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Video

Narrator: The Embarrassing Bodies clinic is open for business and 47 year-old Scott has come to see Doctor Dawn with some difficulties down below.

Scott: Sitting in a seat is very painful. It can be horrendous because you end up with a damp patch on the front of your trousers…and I just won’t let anybody see it.

Dr. Dawn: Scott, it’s lovely to meet you. What can I do to help you?

Scott: I went in for a circumcision, and I now sometimes, when I actually wee, it goes between the toilet pan and the seat and comes out through, and actually ends up wetting my clothes. And depending on how quickly it comes, it can actually end up trickling out underneath the door, that you’ve got, and it’s actually quite embarrassing.

Dr. Dawn: So just going back a step Scott, what did you have the circumcision for?

Scott: It was to help with my toileting; I have weakness right down my left side.

Dr. Dawn: Which I guess made it difficult did it for you to retract the foreskin? So that was why you had the operation?

Scott: Correct.

Dr.Dawn: Ok, well I guess we probably ought to have a little look, is that ok?

Scott: That’s fine.

Dr. Dawn: Okey doke. Oh I see, alright. So in fact if you sit down your penis is pointing straight at the rim of the toilet?

Scott: Yes.

Dr. Dawn: I’ve got you. And what about erm…you know other functions? Do you get normal erections?

Scott: No.

Dr. Dawn: No, ok.

Scott: No not since this happened. Er I’m having major problems in that area as well.

Dr. Dawn: Right. You can see where the penis is retracted in there but I guess you find that difficult to do you, with the, with weakness in your hand?

Scott: Yes

Dr. Dawn: Ok. I mean what you’ve got is a buried penis which is incredibly common; it’s very common, particularly in men who are carrying a bit of extra weight.

Narrator: A buried penis is a normal sized penis that looks small because it’s hidden by a pad of fat. In adults it’s caused by an aggressive circumcision, ageing or obesity. If it affects urination or sexual function it can be treated with surgery.

Dr. Dawn: The issue for you is that, in combination with your weakness, it’s obviously very difficult for you to stand up and wee, and actually find your penis and put it in the right direction, you know. And I can see it’s affecting your life big time isn’t it?

Scott: Yes.

Dr. Dawn: If surgery is something that you would consider, I’ll make an appointment for you to see a specialist, and you can talk through the options, and then you can make your decision.
Scott: Yeah. I’m quite happy to go down that route.

Dr. Dawn: Yeah.

Narrator: So Doctor Dawn has sent him to see Mr Paul Anderson, at West Midlands hospital.
Mr Anderson: Your problem is not that the circumcision has been done too tightly. You still have a good amount of length of penis there.

Narrator: Mr Anderson needs to see the extent of the problem when Scott is sitting.

Mr Anderson: In this position…

Scott: Yep it’s very, very uncomfortable

Mr Anderson: …you start to feel the pain?

Scott: Start to feel the pain yep. (Inaudible)

Mr Anderson: So that is quite uncomfortable for you?

Scott: Yeah.

Mr Anderson: When that’s pulled forward? If you were sitting down, and you were to hold everything back, does that mean that you don’t get the pain?

Scott: That’s actually a lot more comfortable.

Narrator: By pushing the flesh of the pubic area away, the full length of Scott’s hidden penis is revealed.

Mr Anderson: By pressing at the base of your penis, that does seem to relieve you of your pain. And therefore if I was carrying out an operation, such that the base of the penis is extremely well defined, and the penis is always hanging away from the body, then that should cure you of your pain.

Narrator: Six weeks later and Scott’s arrived at Russells Hall hospital for his operation with Mr Anderson.

Scott: Feeling a bit nervous. Err hoping that once we’ve had this procedure, that it will improve the quality of life that I have.

Narrator: Scott’s wheeled down to the theatre for his two-and-a-half hour operation.

Mr Anderson: I’m just marking out the top part of the flap of skin that’s going to go down. That’s his belly button. Those are his two iliac crests and these are two anatomical landmarks so I can see exactly where everything is. The decision to make this line here was decided when I saw him on the ward and I made him sit up and I saw where his crease line was, his belt crease line. What I do with this line here is to remove the flesh, now I’ve done this fairly conservatively, but it’s better to do it less and take away more after. And I hope you know this skin will be on this skin here, but it won’t be there. It will be right down at the base there.

Narrator: Mr Anderson makes the first incision and begins cutting down through the layers of fat to the muscle below.

Mr Anderson: This is handheld diatherming, and through the electric current, which is passed through the skin at this tip here, we get a sort of heating effect that seals vessels. There is a lot of tissue here. The last thing I want to do is to sever something.

Narrator: He has to be careful not to cut through the spermatic cord, which carries blood to the testicles.

Mr Anderson: All I’ve done is just gone straight down and this is the flap of flesh that I’m now going to remove. I’m going to deepen this incision here and remove all this flesh. What you do is you try and lift it up like a divots from your lawn.

Narrator: The last bit of fat is finally severed.
Mr. Anderson: So that’s the belt of fat which has been pushing his penis forward and you can see the, can you see how thick that is?

Narrator: Scott’s problem is lifted away, almost half a kilo of it.

Mr Anderson: This is where the flesh was sitting and you can see, you know, the depth of fat here, and then you can’t quite see it from that angle but just here, that’s the penis. That’s the amount that was not exposed to the outside world and that’s, you know, that’s quite a lot. Most men would be glad to have a, you know, an extra inch and that’s a good two, two-and-a-half there. So I, I just feel that this flap here, I just don’t think it’s going to come down quite as easily as I would like, so I’m going to start freeing up in that direction and towards his belly button, and then we will bevel it. Start to take out some of the fat. So it sits down quite nicely. And he will, as I explained to him, have this scar that fixes the penis like that.

Narrator: Scott’s penis is then fixed into the correct position and the two sides of the abdomen are pulled back together.

Mr Anderson: These are the anchoring sutures for the two flaps and as they heal, or indeed almost immediately, they will give an extremely fixed angle so the penis can never disappear up into his body again.

Narrator: The top flap of skin is pulled down to meet the bottom flap.

Mr Anderson: You know because I could feel the tension in this tissue here. So everything else now is closing, and closing neatly. When he’s thrusting, he’s now got about two inches more that he can use because it’s not covered by a fatty tissue. So although his penis remains the same length, the usable amount has increased and the flesh around it has decreased. The roll of flesh that he had at the base of his penis, below his abdomen, has all been removed. I’ve now closed him so I’ve brought the skin right down onto this point here, which actually is rock solid, because that’s his bone, so that’s a fixed point there now. He’s got, you know, a longer penis which is now out of his body. The scars, you know he always knew that he was going to have this dip here and the contour would be slightly abnormal, but there’s no way that penis can sink back into his body now. We’ve got a couple of drains here to absorb any blood that might leak into this area. We’re going to nurse him slightly sitting up, not much, 15, 20 degrees I’d have thought would be sufficient. Erm, I’m going to bed rest him for about, I don’t know, about 24/36 hours and then he’ll be out of here.

Narrator: Today he’s back in clinic but have his symptoms improved?

Dr. Dawn: Good to see you again Scott.

Scott: And you.

Dr. Dawn: So tell me, what’s been happening to you?

Scott: Had the operation and it’s been a complete and utter success.

Dr. Dawn: Well your face says it’s a complete success.

Scott: It’s absolutely amazing, just, I’m so pleased.

Dr. Dawn: So from my memory Scott there were two issues weren’t there. Firstly I know you didn’t like the appearance, but also there were lots of problems actually physically having a wee, so how’s that now?

Scott: It’s great being able to go out, I can’t actually put into words how good it is going out, not having this cumbersome thing affecting your body, even the way you sit.

Dr. Dawn: So do you mind if we have a little look?

Scott: Not at all.

Dr. Dawn: So you’re how long post-op now Scott?

Scott: About two-and-a-half months.

Dr. Dawn: Right. I mean this is a big scar here so how much tissue did you have removed?

Scott: There was 500 grams…

Dr. Dawn: Wow

Scott: …of tissue removed.

Dr. Dawn: Ok a pound of, a pound of flesh removed.

Scott: Flesh yeah.

Dr. Dawn: But it’s healing beautifully now though isn’t it?

Scott: Yeah.

Dr. Dawn: that’s where it’s actually been tethered to the pubic bone isn’t it.

Scott: Yes.

Dr. Dawn: I mean it looks completely different. Yeah?

Scott: It does.

Dr. Dawn: And I can see that in practical terms, much easier for you to actually wee now.

Scott: Yeah.

Dr. Dawn: One of the other things that you mentioned when I met you before was that you were having a few problems with erections. How’s that now?

Scott: That seems to have sorted itself out, as things have happened a bit more naturally now.
Dr. Dawn: Well listen thank you very much for coming back. Good to see you.

Scott: Thank you very much for everything you’ve done.

Read the video transcript

Scott came to see Dr Dawn with a very personal problem, and he went under the knife with remarkable results. Watch the extended version of Scott’s treatment exclusively right here.

The EB team would like to thank:

Mr Paul CB Anderson BSc FRCS (Urol)
Consultant urological surgeon, with special interest in penile/urethral reconstruction.
 
The Ramsay West Midlands Hospital
www.westmidlandshospital.co.uk

Russell’s Hall Hospital
www.dudleygroup.nhs.uk

Channel 4 is not responsible for the content of external websites

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In the last 12 months i have had an aggravating ache to the left testicle and is made worse when i cycle, the testicle ache/pain is more prominent when the testicles are in the assend position, and the left one feels pushed up hard in the scrotum. I have been to the hospital and had ultrasound, the result was that there is a 4.6 mm simple cyst on the left epididymal head and a 5.7mm simple cyst on the right epididymal head, otherwise normal appearences to the epididymis head, my G.P said leave alone but really i am no better,i also feel nausies on occasions, when being examined both testicles are tender.I am unable to cycle and keep up my fitness, what would you advise? Thank you.





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Is there any such thing as a penis enlargement to make it longer and thicker





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I have had a curved penis for as long as I can remember. It also faces the left! I can't have a relationship because of this as I am do embarrassed! I'm 39 and depressed beyond be life about it! Can someone help!





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Have been impotent all my life . As far back as I can remember . But never a proper reason for why . I was prescribed with Viagra 5years ago but still don't have full sex . And don't know why . As you can imagine this has totally ruined my life and any confidence I had . I'm 48 year old and would just like answers . I severely damaged my back in my teens but don't now if that is reason . I loose my erection when I start to use it . If mr Paul Anderson could read this . Can he help me





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How does being circumcised have anything to do with being overweight?





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my partner has this problem but I don't know how to address it, he has a low libido so i don't want to make it worse by bringing it up and embarrassing him. He had a circumcision when he was 3, I suspected this was one of the reasons, and he is very overweight, another factor I understand. I can't do anything about the fact he is circumcised but I wish I could get him to lose weight.





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