Comment: Foreskin restorers: insights into motivations, successes, challenges and experiences with medical and mental health professionals (2024)

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International Journal of Impotence Research volume35,page 323 (2023)Cite this article

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  • Quality of life
  • Urinary tract

With great interest, we read the study of Hammond et al. titled: “Foreskin Restorers: Insights into Motivations, Successes, Challenges and Experiences with Medical and Mental Health Professionals”. In this study they describe the profile and motivations of people seeking foreskin reconstruction. Foreskin reconstruction refers to the process of extending the remaining skin on a circumcised penis to create the appearance of a natural, unaltered foreskin. This can be done through various methods such as manual stretching or the use of devices. In this study, they sought out a large population of participants, through unconventional channels with a resultantly large response to an extensive qualitative questionnaire. Great emphasis was laid on addressing different motivational experiential domains regarding foreskin reconstruction such as experienced sexuality, psychological burden, and societal experience.

The results of the study are quite profound and identify a population that largely refrains from seeking professional help in up to 87% of the participants. This may be in part due to selection bias by sampling from an internet community and buyers of home-bought foreskin device manufacturers. Nonetheless, in this study, we gain insight into a population underserved by the medical profession. Another remarkable outcome of this study was the reported age groups during which participants started performing foreskin reconstruction. A reported 8% started before the age of 18 and 34% between the ages 20–29. The experienced burden, sexual impairment, and affected self-image might therefore impact the rest of their lives greatly and disproportionately.

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References

  1. Wallace WG. An undeniable need for recognition: what do you call a man who has undergone foreskin restoration? “Uncircumcised”? “Restored”? How about just BRAVE? A response to Hill (2015). Clin Anat. 2015;28:962–3. https://doi.org/10.1002/ca.22600.

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  2. Timmermans FW, Mokken SE, Poor Toulabi SCZ, Bouman MB, Ozer M. A review on the history of and treatment options for foreskin reconstruction after circumcision. Int J Impot Res. 2022;34:424–33. https://doi.org/10.1038/s41443-021-00438-3.

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  3. Ozer M, Timmermans FW. An insight into circumcised men seeking foreskin reconstruction: a prospective cohort study. Int J Impot Res. 2020;32:611–6. https://doi.org/10.1038/s41443-019-0223-y.

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Authors and Affiliations

  1. Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Location VUMC, Amsterdam, The Netherlands

    S. E. Mokken&F. W. Timmermans

  2. Department of Plastic, Reconstructive and Hand Surgery, BovenIJ Hospital, Amsterdam, The Netherlands

    M. Özer

  3. Plastic and Reconstructive Genital Surgery, V-Klinieken, Leiden/Naarden, The Netherlands

    M. Özer

Authors

  1. S. E. Mokken

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  2. M. Özer

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  3. F. W. Timmermans

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Contributions

SEM: writing – original draft, MO: writing – original draft and writing – review and editing, FWT: writing – original draft, writing – review and editing, and supervision.

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Correspondence to F. W. Timmermans.

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Comment: Foreskin restorers: insights into motivations, successes, challenges and experiences with medical and mental health professionals (1)

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Mokken, S.E., Özer, M. & Timmermans, F.W. Comment: Foreskin restorers: insights into motivations, successes, challenges and experiences with medical and mental health professionals. Int J Impot Res 35, 323 (2023). https://doi.org/10.1038/s41443-023-00693-6

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Comment: Foreskin restorers: insights into motivations, successes, challenges and experiences with medical and mental health professionals (2024)

FAQs

What are the benefits of foreskin? ›

The foreskin has several roles in penis health:
  • Protects the head of the penis.
  • Maintains sensation and response to stimulation.
  • Reduces friction with sexual penetration.
  • Contributes to immune system function due to the presence of immune cells.

What are the results of restored foreskin? ›

Restoration techniques may result in: increased penile sensation during sex. less chafing during sex or from clothing. natural lubrication to make sex more comfortable and preserve penile nerves.

Is foreskin restoration worth it? ›

A person may experience potential benefits from foreskin restoration and having a layer of skin around the glans. Some of these benefits may include : increased sensitivity of the glans, which may result in an improvement in their sex life. protection of the plans from mechanical stress.

Why do people restore their foreskin? ›

Restoring your foreskin is a personal decision, and there are many reasons why you may want to do it. Most people who wish to restore their foreskin want the appearance of an uncircumcised penis. It can also make you feel good to reclaim decisions about your body.

Does foreskin help with pleasure? ›

Uncircumcised men rated their glans (bulbous tip of penis) and foreskin, which covers the glans when the penis is flaccid, as slightly more sensitive and likely to bring them to org*sm than circumcised men. (The foreskin is what gets removed during circumcision.)

What are the pros and cons of circumcision? ›

It can prevent foreskin infections and phimosis, a condition where the foreskin cannot be pulled back. Circumcision can lead to a lower risk of some sexually transmitted infections, including HIV. However, it is much less effective against the STIs common in the U.S., and the HIV risk reduction is minimal.

What is the motivation for foreskin restoration? ›

Adverse physical, sexual, emotional/psychological and self-esteem impacts attributed to circumcision had motivated participants to seek foreskin restoration. Most sought no professional help due to hopelessness, fear, or mistrust. Those who sought help encountered trivialization, dismissal, or ridicule.

What do hospitals do with foreskin after circumcision? ›

Their versatility means that they can be used to cultivate skin cells. Because of this, they're not tossed out with the rest of the medical waste after a birth. Instead, hospitals sell them to companies and institutions for a wide variety of uses. Companies will pay thousands of dollars for a single foreskin.

What happens if you never pull back foreskin? ›

Complications of a tight foreskin

Sometimes if the foreskin is very tight it can get stuck and cannot go back to its original position covering the end of the penis. The end of the penis can then become very swollen and painful. This is known as paraphimosis and it's a medical emergency.

Do circumcised affect size? ›

NMC can also remove the loose flap of skin that covers and protects the rounded top part of the penis that contains nerves, blood vessels, and a tiny part of muscle, which can lead to shorter penile length.

How to loosen foreskin when erect? ›

You can use your fingers to stretch the foreskin, that is if your fingers can fit inside the foreskin. Place your fingers back to back on either side of the foreskin, gently stretch the skin by pulling in opposite directions, then relax and repeat. Your fingers must be clean while doing these stretching exercises.

Can you remove your foreskin at home? ›

One of the best home remedies for phimosis to cure phimosis without surgery is to gently stretch and retract the foreskin with the help of warm water and coconut oil. All you need to do is pour some lukewarm water over the penis, lubricate it with coconut oil and then try to retract the foreskin gently and gradually.

Does foreskin have a purpose? ›

Some researchers believe that the foreskin protects your penis and helps in reproduction by increasing pleasure. Other researchers believe that the foreskin may increases the likelihood of certain disease.

Do you lose pleasure after circumcision? ›

NEW YORK (Reuters Health) - Men circumcised either as children or adults report less intense sexual pleasure and org*sm than their uncircumcised counterparts, according to a new study from Belgium. "We're not saying less sexual activity or satisfaction, but sensitivity," said the study's senior researcher Dr.

Is it OK to leave my foreskin back? ›

Always put the foreskin back to its normal position if it has been pulled back. This may happen during sex. Or you may pull it back before sex, before you urinate, or while you clean it. Be sure the foreskin is in its normal position after any doctor exam or procedure.

Is it healthier to have foreskin or not? ›

The possible medical benefits of circumcision include: A lower risk of HIV and some other sexually transmitted infections (STIs). A slightly lower risk of urinary tract infections (UTIs) during the first year of life and penile cancer later in life. However, these conditions are rare in all males (circumcised or not).

Is it good to still have your foreskin? ›

Evidence suggests that circumcision has health benefits, including: Less risk of urinary tract infections. A lower risk of some sexually transmitted diseases. Protection against cancer of the penis and a lower risk of cervical cancer in sex partners.

Is it good to have foreskin back? ›

Eventually, the foreskin should be retracted far enough during urination to see the meatus (the hole where the urine comes from). This prevents urine from building up beneath the foreskin and possibly causing an infection. As long as the foreskin doesn't easily retract, only the outside needs to be cleaned.

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