Foreskin purse string touch up by Alex

This page will feature Alex who had a second touch-up surgery known as a “purse string”

Foreskin purse string touch up 1

A brief description on how the purse string touch up surgery works is a suture is inserted at the end of the foreskin.  The suture acts just like a cinch on a pouch.  The suture is pulled tight and then tied off. This creates a ring inside the skin at the very end of the foreskin.

The suture will dissolve after about six weeks. During this period the body reacts to the suture as a foreign object and begins to grow skin tissue around the suture.  This is the same thing that happens with body piercings such as a simple ear piercing.  The body reacts by making a skin tube around the foreign object so it is no longer inside the body.Even though the suture dissolves the skin tube will remain.

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Day one:  swelling from the procedure as expected.

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Date 10: as days passed the swelling went down. Alex did tell me that nocturnal erections were a slight problem since it did cause discomfort due to the erection putting pressure on the wound.

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As the swelling went down some bruising did appear.

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With the suture still in place and healing continuing the results start looking better as each day passes.

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This is a picture with the suture dissolved, the skin tube that was created around the suture is still intact.

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Another picture of Alex fully erect and the skin staying over the glands all on its own.

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Flaccid you can see how the end of the foreskin  has a much tighter tip.

Foreskin purse string touch up 10

The blue line shows we’re the ” rigid band ” created by this touch up surgery is located.

Alex told me the cost of the surgery was $550 US. in 2012

This is after 2 1/2 months worth of healing

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Another picture at 2 1/2 months of healing.

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Alex has informed me that he has done another purse string surgery. This time with a suture that takes up to six months to dissolve and is much thicker. The end result should produce a thicker rigid band.

Foreskin purse string touch up 12

This message is from Alex:
 I favor the purse string suture. My final assessment is that the advantages of the purse string suture are inferior or equal  to the tissue removal techniques:
– the purse string suture provides a unique fashion not seen in the same extended degree as with the other methods; the recreation of the structure and function of the ridged band

– it is one of the least complicated methods. The circular thread can be inserted with a relative easy method.
– it leaves no visible scar, neither on the outer layer of the foreskin nor the inner layer
– it doesn’t involve any actual surgery by removing tissue. The risk of “going too far” is little.
– it is the cheapest procedures. I paid US$ 350 to the doctor to get this performed. A more complicated tissue removal to tighten the foreskin costs about the twice, around US$ 700.
– the risk of complications associated with the purse string suture are marginally. A safety valve is that if complications should occur, such as that the thread was tied off too tight so it becomes too difficult to urinate, the thread can easily and quickly be removed within the first days, before it grows into the tissue.

Actually I had an insertion of the purse string suture Jan 11th 2017. The surgeon tied the thread off too tight so I couldn’t barely urinate at all. I had to remove the thread. and I simply removed the thread by myself and the foreskin instantly returned to its state before the insertion of the thread, and I could urinate as normal. I called the surgeon, and he inserted a new thread a week later, Jan 18th 2017, without charging me any additional cost.

This is an excellent example of that even if such complications should occur, it is simply to remove the thread – in which is easy to do by yourself – and get a new thread inserted.

 – the purse string suture creates a mimic of the intact ridged band in a sense that the ridged band created from this method behaves as an intact ridged band. It constricts when the penis is in its flaccid state, and expands when you become erected.

– you will discover much less pain, swelling and discomfort which is more noticeable with the tissue removal techniques. The disadvantages of the purse string suture method is equal or inferior to the other methods.

– this method seems to create a lesser degree of tightening of the foreskin compared with the other methods, so it will not be sufficient to only take this method if you need a high degree of tightening to achieve permanent coverage

– you have to leave the foreskin and the thread in place for up to months

– it requires a bit more effort to clean sufficient underneath the foreskin, since the foreskin, due to the thread, appears non-retractable during the healing period.

– the efficacy of the method takes a long time to occur and it’s a bit more uncertain than for the other methods. However, another urologist I heard of, favors this method and claims that he has very promising and pleasing results with this particular method.

 My overall assessment is that the purse string method is an effective method in creating the sensation of the function of the ridged band, but it seems to provide less degree of tightening of the foreskin than what is current for the tissue removal techniques.
I know this, because if I hadn’t taken a tissue removal technique before the insertion of the purse string suture, I hadn’t achieved the results as I have gotten today.
My foreskin was far too baggy that the purse string alone could have created sufficient results. I simply had to remove excess foreskin by surgery first.

Therefore I both recommend initially to take a tissue removal technique or the transverse suture method to tighten the foreskin, and so take the purse string finally