Circumcision Revision

Circumcision revision is a reconstructive surgical procedure that corrects penile imperfections that displease certain patients. Some men who have been circumcised at birth or later in life may not be satisfied with the results of their past procedures. Too much extra skin, irregular edges, uneven scar lines, or a distressed frenulum could be some of the reasons why patients seek a circumcision revision.

Dr. Bidair can address the causes of your concern and recommend the best remedy for you. From the convenience of his La Mesa, California office, Dr. Bidair proudly serves the needs of the greater San Diego community. Contact us online or call (619) 486-5005 to schedule an appointment. We also provide discreet, informative virtual consultations to best suit your needs and lifestyle. 

Before and After Photos

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What Is Re-Circumcision?

Re-circumcision revises the outcomes of a previous circumcision to achieve the desired results that were not accomplished during the original procedure. Most initial circumcisions are performed on infants, so the results may not reflect the ideals of the individual as he matures into adulthood. A re-circumcision may benefit males of many ages; the decision to undergo revision surgery must be grounded in the patient’s medical history and wellness goals.

One of the prevalent reasons for revision circumcision is the persistence of a redundant foreskin.^[1] If the prepuce (foreskin) is especially pronounced, it can obscure the glans (head) of the penis. Men who wish to correct the phenomenon of redundant foreskin should contact California Adult Circumcision at their earliest convenience. 

What If I Am Unhappy with My Circumcision?

There are many reasons why someone may not appreciate their original circumcision. As stated above, a common complaint is that the skin looks too loose when the penis is soft. But that is just one of the many cosmetic concerns that inspire re-circumcision surgery. There may be too much extra skin on one side of the penis compared to the other. Some men may have irregular skin edges or suture marks from their previous circumcision. Other men may have a skin bridge that developed between the circumcision line and the head of the penis. 

Benefits

Enhancement is not always a linear progression. We grow, we evolve, and we discover what works best for your bodies and our minds. The main benefit of circumcision revision is that it aligns the patient’s physical and emotional needs. When the structure of the penis reflects a man’s optimal look and feel, he can gain confidence and satisfaction.

Benefits of Circumcision Revision

There are a plethora of fringe benefits to re-circumcision, including hygienic improvement and the reduction of STD risks. To explore these rewards in greater detail, please visit our blog. 

Eligible Candidates

If you received an unsatisfactory circumcision in the past, you may be an ideal candidate for a revision procedure in San Diego. Patients should be in good health and have realistic expectations for penile enhancement. If you are experiencing an active infection on or beneath the foreskin, you may need to treat the condition before undergoing surgery. Irritation and discomfort are not uncommon for men who have overly tight, restrictive foreskins. In fact, the constriction of the prepuce can lead to painful inflammation such as balanitis, posthitis, and balanoposthitis. Please inform Dr. Bidair if you are struggling with any of these conditions so he can strategize the best time to schedule your revision circumcision.

Private Consultation with Dr. Bidair

Healthcare should never be rushed. If you feel that you received your previous circumcision without proper input or consideration, we want to help. The first step in revising a prior surgery is listening to the patient himself.

You will have all the time you need before the procedure to discuss your requests with Dr. Bidair. Most of his patients schedule their consultation the same day of the procedure. However, you always have the option of making a separate consultation appointment in advance of the surgery date.

Preparation

During your consultation, you will receive detailed instructions to prepare you for your re-circumcision procedure. These directions will be tailored to your case, and they will take into account the specifics of your past surgeries. In general, it is advisable to quit smoking before any invasive procedure, as tobacco products impede proper circulation and the body’s capability to heal. 

There is no need to fast before the surgery. It is preferable if you eat a light meal before arriving at the office. You are not expected to shave or clip the hair in the genital area any more than you usually do. It is best if you shower on the morning of the procedure date.

If you are on blood-thinning medications or supplements, you will have to stop taking them before the procedure. Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDS) need to be ceased at least one week prior to circumcision revision surgery. Please inform us if you take other blood-thinners and we can advise you regarding each individual medication.

Circumcision Revision Procedure

From the moment you arrive at our La Mesa, California location, we will strive to make you feel right at home. Dr. Bidair will review the specifics of your re-circumcision surgery and answer any remaining questions you may have. 

The surgery is very individualized depending on the main presenting complaint. It is usually somewhat more involved than the original circumcision but still done under local anesthesia in the office setting. Dr. Bidair will skillfully conceal all incisions, possibly tracing the lines of past procedures to minimize the scarring process. 

The purpose of revision circumcision is to produce a better outcome than your prior procedure. Therefore, the surgery will follow whatever steps are necessary to achieve your desired results. For example, if your original circumcision left your skin too loose, you may opt for a high and tight revision procedure. 

The exact duration of your surgery will depend on these precise details. Dr. Bidair takes almost twice the time of most urologists because he is not merely performing a functional enhancement; he is also crafting the right look for each patient. 

Healthy Recovery

The healing process associated with revision surgery is very similar to the recovery of an original circumcision. It all depends on how extensive a revision is done. You should expect to take a couple of days off work, avoid strenuous activities for 1-2 weeks, and refrain from sexual intercourse for 2-4 weeks. 

If you have any questions or concerns regarding your re-circumcision recuperation, please do not hesitate to call (619) 486-5005.

FAQ

References

1. Brisson, P. A., Patel, H. I., & Feins, N. R. (2002). Revision of circumcision in children: report of 56 cases. Journal of Pediatric Surgery, 37(9), 1343-1346. https://doi.org/10.1053/jpsu.2002.35005
2. Fekete, F., Török, A. & Nyirády, P. (2011). Revisions after unsatisfactory adult circumcisions. International Urology and Nephrology. 43, 431–435. https://doi.org/10.1007/s11255-010-9820-x