You can take one or two stitches to close the cut if you wish to, using an ordinary large sewing needle and black thread. These threads do not need to be removed. The thin skin covering the puff should be stuck with a Fig. Shows in diagram the testicle completely threaded into the elevator ready to be twisted, elevated and removed. Note that you can see the butt of the elevator beyond the end of the testicle.
Conditions are now right to pull up and turn.
You can make from one to three or four complete turns pulling up steadily all the time. It is not necessary to remove the thread. If the puff comes back repeat. When through using the instruments soak them in cold water till all blood and dirt is removed. Wipe them dry and then coat them with a little vaseline, and they will keep bright indefinitely.