penisdoctor.com

Dear Dr Reed,

The reason that you are getting revision work is that you are one of a very few Drs that actually cares about the outcome of adult circumcisions. Men usually just learn to live with what they get.

First, I am amazed that you actually responed to my email. That is a first for me and I am thankful.

I am now healing from the second circumcision ( day 10) and will not know the final results from the circ for a few weeks. But I am sure that your services will be required as I have been through this before and my penis glands is completely covered soft and half covered erect (hence my question about measuring the erect penis).

How long before I know the healing process is going to get and good as it gets? Last time it was about 6 months because all the sutures ruptured on the third day. This time only 4 came out the third day and the incision did not reopen.   And thank you again for your actual caring of your potential paitients.  That is something that is rare in the medical field.

Highest Regards
coalbear_1

Good afternoon,

In cosmetic surgery, there are two expressions that guide my hand, “less is more” meaning don’t be too radical because over cutting cannot easily be remedied, and the second is one from Gertrude Stein who said “a difference to be a difference must make a difference.”

Of the two extremes, removing too much skin is a sad situation for most middle age and older men, because of painful erections. Younger men may just scrape by with frequent nocturnal erections that may stretch the skin out. Our spontaneous erections slow down as we get older, no longer 5 times a night lasting from 20 to 40 minutes.

However most of the time, it is certainly possible to leave a patient in the flaccid state with no skin covering the glans. To determine when to stop with skin removal, we always do a circumcision with the penis on the stretch to simulate an erection as well as with the penis flaccid so the patient can observe the result with a hand held mirror and give his approval or say, “remove more.”

When the pubic skin starts to lift at the penile-pubic angle, surely that is a warning sign.

Hope that answers your question.

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

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I am a diabetic and suffered phimosis/balantis. I was circumcised the first time and the results were horrible. Instead of a regular circ as I was lead to beleive, I received a dorsal slit leaving almost the entire and ample foreskin.  After complications I had a foreskin that was totally non-retractable. I developed BXO and now 5 years later circumcised again.

Cosmetically performed circumcision at the Reed Centre must be getting more popular. This Tuesday we have 5 patients already on the schedule.

Balanitis xerotica obliterans (BXO), so named because the tissue is scarrified, usually white and tends to contract. Worse yet, it can be a precursor to a malignancy. Can even grow inside the urethra.

So when a patient has BXO, our first preference is to removed all unhealthy appearing skin, regardless of where the incision line may fall. Usually this can be done with great patient acceptance and in a way that would resemble any circumcision except, possibly less inner skin is left.

The remedy for you is to visit us and we’ll critique your penis together and make recommendations that would improve your appearance and function.

Placing an incision at the penis base would not be wise, if this means leaving possibly BXO tissue on your distal shaft. Patients who request this type of surgery have a lot of swelling afterwards and it can take in an adult several months, if ever for the swelling to come down.

All the best,

Harold M. Reed, M.D.

— In PROCIRCORG@yahoogroups.com, “coalbear_1″ wrote: