TREATMENTS AND SURGERIES

Separation of penile adhesions

The separation of penile adhesions is a surgical procedure that involves disconnecting penile adhesions (also referred to as foreskin adhesions, preputial adhesions or a penile skin bridge). In layman’s terms, it involves cutting away scar tissue connecting the foreskin and the glans. When this procedure is performed on adults, it’s typically for the purpose of treating medical issues resulting from a past circumcision.

Why should you choose Dr. Marois’ private clinic?
Dr. Marois’ private urology clinics in Greater Montreal and Quebec City are equipped with rooms designated for minor surgeries. These facilities comply with the standards established by the Collège des Médecins du Québec and have all the requisite urology technologies.

As an experienced urologist, Dr. Marois is able to employ various surgical techniques and tailor his approach according to each patient’s specific anatomy. He’s also adept at taking into consideration any underlying medical conditions.
How is anesthesia administered for the procedure of separating penile adhesions?
Thirty minutes prior to the start of the surgery, an Ativan may be offered to the patient if he’s feeling anxious.

The anesthesia is administered in two phases. First, an anesthetic liquid under high pressure is injected through the skin at several points around the base of the penis. The patient will feel a pinching sensation, a bit like being struck by an elastic band. Next, a penile nerve block is performed, which involves administering an anesthetic under the skin around the base of the penis using a needle.
What does the procedure for separating penile adhesions involve?
The patient is placed on his back. We administer a Chlorhexidine disinfectant and set up sterile fields. The anesthetic is checked prior to the procedure. The surgery itself doesn’t cause any significant pain or discomfort. However, Xylocaine can be provided to mitigate pain if needed. Skin marking may be used for the procedure.

During the procedure, the surgeon makes a superficial incision in the adhesion between the glans and the mucous membrane of the foreskin using a scalpel. Bleeding is stopped using electrocauterization. Fulguration may also be used at the site if there’s inflammation.

Stitches aren’t necessary, unless a circumcision is performed at the same time.

In some cases, the esthetic result is suboptimal due to the presence of underlying scar tissue.

For more information about the procedure for separating penile adhesions, contact your nearest Cliniques Marois urology clinic, in Montreal, Laval, the South Shore or Quebec City.

Would you like to make an appointment, or do you have any questions? Write to us and we will get back to you as soon as possible!

Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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