Operation time: 97 minutes
Number of treatments: 1
He had a foreskin operation about 5 years ago and the result is very beautiful. However, there was no excess foreskin, which made it difficult for the penis enhancement surgery to be effective. In addition, he had strong ligamentous pull and relatively thick fascia. I was worried about whether it would work or not, but I got good results, so I am uploading it here. This patient requested nylon sutures, and since he was a medical professional, he removed the stitches himself.
1 day after surgery
Patient：
Thank you very much for yesterday. I will send you the current status.
Doctor：
Thanks for your time. Sorry for the delay in responding, I was on a plane. No problem. You can take a shower. Please extend and fix it.
Patient：
Thanks for moving. Can I just pinch the tip of the glans and stretch it out? (Do I need to pull from the base of the fascia?)
Doctor：
You can also pull the foreskin to the base first and then pull
Patient：
That sounds like a good idea. Should I pull the skin close enough to the base so that the sutures are firmly visible?
Doctor：
You don't have to go that far. It's more like a light pull.
Patient：
I will continue to do so as I intend to wind up with something like that! The doctor said to bandage it, but is it still safe to use the same kind of fixation?
Doctor：
Use it if the wound is about to open. However, when used, it is obviously good for scratches. Anything silicone tape will do for the missing pieces.
2 day after surgery
Patient：
A moist environment is very important. I tried putting silicon tape on it yesterday, but the more it moistens, the more slippery it becomes, and when I look at it in the bathroom in between work, it's not quite right.
Doctor：
Try different things, such as a little less ointment. please remember me
7 day after surgery
Patient：
Thanks for your help, it has been a week and I will send you a picture.
Doctor：
Please wait a moment for my reply.
Patient：
Swelling has also calmed down. It was about 8 cm in preoperative relaxation, but now it is over 10 cm with room to spare. The thickness was also nearly 4 cm, compared to a width of less than 3 cm. As the doctor pointed out during the surgery, the thickness is also showing quite well so far.
Doctor：
Good! Please finish the oral medication today. Please extend the fixation for one more week. You may bathe from Monday.
Patient：
Thank you. Is it safe to lift the ban on gym (upper body)?
Doctor：
Yes, the ban is lifted.
8 day after surgery
Patient：
I went to the gym immediately. The stones shrink after training (although they are large and disturbing during training), but I had the impression that the degree of shrinkage was lessened than before. I will report back next week.
Doctor：
It was great to be able to train!
13 day after surgery
Patient：
Good morning, I am a new member of the board and I am looking forward to meeting with you. Tomorrow is two weeks and I would like to discuss this with you. The parts of the image are not fully attached, but is this something that will epithelialize from the bottom over time rather than stick together? I don't have the impression that it is open, but I have been trying to fix it with tape for a while.
Doctor：
If possible, use ointments and wet closures, which obviously heal faster. Stitches should be removed tomorrow. No more bandages are needed. Let's see how you are after the stitches are removed and we can decide if you want to train or not.
Patient：
Thank you. Can I keep the ointment as Ointment A instead of Ointment B or Ointment C?
Doctor：
Excuse me, Ointment B and Ointment C, please.
14 day after surgery
Patient：
Good morning, I would like to send you a picture of the 2 weeks progress. When I removed the stitches, there was an area on the glans side where the threads were missing and I had the impression that they were not fully attached there. I had a day when I had a morning erection that made me tingle and ache, so I guess the thread that was on it came off at that time. I applied a mixture of two kinds of ointments and put silicon tape on it, just in case.
Doctor：
The treatment is fine. Take the medication internally and start training with the image of stretching! please remember me
Patient：
I understand! If there is any fear of scarring due to poking and prodding, I will use my own judgment and take a break from training for about 3 days, etc.
Doctor：
I'll leave that up to you, so please take it easy.
Patient：
I am amazed at how clean the backside is, I can't believe it's been two weeks since I cut it! The length has settled around 9 cm, as some have commented in past cases. I expect it to grow with training. It is 5mm thicker in width and about 1.5cm thicker in circumference.
Doctor：
It was good!
30 day after surgery
Patient：
Thank you for your help. It has been just a month and I am much more settled. The first thing that comes to mind when I measure it is that it is 5mm wider and 1 to 2cm longer than it has been in the past. I am also concerned about the additional surgery to raise the Corona of Glans penis, but I think I will train for a while and see how it goes. As a side note, I talked to a friend of mine and he was quite positive that he would consider taking it. He said he would inquire about it soon.
Doctor：
Sorry for the delay in getting back to you. Thank you for the best report! I understand about your friend. Please take care of yourself and good luck with your work!
