This can occur because too much skin was left behind during the original circumcision (incomplete circumcision/extra foreskin). The extra skin can also be uneven with more skin on one side versus the other side. Often, a redo is done because the extra skin may lead to irritation or infection.
The most common reason for a circumcision revision is that too much of the foreskin is left following a circumcision. This is called redundant foreskin. It can cause scar tissue to form as an infant grows and develops more fat in the area around the penis. Buried penis.
Adhesions can occur when the remaining skin is not frequently retracted (pulled back) when too much foreskin is left during a circumcision. They also can happen when the skin of the penis is pushed forward by a large fat pad in the pubic area, giving the penis a “buried” appearance.
Circumcision revision is a surgical procedure performed to correct or improve the appearance of the penis and penile skin after a prior circumcision. The most commonly performed revision is straightening of the circumcision scar or removing the excessive or uneven foreskin.
Foreskin retraction may happen immediately after birth, or it may take several years. Some boys can retract their foreskin as early as age 5, but some may not be able to do this until their teenage years. Retraction of the foreskin should not be forced.
“Incomplete” Circumcision
Sometimes the foreskin still covers the head of the penis and it looks like nothing was done. Other times, there's more skin left on one side than the other.
Immediately after the circumcision, the glans may appear red and glossy or even purple. This occurs because the skin covering the glans of an uncircumcised penis is a mucous membrane. Once the membrane is exposed, it thickens and becomes darker.
At first, the incision (cut) will be red and the glans (head of the penis) will look like it has been scraped. The area may be tender, but this will lessen over the first couple of days. The penis may also have some redness and swelling and have some yellow pus on the head in particular for up to a couple of weeks.
Complications of Circumcision
The main finding is spreading redness up the shaft of the penis. Bleeding (Serious). Normal bleeding from the incision site should be a few drops. More than that suggests a bleeding problem.
As with any wound, the possibility for abnormal healing is present with circumcision. Although an unusual occurrence, granulomas along the cut edge and keloid formation have been reported. If the patient has any condition that might increase the risk of abnormal healing, circumcision may be contraindicated.
The adhesions can be located anywhere around the head of the penis and vary in severity. There are 2 types of adhesions; non-vascularized and vascularized. With non-vascularized adhesions the foreskin naturally adheres to the head/glans of the penis and sometimes happens again after circumcision.
In adulthood, the foreskin is normally loose enough to be fully retracted. In this case, the glans (including its root) should be fully exposed. During erection, the foreskin retracts by itself, exposing the entire glans or at least part of it.
Redundant prepuce is an excess amount of foreskin – the foreskin completely covers the top of your penis when it's not erect. Not being able to fully withdraw the foreskin from the head of your penis could lead to health problems.
A tight foreskin is normal in babies and young boys. Most boys' foreskins do not pull back (retract) before the age of 5, but sometimes it's not possible until they're 10 or older. The end of a boy's penis may bulge or balloon when they pee, particularly if their foreskin is tight.
Foreskins removed during hospital circumcisions are sometimes sold to biotech labs, since young skin is ideal for researching skin for burn vitamins, insulin manufacture, and also making skin creams for ladies. One infant foreskin can be grown into literally thousands of square feet of new tissue.
Smegma. If you do not wash your penis every day, a cheesy-looking substance called smegma can build up. Smegma is a natural lubricant that keeps the penis moist. It's found on the head of the penis and under the foreskin.
The smegma appears as accumulations of opaque-white or yellow substance composed of dead cells and skin oils, which is malodorous [1]. It constitutes the emission of the sebaceous gland that accumulates between the foreskin and the glans [2].
What You Should Know About the Foreskin: At birth, the foreskin is attached to the head of the penis (glans). It is attached by a layer of cells. Over time, the foreskin will separate from the head of the penis.
Surgical complications. Problems that may occur are skin or bloodstream infections, bleeding, gangrene, scarring, and various surgical accidents. A recent study showed that 1 of every 500 circumcised newborns suffered a serious side effect. Pain.
Toddlers up the age of two and boys who are at least nine can have the revision right here in our clinic. We're equipped to serve patients who may desire or require circumcision revision with minimal stress or discomfort.
You may notice a band of skin that attaches the shaft and head of the penis. Or the penis may look like it's buried in the pad of pubic fat. Adhesions are often associated with a white debris in the area. This is called smegma.
To describe the different styles, the terms “high” & “low” or “tight” & “loose” have become established. If the scar is close to the glans the circumcision is called low, if the scar is higher on the shaft it is called high. Depending on how much skin is removed, one speaks of a loose or tight circumcision.
Redundant foreskin occurs when the circumcision leaves the foreskin too long or uneven, which can lead to problems including smegma buildup, inclusional cysts, balanitis (inflammation or infections of the foreskin) or penile adhesions (the penile shaft skin attaches to the head of the penis).
Penile adhesions happen for a variety of reasons, including: Too much foreskin left behind after circumcision. Not pulling back the foreskin often enough, or a foreskin that cannot be retracted at all. Fat pushing the penile skin forward.