Archive for October, 2009

Phalloplasty Length and Girth, Questions

Saturday, October 31st, 2009
 

 I am very interested in going forward with this procedure. 
 
Are the results permanent?
 
 Is there a mini um gain in length. I guess what I’m trying to say is if I did this can I guarantee myself ant least 1 in in length?  Is there a package price if you have all three done at the same time? I wouldn’t do just one i want both. I already have a big head well bigger then the shaft.!  Please let me know As soon as possible.
 
Thanks,
Samuel

Hi Samuel,

 

 

 

Many thanks for your E-mail inquiry and visiting our web-site http://www.penisdoctor.com/enlargepenis.htm

 

 

 

We hope you can relate to our photo gallery of befores and afters. Our fees are posted on our web-site.Patients who have lengthening usually leave for home the next day.  You could probably return to an office environment in 3 days. Or consultation on Thursday, surgery on Friday.  Monday, back to work.

 

 

 

 

From surgery anticipate a 3/8″  increase in length and with dedicated use of traction, 8 hours a day in divided sessions, anticipate a 1/8″ gain each 

month such that after 6 months you’ll have 3/8″ plus 6 x 1/8″ or 9/8″.  We say about an inch longer erection in 6 months.  Flaccid lengths will be corresponding longer

.

Whenever you stop using traction whatever you have gained is permanently yours. 

If you continue, more length gains will be accrued.
We do not do simultaneous surgery, such as any combination of length, girth of shaft, girth of glans, circumcision, or pubic liposuction.

Hardly a week goes by when some disillusioned patient done elsewhere calls us for a revision.  And we told you so.

Generally speaking the penis does not appreciate simultaneous surgery with a few exceptions.

AlloDerm is like particle board, when immersed in body fluids, it swells and swells for several days.  This spreading of the collagen fibers is helpful to permit ingrowth of a capillary bed nd new cells of your own making.

Early mobilization  is the great enemy of good graft ake.   Again plan on staying in your room, stocking up on food or sending out for food.  Good Italian, Greek and Chinese restaurants abound with delivery service only a telephone call away..  I’ve have been known to go shopping for some patients at Publix.  You won’t starve.

If you have AlloDerm surgery on Tuesday, you could be back in an office environment on the following Monday.





 

 

Penile Implant, not what I asked for

Saturday, October 31st, 2009

 I asked for the Ultimate AMS I was given the step down with out my conscent. Ilost 2′ and some Dimension. The Pump leaks and partially fills when its deflated. Can I get back my inches and a better girth?    Rudy

Good morning Rudy,

Thank you for your interest in what we do.  Hope you can relate to our gallery of “ups and downs.”   Have been doing implants since 1975, and probably have done over 2000.

Fortunately your AMS product has a life-time warranty applicable to any treating physician.

We have been known to perform some magic in situations such as yours, but you do need to be seen at the office so I can best advise you.

Please understand it may be as simple as revising some technical errors during your previous installation, but you do need to have this reversed ASAP as scar contracture will make it more difficult to regain the length loss.

Also bear in mind any operation is associated with risk.  The experience of your urologist and his focus to the problems at hand will help minimize this.

You may wish to initiate a consultation over the phone by sending us your name, address, and phone number in an envelope along with a check for 250.

All the best,

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

Man dithering whether to have a circumcsion in NYC or with Dr. Reed

Saturday, October 31st, 2009

 I wish I had the luxury of just flying down to Florida and paying for Dr.
Reed. Unfortunately, I’m in my mid 20’s, although I have insurance I make under
$600 a week and live in the most expensive city. I would love to go see Reed
but it’s not feasible. Rather keep it local. There has to be a good Urologist
or Plastic Surgeon in NYC.     Thanks,   Chaz

 

Say Chaz,

What if I picked up your airline ticket. Please check NYC urologists first of course. Remember with us, you choose the 4 parameters, have a hand held mirror in the operating room to be sure it’s done properly as you wish. Can I whisper a secret in your ear. Most of our patients are salt of the earth people just like you, and for them, their penis is special. You take care of little Chaz.

Harold Reed, M.D.
305-865-2000
Sent: Sun, October 25, 2009 9:27:50 AM
Subject: Re: [PROCIRCORG] RE: Recommendation for NYC Dr.

Chaz,

Since you are already circumcised, you are seeking a specific procedure. Dr Reed, being an Urologist and a Plastic Surgeon, is the doctor for that procedure. He has done over 5000 circumcisions and or revisions. Your penis is your calling card, you only get one. Why not go to the best.

A round trip flight to Fort Lauderdale is less than one hundred fifty dollars.  I would at least make a call to Dr Reed and at least tell him the specifics of what you want.
Phil

 

Will my sensitivity be maintained after circumcision?

Saturday, October 31st, 2009
Re: Question for Dr Reed

Hi im 23 going to 24 i’ve been considering getting circumsized by you since i heard your very good at them. Thing is i dont know what to expect once its cut.   what going to get more sensitive and whats not? im just afraid i might lose sensitivity.    Sai.

Good morning friend Sai,

A circumcision is about removing skin only. Reports of loss of sensitivity are probably related to a doctor cutting at the wrong tissue plane and is extremely rare. Be assured having done over 5000 circumcisions, I do not believe one patient has complained of loss of sensitivity.

Studies have been done with large cohorts (number of subjects) such as the Kaiser Permanente study involving thousands of men, and bottom line… no loss or gain of sensitivity on average. Yes, there were some outliers (patients above and below the mean) but on average mean ejaculatory time, a sign of sensitivity remains the same. And biothesiometry studies, a nerve conduction test designed to measure barely perceivable vibrations (fine touch) shows no statitstical difference between the groups.

Most will have heightened sensitivity immediately after circumcision and this subsides to normal in a few weeks. Then, it’s business as usual, and you can put in your regards for me anytime.

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

Cosmetic Adult Circumcision, what to ask for

Sunday, October 25th, 2009

Thank you Ben,

There are four independent parameters in circumcision and we are mindful of them all. The patient decides. 1. Whether or not to remove the frenulum, 2. The incision, high, medium or low. 3. Tightness: loose, moderate, or tight (the patient is given a hand held mirror and we will tighten to suit), 4. Obliquity of cut: parallel to the corona which is on a slant relative to the cross section of the shaft or perpendicular to the axis of the shaft.

This is your cosmetic circumcision, your calling card.

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

 In PROCIRCORG@yahoogroups.com, Ben 63549 <ben63549@…> wrote:

 Hi Robert,

 I don’t think religion should really have any relevance to surgery. I am non-religious and got the circumcision by Dr Reed over a month ago and things have been great. Whatever you decide to go with, Dr Reed is the man to see for getting the result you are after, whether partial or full circ he will follow your wishes like he did with me,

 Best,

 Ben

 To: PROCIRCORG@yahoogroups.com
 From: johnpublic77@…
 Date: Sat, 24 Oct 2009 08:43:42 -0700
 Subject: Re: [PROCIRCORG] Question for Dr Reed

Robert, if I were in your situation, I’d base my decision on what the expert doctors  recommend rather than what relatives have done in the past. I’d also seek a second  expert opinion. If they can do what you want, great.

 In any case, good luck with your decision and I hope it works out for you.

Adult Circumcision and Intravaginal Latency Time

Friday, October 23rd, 2009

Drs. Marcel Waldinger and group report in the Journal of Sexual Medicine (Vol. 6, No. 10, 2009) a survey of 5 nations.  Average time in the vagina before ejaculation is 5.7 minutes.  For men from the UK where circumcision is less prevalent, 10.0 minutes and men from Turkey where circumcision may be more prevalent on average lasted about 4.4 minutes.  In general there was no difference between circumcised and uncircumcised men.  Of the men who were asked “do you think your time to ejaculate is shorter than what you would like?”, those that said “yes” had on average 5.2 minutes to ejaculation and of those who said “no” lasted 6.8 minutes.  Perhaps over-reading, but an extra 1 1/2 minutes made a difference.    Surprisingly condom usage also did not affect latency time.

This supports what has been said before… in general circumcision has no bearing on sensitivity (required to produce orgasm).

Harold M. Reed, M.D.

Adult Circumcision, is it covered by medical insurance

Wednesday, October 14th, 2009

Hi Dr. Reed
 Thanks for the information about circumcision. Actually, I have been thinking about this procedure for a while, not because of medically necessary, but for hygienic reasons. Does medical insurance company usually cover such a procedure?   Tony Ambrose

Good morning Mr. Ambrose,

Most insurance companies will fund for a circumcision if there is a medical reason, such as chronic irritation, phimosis, tearing, bleeding, balanitis xerotica obliterans, preputial skin bridges, perhaps recurrent penile warts or lesions on the inner skin.

We are contracted providers and accept Blue Cross/Blue Shield (non HMO) and Medicare. Or we would be pleased to fill out your insurance form for maximal reimbursement to you directly.

If you have more specific questions, perhaps you could call your carrier to learn about the unique benefits of your policy. At any rate, you have a friend in Bay Harbor Islands (greater Miami) and anticipate we will show you every courtesy.

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

 

Limited Traction following penile lengthening procedure

Wednesday, October 14th, 2009

Just a quick question regarding traction following surgery.  What would be the minimum period of time that you would reccommend using traction in order to avoid retraction.  I would be happy with the immediate gains but would not want to loose them!.  I know that you suggest 8 hrs per day.  If this was done for a month for example would this period of time be sufficent to hang onto surgery gains?

Doug

October 14, 2009

Good morning Doug,

Right on.  Yes, I would think if you apply traction as we recommend for 4 to 6 weeks, you will certainly maintain what was accomplished in the operating room.  An incision does not regain full tensile strength for 6 weeks.

But for 3/8″, and never to use traction again, is it worth it?

Once that is accomplished, you could resume full time traction whenever you wish, and you will not have lost anything.

All the best,

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

Dorsal Slit

Wednesday, October 14th, 2009

Now one thing i’m still trying to understand is the Dorsal Slit Technique vs the sleeve resection technique, will the dorsal slit technique have as staight cut as with a scalpel? and what is the benefit of one versus the other?

thanks,

Donald

Good morning Donald,

A dorsal slit is not a circumcision and is reserved for very serious infections of the foreskin and head of the penis, where all the doctor wants to do is make a longitudinal cut on the top side of the foreskin (without removing it) to allow the foreskin to fall away (downwards) from the head of the penis until the head or glans has sufficient time to heal, and then a formal circumcision will be done.

The other option is using a clamp which works for children, infants and neonates but in my opinion not the best for adults, because you cannot really see what is going on under the clamp before you make the incision and the result is more generic than responsive to the patient’s unique requests.

Hope this makes sense,

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

New York magazine writer would like to do article on circumcision

Wednesday, October 7th, 2009

If you have been one of Dr. Reed’s patients and would like to represent your experience even anonymously, please E-mail me at SRSMiami.com

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