the Interrupted Sleeve Resection for Phimosis Surgery

Q: the Interrupted Sleeve Resection for Phimosis Surgery

Hello： I do not understand your question and have not heard of the term "interrupted sleeve resection." Our hospital only performs circumcision surgery and does not offer the procedure you mentioned. <br>Thank you!

I am going to undergo a circumcision procedure: the interrupted sleeve technique?

Hello, doctor.
I have phimosis and need to undergo surgery.
Do you know about the "interrupted sleeve resection" method? What is the correct terminology in both Chinese and English? I prefer not to use the traditional circumcision method.
Which doctors in Taiwan currently perform this type of surgery? Thank you for taking the time to answer!
In Taiwan, the common method for circumcision is the circumferential excision technique, which involves pulling the foreskin out, cutting it from the top, and then making an incision about 1.5 cm from the inner plate.
Approximately 1.7 cm is left at the frenulum, and then the excised skin from the outer plate is sutured to the inner plate, completing the procedure.

For those who have not undergone circumcision, you might observe whether there are two lines extending from the frenulum along the inner plate.
This area is significant because these two lines, known as the frenular ridges, contain a large number of globular sensory receptors.
However, during circumcision in Taiwan, only 1.7 cm of the frenulum is preserved (a remnant of outdated textbooks!), which is quite unfortunate.
The portion of the frenular ridges that extends is not adequately preserved, meaning that the conventional surgical method destroys most of the globular sensory receptors.
According to new medical evidence, these sensory bodies are precursors to sexual climax, and lacking these nerves can significantly reduce sexual pleasure.
Some recent papers suggest that the difference can be nearly twofold, which explains why many men experience reduced sensitivity as they age after circumcision.

Just imagine if a woman only had a vagina and her clitoris was removed due to circumcision; the pleasure would be greatly diminished.
Recently, I spoke with a senior who is interning in urology, and he mentioned that abroad, to preserve most of the globular sensory receptor tissue extending from the frenulum, they use the interrupted sleeve resection method.
This involves directly cutting the skin in the middle of the penis, completely removing the outer tissue, and then suturing the excised portion of the outer skin.
This method avoids damaging these sensitive areas and can significantly enhance sexual quality.

As far as I know, many doctors at National Taiwan University have already adopted this new technique.
For those of you observing your inner plate, if it retains about 1.5 cm, congratulations! You may escape the realm of premature ejaculation and possibly enter the territory of non-ejaculatory or less sensitive men as you age.
If your dual-colored area is interrupted in the penis, and the frenulum and its extending parts are completely preserved, even better! The doctor performing your surgery has a correct understanding and has preserved many sensitive areas for you.
This will enhance your ejaculation pleasure and ensure that you still have many pleasurable nerves as you grow older.
However, since many doctors still use the former method, ...
(P.S.
The frenulum is also a source of pleasure, and I doubt any doctor would remove that entirely...
XD)

J王, 20~29 year old female. Ask Date: 2006/11/03

Dr. Lai Ronghao reply Urology

Hello: I do not understand your question and have not heard of the term "interrupted sleeve resection." Our hospital only performs circumcision surgery and does not offer the procedure you mentioned.
Thank you!

Reply Date: 2006/11/03

More Info

Understanding the interrupted sleeve resection technique for phimosis surgery is essential for patients seeking alternatives to traditional circumcision methods. The interrupted sleeve resection, also known as "sleeve resection" or "sleeve circumcision," is a surgical technique designed to treat phimosis while preserving more of the sensitive tissue and nerve endings in the penile area.

What is Interrupted Sleeve Resection?
The interrupted sleeve resection technique involves making a circumferential incision around the foreskin, but instead of removing the entire foreskin, it allows for the preservation of a significant portion of the sensitive inner lining (mucosal tissue) of the foreskin. This method aims to minimize the loss of sensory nerve endings, which can enhance sexual pleasure and satisfaction post-surgery.

In contrast, traditional circumcision typically involves the complete removal of the foreskin, which can lead to a significant reduction in sensitivity due to the loss of nerve endings located in the frenulum and inner foreskin. The interrupted sleeve resection technique seeks to address these concerns by retaining more of the sensitive tissue, thereby potentially improving sexual function and satisfaction.

Benefits of Interrupted Sleeve Resection
1. Preservation of Sensitivity: By retaining more of the inner foreskin, patients may experience better sexual function and pleasure. The nerve endings in this area play a crucial role in sexual arousal and orgasm.

2. Reduced Surgical Trauma: This technique may result in less trauma to the surrounding tissues, leading to a quicker recovery and less postoperative pain.

3. Aesthetic Outcomes: Many patients prefer the aesthetic results of sleeve resection, as it can maintain a more natural appearance compared to traditional circumcision.

4. Lower Risk of Complications: With less tissue removed, there may be a reduced risk of complications such as scarring, sensitivity loss, or changes in penile appearance.

Availability in Taiwan
In Taiwan, the traditional method of circumcision is still prevalent, but there is a growing awareness and adoption of newer techniques like the interrupted sleeve resection. Some urologists and surgeons are beginning to offer this method, particularly in more progressive medical centers or among specialists who stay updated with the latest surgical techniques.

If you are interested in this procedure, it is advisable to consult with urologists or surgeons who specialize in male genital surgeries. You can inquire about their experience with the interrupted sleeve resection technique and whether they offer it as an option for treating phimosis.

Conclusion
Choosing the right surgical technique for phimosis is a personal decision that should be made after careful consideration and consultation with a qualified healthcare provider. The interrupted sleeve resection offers a promising alternative to traditional circumcision, particularly for those concerned about preserving sensitivity and enhancing sexual function. If you are considering this procedure, seek out a surgeon who is experienced in this technique and can provide you with detailed information about the potential benefits and risks involved.

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