For many years, before modern methods had been developed, radical circumcision was the only treatment offered for tight foreskin. However, radical circumcision is now obsolete. It is more painful and has a more difficult recovery than the newer conservative treatments. Radical circumcision also destroys much functional tissue, results in severe loss of sexual sensation, and destroys normal male sexual-mechanical functioning. According to cost-benefit studies, radical circumcision is also the most expensive method of treating tight foreskin, but is still promoted by many medical doctors. Holman and Steussi provide us with an excellent description of this traditional but outmoded procedure. Choe and Kim provide a description and images of the traditional procedure.
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Contact lens wear can be an inflammatory influence under normal circumstances, but an alreadysensitized cornea can show rebound inflammation if proper steps aren’t taken. It is imperative to use the immunosuppressive benefits of steroids with a slow taper as contact lens wear is resumed, or the patient will suffer setbacks and require multiple office visits. We typically restart limited contact lens wear when the rehabilitating cornea can tolerate a limited steroid dosage of once to twice daily.