This site discusses phimosis in its specific forms of phimotic ring, frenulum breve, adhesions or skinbridges. My concern is the early prevention of phimosis. The late correction of adult phimosis was never my interest. My belief is that once the medical profession realise the need, they will develop hundreds of new methods of treatment which I cant even imagine ... Therefore treatment is purely an appendix on this site, however, because I have no specific bias, my research allowed a rare objective survey of the many posibilities.

This site offers detailed information on individual problem related treatment, often advising simple, cheap, minimal and specific surgery and time honoured solutions taken from traditional methods including partial circumcision, dorsal slit and frenular incision and tying. - (Links are given where appropriate to sites dealing with the modern solutions of preputial plasty and full-circumcision).

updates and supporting education on new site :


Dorsal: top-side of the foreskin or penis
Ventral: bottom-side of the foreskin or penis

The typical phimotic ring is tightest at the front, near the tip of the foreskin on the upper side of the foreskin, thus a dorsal slit is needed to cure this. A slit ventrally would not relieve the restriction, simply because underneath the foreskin is not tight at the front.

There are two primary sorts of dorsal slit: -- the "traditional" cut through both the inner and outer foreskin; and modern plastic surgery on the inner foreskin: the simplest form of which is a long slit sewed together wide.

It is said that the dorsal slit leads to untidy results:- The traditional cut because of the flaps or the accumulation of surplus skin bunched up under the glans in the frenulum area.- The plastic method because the dorsal side of the foreskin becomes shorter, while the ventral side remains long.

However in these modern times, is there a conventional way which the foreskin "should" look? With present day individual expression and stylistic experiment, I would encourage young men to go and get their foreskin tattooed pierced sliced in strands and braided if this leads to a personally satisfying solution to the problem.

There are as many possible variations of dorsal slits as the imagination allows. Ancient methods of treatment suggests various practical traditional ideas: cutting a V shape or why not a U or even a W shape which would leave a little pointed flap. Two slits could be made which would leave two flaps (or why not more?). The depth or amount of such cuts could be measured to cure the restriction.

The phimotic ring is dorsally typically around 15 mms. away from the tip of the foreskin. If we imagine a simple traditional slit 1 cm. through the inner and outer foreskin, this would (theoretically) provide an extra width of around 1.60cms. More appropriate would be a slit only on the inner foreskin exactly through the band of rigid skin,. however such cuts must be around 30 to 40 mms. long and each would provide an extra 25 to 35 mms. width - therefore several of these little cuts would be necessary.

Houdelette suggests 4 or 5 mini slits in the inner foreskin to cure relative phimosis (i.e. a mild phimosis retractable when flaccid). With a full phimosis the operator would have difficulty getting at the hidden phimotic band and then so many mini-slits would be necessary that a simple "traditional" slit may be preferable.

On the one hand, methods of plastic surgery to relieve the phimotic ring are in their infancy and hardly any doctor is familiar with them. On the other hand even the most complex forms of plastic surgery on the foreskin uses simple techniques which every surgeon is experienced with. The end result is that such operations are comparatively simple. In the context of the complex forms of beauty and cosmetic surgery which are available these days, then such solutions have a place. The main problem I can envisage is finding the courage to consult a cosmetic surgeon and ask for any of these treatments.

G.T.Falk's library offers a variety of modern, creative medical studies exploring new surgical treatments for phimosis. I fully support the creativity in these studies, especially Preputial Plasty demonstrates a rare thoughtfulness about the surgical treatment of phimosis. Dorsal-slit pictures
CIRCLIST Pictures of Dorsal-Slit

Dorsal description
Dorsal-slit - History