Separation of penile adhesions | TREATMENTS AND SURGERIES


Separation of penile adhesions | TREATMENTS AND SURGERIES

Approximate time30 min

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.

  • There is little preparation required.
  • Avoid taking Aspirin or blood thinners five days before the procedure.
  • A compressive bandage will be performed before leaving; it will be demonstrated by our nursing staff so that you can change it during the first week. A link to a video on how to do the bandage yourself as well as a starting kit, will be given to you.
  • No physical exertion for 48 hours.
  • Tylenol is sufficient for the first 48 hours.
  • Take a shower after 24 hours.
  • A bath is allowed after three days.
  • Apply Polysporin four to five times a day, for a month, to prevent sticking.
  • Avoid sexual activity for three to four weeks.

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!

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