding and gliding, thus protecting the glans penis from abrasive and biomechanical stress.

In its absence, the glans becomes less sensitive, rough, dry, and keratinized. The prepuce also has a protective role against common microbial infections. Circumcision results not only in the loss of these functions, but it also has psychological consequences such as a feeling of emotional harm and dissatisfaction.

Surgical Technique

  1. 1Pericoronal incision with penile shaft skin mobilized in the subdartos loose areolar plane to the penile base.
  2. 2Glans penis skin de-epithelized from a 5-mm margin parallel to the urinary meatus to and including the corona.
  3. 3Supportive sutures placed to anchor the advanced penile skin flap to the coronal ridge.
  4. 4Advanced penile skin dartos flap folded inward onto itself for 1.5 to 2 cm, creating the neoprepuce.

Clinical Results

Hover over images to view (medical content)

Figure 1
Figure 1

(A) Patient with congenitally short prepuce and exposed glans penis. Preoperative status. (B) Penile shaft degloved in loose subdartos plane, up to base. (C) Penile shaft skin advanced nearly 5 cm beyond glans tip. (D) Neoprepuce created with described method, lateral view. (E) Dorsal view.

Figure 2
Figure 2

(A) Another patient with congenitally short prepuce and exposed glans penis. Preoperative right lateral view. (B) Penile shaft degloved up to penile base. Glans penis de-epithelized except a 5-mm margin parallel to urinary meatus. (C) Immediate postoperative right lateral view showing complete glans penis coverage and neoprepuce. (D) End on view showing newly formed epithelial-lined neoprepucial sac.

Figure 3
Figure 3

One-week postoperative result with some residual edema — (A) Ventral view of penis and neoprepuce. (B) Dorsal view. (C) End-on view showing complete glans penis coverage. (D) One year and 4 months postoperative view.

Figure 4
Figure 4

A 3 years follow-up result — (A) Right lateral view. (B) End-on view showing complete glans coverage and healthy neoprepucial sac.

Study Results

46
Patients Treated
100%
Complete Coverage
23.24
Months Mean Follow-up

Conclusion

The procedure is simple, gives reliable results, and is customized to the needs of the patients. It does not interfere with penile erections. The procedure may be useful in reconstructions following circumcision, neoplastic resection, and trauma.

Read Full Study on NCBI

A Journey of Healing

Foreskin restoration is more than a physical transformation; it's a journey of self-discovery and healing. Whether you're just curious or deeply invested in the topic, remember, it's a personal choice and journey, unique to each individual. Embrace the journey with an open mind and heart.