Dr. Harold Reed Blog

Steroid abuser would like normal size testes

Dr. Reed, I’ve been into body building for eight years and slowly saw my testes atrophy or shrink.  Can this be restored non-surgically, and if not how about testicular implants?  Colin

Dear Colin,

First measure the long axis and transverse axis of your testes now and of course note the side, save you notes.. Then please stop performance enhancing drugs such as steroids and testosterone.  If after 2 to 3 months you see no satisfactory improvement, you may consider clomiphene citrate prescribed by a knowledgeable urologist. Clompihene (Clomid) is an estrogen blocker but serves to increase pituitary output to stimulate sperm production and testosterone production. Hopefully size as well.  Wait a few more months to see how this goes.  If unsuccessful then think soft natural feeling silicone testicular implants. The tip (upper pole) of these implants height-wise should always be below the emergence of your penis so as to not interfere with penetration.  Below are some photographic examples.  Other causes of testicular atrophy is a history of hernia repair, sports trauma, an testicular torsion

Cordially,

Harold M. Reed, M.D.
305-865-2000

           

Bilateral testicular atrophy                  Appropriate size implants on both sides

Another patient with unilateral left sided atrophy, status now 2 equal testis sizes after testicular implant

Another patient of Dr. Reed, both sides receive testicular implants

 

Will I need to exchange my penile implant to have a longer penis

Will I need to exchange my penile implant to have a longer penis?  Seems as though my natural 6 inch erection is just a memory. Think I’ve lost 1 to 2 inches. Fred Dear Fred,  In that the head of the penis during a natural erection swells which could add up to an extra inch…Continue Reading

Phimosis and adult circumcision

(taken from Wikipedia) Phimosis is a condition in which the foreskin of the penis cannot be pulled back past the glans. A balloon-like swelling under the foreskin may occur with urination. In teenagers and adults, it may result in pain during an erection, but is otherwise not painful. Those affected are at greater risk of…Continue Reading

How soon can I have sex after an adult circumcision, getting impatient

Dr. Reed, Had an adult circumcision last month and occasional I see a spot of blood on the incision line with erections.  How soon can I have penetrating sex? Oscar Dear Oscar, An incision does not regain full tensile strength for 7 to 8 weeks.  For that reason, we discourage penetrating sex for 2 months…Continue Reading

Peyronie’s non-operative treatment

Dr. Reed,  Have upward curvature during erections. Is there any non-operative treatment you can rem comment.  Noah Dear Noah,   Some angulation of erection (Peyronie’s) is noted in 3% of men.  The most common causes are female above trauma or perhaps rolling over during nocturnal erections.  Most urologists would say, upward curvature if any is…Continue Reading

What is an escutheonectomy and does this relate to buried penis.

escutcheonectomy (ĕs-kŭch-ŏ-nek′tŏ-mē) [ escutcheon + -ectomy] Surgical removal of the suprapubic fat pad; a treatment for a buried penis.   escutcheon by itself can mean  [es-kuch´un] 1. a shield or something shaped like a shield. 2. the shieldlike pattern of distribution of the pubic hair. Normal escutcheon distribution of male and female pubichair.   Crawford’s…Continue Reading

Help needed for a hidden (shrinking) penis

Dear Dr. Reed, My penis has gotten quite a bit smaller than it used to be.  Another urologist said I have a hidden, buried, or concealed penis. Very embarrassing.  Do you believe penile traction will pull it back out.  I was always a grower not a show-er.  But even given that, this is downright not…Continue Reading

How to deal with silicone lumps and deformed penis

Dr. Reed,  Had a bad experience with silicone injected into my penis and I am truly embarrassed to have sex.  Are you able to restore the appearance pretty much.  Roger Dear Roger, We are not advocates of injecting silicone, fat, or products such as PMMA into the penis, or inserting silicone sheets.  The outcome is…Continue Reading

Penile scrotal web (turkey neck) seems to be limiting length

Dr. Reed, Had an ultra tight circumcision and seems to have developed a turkey neck or penile-scrotal web. Is this easy to fix? Kenny Dear Kenny, We see penile scrotal webs frequently and it can occur in uncircumcised men as well as this is a transitional zone.  Surely an overzealous or aggressive circumcision can produce…Continue Reading

Adult male circumcision with good local anesthesia

Dr. Reed,  Would like to have an adult circumcision this May in Miami.  Is local anesthesia included and will I feel anything.  Byron Dear Byron, About 30 years ago, I attended a seminar in Las Vegas at the annual meeting of the AUA and the breakout session was entitled office based ambulatory surgery.  The doctor…Continue Reading