Voiceover: Sometimes it’s not until retirement that people face up to their embarrassing bodies. David’s been suffering in silence about a very personal problem that has always dogged his sex life.
David: When I’ve had sexual relations, I’ve had to fiddle about and bring it back into place afterwards which is embarrassing and inconvenient.
Dr Pixie: Nice to meet you David. Why have you come to the clinic today?
David: Well, I’ve had a bit of concern about the way my foreskin works. When it gets pushed down it doesn’t come back again.
Dr Pixie: Do you recall any problem with your foreskin when you were younger or in your teens?
David: In my teens there was one occasion when the foreskin was pushed down and it stayed down. The skin in that area swelled up and I went to accident and emergency and they basically just pulled the foreskin back and it all settled down.
Voiceover: David suffers from a common condition called Phimosis where the foreskin cannot be fully retracted.
Dr Pixie: Now, do you just want to gently try to retract that for me? And that’s when it starts to get…
David: And then it stays there and it doesn’t go back.
Dr Pixie: And that’s the difficult bit, right. God it’s quite a task isn’t it?
David: Yeah, it is, yeah.
Dr Pixie: It’s quite common to have a foreskin that’s difficult to get back and the only real way we’re going to resolve this issue is by actually using a urologist with a view of having something like a circumcision. Is that all right with you?
David: That’s fine.
Dr Pixie: Brilliant, well let’s get that sorted.
Voiceover: Dr Pixie has arranged for David to be examined by consultant Mr Manu Nair. So what are David’s options?
Mr Nair: It is difficult to bring back, it is difficult to pull through. There is, like I said, a constriction zone. The simplest surgery would be preputioplasty which is making an incision lengthwise instead of the other way to loosen the skin. The other procedure you could have is a circumcision where you just take the whole foreskin away.
Voiceover: Earlier David came to see Dr Pixie with a rather embarrassing foreskin problem. He’s opted for an operation called preputioplasty which involves slitting the foreskin to widen it rather than removing it altogether with a circumcision. His consultant Mr Nair detaches the frenulum, a small fold of tissue that restricts the foreskin and then he loosens the restrictive belt by making an incision.
Mr Nair: I’ve cut it lengthwise, but you can see the way the nature of the tightness has extended the skin, which is what my objective was.
Voiceover: All that’s needed is a few stitches to secure David’s larger foreskin.
Mr Nair: All done. Thanks.
Voiceover: After a few weeks of healing time there is no reason why he can’t enjoy a full sex life.
Dr Pixie meets a patient who has suffered for many years with a common condition called phimosis, where the foreskin of the penis cannot easily be retracted. Treatment is administered by simple surgery and there are a number of options available such as circumcision, where the foreskin is entirely removed, or preputioplasty, which involves a small incision to the foreskin so that it can be loosened.
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