Chaz’s Adult Circumcision
Below is the account I wrote the day after surgery,
describing the experience from start to finish. My procedure far exceeded an “average
circumcision”, including a "scrotal recession phalloplasty."
Without a complete understanding of my specific special needs, you might be
shocked, but please don't be!! Do not let my photos frighten
you! If you want to skip the scrotal recession phalloplasty portion and
go directly to the actual "sleeve resection" (circumcision) portion
of the procedure, start
here and keep clicking on "Next Picture" -- the only
thing you will not see are the pre-op exam, administration of anaesthesia, frenulectomy (removal
of the frenulum) and the scrotal recession phalloplasty (removal of the extra
scrotal tissue.) Everything went well,
the circumcision itself had the fewest issues, the scrotal Z-plasty (scrotal recession phalloplasty) took the longest to
heal.
Reflections on My Circumcision and Related Procedures
10 January 2005
The
night before surgery, I could barely sleep. Excitement and anxiety kept me
awake as I counted down the last few hours. Leading up to the day, I had spoken
with Dr Dave several times by phone and email to go over expectations and
surgical goals. I had also received approval for Joe S to attend and take still
photos. (Unfortunately, video wasn’t permitted; too bad, because watching Dr
Dave work was astonishing.)
Arrival and Consultation
My
appointment was at 1:00 PM. My stomach was in knots on the drive over, and I
honestly thought I might vomit, but the anticipation—and the fact that I had
dreamed about this for years—overpowered any second-guessing.
As soon as we entered the waiting
room, we saw Dr David Cornell and Bart behind the sliding glass window. They greeted us
promptly and took us back to complete paperwork and begin the consultation. Dr
David was exactly as I expected: professional, warm, and reassuring.
After a
short discussion, I undressed for the exam. Although Dr David and I had already
thoroughly discussed my goals, I restated them clearly:
A)
A prior injury had torn out my Prince Albert piercing, leaving a
large (00ga, 9.2 mm), jagged hole through the frenulum. It had been poorly
repaired by another surgeon. I hoped Dr David could close it cleanly, though he
cautioned the size might make it difficult.
B)
My frenulum was elevated, tight, and frequently irritated. I
wanted it removed.
C)
I had significant scrotal tissue extending up the underside of my
penis, forming a penoscrotal web that caused chafing and tension—especially
during erections. It also fused into the frenulum area.
D)
I wanted a high, tight sleeve resection circumcision, retaining as
much mucosal tissue as possible while achieving a clean, even, circular line
with a flat, unobtrusive scar.
(Thank
you to the members of the Adult Circumcision & Revision Yahoo
Group—especially David P (UK), who underwent nearly the same set of procedures.
His guidance was invaluable in helping me prepare.)
Preparation for Surgery
Dr
David reviewed the plan, looking a bit overwhelmed but fully confident. I
signed the consent form, then Joe and I took a short break while the OR was
prepped.
When we
returned, it was time for the part I dreaded most: the anaesthetic injections.
The initial shot into the pelvic area stung, but after that I barely felt the
additional injections around the base and into the frenulum. I changed into a
paper robe (thanks to George’s advice to leave socks and a shirt on, it was a lifesaver
as the room is chilly).
In the Operating Theatre
The
tray of instruments was impressive: clamps, scalpels, sutures, cautery tools.
Eric applied a grounding pad to my right flank for the electrocautery device.
Joe positioned himself to take photos.
Dr
David tested the anaesthetic—only one tiny spot still had sensation, and a bit
more numbing quickly solved that.
I lay
back and without me even realizing it, the frenulectomy was already
done—clamped and cut in seconds.
Next
came closure of the former Prince Albert site. I smelled the cautery tool (like
burnt chicken wings), but I felt nothing.
The Scrotal Web Removal
This
was the most complex portion. Using the cautery device, Dr David removed a
diamond-shaped section of tissue about 5 cm long. Once it was gone, I felt my testicles drop
lower onto my legs in a strange but unmistakable sensation. Because the web
involved two layers of tissue and required recreating the natural raphe line
with specialized stitching, this section took 45 minutes to an hour.
The Circumcision (Sleeve
Resection)
Finally
came Dr David Cornell’s signature work – the adult circumcision.
He
began by making a precise circular incision, cauterizing small bleeders as he
went. There were more internal adhesions than expected, and he addressed them
carefully. He then cut along the line he had previously made, freeing the
foreskin except for a small attachment on the underside. Once lifted and
clamped, he removed it completely.
Watching
the foreskin come off—knowing that was it, gone forever—was surreal and
exhilarating.
He
inspected the area, cauterized vessels, and then meticulously aligned the
remaining skin. Clamps held everything perfectly in place as he used four
sutures in key points and then applied steri-strips.
After cleaning the area and applying a topical anaesthetic, he wrapped the
penis in gauze and Coban bandage, which would stay on for 15 days.
Afterwards
When I
stood up at 15:30, I urgently needed to pee and clean up a small amount of
blood on my legs. I realized—for the
first time—I had a perfectly straight stream without needing to retract
anything. Yes, a small thing, but
surprisingly exciting for me!
With
the bandages in place, the next 15 days felt like waiting for Christmas morning
as a child: I knew the reveal on January 25 wouldn’t be the final healed
result, but it would already look far better than it had before surgery.
Around
day 8, I changed the compression bandage and got my first small glimpse at my newly
remodelled penis. It was looking slightly worn but holding up, though
it feels colder without the turtleneck.
You can
view photos of the procedure and recovery at http://chaz.nyc/circumcision/
It was
amazing to watch and experience my own circumcision, and I don't even like
going to the dentist to get my teeth cleaned! There was no pain at all,
it was like an out of body experience. If you are seriously interested in
knowing more about my personal experiences, please feel free to instant message
me on Telegram/Signal (links) below or call me at the PSTN numbers below: