Retract foreskin, place a glans holding suture.
Mark and incise distal (inner) circumferential line of incision.
Partially deglove the penis.
Pull foreskin over the glans and with penis on stretch, mark proximal (outer) line of skin incision just distal to the imprint made by the free edge of the glans collar.
Incise the proximal (outer) circumferential incision and remove the intervening foreskin.
Achieve hemostasis with electrocautery, reapproximate skin edges, apply dressing, and remove holding suture.