Hi Dr. Reed, I was circumcised about 8 months ago. Unfortunately my surgeon did a very poor job and I have been left with a number of cosmetic issues: Stitch tunnels Prominent vertical suture scars A very raised V shape connecting to my glans (this bothers me the most) Too much loose skin And a cut that is far from symmetrical Initially I was thinking of going to another Dr. for my circumcision but I have heard so many good things about you and your price is much more affordable. I sent the other Dr. pictures, as requested, and he wasn’t sure if he could make the V shape flat due to the fact my glans are narrower than my shaft. I figured I’d get a second opinion? Let me know if you need photographs to give a better idea if you can help me. I’m just trying to get an idea what can be done before I invest the time, money, and travel. I really appreciate you taking the time to take emails from potential patients.

Seth

Good morning Seth,

Thank you for your interest in what we do.

5000 adult circumcisions and still going strong.
Surprisingly 40% of our case load is revising work
from others. 

Yes, of course you are welcome to send photos
and I promise they will be reviewed within a few hours,
with a reply and recommendations.

You have a friend in Bay Harbor Islands,

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

 

Re: suture-hole

Dr. Reed,

My friend was cut or had an adult circumcision about two years ago by someone in NY and anyway has two suture-holes. Is there anything he can do to get rid of that–  cream; cut again; what else?

 Thanks,

 JAMB

Good morning Jamb,

Suture holes and ghost lines come about from not removing sutures on or about the 12th post-operative day. Even waiting 14 days may be too long for some patients. Incomplete removing of sutures such as cutting across the top to remove a knot and leaving a remnant under the skin is also bad cosmetic medicine. To really do this properly, 3 ingredients are needed: a bright overhead light, loupes like jewelers use, and delicate plastic surgery scissors.

All too commonly we hear, I went to my doctor and he said these are disposable sutures, they don’t have to be removed. Not always true if you are looking for a cosmetic closure. Whereas some patients will heal so beautifully with even a journeyman job, others require every trick in the book to bring about the same result.

Now Jamb for the remedy. I would propose if there is desquamated (dried out) skin and suture crud in the suture tract, try removing that first with a very fine jeweler’s forceps (this is a microsurgery tool) and it may just close it, or revising the incision. The reason for these holes are often the suture is ultimately replaced with an ingrowth of skin, and skin against skin will never heal.

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

 Hi Dr. Reed,

Almost 3 years ago i lost a part of my penile skin as a result of car accident.The surgeon who took care for me did something terible to me destroying all my life.He circumcised me because he wanted to use the prepucium to cover my penile shaft.This flap necrotized and after it was removed i had to leave the hospital with a big wound on the right side of my penis.

Since then my life is a real hell.Let me start with the pain-almost three yaers now i have a permanent pain at this place and the skin around and very bad pain in the circumcisison line.  Because of this pain i am not able even to dress myself normaly-for example i can not wear any jeans because they make the pain worse.  The only clothes i can wear are my scrubs(i am working in hospital as cardiac tech)and sport clothes.  When i am  at home i am staying only with boxers.   Because of this i do not have any social life- i am not going out except for job or shopping.  After this surgery i had terible edema of my penile skin that last almost 12 months.   Over the time the wound started to cover itself with something that resemble skin at first sight but it isn’t.In addition it is so short and doesn’t allow any normal erection-any erection is so painfull because of the extreme pulling of this short tissue.In addition this tissue is very painfull itself when i try to touch it.

As yuo can understand i don’t have any possibility for sexual life ,  I can not even masturbate.  Don’t ask me for the cosmetic appereance of my penis -first of all after this circumcision it looks much shorter than before.  It is not facing the floor like normaly,but is facing foreward.Sometimes it causes me voiding problems.   As far as i know the circumcision can cause hidden penis and may be something like this but not comletely happen to me.   Second, on my “health” side i have much more skin compare with the affected side.  It makes the skin ofmy left side excessevly wide and loosed,  and in the same time on the other side is short and tight.  The third thing is the line of circumcision the cicatrix i have is very thick and looks like a railroad and is very painfull.   I realy would like to come to your office for consultation , so you will be able to see the problem and i will be very happy if you are able to help me.   May be i need some kind of grafting or scrotal flap to be rotated in order to cover the shaft of my right side but i think is better if  you take a look.  Thanks God i don’t have problems under the skin -all my structures are in a good condition and functioning normally.   Only the skin is the problem.   I belive with all my heart you can help me to restore my health and to rebuild my life.   Thank you in advance,       

                                               Best regards,   

 Stanislav

Good afternoon Stanislav, 


Thank you for your excellent medical presentation.  There are several options 
that could be proposed.

Please call the office and speak with Anne, our amiable office manager and 
schedule in.

If you are anticipating a visit with surgery to follow, plan on staying at a 
nearby hotel (The Baltic Hotel) and being on strict bed rest for 5 days and 
the day of the procedure. The only exceptions are using the commode and sitting 
up to eat.

Early mobilization is the great enemy of graft of flap or graft  survival.

With kindest regards,

Harold M. Reed, M.D.

305-865-2000

 

Developed Peyronie’s Disease after the 3rd of 3 failed Transurethral Resections in 4 months in 2006. Is this common? What help short of surgery? Use a VED device already–thanks GWJ

 

Good morning George,

This is not common, but certainly I have seen this on a few occasions.  With Peyronie’s there may be also associated loss of length, plaque, waist banding of the circumference, erectile dysfunction and pain.   The treatment options are many and with every one there are some responders.

We have also seen erectile dysfunction following TURP, and of course urinary incontinence.

The vacuum erection device (VED) is a 2 edged sword as pooling of blood in the penis without adequate oxygenation may cause atrophy and injury to your delicate spongy erectile tissue.

I would be pleased to discuss in depth the any options available to you after you initiate a consultation with our office.     

                                                                            

With kindest regards,

Harold M. Reed, M.D.

305-865-2000

My doctor did an adult circumcision and cut me too tight.

Hi Dillon (again),

If you are a young man you’ve got a fighting chance because you spend close to 2 hours a night sleeping with an erection and this will help stretch out your skin. There is a product called “The Tugger” made by American Bodycrafter in California. Roland Clark, a good friend of mine presides there and he’ll teach you about the proper usage.

Think very carefully about applying any steroid creams to your penis as this may atrophy your skin and turn it into thin dry onion peel like the back of an old lady’s hand. Senile atrophy is neither pretty and nor readily correctable.

Wishing you well,

Harold M. Reed, M.D.

hello i had to get a circumcision procedure from another doctor about 2  years ago. the problem is that too much skin was taken off, especially the outer skin. i never had a problem with the glans rubbing against  clothes, but the inner skin is very sensitive and even painful in my  everyday activities. i’d like to do some foreskin stretching to get  more of my outer foreskin to hopefully cover some of the inner  foreskin. i am new to all of this so i don’t what stretching  techniques there are for someone like me with not much skin left??

 anyone have experience in that area? also, i want to make sure that  only the outer skin grows, if possible. i don’t want to do foreskin restoration, just loosen everything up as it was done too tightly…   also, there was some scarring, i believe due to the tight nature of the  procedure. this has caused some curving in the direction of the scarring. is there any cream, etc. that can reduce scarring or is
the only way to correct that going to be surgery? i was planning on  probably going to dr. reed to get everything cleaned up once i grow a little more skin…

Dillon,

Hi Dillon,

How this could be avoided.

We make the first cut distally exactly in accordance with patient wishes, how much inner skin to leave behind. The second or upper cut is often done twice, the first is moderate and could be made tighter if when the two edges are temporarily brought together to see how much tension there is on the peno-pubic angle.

Ultimately the patient participates in making the decision for the final cut in the operating room with a hand held mirror. The urologist is an agent for the patient.

This is your circumcision, your calling card.

Harold M. Reed, M.D.

Male Breast Reduction
OTHER_SURG:Pen enlargement
QUESTIONS:Please send me information about the inquired surgeries. 
CONTACT:Mail
PERSON:Thomas

Good morning Thomas,

Thanks for reviewing our web-site
http://penisdoctor.com/gynecomastia.htmWe hope you can relate to the befores and afters.

 

Naturally if your breasts can be reduced with liposuction alone that would be desirable.  The new micro oscillating  PAL cannulas shake a lot more tissue loose than with vacuum alone. 

If the tissue is firmer and more glandular, a small incision just outside the disc (areola), not
the nipple, will be needed.

Our affordable fee for consultation, which can be initiated over the phone is $250. Comprehensive breast reduction fees based upon examination include use of the facility, anesthesia, surgery and any followup care we provide.

A 50% non refundable deposit will be needed to schedule surgery.  We have availabilities most months.

When your travel plans include the greater Miami area, please avail yourself of a proper
evaluation.

With regards,

Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America

305-865-2000

 

Wanted to know if a circumsion and a vasectomy could be done in one visit also if health insurance would cover some of the costs?

Thank you  Nelson

Dear Nelson,

You would be surprised, most insurance companies will
fund for circumcision if there is a medical indication
and many will pay for vasectomy especially if you are married.

Reason… no more pregnancies, saves the insurance company a lot of medical bills in the future.

Yes, both procedures can be done at the same time.

Incidentally if you are married we ask that you bring in a letter from your wife say she agrees to vasectomy.

With kindest regards,

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

I have Diabetes, and had two stents (2 little tubes in one of my arteries) placed in 01/2004. I asked my insurance, and they want to know if the operation last more than one day or there is a hospitalization involved. My Insurance is Aetna. And I have to pay the Copay of $250.00. I live in California. Do you have any clinic here?
Because the Peyronies (Developed right after the operation of 2 stents in 2004) I’ve lost sizeAnd because the Diabetes I lost hardness and I prefer the prosthesis than lengthness Operation.
Thanks
Victor

Good afternoon Victor,

We would love to take care of you, but we are no longer under contract with Aetna.  Aetna may pay out of network.

Our only office is in the greater Miami area.

Thanks for visiting our web site on Peyronie’s disease and penile curvature http://www.penisdoctor.com/peyronies.htmPerhaps you can relate to the befores and afters posted in the gallery.  

We are doing several Peyronie’s patients every month.  One memorable patient from Ohio was done with a length gain of 1 1/4″ immediately on the table.  When the patient arrived in the recovery room and said to me, “how did I do,” I drew the urtains around his bed and pulled back his sheets and blanket and said, “look.”  An approving smile came across his face.

With post operative use of a vacuum erection device, he’ll even do better than that over the course of the next 6 months. Correcting penile curvature is one of the mainstays of our practice and the enjoyment we derive is making two people happy.  We see patients from all over the orld who seek remedy because of functional or cosmetic disabilities.

My knowledge is updated yearly by attending the AUA meetings.  At any lecture dealing with Peyronie’s you’ll find me sitting very attentively in the audience. 

While our surgical success rate is better than 95%, we do recommend a trial of conservative therapy for at least 6 months as this may often produce a sufficient enough resolution to make you a happy man.  But have you had this without success?

When your travel plans include the Miami - Ft. Lauderdale area please avail yourself of a proper urological consultation.

Or call our office to verify insurance coverage.  Anne is very knowledgeable.  We can even make a conference call with your company to verify your benefits.

If you are over 40 and are on medications other than hormones, please call the office before scheduling surgery, as a letter of medical clearance will most likely be needed.

If you are a smoker, you must stop completely for 2 months before surgery and please never again.  Smoking causes vaso-spasm, impairs wound healing, produces excessive scarring, tissue necrosis, irritates and inflames pulmonary membranes and enhances anesthetic risk.

This goes also for any products containing nicotine or nicotine like agents including nicorette gum, nicotine patches, Nicotrol inhalers, and second hand smoke.   Again not for 8 weeks before and not for 8 weeks afterwards.  Hopefully never again.

No aspirin or aspirin products, blood thinners such as Plavix, Coumadin, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx for
a week before surgery.  No Vitamin E or excessive alcohol or spices for a week before surgery as this may promote bruising.  Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice a day, Arnica montana dose 30C (take 4 small tablets sublingually, 4 times a day),
vitamin C 500 mg (3 times a day) starting 1 week before surgery.

Sincerely yours,

 

Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America

305-865-2000