Dr. Harold Reed Blog

Do I need a Circumcision Revision or a pubic lift?

Dr. Reed,  Was circumcised as an infant, but with advancing years, now 45, seems as though I need a circumcision revision to tight up the loose skin. One doctor said removing more penile shaft skin will only serve to limit the length my erections further and bury my penis.  Confused in San Diego, Jorge

Dear Jorge,

The urologist who told you to consider release of a buried penis could be giving you the best advice.  You don’t have to see too many men with concealed (also called hidden or buried) penises who under go circumcision revision with very disappointing results.  Let’s try the “poor man’s test.”  Stand in front of a full length mirror and lift you pubis and lower abdominal skin and see if that looks more like to you, of yesteryear.  Look especially for 2 more things.  Is that loose uncircumcised look starting to revert back to a more normal appearance?  #2, do you have a penile scrotal web or turkey neck which also gives the illusion of a short penis?

If yes, you need to have a lower abdominal pubic lipectomy, re-positioning of the penile skin fold at the base of you penis which has demarcated the junction of your penis and lower pubic.  In days of yore, that was your penile-pubic angle which now may just be one confluent non-angulated line.

Needless to say, weight reduction could be a helpful adjunct, but once skin is stretched weight reduction does not remove blousing, but does make you a safer surgical candidate needing less surgery.

Please visit pictures on our web-site  penisdoctor.com/before-after-concealed-or-hidden-penis/ and you’ll see a patient who pre-operatively had a penis that looked like a mushroom cap for his head, plastered on top of his pubis.  The entire shaft did a disappearing act.  BUT, big but, the man’s penis was there all the time. See post op photos.

Cordially,

Harold M. Reed, M.D.
The Reed Centre for Ambulatory Urological Surgery – Miami
1-305-865-2000

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The head or glans looks like a mushroom cap surmounted in a pubis.  The purple lines above is a crescentic incision line for lower abdominal and pubic lipectomy. This is not a “circumcision parlor” surgery.

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What a difference!  The penis was there all the time.

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Steristrips help to close the lower abdominal incision and a double layered penile shaft wrap ensures the penis is not going to hide on us again, until sufficient healing.  The true outward base of the penis is re-established both on top and in the scrotum with deep sutures secured to underlying connective tissue and fascia.

Penile Prosthesis Implant for ED, Lengthening, and AlloDerm for Girth

Interested in simultaneous 3-piece inflatable penile implant and penile lengthening procedures.I am a 51-year-old male in excellent health but with inconsistent/unreliable response to vaso dilators (Viagra, Cialis, Levitra), i My questions: (1) Is there an alternative to external traction to maintain/enhance length gain following release of the suspensory ligament?  Such as permanently suturing the penis…Continue Reading

Low and loose wants high and tight and fix penile scrotal web

I am 47 years old and in good health.  I had my circumcision at age 18.  I did not specify how I’d like the cut to be, and I ended up with “low and loose.”  About 10 years ago, I had a phalloplasty (penile augmentation lengthening).  The “flap” that was created seemed to add more loose…Continue Reading

My wife wants me to have an (adult) circumcision

My wife wants me to get circumcised, but im not sure and i’d like to know more about the procedure.  Jeremy Dear Jeremy, Adult circumcision is the specialty of the house.  Yet, if there are no medical indications, this is a shared decision between you and your wife.  I’d be in the same shoes, if your wife…Continue Reading

Big circumcision scar, can this be corrected?

i was circumcised when i was 14 and it left me with a big scar. i need it removed can you help me? Dallas Dear Dallas, Yes, we do revisions of circumcisions at the Reed Centre for Cosmetic Circumcisions in Miami.  If you could E-mail me some well focused photos, and provide your phone number and…Continue Reading

Male Circumcision Styles

Dr. Reed,  Please send info on adult circumcision.  I as on your web-site penisdoctor.com and saw before and after pictures.  Would also like to discuss circumcision styles.  Do you have any favorites.  I keep on hearing high and tight circumcision. Andrew Dear Andrew, Thank you for reviewing our before and after circumcision pictures on penisdoctor.com …Continue Reading

Foreskin Restoration

Dr. Reed,  Had an adult circumcision and after looking at before and after photos, I have come to the realization I like to go back to looking uncircumcised.  I feel that is more natural.  Is foreskin restoration an easy process?  Martin Dear Martin, Foreskin restoration can be accomplished without surgery.  There are penile skin stretching…Continue Reading

Penile Lengthening and Girth Enhancement questions

Am interested in penile lengthening and girth enhancement with AlloDerm.  Because I live out side of the U.S it is very important for me to get this information before making  any future plans to travel for an operation..  Is in true that when getting a lengthening procedure the penis can get twisted around and change it\’s positioning often…Continue Reading

High versus low circumcision

Dr. Reed,  What is meant by a high circumcision.  Is this preferable to a low circumcision?  David Dear David, Think of a man standing up with a flaccid penis.  The closer the incision line is to your pubis on your penile shaft the higher it is.  Or said another way, a low circumcision is closer…Continue Reading