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as im going to be flying in from the UK. im going to be limited on how long i can stay in america for i was just wondering how long do you thing i should wait between having the two stages of surgery ie 4 weeks 6 weeks or longer? im eager to get as much done in one sitting as im going to be traveling a long way to have the procedures im intrested in…. and then  if the wait is only 4 weeks between surgerys…i could stay in the states in stead of flying home and then back???????
 
scrotal altreation (turkey neck pushed back?)
left testical enlargement
head glans enlargement
lengthening
and widening
and may be some pubic fat removal?
 
i know these can not all be perforemed at the one sitting (surgery) so i just wanted to know how much you think we could do at one go  and then how long before i can have the otheres completed??
 
ie stage 1 = glans enlargement,lengthening,widening and scrotol pushing back under the shaft?             then       stage 2 = fat pad lipo,testicular enlargemnt
 
im not looking for monster girth only a very modest increase of say 1″ all over,thanks again good doctor  Brian

Good morning Brian,

Lengthening, insertion of left testicular implant, and perhaps release of penile scrotal web, could be done at the same time.  Girth enhancement and glans enhancement need to be done separately as insertion of AlloDerm  works like a fixative to reduce length gains produced by traction.

Pubic liposuction could be done with either of these procedures, but is not advised as the transient lymphatic injury impacts on wound healing of the penis and scrotum. To do a proper job think of the pubic fat pad as an inverted U which extends down into the scrotum along side the penis.   This needs to go also. Tenderness for a few weeks in  that area, may cause you to procrastinate on use of traction,  which ideally should be done within a few days after surgery to maintain exteriorization of the penis.

Please understand the results in length are 35% me (with surgery) and 65% you (with traction).  To gain  an inch in erect length you would need to apply traction for am minimum of 6 months. 

Don’t rush to have the second stage done as you will obviate the potential gains with length enhancement.

You are spending a lot of hard earned money and we wish to have  as many assurances in place you will have a gratifying result.

Cheers,

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

 

 

I have heard that this procedure is being done to help reduce the risk of infection if this is true and the case is it covered by insurance?    Marlow

Hi Marlow,

 

Please confer with your insurance company for an explanation of benefits.  National medical review panels are leaning in this direction but this is still controversial.

Most of my patients today are having circumcision as an elective procedure.  If you do have a history of inflammation, tearing, inability to easily retract your foreskin for daily hygiene, that usually is not problematic.  As always, honesty is the best policy.

 

Harold M. Reed, M.D.

 

Interested in cure for Erectile Disfunction — vacuum constriction device. 52-year old male (Metthew)

Good evening Metthew,
There are not many cures for ED but a lot of treatments and the vacuum erection device is certainly one.

Please make an appointment for consultation at our Bay Harbor Islands office.

Have a great weekend, and see you soon,

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

 

Penises and their foreskins come in all shapes and sizes.  The foreskin has 2 surfaces an inner or mucosal skin and an outer of epidermal skin.  The inner, in situations where there is not a lot of exposure to the outside world, may take on a wrinkled, smooth slightly moist glistening appearance,

A circumcision in its simplest form is really about removing a large portion of the foreskin, usually some from each side, and reconstituting the edges so when healed the skin does not lie on the head of the penis.

Still in that most always some inner skin remains what to do.  Needless to say, this has to be discussed with the patient beforehand.  More could be removed but what remains is still wrinkly.  One could remove a strip from the underside of the inner skin where a fine scar would be least seen. 

All in a days work, but conferencing beforehand with the patient is most important.

Harold M. Reed, M.D.
 

I have balanitis xerotica obliterans and have been put on a waiting list for a circumcision in the UK – I am emmigrating to New Brunswick Canada next month and will need this operation when I get there.    Gordon  contact: Email

Good afternoon Gordon,

Thank you for your interest in what we do.  BXO, now called by the preferred term lichen sclerosis, does need to be treated because of its slow premalignant potential Several reports have suggested the development of squamous cell carcinoma.  More commonly there is a slow spread and  tendency to grow into the urethra and producing scars and strictures there.  At times, the foreskin in some areas is densely adherent to the glans (head of the penis).  We see this a few times a year and have performed very possibly more adult cosmetic circumcisions in our office than anywhere else in the United States.  Well over 5000 thus far.  Usually several every week.

Please do not be like the patients we hear from every so often who send in photos 2 days after their procedure with obvious hideous result, and ask “what do I do now.”  Needless to say, a fair amount of circumcision revisions are also done here.

This is your circumcision and we do it the way you want.  There are four important parameters.  A hand held mirror is available in the operating room so you can be assured that each detail is done in accordance to your wishes.

We are looking forward to seeing you in Miami soon and showing you every courtesy.  White stuff has to go.

Sincerely,

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

 

Dr. Reed I just gor circumcised two days ago and my result was not what i expected. I was wondering when i recover can i get a consultation with you.   Felix

 

Felix, thanks for the photos. There is so much I really would like to say.  Please wait 3 months for a complete fallout or body count, and then we will try to revise.  Why your doctor made the incision right at the coronal sulcus, heaven knows.  There needs to be emphasis on how to do a decent circumcision during urology residency.

My sympathies,

 

Harold M. Reed, M.D.

 

 am 29 years old and I would like to be circumcised. I want to know what is the average cost of a circumcision. Also, I am terribly afraid of needles. How many injections do I have to get for the anaesthetics? Is it one or three? In your experience in working with patients how painful do these injections appear to be?

Theo from Jamaica

Hi Theo,

Please don’t worry about needles.  We can apply some numbing cream to your skin so you will not feel them.   Cosmetic and painless circumcision is the specialty of the house.

Usually 3 needle sticks are involved, but we try to inject stick # 2 and # 3 in an area previously anesthetized.   Also we use the technique of the “advancing wheal” meaning the anesthetic fluid already inside the tissues precedes the needle, so when the needle gets that area it usually is not felt.  At any rate trust us to treat you very gently and compassionately.

This is our bread and butter.  My girlfriend is from Portland and remembers Bob Marley as a young man, playing down below in a canteen with his friends.

All the best,

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

 

I’m need your help…i’m worried my boyfriend had the procedure done and right after an hour he was swollen and bleeding..I took him back to hospital and was admitted. first thing that morning he went into surgery again and the doctors had to open him up and drain all the blood..his testiculas where as big as a grapefruit. he stayed in the hospital the rest of the week. the day he was release that evening he went to restroom he had to drain out the remaining blood not only that some yellow stuff came out with it..it’s been a week today and it looks better and he’s not swollen but yellow liquid still comes out..is this normal???

Would appreciate a followup.
 
 
Harold M. Reed, M.D.

 am 25 and when I was 16 went to a urologist because of a downward curve upon erection. I was told to have mild hypospadias with chordee.Apparently it was not detected after birth and/or not serious enough to repair. I was circumcised by a rabbi after birth and feel that i have a tight erection whether caused by chordee or the procedure. I dont know if i was born with hooded foreskin or not, but i want to non surgically restore using t-tape method. Do you recommend this procedure or do you have knowledge of people restoring with the conditions i described? I am a realistic person and dont dream of having a straight erection, but i do wonder if having ‘foreskin’ would be satisfactory or somehow complement my condition and i dont want to live without at least trying. do you have any comments or suggestions? thank you doctor

David

Good morning David,

Thank you for your letter.  Several thoughts come to mind.

We are available for consultation either over the phone or at the office (more desirable).  Our fee is 250.  Your possible chordee or ventral curvature needs to be evaluated, and dorsal hood is a term associated with hyposdias or possible spongiofibrosis.

Yes, we do foreskin reconstruction.  Please visit our web-site at http://www.penisdoctor.com/foreskin.htmlMany patients, as an alternative to surgery, may elect to use stretching devices under urological supervision which could produce an acceptable result in 2 to 3 years.

Our procedure normally involves 2 to 3 stages and the combined fee is $7,600.  Consultation is an additional $200.  Lab fees are $100, but these blood tests can be done in your home town if you wish.  If you are over 40, you will need a letter of medical clearance.

Candidates who wish to schedule surgery with our facility are required to have minimally a letter of medical clearance if applicable and a phone consultation with a favorable response to questions of concern.  Assuming this, you will be given the nod to send in a 50% deposit which is non-refundable.

If you are a smoker, you must stop completely for 2 months before surgery (girth enhancement especially) 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.  However, most of our penile surgery is done under local anesthesia with IV sedation.  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.

With regards,

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