penisdoctor.com

Dr. G. Garaffa (London) and group compared 129 patients who had correction of Peyronie’s by insertion of an inflatable penile implant versus 80 of those who had a semi-rigid rod type implant.  Despite revision surgery in 18 of the first group versus 8 in the second group, the satisfaction rate for inflatables was higher 86% versus 72%.   Our experience has been after you show an inflatable model on the desk top versus a semi-rigid rod almost all patients will opt for an inflatable after learning of the pros and cons.   

Harold M. Reed, M.D.

There are remedies you can consider: steroids applied judiciously, but usually the end result is not workable. You may also have a dorsal slit, or even “cigar clipping” done but recovering from this may be more problematic. Lastly you can have a loose circumcision with normal ease of recovery. Please look at
http://www.penisdoctor.com/photo-circumcision.htm

We have performed over 5000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

You could return to an office environment in about 4 days after circumcision.  Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years! This is your circumcision or partial circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got 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.” Photos sent and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

Happy Holidays and a Healthy New Year,

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

— In PROCIRCORG@yahoogroups.com, “NYCFirstResonder” <nyfirstresponder@…>
wrote:
>
> Happy Holidays to all. I’m new to the group and my situation is this. I was
able to retract the foreskin when erect and soft but, I only can now when I’m
soft. I don’t want a full circ, maybe a partial. Any advice.

How well did they fare?  A paper by Drs. M. Zanoni and Steve Wilson et al.

During revision surgery for clinically non-infected implants, cultures were positive for 70% of non-coated, and 60% of coated.  Thus the authors concluded that culture positive implants as a simple test (unrelated to why revision surgery was being performed) obtained at the time of revision surgery occurred in the majority of non-coated as well as coated implants

Harold M. Reed, M.D.

by Dr. Ohl and group, University of Michigan, a multi-centered study.   Mentor’s one touch is a catch up to the AMS (American Medical Systems), MS or momentary squeeze  valve.  At 6 months the Titan satisfaction rate is reported to be 76% meaning somewhat/or very satisfied.

I do believe more table top demonstrations of how the implant works in the doctor’s office are needed before surgery.

Harold M. Reed, M.D.

by Debo and group, a multi centered study.  Average time for re-intervention for implant malfunction was 50 months, a little over 4 yours.  Average time for re-intervention for infection was 18 months which occurred in 11%, and a patient dissatisfaction rate of 34%.

This study is of course at variance with what manufacturers say.  Their classic explanation is if the Doctors don’t tell us, how are we to know.   I do believe our experience is quite a bit better than that, but our office is not a training center.  Last week, I  removed an implant that had been implanted in May, 1987, the implant had been operational for 22 years.  Patient did receive radiotherapy afterwards for prostatic carcinoma.

Harold M. Reed, M.D.

by Drs. Sava Perovic, Rados Djinovic, Tomovic, Milosavljevic, and Barbagli.   223 patients were treated for previouisly failed hypospadias repair.  One or 2 stage buccal mucosa repair was the mainstay of stricture management.  The mean followup was 41 months, and successful repair was achieved in 209 patients.  7 patients who had developed post-operative fistula were treated by secondary surgery.

Harold M. Reed, M.D.

As reported by Dr. Burgu, Soygur, and Yaman from Turkey  in previously circumcised patient.  Complication rates of about 20% include urethrocutaneous fistula, meatal stenosis, failure to advance meatus all the way to the head, and residual curvature. 

Harold M. Reed, M.D.

I am one of several moderators on Inter-Circ. Today I had a post from an adult who was circumcised for BXO. Because he has some distortion and whitish areas on his glans and the frenaulr area, he is keen to find out antyhing he can about the latest and most efficacious treatments for BXO.

 I wonder if you would care to comment about this or if I may refer him to your group. CErtainly I can understand his concern over this very distressing disorder.If this is accpetable to you, I should be pleased to forward his original post to me.

 Thanks in advance for your care and concern in perfroming excellent adult circumcisions

  Cheers,

 John M

Hello John,

Hardly a month goes by when we don’t see a bonafide case of BXO.

Therapy focuses on prevention of disease progression.  Shelley reported some success with long-term antibiotic therapy. However, relapses were seen upon stopping treatment.  Some success has been reported with topical steroids, when scarring is minimal, though some have found this ineffectual.  Moderate therapeutic results have been reported using etretinate.  Some success has been reported in the use of carbon dioxide laser therapy.

Many authors report that circumcision is the treatment of choice, with modifications if necessary. Pasieczny suggests testosterone ointment, however.

Glansectomy may be required, but that would be unsual. Invasion into the urethra and urethral strictures (narrowing) is not uncommon. We have tried 5 FU cream in one patient, but if you read comments, there is no truly 100% effective treatment.

Could be a pre-malignant situation. Now that his glans is clearly exposed, he should map out his glans with a ruler in millimeters and note any changes in demarcation. If advancing, back to the urologist.

Excision and letting the covered tissues see the light of day is still our first line approach.

Have a restful weekend,

Harold M. Reed, M.D.

I’m interested in the scrotal enhancement surgery and would like to know if you have any offices in either the UK or Europe that I might appraoch for a quote.  Heath

Good afternoon Heath,

Thank you for your interest in what we do. 
Two cases scheduled already for this coming week. 

Our office probably does more scrotal enhancement surgery
than any other in the world.  Please do not have
your scrotum injected with silicone or fillers as this
will produce a fluff bag appearance. What you need to
see are 2 beautiful large gonadal contours.

Our only office is in Miami.  When I first started out, I was very
impressed with a mentor whose business card listed 3 offices
in the greater Miami area.  I later learned if you are busy,
you only need one office.

Be assured we will show you every courtesy.  Visits from the UK
are really commonplace here.

Happy Holidays and a specially productive and healthy New Year,

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