Inquiry circumcision and denervation



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alexschoen
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Inquiry circumcision and denervation

26 май 2019, 10:08

Сообщение alexschoen »

Dear Dr Babykin,

Apologies for writing this inquiry in English. I came across your clinic from online recommendations. I'm willing to travel to Moscow.

I have been circumcised 2 years ago. While I'm ok with the result overall, I still suffer from premature ejaculation and I feel there is too much skin cover when I'm soft. I am now considering a corrective surgery, with a circumcision as low and as tight as possible. Ideally, there will be no inner skin left, and my glans is bare completely when soft. I would also consider a denervation of the penis head, if it makes sense.

I'm attaching you two photo samples to describe the situation.

Thank you and best regards,
Alex
Inquiry circumcision and denervation
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Нажимая на спойлер, я подтверждаю,
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Inquiry circumcision and denervation

Нажимая на спойлер, я подтверждаю,
что мне исполнилось 18 лет

Показать фото


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Doctor
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Re: Inquiry circumcision and denervation

27 май 2019, 15:44

Сообщение Doctor »

Hello Alex

It's not a problem to do what you want: remove lack or prepuce.
But as I can see on your photo you have very big difference in length in soft condition and in erection.
So tension in erection can be very big if we remove very much tissue. In 2-3 years skin will stretch to the length in erection and can cover glans again. So I can remove foreskin but glans could be covered when soft.

About denervation.
Please, make test with local anesthetic (for instance lidocain-spray or other).
Apply spray and wait for 5-15 min till total loss of sensitivity:
1. apply on foreskin, scar and frenulum (without glans of penis)
2. the same + glans of penis

After that wash your penis and have sex.

Write about the results (1) and (2) and common time of sex (3).

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alexschoen
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Re: Inquiry circumcision and denervation

30 май 2019, 03:09

Сообщение alexschoen »

Thank you Dr. Babykin, this is very helpful.

How tight can you do the corrective circumcision = how much skin can you remove? I'm ok with tension during erection. How much inner skin will remain?

I executed the lidocaine test as you suggested. The times of sex until ejaculation are:
- normal: 1 min
- anesthetic on shaft, scar and frenulum: 2 min
- anesthetic as above + glans: 12 min

Please advise next steps.

Thank you and best regards,
Alex

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Re: Inquiry circumcision and denervation

01 июн 2019, 00:41

Сообщение Doctor »

Hello, Alex

I can remove almost all inner skin. Scar will be just near the glans (maybe 1-2 mm indent).

As you have such a good prolongation after applying lidocaine on glans - denervation should help in your case.

Next step:
Please tell me is sex with lidocaine on the glans good (is it easy to control ejaculation, can you finish easily, is the erection sufficient during all time).

Let me mention one more time that after the denervation glans will lose sensitivity forever. (But it's pay for long sex).
If you are ok with that and there is no problem during sex with anesthetic - we can perform surgery.

Best regards

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alexschoen
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Re: Inquiry circumcision and denervation

01 июн 2019, 04:29

Сообщение alexschoen »

Inquiry circumcision and denervation

Нажимая на спойлер, я подтверждаю,
что мне исполнилось 18 лет

Показать фото

Thank you Dr Babykin,

This is very helpful! I had no problem with sex with the lidocaine applied to the glans. I will then also consider the head denervation. Will it be fully or partially numb?

I’m glad that the inner skin can be removed fully. I have attached a bottom up photo - can you please indicate where the cut line would be?

How many days would I need to be in Moscow for the procedure?

Thank you and best regards
Alex

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Re: Inquiry circumcision and denervation

07 июн 2019, 01:08

Сообщение Doctor »

Alex
I point out place of incisions. If there will be significant tension incision near glans could be replaced from glans for 3-5 mm.
If you satisfied in sex with numb glans we can perform denervation. Usually I make full denervation.

Selective denervation (when dissected only 75% of nerves) is indicated for patients who have problem with ejaculation after applying anesthetic (patient cannot reach orgasm or cannot maintain good erection).

I can do selective denervation in your case but effect can be not enough, if even small sensitivity of glans cause premature ejaculation.

It's better stay 1-3 day in Moscow after surgery.

---------------
We can also afford you medical guide who meets you in airport, helps you with medical documentation and with transfer to clinic and to your hotel after surgery.
But it's not necessary! Please read this: viewtopic.php?t=100352#title

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alexschoen
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Re: Inquiry circumcision and denervation

08 июн 2019, 03:54

Сообщение alexschoen »

Thank you Dr. Babykin. I think then full denervation makes sense. I did not fully understand how tight you can make the re-circumcision. Would you be able to show on the photo where the cut lines will be (#1 cut close to glans, #2 cut how far from penis base?)

Thanks
Alex

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Re: Inquiry circumcision and denervation

08 июн 2019, 10:24

Сообщение Doctor »

Forget to attach picture in last post.
Вложения
Inquiry circumcision and denervation
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Нажимая на спойлер, я подтверждаю,
что мне исполнилось 18 лет

Показать фото


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alexschoen
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Зарегистрирован: 23 май 2019, 17:48

Re: Inquiry circumcision and denervation

10 июн 2019, 05:35

Сообщение alexschoen »

Thank you Dr Babykin. I wish to have a rather tight cut to make sure the glans is bare even when soft. I am ok with some tension during erection. What is the tightest cut you can feasibly do? Is it possible to remove another 2-3 cm of shaft skin?

Thank you again and best regards
Alex

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Re: Inquiry circumcision and denervation

10 июн 2019, 23:54

Сообщение Doctor »

Hello, Alex.
I am a doctor, so I cant do an operation that is contrary to medical science and common sense.
If the tension during erection is very tight sex will be uncomfortable and even impossible. And you can see the decrease in the length when erection is not full.

Skin is not as elastic as rubber. So in soft condition there will be compensatory wrinkles.

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alexschoen
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Re: Inquiry circumcision and denervation

16 июн 2019, 02:52

Сообщение alexschoen »

Thank you Dr Babykin. I fully understand and respect your judgement. I just would like a cut that is as tight as possible but still reasonable.

Do you have availability for surgery on June 28 or July 5? I’m looking into possible travel arrangements. Hope it’s not too short notice.

Best regards
Alex

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alexschoen
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Re: Inquiry circumcision and denervation

17 июн 2019, 15:42

Сообщение alexschoen »

Dear Dr. Babykin, I checked and found it unfortunately quite difficult to get visa and travel arrangement. So I appreciate your guidance, but I won’t seek your assistance in the near future.

Thanks and best regards
Alex

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Re: Inquiry circumcision and denervation

17 июн 2019, 21:41

Сообщение Doctor »

OK, Alex.
I hope you'll solve the problem in your country.
Good luck!

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