Originally Posted by lazycash

From the article:

"For the superincision, I first had to split the head, of course. For this I used either an exacto knife or a pen knife. Over the course of a several sessions I was able to cut the head down about two-thirds of the way to its base. This is a slow process, partly because of bleeding and partly because it's damn painful! At that point I reached what seemed to be a bundle of nerve fibers and which slowed my progress even further: Each time I would cut through the top layer of newly healed skin (from the prior cutting) just the touch of the knife blade against the exposed nerve fibers was excruciating -- much more painful than the first two thirds of the head had been. I had to find another approach.
I had earlier experimented with various sorts of needles to find which ones were best for piercing skin. (I did not have ready access to either piercing needles or the hollow- point needles used in syringes.) I found that glovers needles, which are used for leather work, are good for this purpose. (However, they are generally made of an alloy which is not non-reactive, ie it rusts!, and I would not recommend that anyone using this approach leave needles of this type in the skin for any period of time.)

I used a glovers needle to thread a piece of brass wire through my penis below the spot I was having trouble with, cinched the brass wire tight (which helped to reduce sensation) and then used the wire as a guide for the knife. I continued using this approach until I had completed splitting the head and extended the incision an additional two inches or so.

Recently, to extend the bisection, I began using forceps to clamp off the area I want to cut and no longer use the needle and cinch method."