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Meatotomy
A meatotomy () is a form of penile modification in which the underside of the glans penis, glans is split, extending the urinary meatus. The procedure may be performed by a doctor to alleviate meatal stenosis or urethral stricture. A meatotomy is sometimes also self-performed voluntarily for aesthetic reasons, or to open the urethra for sexual gratification as part of the practice of sounding Procedure A variety of techniques may be used to make the cut, but a doctor will generally crush the ventral Urinary meatus, meatus, urethra, and upper frenulum of prepuce of penis, frenulum for 60 seconds with a straight Kelly forceps, Kelly hemostat and then divide the crush line with fine-tipped scissors. Other techniques include cauterisation, cutting with a scalpel (sometimes aided by clamps), or by using existing fistulas from it to ''tie off'' the area to be cut. Most self-performed modifications tend to use a clamp and cut method. Depending on the anatomy of the individual and the ex ...
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Meatal Stenosis
Urethral meatal stenosis is a narrowing (stenosis) of the opening of the urethra at the external urinary meatus, meatus , thus constricting the opening through which urine leaves the body from the urinary bladder. Symptoms and signs * Abnormal strength and direction of urinary stream * Visible narrow opening at the meatus in boys * Irritation, scarring or swelling of the meatus in boys * Discomfort with urination (dysuria and frequency) * Urinary incontinence, Incontinence (day or night) * Bleeding (hematuria) at end of urination * Urinary tract infections - increased susceptibility due to stricture Causes The protection provided by the foreskin for the glans penis and urinary meatus, meatus has been recognized since 1915. In the absence of the foreskin the meatus is exposed to mechanical and chemical irritation from ammoniacal diaper (nappy) that produces blister formation and ulceration of the urethral opening, which eventually gives rise to meatal stenosis (a narrowing of t ...
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Glans Penis
In male human anatomy, the glans penis, commonly referred to as the glans, is the bulbous structure at the distal end of the human penis that is the human male's most sensitive erogenous zone and their primary anatomical source of sexual pleasure. It is anatomically homologous to the clitoral glans. The glans penis is part of the male reproductive organs in humans and other mammals where it may appear smooth, spiny, elongated or divided. It is externally lined with mucosal tissue, which creates a smooth texture and glossy appearance. In humans, the glans is a continuation of the corpus spongiosum of the penis. At the summit appears the urinary meatus and at the base forms the corona glandis. An elastic band of tissue, known as the frenulum, runs on its ventral surface. In men who are not circumcised, it is completely or partially covered by the foreskin. In adults, the foreskin can generally be retracted over and past the glans manually or sometimes automatically during an ...
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Genital Piercing
Genital piercing is a form of body piercing that involves piercing a part of the genitalia, thus creating a suitable place for wearing different types of jewellery. Nevertheless, the term may also be used ''pars pro toto'' to indicate all body piercings in the area of anus, perineum, genitals and mons pubis, including piercings such as anal, guiche, and pubic that do not involve perforation of genitalia. Genital piercings can be done regardless of sex, with various forms of piercings available. The main motive is beautification and individualization; in addition, some piercings enhance sexual pleasure by increasing stimulation. Pre-modern genital piercings is most culturally widespread in Southeast Asia, where it has been part of traditional practice since ancient times. Records of genital piercing are found in the ''Kama Sutra''. History The traditional prehistoric and historic practice of genital piercing is most culturally widespread in Southeast Asia (particularly in Indone ...
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Male Genital Modification
The terms genital modification and genital mutilation can refer to permanent or temporary changes to human sex organs. Some forms of genital alteration are performed on adults with their informed consent at their own behest, usually for aesthetic reasons or to enhance stimulation. However, other forms are performed on people who do not give informed consent, including infants or children. Any of these procedures may be considered modifications or mutilations in different cultural contexts and by different groups of people. Reasons Religious The vast majority of genital cutting in the world is done for religious motives (though not all members of genital cutting religions adhere to the practice). Genital cutting is performed for reasons such as: # Rite of passage: circumcision in Islam () is typically performed during childhood before puberty. In Judaism, the religious male circumcision ceremony () is usually performed on infants. # Expression of religious identity: both in Jud ...
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Body Modification
Body modification (or body alteration) is the deliberate altering of the human anatomy or human physical appearance. In its broadest definition it includes skin tattooing, socially acceptable decoration (''e.g.'', common ear piercing in many societies), and religious rites of passage (e.g., circumcision in a number of cultures), as well as the modern primitive movement. Body modification is performed for a large variety of reasons, including aesthetics, sexual enhancement, rites of passage, religious beliefs, to display group membership or affiliation, in remembrance of lived experience, traditional symbolism such as axis mundi and mythology, to create body art, for shock value, and as self-expression, among other reasons. Definition What counts as "body modification" varies in cultures. In western cultures, the cutting or removal of one's hair is not usually considered in the category of “body modification” despite it being literally modifying one’s body, and "body ...
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Penile Subincision
Penile subincision is a form of genital modification or mutilation consisting of a urethrotomy, in which the underside of the penis is incised and the urethra slit open lengthwise, from the urethral opening (meatus) toward the base. The slit can be of varying lengths. Subincision was traditionally performed around the world, notably in Australia, but also in Africa, South America and the Polynesian and Melanesian cultures of the Pacific, often as a coming of age ritual. Disadvantages include the risks inherent in the procedure itself, which is often self-performed, and increased susceptibility to sexually transmitted infections (STIs). The ability to impregnate (specifically, getting sperm into the vagina) may also be decreased. Subincisions can greatly affect urination, often resulting in hypospadias requiring the subincised male to sit or squat while urinating. The scrotum can be pulled up against the open urethra to quasi-complete the tube and allow an approximation to no ...
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Hypospadias
Hypospadias is a common variation in fetal development of the penis in which the urethra does not open from its usual location in the head of the penis. It is the second-most common birth abnormality of the male reproductive system, affecting about one of every 250 males at birth. Roughly 90% of cases are the less serious distal hypospadias, in which the urethral opening (the meatus) is on or near the head of the penis (glans). The remainder have proximal hypospadias, in which the meatus is all the way back on the shaft of the penis, near or within the scrotum. Shiny tissue that should have made the urethra extends from the meatus to the tip of the glans; this tissue is called the urethral plate. In most cases, the foreskin is less developed and does not wrap completely around the penis, leaving the underside of the glans uncovered. Also, a downward bending of the penis, commonly referred to as chordee, may occur. Chordee is found in 10% of distal hypospadias and 50% of proximal h ...
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Spongy Urethra
The spongy urethra (cavernous portion of urethra, penile urethra) is the longest part of the male urethra, and is contained in the corpus spongiosum of the penis. It is about 15 cm long, and extends from the termination of the membranous portion to the external urethral orifice (male), external urethral orifice. Commencing below the inferior fascia of the urogenital diaphragm it passes forward and upward to the front of the pubic symphysis; and then, in the flaccid condition of the penis, it bends downward and forward. It is narrow, and of uniform size in the body of the penis, measuring about 6 mm in diameter; it is dilated behind, within the bulb, and again anteriorly within the glans penis, where it forms the fossa navicularis urethrae. The spongy urethra runs along the length of the penis on its ventral (underneath) surface. It is about 15–16 cm in length, and travels through the corpus spongiosum. The ducts from the urethral gland (gland of Littre) enter h ...
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Subincision
Penile subincision is a form of genital modification or mutilation consisting of a urethrotomy, in which the underside of the penis is incised and the urethra slit open lengthwise, from the urethral opening (meatus) toward the base. The slit can be of varying lengths. Subincision was traditionally performed around the world, notably in Australia, but also in Africa, South America and the Polynesian and Melanesian cultures of the Pacific, often as a coming of age ritual. Disadvantages include the risks inherent in the procedure itself, which is often self-performed, and increased susceptibility to sexually transmitted infections (STIs). The ability to impregnate (specifically, getting sperm into the vagina) may also be decreased. Subincisions can greatly affect urination, often resulting in hypospadias requiring the subincised male to sit or squat while urinating. The scrotum can be pulled up against the open urethra to quasi-complete the tube and allow an approximation to no ...
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Cauterisation
Cauterization (or cauterisation, or cautery) is a medical practice or technique of burning a part of a body to remove or close off a part of it. It destroys some tissue in an attempt to mitigate bleeding and damage, remove an undesired growth, or minimize other potential medical harm, such as infections when antibiotics are unavailable. The practice was once widespread for treatment of wounds. Its utility before the advent of antibiotics was said to be effective at more than one level: *To prevent exsanguination *To close amputations Cautery was historically believed to prevent infection, but current research shows that cautery actually increases the risk for infection by causing more tissue damage and providing a more hospitable environment for bacterial growth. Actual cautery refers to the metal device, generally heated to a dull red glow, that a physician applies to produce blisters, to stop bleeding of a blood vessel, and for other similar purposes., page 16. The main fo ...
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Fistulas
A fistula (plural: fistulas or fistulae ; from Latin ''fistula'', "tube, pipe") in anatomy is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs. Types of fistula can be described by their location. Anal fistulas connect between the anal canal and the perianal skin. Anovaginal or rectovaginal fistulas occur when a hole develops between the anus or rectum and the vagina. Colovaginal fistulas occur between the colon and the vagina. Urinary tract fistulas are abnormal openings within the urinary tract or an abnormal connection between the urinary tract and another organ such as between the bladder and the uterus in a vesicouterine fistula, between the bladder and the vagina in a vesicovaginal fistula, and between the urethra and the vagina in urethrovaginal fistula. When occurring between two parts of the intestine, it is known as an enteroenteral fistula, between the small intesti ...
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Urinary Meatus
The urinary meatus, (, ) also known as the external urethral orifice, is the opening of the urethra. It is the point where urine exits the urethra in both sexes and where semen exits the urethra in males. The meatus has varying degrees of sensitivity to touch. The meatus is located on the glans of the penis or in the vulval vestibule. In human males The male external urethral orifice is the external opening or urinary meatus, normally located at the tip of the glans penis, at its junction with the frenular delta. It presents as a vertical slit, possibly bounded on either side by two small labia-like projections, and continues longitudinally along the front aspect of the glans, which facilitates the flow of urine micturition. In some cases, the opening may be more rounded. This can occur naturally or may also occur as a side effect of excessive skin removal during circumcision. The meatus is a sensitive part of the male reproductive system. In human females The female external ...
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