Well of course, it is in the final analysis up to you - we can't force you to do anything, though if you see a urologist in person he might manage to be very persuasive and once he has you "on the table", you are totally at his mercy (because once he starts cutting, you have to let him "finish the job"). My assessment is that if a specialist (no matter what country) shows the slightest hesitation or lack of enthusiasm whatsoever about the concept of "preputioplasty", it indicates he is not
going to perform one, but rather, a full circumcision.
As to the form of preputioplasty, a "limited dorsal slit with transverse closure" is probably inappropriate; a procedure that is more suited to elderly men for the sole purpose of making it possible
to retract - when necessary - but falling far short of full functionality.
I have come to realise that someone like yourself who has been unable to retract ever
, or at least since childhood, is virtually certain
to have a short frænulum (the term "frænulum breve" is singularly beloved of the circumcision enthusiasts as a justification for at least some
form of surgery) which means that the underneath of your foreskin is going to be "tied" to the glans under the urethra, so that even if you can retract the top part, it will be asymmetrical and you would be disappointed with the degree of retraction - and therefore almost certain to conclude that you needed further
Now of course, we do not think you need surgery in the first place - we would rather you performed the "exercise" illustrated by Jim's "favourite picture
" here, which is of all the "exercises", by far the easiest to perform as it is no more than a variant of the "fiddling with yourself" you can perform anywhere in relative privacy without opening or removing your trousers.
If you were
to have surgery for this, then what you would want would be a multi-point preputioplasty where the "slits" - five or six - are performed evenly around the periphery of the tight foreskin, and the same
approach is applied to lengthen the frænulum so that the skin will retract as far underneath, as at the top of the glans. This would indeed give an acceptable cosmetic result, presumably achieve an acceptable functional result (though you are necessarily generating a significant amount of scar tissue) and have a somewhat
shorter recovery time than a full or "minimal" (often deceptively referred to as a "partial") circumcision. Each "slit"is necessarily much smaller than a single dorsal slit and will therefore heal better and with less discomfort in itself.
The "downsides" however are that it would still have a recovery time of some weeks at the least, which you could have otherwise spent achieving stretching, it still involves the risk of infection and - you will still
have to do some stretching to ensure you achieve retraction and that the resultant scarring does not contract and reduce or negate the benefit.
I dislike the concept of deadlines - "I have two or three weeks to see the urologist, I'll see if it works in the meantime" - but that's your prerogative. I have modest confidence you will
see a difference in the meantime, but would far rather hear that you had begun the stretching exercises yesterday
or the day(s) before and were seriously considering cancelling
the appointment whose outcome is pre-ordained.
Perhaps that is why Jim adopts a somewhat cynical tone. I think he is clearly challenging your purported squeamishness to perform simple manipulations on your penis, or to use something that resembles a surgical instrument that should not
however mar the skin, contrasted with an apparent glib readiness to submit to actual cutting and stitching with its attendant guaranteed discomfort (described in vivid and extensive detail on "certain" other discussion sites) and risks. Especially since you appear to realise yourself, how unsympathetic American "urologists" in particular are, to take responsibility for optimising
your sexual function.