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Hi Bob,

Please wait a good 3 months before
having any corrective surgery.  Things may
heal better than you could imagine now.

Being left with more skin than desired is
a common complaint.  That is why we have patients see the
work in progress with a hand held mirror.  The operation is
not over until the patient is completely satisfied.

Yes we can cut one blade thickness away from the existing
scar.  Not a good idea to cut down the center of a scar
as the result of leaving some scar behind is virtually
predictable.

Harold M. Reed, M.D.

Dear Dr. Reed,

I am writing to you because you are highly praised among adult circumcision advocates, a group of people I have recently become acquainted with after having an adult circumcision performed about a month ago. I didn’t know all then that I have come to know now, which is unfortunate because I went to a local doctor that was recommended and it is proving to have been a poor choice. He was comfortable hearing my concerns and overall desires regarding the result… but when it came to the procedure itself he seemed to have done his thing. He removed much more inner foreskin than I wanted, leaving me about 1/2 inch, also he seemingly removed more skin on the left side than right. He removed my frenulum but there seems to be some sag in that area now. The area is still healing, so I know that I haven’t seen the final result quite yet (the healing process has been difficult too and there is a “gap”, more like an overlap really, of skin that still bleeds a little bit, even still). What I can be certain of, even at this stage in healing, is that he did not remove enough skin (like i had asked), there is still plenty of play on the shaft.  My questions for you are: How long after this circumcision should I wait before having it redone? I am very concerned about losing more of my sensitive inner foreskin… is it possible to go over his cut line? If not, how much more would i expect to lose? I would love to hear your opinion and what you might be able to do for me.

I wish I had been more educated about my options before picking a local doctor.

Most Sincerely,
   Bob

Caucasians are known for a wide dynamic range, short flaccidity and long erections.

What this means for some is that their skin post circumcision may appear overly loose but if when erect there is lifting of the skin at the peno-pubic junction or triangulation), then the circumcision may be too tight.

If an older man is not sexualy active, we can cater more to his wish of not having skin drape over the glans.   Such was the case of an older Father who presented yesterday in black suit, and was grateful to be “clean once again.”

Hey, I am 19 and have what I am pretty sure is called a skin bridge.  It goes along the top of my penis.  It stops at the edge of the mushroom part, it doesn’t overlap.  I was just wondering the average cost of removing it, and if there is a lot of scarring.  Please get back to me as soon as possible, and thanks,  Steven

Good morning Steven,

Skin bridges are sometimes seen after bell clamp
circumcisions.  Especially if the glans is not
properly separated from the foreskin as there are typically some
adhesions, which if left unattended can form synnechia
or fusion of epithelial surfaces.  The remedy is simple.
First to undermine the bridge and severe the pedicle
at either end flush with the skin and put in some very
fine, fast absorbing sutures.  There may be the slightest
small pin point scar at either end, but with time,
this usually blends in with a very cosmetically acceptable result.

Broad bridges are a great nidus for collection of skin debris,
and of course fly contrary to good hygienic practices.

Our fees are $250 for consultation, and $250 for use of the
operating room, and $250 for minor surgery.

Trusting all this meets with your approval,

Harold M. Reed, M.D.
305-865-2000
Senior Member of the AUA

 

Hi Rolan,

The first 2 weeks after circumcision is not the best time to judge
precisely the outcome of a circumcision. The best time closest to
having a circumcision is when the doctor is near finished and asks
you to look. That’s the way we do 99% of our circumcisions. The
remaining 1% is for patients who insist on general anesthesia,
totally unnecessary. Sure large sutures like hawser (used to moor
ships) and deep tight bites can cause puckering.

There may be some inflammatory fibrosis that could restrict your
length temporarily but this should go away with time. If not you’ve
been overcut and that’s sad.

If you are young possibly with lots of erectile activity some of the
skin will stretch out. Use of Viagra nocturnally (before bed time)
may help.

Once there is no evidence of any bleeding (usually after 2 to 3
weeks), this is no longer a time to suppress erections but to
encourage erections.

Hoping this is of help. Sure wish your condition is just temporary,

Harold M. Reed, M.D.

 Dr. Reed I’m 33yrs old I just had an adult Circumcision on 7/30/08.
The  foreskin kept stretching and tearing during intercourse on several
occasions so I got circumcised. My testes originally swole to about
3  times their normal size, and my penis appears alot smaller, without
the  extra foreskin. The stitches seem to be very ruff looking, and it
started to bleed for about an hour today 08/6/08 while at work
around  the stitches. At night I do seem to get erections frequently which
causes excrutiating pain my Dr. Prescribe valem to help control
them  and relax me . My concern is my Penis Size when I get erections at
night it seems like it does not grow much in size . normally I’m
about  2 inches in lenght when limp, but grow to about 6-7inches while
erect. 

Why does it seem like my penis only grows to about 2 inches in
lenght,  when I’m erect is it because the stitches, or does the extreme
swelling  of my testes affect it. I only see the Corona sitting on the top of
my testes. I don’t even see the shaft whe 
 Rolan