The City Man Clinic is my private initiative. After spending some years in general practice, I had just about enough money to put down a deposit on a suite of rooms in Manchester city centre and devote myself to the care of men and boys and their particular worries and problems. The City Man Clinic advertises discreetly its various services: male health evaluations, cosmetic and minor surgery for men and healthy living consultations for men and boys. I am Dr. Julian Simons. My medical assistant is a recently qualified nurse of Ghanaian origin, a strikingly handsome young man by the name of Peter Abedi.
The clientele has grown considerably in recent years through both advertising and word of mouth recommendations. Private schools and sports clubs have requested my services and the practice now has a solid reputation, drawing patients from well beyond the city and its suburbs.
What follows are extracts from my caseload in recent years.
SEBASTIAN
Sebastian was a walk in patient who arrived on the off chance that he would not have to wait too long to see me. At eighteen years old he had just finished A levels at a local college and was waiting for the results which would hopefully take him off to university. With a tousle of salt and pepper hair and a muscular body, well outlined in his T shirt and Levis, he looked the picture of health as he walked into the consulting room. My eyes were immediately drawn to the attractively filled crotch of his jeans. Sebastian explained that he was a regular sportsman, a rugby player.
He began to tell me how having sexual relationships was rather painful on account of the tightness of his foreskin once an erection had been achieved. Rugby changing and rooms and showers being what they are, he had had plenty of opportunity to see every variety of cock and dick, in every state of flaccidity and hardness, cut and uncut, foreskins up and foreskins down. Sebastian assured me that he kept himself clean and was in fact able to skin back to wash himself in the shower or bath but he knew that something was not right when it came to pleasuring himself or having sex.Â
I invited Sebastian to lower his jeans and underpants and get up onto the examining table. Without embarrassment or awkwardness he did so and lay flat out with his neatly trimmed crotch exposed. A well matured, uncircumcised penis presented itself, at first view as perfectly normal. At around three inches in its flaccid state, the outline of the glans was just visible underneath a fairly thick foreskin which ended in a solid mass of wrinkles just beyond the glans. Â
Reaching down, I took hold of the solid organ at the mid section of the glans and using both fingers and thumbs of both hands, eased back the foreskin. It did present some slight resistance but Sebastian showed no signs of pain or discomfort as I pushed the skin down below the sulcus. The mass of foreskin, and it was thick, formed a ruffle of pink skin below the reddish glans. I asked Sebastian if he felt any discomfort at all with his foreskin in this position and he assured me that he did not. Whereupon I began to pull the folds of skin further down his shaft to expose the very pink flesh of his penis. He winced slightly as I pushed the inner skin ever further downwards. By now, the combination of inner and outer skin had formed a thick wrinkled collar towards the base of Sebastian's penis and the tenderness of his organ was very evident.
Slowly and deliberately I pulled the foreskin back up to cover his glans, noticing as I did so that there was a certain tightness as the skin was pulled over the ridge of his crown.
"Sebastian, there is a degree of constriction but in the flaccid state you do not seem to be inconvenienced for hygiene purposes and I presume that you retract at least part way for urination."
"Yes doctor. I wash down there every day in the shower and I always skin back a bit when I go to the toilet."
"Well then, we need to see what happens when you get an erection. Does the skin slide back by itself as your penis erects?"
"No. That's the problem. When it gets hard and the skin is up, it just stretches and the tip gets a bit exposed. But it hurts too much too try and pull it back. It's very tight."
"And what happens if you retract your foreskin before getting an erection? Does that cause pain or discomfort once you are erect?"
"It feels uncomfortable for a while but then when I try to masturbate or have sex it gets tighter and then starts to hurt and it puts me off. Some of the lads at the club say I should get circumcised. A few of them are circumcised but I don't really want to have an operation. Other lads told me there is a cream you can use to loosen the skin and make it more comfortable."
"Well Sebastian, both are options but we need to see just what the nature of the problem is and then decide which is the best course of action to take. Now, I know this might be a little embarrassing but would you retract your foreskin for me and then try to bring yourself to an erection so that we can have a look at the problem."
Very slowly and deliberately Sebastian eased back his thick foreskin and left it reposing like a choir boy's ruffle below the glans. Closing his eyes, he started to stroke the shiny red crown of his penis and finger his scrotum. Without delay the organ began to swell and as it did so he began to rub his hand over the whole package of genitals.
I watched carefully as the penis rose into the air. As it did so I felt my own begin to twitch and rise inside my briefs. Thick and solid it soon attained a full five to six inches but presented an alarming sight the moment Sebastian pulled his hand away. The glans was large, its ridge certainly wider than the circumference of the shaft but below it there was a mass of tender pink flesh, wrinkled and folded, and held in place by a dark ring of tight flesh which appeared to be strangulating Sebastian's shaft. Like a dark brown Gomco circumcision scar, it was tight to the point of decreasing the girth of his penis.
I did not need to ask Sebastian if his erection was painful and it was obvious that any attempt to use his organ for pleasure in that state would be extremely uncomfortable. A brief examination of the penis revealed that the folds of pink flesh below the glans was already beginning to harden and swell and that there was virtually no suppleness or movement in the outer shaft skin below the constriction.
Sebastian jerked and tried to pull away from me as I held his penis in my hand and tried to manipulate the foreskin up and down, without success. Not wanting to cause him further discomfort I decided not to try to "unfold" the wrinkled collar of skin which had formed below the glans. It was evident that Sebastian would run the danger of a paraphimosis if his foreskin was left for long in that position and yet there was no way in which his prepuce could be moved.
An ice pack would perhaps have worked in deflating his erection and enabling me to work his foreskin up to its normal position but the attractiveness of his heavy plum shaped glans suggested another route to attaining detumescence. Bending low towards Sebastian's groin my lips encircled the swollen glans to take the whole of it into my mouth. Sebastian groaned with pleasure as my tongue first poked at his piss slit lips before gently swirling around the ruffle of tender flesh which encircled the top end of his shaft. Licking and sucking on the throbbing glans could feel that Sebastian had not known the joy of a strong ejaculation for a long time.
Taking more of his hard shaft into my mouth I caressed the tight ring of constirctig flesh with my tongue, causing him to shudder beneath me. His now slippery shaft and glans were feeling the full benefit of my ministrations. The moment of release came all too soon for me, enjoying as I did the taste and feel of young man cock filling my mouth. Sebastian grabbed me with his arms as his penis stiffened ever harder in my mouth and shot its load into my thirsty throat. Wave after wave of thick boy sperm erupted from his shaft which remained firmly clasped by my moist lips. Sebastian’s breathing deepened and his body tensed and relaxed whilst he had his first deep orgasm in many months.
At last his penis began to deflate in my mouth and I decided that the moment was right to proceed with the necessary treatment. Lifting my head to free his penis from my lips and let it fall, still dripping the last drops of fluid, I quickly retrieved a soft ice pack from the fridge and wrapped it around his organ. Detumesence occurred in a few moments and once having wiped his shaft, foreskin ruffle and glans with a cold antiseptic wipe I was able to pull up the foreskin quite rapidly, even if it did cause some sudden discomfort, and recover the softening glans.
Little by little Sebastian's penis shrank to its normal size and we were able to begin discussing the practical options.
"Well Sebastian, as you already know, the surgical option is circumcision and your problem will be definitively solved, once and for all. But you have already said that you are not too keen on the idea. The other option is, as your friends have suggested, a steroid cream treatment. It could take two or three months of rubbing cream into your foreskin and doing stretching exercises, and it may not work in the long run. But if you really want we can have a try."
"I think that's what I would like to do Doctor. If it doesn't work then I suppose I will have to have the operation in the end. Can we try the steroid treatment first?"
Taking a tube of Betamethasone from the medicine cabinet I showed Sebastian how to apply the ointment, first of all pulling the foreskin as far forward as possible and smearing the cream on the inside of the fleshy tube before rubbing some into the outside of his foreskin.
"You need to apply the ointment twice a day, morning and evening. Once the cream is applied insert you finger into the foreskin and work it round for five minutes or so, stretching it upwards and outwards as far as you can comfortably do it. Try to do the same exercise in a hot bath, several times a week. Retract your foreskin in the hot water and then stretch it forward as far as possible. If you feel an erection coming on stop and pull the foreskin up to its normal position."
By now Sebastian's penis was beginning to fill out again and I let his organ drop with the recommendation that he come back and see me once every two weeks for the next couple of months so that the treatment could be evaluated and monitored.
I am pleased to say that after six weeks noticeable progress was being made and that while Sebastian's foreskin still had a certain degree of tightness in it he had hope for the future and the prospect of avoiding circumcision surgery. Needless to say, each examination included a practical evaluation of his ejaculatory potential with his loosening foreskin and thick shaft being given my special oral treatment.
By the time Sebastian left the area to go off to university I am happy to say that he was ready to enjoy full relations without discomfort and pain. His foreskin would always be close fitting and tight on erection but pliable enough and freely moveable to avoid the horrors of paraphimosis and strangulation.
If you enjoy medical fantasy let me know. In the next episode a young man will be receiving his first enema from me and enjoying the pain and pleasure of being filled with African penis. Jeremy