Dr Christian: Hi I’m doctor Jessen
Brian: Good morning doctor
Dr Christian: Come and have a seat for me
Brian: Thank you very much indeed
Dr Christian: What can I do for you?
Brian: Hopefully give me a bit of uplift, I was circumcised about 10 years ago, the diagnosis being that my foreskin was tightening and was hurting me, since when I noticed that there were little blood blisters at the end as well as well as lesions and I thought, “this is getting, this is nasty”.
Dr Christian: This was soon after the circumcision, so we’re talking 10 years ago?
Brian: Indeed, I keep wondering what on earth it is.
Dr Christian: Are you having problems with sex with your wife, are you still having sex?
Brian: Well put it this way, we both wish we could have sex
Dr Christian: Well I think what I’d like to do is have a look, do you mind hopping up on the couch and we’ll have a look? And just pop your trousers and pants down for me.
Brian: There we are.
Dr Christian: I’m going to pop some gloves on. And is it sore if I touch it?
Brian: No, no, not at all, I’ll soon yell if you are sore. You carry on doctor.
Dr Christian: Your foreskin is very tight isn’t it?
Brian: Yes and it looks quite angry.
Dr Christian: And it smells a little bit as well doesn’t it?
Brian: Yes it does, it doesn’t matter how many time you wash, you know.
Dr Christian: This is something called Balanitis Xerótica Obliterante, it’s a great long Latin name for tightening of the foreskin, ok? The smell and the redness and things on the end of the penis is because it’s so tight and you’re not able to wash it and you’re not able to clean it. What I would be inclined to do actually is to send you to a surgeon to consider a further circumcision, because I think the first one didn’t really remove enough foreskin and we need to remove more of this tightened foreskin. Then you’ll be able to clean things properly, you won’t be so red on the end on the glands of your penis and I think it’ll make life a little bit better for you.
Dr Pixie V/O (Dr Pixie?): Brian Fulton-Harte is about to have his second adult circumcision. He’s in the capable hands of consultant urologist Gordon Muir, who performs 75 adult circumcisions a year.
Gordon Muir: Ok these do sting a bit and I’m not going to pretend they don’t, sorry. That really is a very sore and very unhappy looking head of the penis. It’s very unusual to find a circumcision that does need to be redone, but no surgery has a 100% guarantee
Brian: Good heavens, it’s incredible isn’t it? Look at that.
Gordon Muir: Ok, and we’ll leave that on, ok that’s us, well done.
Dr Pixie V/O: Brian should be back in the saddle after about six weeks.
Gordon Muir: Ok, that’s that.
Brian: Is that it?
Gordon Muir: That’s it.
Brian: You’ve got one very, very happy patient Mr Muir.
Dr Pixie V/O: Brian Fulton-Harte is back at the clinic for one final check-up, it’s been three weeks since his second adult circumcision, and Dr Jessen wants to see if his get up and go is back.
Dr Christian: Let’s have a look. It’s still a little bit swollen. There’s a few red patches and ulcers and things that look a bit sore, but I think that as you keep it clean and dry from now on, that’ll get a lot better.
Brian: Well it’s nothing like it was before. It’s a complete freedom.
Dr Christian: It looks a bit neater doesn’t it? It looks much neater.
Brian: You’re quite pleased with it aren’t you?
Dr Christian: I am quite pleased with it yeah. Are you?
Brian: I certainly am, yes.
Consultation: Second Adult Circumcision
Second Adult Circumcision is one of the many embarrassing illnesses which men would prefer to suffer in silence with than go and consult their GP about. However, in this repackaged consultation from series one, Dr Christian Jessen explains exactly what it is and what treatment is available to make life more comfortable.
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