Male genital modifications types

Today I read a few slides from local school of nursing student concerning a sort of penis integrity awareness lecture she had. It has an intactivist approach classifying male genitals according to surgical procedure received. I think it is used to promote males to have examinations in local counseling room expecially for foreign patients often having traditional and ritual forms of genital modifications, some very invasive and invalidating... The medical equipe (all females doctors) already did it regularly for FGM since 90s. They so did a classification also for males. I was surprised from details and concerns about consequences on sexuality including masturbation. My fetish makes me wonder which type I fit best and if they could take a look to my privates 😉

I summarize here below their genital integrity classification they provide:

Type 0

Completely intact penis with physiological degree of retractability of the prepuce.

Type I

Outcomes consequent to use of surgical instruments on the penis without amputation of tissue such as the dilatation of the prepuce, the premature or forcible separation of the prepuce from the glans and the incision of the prepuce or preputialplasty.

Type II

Excision of preputial tip, ridged band and outer prepuce. In flaccid state the distal glans is permanently exposed. Sliding functionality is retained.

Type III

Proximal (high) circumcision: excision of preputial tip, outer prepuce and part of the ridged band. The penis has glans and inner mucosa fully exposed. Sliding functionality is partially loss. This is also referred as proximal (high) circumcision.

Type IV

Distal (low) circumcision: excision of preputial tip, ridged band and inner mucosa. The penis has outer preputial tissue sutured close to the glans corona. Sliding functionality is almost loss.

Type V

Complete circumcision (radical postectomy): excision of preputial tip, outer prepuce, ridged band and inner mucosa. In flaccid state the penis has penile skin tissue sutured close to the glans corona. Sliding functionality is loss and the patient has high risk of insufficient slack tissue for accommodating tumescence and penile shortening.

Type VI: excision of penile and glans tissues, including meatotomy, subincision, infibulation and implants.

Type VII: complete excision of glans, penectomy or orchiectomy.

I am in the Type I but I have a glans surgery so partially Type VI.

I examinated a few times play patients having Type III.

Then I am curious to know what is your Male Genital Modification Type and possibly also of your play patients?

I had never seen this classification but there are others which have already been discussed on this forum.

I think that the consequences on sexuality differ from one man to another and cannot be deduced from a classification, especially if one was circumcised very young and has never known anything else.

It would be interesting to know what type of circumcision was practiced depending on the country and the time, but statistics would need to be compiled on a very large population and not just on a few people.

I have Type V.

While FGMs have classified types by WHO it is not the same for MGMs. As far as I know there is only the Aldeeb classification with:

Type 1: redundant prepuce trimming

Type 2: traditional shield guided circumcision

Type 3: penis/scrotum skinning (tribal)

Type 4: subincision (tribal)

But it is clearly very limited. I understand medical researchers providing updated and new classifications that include milder modifications, typical clinical surgeries but also most destructive ones horribly affecting male sexuality.

Type VI: excision of penile and glans tissues, including meatotomy, subincision, infibulation and implants.

Isn't infibulation a removal of the external female genitalia? I am not sure it can apply to males.

Isn't infibulation a removal of the external female genitalia? I am not sure it can apply to males.

Infibulation can be the sewing together of vaginal lips.

I also think I remember reading about placing small (metal) balls under the skin of penile shaft and this also includes cutting and sewing and is considered to be a form of male infibulation.

I'd also think there are other forms of male genital modifications such as placing a Prince Albert rod held in place with a pierced ring through urethra and shaft as well as various types of piercing to the foreskin or penis shaft or glans with rings or rods.

Infibulation is a form of male genitals modification known since greeks and romans.

Celsus described with details the procedure:

"The foreskin covering the glans is stretched forwards and the point for perforation marked on each side with ink. Then the foreskin is let go. If the marks are drawn back over the glans too much has been included, and the marks should be placed further forward. If the glans is clear of them, their position is suitable for the pinning.

Then the foreskin is transfixed at the marks by a threaded needle, and the ends of this thread are knotted together. Each day the thread is moved until the edges of the perforations have cicatrized. When this is assured the thread is withdrawn and a fibula inserted."

The fibula was at the time commonly an iron clip pierced through the prepuce then closed in a ring shape with the aid of smith pliers. The ring may have a small diameter lesser than an inch to about three inches weighing up to a quarter of pound.

The main aim for male infibulation was to avoid intercourse forcing males to not dissipate themselves.

So it was applied to young athletes, singers and monks as sign of castity.

Some Turkish monks had specific rituals where the prepuce was removed so the ring was inserted directly through the glans or penis.

The practice was reaffirmed only in 1750s after the Swiss physician Tissot book on onanism orienting the medical community to develop a wide array of severe surgical and medical therapies including prepeutial blistering, infibulation, circumcision and eviration.

Starting to be advised by german pediatricians to parents and teachers it widespread also in the US where it was instutionalised and commonly applied in male patients of insane asylums as early as 1860.

Dr. Yellowlees and others described different techniques of infibulation experimented on their asylum patients such as the use of a silver ring, a preputial suture at root of the glans to avoid retraction, silver wires or silk sling passed through the prepuce to make the erection painful due to the constriction and irritation to the glans.

All the procedures were performed without chloroform with clear punitive intents. It was common belief the pain suffered by the patient would help him to eradicate the bad habit.

Nowadays it is quite uncommon and it was substituted by some forms of penis piercing.

This unofficial classification of MGM seems inspired by the official one for FGMs.

While I think that circumcising a boy without a clear and pressing medical reason is abusive, I think that the parallel to FGM must be taken with caution.

In the most common case FGM removes the clitoris thus the main site for sexual pleasure in most females.

In contrast, on males, mutilations or modification more severe than circumcision are rare.

The only widespread cases that I know of are the sex assignment surgeries performed on intersex children, which I find revolting.

Why couldn't they just remove the hood to permanently expose the clitoris? That would be the equivalent of removing the foreskin.

In Dr. Kellogg's wonderful world he used an acid on the clitoris to destroy all feeling in his attempts to prevent masturbation of both sexes.

@roscoe My point exactly. Circumcision, as promoted by Kellogg's and others, aimed at making masturbation less enjoyable, but they had a limit: since a man was supposed to be able to procreate, and ejaculation is necessary for that, then they could not perform changes that would render coitus inoperative. Since females can procreate without orgasm, they had no such qualms for them.

At least the clitoris is much larger than what Dr Kellogg destroyed so they can still have some wonderful feelings just like a denuded penis can still be masturbated to fruition.

@Pecan_nutjob I can relate the classification is derived from that of FGMs and the comparison is unfair due to the fact FGMs are aimed to removal of pleasure in the female while this MGM classification includes also minor modification of male sex organs.

Anyway too tight radical postectomy Type V may be very invalidating. Sexual function can be completely damaged due to painful erections. It was well know by late 1800 asylum doctors performing circumcisions on male inmates removing as much tissue including part of penile skin with that aim.

About the Type VII while uncommon in Europe and US there are many refugees that had to cope with these as victims of torture. Nurses and doctors working with this class of patients told me miserable stories on what they discover during genitals examinations.

@obertaller You're correct, castration or emasculation are used as horrific torture or retribution during wars, including, apparently, by Russian forces operating in Ukraine.

It was well know by late 1800 asylum doctors performing circumcisions on male inmates removing as much tissue including part of penile skin with that aim.

I suppose this was in response to masturbation? Would you have documents about this?

I've read 19th century doctors doctors advocating tight circumcisions (I think more precisely "high and tight") to make masturbation uncomfortable and to deter boys from it. However they had to preserve the possibility of coitus and ejaculation, as a man's duty, in general, was to marry and procreate. I suppose that if the man was in an asylum, it was rather considered beneficial that he should not be able to procreate…

@obertaller You're correct, castration or emasculation are used as horrific torture or retribution during wars, including, apparently, by Russian forces operating in Ukraine.

Zity is not the place to talk about recent events which are not proven and which may be propaganda, from one side or the other. We talk about circumcison and not about castration or emasculation.

@Woyzeck Type VII in the original post includes castration and/or emasculation. But you're right, we should avoid statements about recent events on which the full truth is not yet known.

@Pecan_nutjob

yes it was used to cure onanism.

Various techniques are used and described in papers of that time. Methods include cold bath, beating, penis strapping, blistering of the prepuce to produce a swelling and irritation, the infibulation with silver rings, silver or silk suture wires, cautherizzation or application on the glans of carbolic acid, denervation of the penis, circumcision 'low and tight' ie with removal of all preputial skin and suture just under the glans providing extremely tight and painful erections. For recidive case penectomy and orchyectomy are considered taking into account the habit was at that time recognized to be cause of seizures and death so whatever therapy can be used. You can start with references cited in the paper "Preputial infibulation: From ancient medicine to modern genital piercing".

About procedures in use on male inmates in asylums I found interesting the Joseph W. Howe "Excessive Venery Masturbation and Continence (1889) book.

He describes several clinical cases.

"years ago I had an epileptic masturbator under treatment in Charity Hospital. He foiled every attempt made to prevent him from masturbating. The penis and scrotum were blistered, so that

he could not touch them, but he still managed to complete the act by rubbing the perineum with his fingers. His hands were tied behind his back, but this also was unsuccessful, for the

next day he was seen to slide down to the foot of the bed, and rub his perineum against the foot piece. He was finally tied hand and foot to the bed

so that he could not move a muscle."

In many cases the treatment was ablation of the prepuce

"I was uncertain to what cause to attribute these pollutions, when, on examining the genital organs, I noticed that the opening of the prepuce was very narrow, and that abundance of sebaceous

matter escaped. [...] I concluded, therefore,

that the natural phimosis, by preventing the discharge of the sebaceous secretion, was the cause of involuntary discharges, and in consequence recommended circumcision, which was performed immmediately. [...]

The glans itself was vividly red, almost entirely deprived of its epithelium, extremely sensitive— the least friction causing a discharge of blood.

From this moment he passed a fortnight at a time, and some times longer without having nocturnal pollutions"

He continues with necessity of circumcision in masturbators

"Circumcision will be necessary when there is hyperasthesia of the head of the penis from the

irritation of retained sebaceous matter consequent upon elongation and contraction of the prepuce."

And further exotic treatments such as

Introduction of medicated bougies, Steel sounds,

Acupuncture, Application of electric rings,

Spermatorrha rings, Rectal pessaries, leeches.

"When the parts are morbidly sensitive leeches may be applied to the perineum, and use made, twice daily, of some astringent and anodyne injection"

"The use of the steel sound and electricity helps to give tone to the parts. The use of local astringents to the prostatic sinus' is often of marked advantage."

"I have used with advantage urethral suppositories of butter of codos containing one-quarter of a grain of carbolic acid pushed down to the prostatic urethra by a steel sound and allowed to

dissolve there."

"The urethral electrode well oiled and warmed is slowly introduced through the urethral canal to the

neck of the bladder, while the sponge covered electrode is placed over the genito-Spinal center at the junction of the dorsal with the lumbar vertebra, and moved up and down over the vertebral column as far as the tip of the coccyx. While the sponge is being moved over these parts the urethral electrode is Slowly withdrawn until its point reaches the bulbous portion of the urethra."

"Puncturing the integument over the spermatic cord with needles is sometimes beneficial. It may be advisable, in very bad cases, to rub into the punctures a mixture of equal parts of croton Oil and olive Oil"

"Needles from two to three inches in length are passed through the perineum into the prostate gland and neck of the bladder.

[...] The first needle is introduced in the median line midway between the anus and scrotum. The second is inserted into the prostate half an inch

below the first, and the third needle is introduced half an inch above the first one. They are kept in position half or three quarters of an hour. [...]

Some surgeons recommend the introduction of needles into the testicles and spermatic cord for the same purpose. "

For patients not responding to therapies

"It may be well to exercise strict supervision over the patient, and use the baths, tonics and electricity for a few weeks, and then if there is no good result, the patient should be castrated without delay, and the penis, pubes and perineum covered with canthara collodion. Simple castration will not at once stop ejaculations through the urethral canal, so it is consequently necessary to place the parts in such a condition as to prevent them from being handled. If these measures fail, I see no objection to removing the whole of the external genital apparatus."

So there is a plethora of forced treatments including male genitals modifications described with so much details.

Reading Dr. Howe descriptions I cannot avoid to think how would be being one of his patients.

@Obertaller

So there is a plethora of forced treatments including male genitals modifications described with so much details.

Reading Dr. Howe descriptions I cannot avoid to think how would be being one of his patients.

Incredibly interesting post but also very disturbing. What in the world was it with so many physicians and masturbation back in the day? What kind of mental aberration did they suffer from to go to such lengths to inflict such pain and mutilation on patients?

It seems to me that if anyone belonged in an insane asylum, it was such physicians/doctors or whatever degrees they (unrightly) held. Talk about sexual obsession ... they had it in spades.

Rectal pessaries, leeches.

Sounds like something out of 'Blackadder' season two. 'I can heartily recommend a treatment of leeches ...' ha ha ha

I cannot help thinking that these extreme descriptions by Dr Howe might be some kind of later medfet fantasy rather than a true medical account of actual procedures.

@UK_Patient For this one I don't know, but one can find in medical journals of the time articles written by actual physicians, some of them of high repute (e.g., Broca), who advocated similar things (Broca advocated metallic sutures of the labia majora to prevent girls from masturbating, for instance). These journals have been scanned and may be found online on Google Books or on the websites of some libraries. These things were, unfortunately, for real.

I cannot help thinking that these extreme descriptions by Dr Howe might be some kind of later medfet fantasy rather than a true medical account of actual procedures.

I fear not.

I've just purchased a book called 'American Sex Machines' - the Hidden History of Sex at the U.S. Patent Office by Hoag Levins.

It is full of descriptions and drawings of patented anti-masturbatory devices awarded patents. Some are truly horrid and indicate a somewhat pathological obsession with trying to repress and eradicate the practice of masturbation. Many of the patented devices have pins or needles that will stick into an erect penis to expressly cause pain and bleeding, this ostensibly laudable intention to prevent the horrid practice of self pollution.

Luckily the book also describes various sex toy patents taken out later in the 20th century, so as a book it's balanced.

But still, Until the 1930s it seems that doctors in insane asylums especially, were maniacal about preventing masturbation in their patients. What horrid, disgusting notions they held.

@agracier @uk_patient And it may well be the case that these physicians had a fetish. Some say the infamous Dr Kellogg got off from receiving enemas.

It seems that in the 20th century many people that openly attacked homosexuality were closeted homosexuals, many people who defended "family values" were philanderers, etc.

I remember reading about subincision and other forms of male genital modification as a teenage boy. Does anyone know what the purpose of these modifications is or was, and how it affects the sex life of males who underwent the procedure? Btw, I am type 0.

These forms of modification in its minor form are done in some patients to correct urethral strictures or easier insertion of urological instruments. The surgeon insert an hemostat in the penile meatus and clamp the ventral area for a few minutes then split open the urethra with scissors (meatotomy). When this is extended along the penile shaft it is a subincision and it is quite rare in nowdays urological practice. Opening of the ventral urethra is used by some tribes as ritual of passage. This may represent a form of correction of the male organ to make it resamble a vagina. It clearly modifies sensitivity of the penis and it has an impact on coital effectiveness due to the opening of the urethra.