Double Circular Incision
(also called a Sleeve Resection or
Freehand Circumcision)
The foreskin is slid back along the shaft and a freehand cut is made around the shaft
as far back as the scar line is to be placed. The foreskin is returned to cover the glans
and another cut is made around the shaft at the same position along its length as the
first. A longitudinal cut is made between the two circumferential ones and the strip of
skin removed.
The edges are pulled together and sutured. The glans and frenulum are not protected
during the procedure. The frenulum can be included in the main cutting or can be cut
separately if desired.
Results depend very much on the skill of the surgeon, but can be as tight or loose as
desired with the scar line anywhere that is wanted. This technique is most commonly used on adults when circumcision is performed by a
trained urologist.
In the sleeve technique the skin is fully retracted and the length to be removed is taken of as one thin layer. Blood vessels are dissected out and not cut through. The free part is just left running about under the skin - I could feel them there for the first few months. The connective tissue is just left alone, since the skin is removed by taking off one layer rather than cutting through two. Hence there is less bleeding, and the area which has to heal is only superficial. It does require much more time to perform, which is why my surgeon insisted on a general anaesthetic.
There is a very good description of the technique in 'Private Parts, a Health Book for Men' by the Canadian urologist Yosh Taguchi. A medical description is to be found in MG Lucas 1984 'A method of circumcision' British Journal of Urology Vol 56, pages 551-553.
From A German CIRCLIST Member:
My first circumcision removed only the overhanging foreskin. My second procedure, was
a freehand (sleeve) circumcision and I requested that it be done high and tight. The
frenulum is largely removed as well. Considerable inner foreskin lining was preserved, and
the circumcision is high and tight when erect. When soft, there is no skin bunched up in
the coronal sulcus unless I'm seated. Even when seated and/or extremely cold, no skin ever
covers the glans. Masturbation is always performed with lubricant, now that I have a tight
circumcision. Sex is considerably improved and I'm proud to be cleanly circumcised.
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