Archive for January, 2010

Status post circumcision with sloppy look and peno-scrotal web

Thursday, January 21st, 2010

Dr. Reed:

About a year ago I was circumcised by my urologist.   He did not respect my request to leave as much inner foreskin as possible. Nor did he respect my request to remain awake and aware during the procedure. The outcome is a low and sloppy look with suture marks all around.  He also pulled scrotum skin up the shaft leaving a turkey neck web.  The result is that my penis looks much shorter and I cannot penetrate as deeply. 

The frenulum was left.  It is very sensitive and pleasurable upon initial penetration but after thrusting and becoming more erect it becomes painful.

I’d like to have a recirc if possible and have the turkey neck trimmed back and the frenulum removed.

Would photos help in evaluating if this is doable?   Can you give me some idea of fee?…healing time?

I’m 65, gay, and love sex.  But due to what I’ve described, find myself not having it as often as my partner wants.

Oh yes, I want to be as aware as possible and see as much of procedure as possible.

Thanks,
M.  O’Day

January 21, 2010

Good morning Mr. O’Day,
Thank you for your continued interest in what we do.

For most patients we recommend you stay here overnight following your revision procedure, and you can throw in a safety factor of an extra day.  Your sutures should be removed 12 days fter revision by a health care professional.

You can be seen in consultation and done the same day.

Yes of course, we wish to see you before you take off.

Taking your other thoughtful questions…

2.Can the frenulum be removed without total loss of sensation that it offers?We remove the frenulum on most patients, and of the 10 % or less that request it not be removed, 80% return and say, “now Doctor, please remove it.”   Truly doubt there will be any difference in sensation, but if there is any concern then don’t have it removed.,

 

3. When I am erect, turkey neck is barely visible but my balls are pulled up the shaft.  Is this the usual situation?  I very much want my balls lower for penetration again!If you have hyper-retractile testes or so called “yo-yo” testes, there is a procedure to correct for this.

 

How much scaring is left by scrotal cuts? Usually a fine white line that lays out like an inverted “Y” with limbs about 3/4″ at most in each direction.

 

How long is healing?Healing continues over 6 weeks for maximal tensile strength but cosmetically certain refinements such as fading of all redness an take up to 13 months.

 

How many weeks before sex is possible?You could resume sex typically in 6 weeks. 

 

4. Could lengthening be doen simultaneously? No for this reason.  Successful lengthening depends upon use of traction within a day or 2 after surgery to maintain what was accomplished in the operating room and build upon that.  If you have a circumcision revision, your penis will be much too tender for traction and also you will rip you suture line apart. 

 

How much would that cost in addition to other surgery?If you have orchidopexy (to prevent rising in your scrotum), that fee is an added $2,500.  Lengthening as a procedure unto it self is $4,500 and this is posted on our web-site.

 

Michael, have a serene weekend, and again many thanks for considering our facility,

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

“Railroad track” scarring, from previous circumcision

Thursday, January 21st, 2010

January 21, 2010
Dr. Reed,
 
I’m a 66-year-young man who was circumcised as an adult over 3 decades ago. I’m pleased with the results except for the “railroad track” scar that rings my penis just below its coronal ridge. This scar has always bothered me, and I’m seriously considering a belated revision to tighten my original circumcision and to erase the unsightly scarring.
 
This revision would be done for purely aesthetic reasons — and my peace of mind.
 
Would you consider assisting me if I were to arrange a consultation? Any information you could provide would be appreciated.
 
M. R. James

Good morning Mr. James,

Thanks for your E-mail inquiry and visiting our web-site http://penisdoctor.com/circumcision.htm.

A circumcision is perhaps the highest cosmetic calling given to a urologist.  We do revisions just for the reasons you describe several times a week.  Please call a member of our office staff from Monday through Friday between 9:30 AM and 4:30 PM and be assured we will show you every courtesy.

The Reed Centre enjoys a reputation for excellence and exactitude when it comes to cosmetically performed adult circumcisions.  We operate within tolerances of 1/32″ or about 1/2 mm.

With regards,

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

P.S.   Take a look at this unsolicited web-site constructed by a patient of mine.  Is this what you have in mind?  Especially the photos taken 60 days post-op.

http://www.circlist.com/considering/davids_freehand_circumcision.html

Also view:  http://www.circlist.com/considering/findphysician.html and read several unsolicited recommendations.

UK chap requests circumcision revision

Thursday, January 21st, 2010

Dear Harold M. Reed,

I have had a past circumcision but am dissatisfied with the results. I would like to be re-circumcised and have the skin tightened. I would like you to answer a few questions:

I want to fly from the United Kingdom so could you please tell me the nearest airports.

How long will I need to stay in Florida for (recovery time)

The cost is stated at $1500 and the consultation is $250, as I am flying I would need both to be done together, so how would that work?

Thank you very much, I look foward to hearing from you,
W.Padington

Thanks for your E-mail inquiry and visiting our
web-site http://penisdoctor.com/circumcision.htm.

Taking your thoughtful questions in the order posed….

We are equidistant between the Fort Lauderdale and Miami Airports.  Choose the flight that’s least expensive.  If at Ft. Lauderdale there are additional savings by using Share-A-Ride ground transportation or Super-Shuttle if you are at the Miami airport.  About 1/3rd the price of a cab ride.  Please stay at a nearby motel, the Baltic Hotel (advanced tourist class).  Plan on my seeing you the following day at the office or hotel.  

We would recommend you stay here one additional day, just to be sure before returning to the UK.

Your consultation and revision are done on the same day, and if you agree your revision will follow your consultation.

That simple.

You will have an opportunity to see work in progress and to be sure you are entirely happy before you get off the table.

Kindest reagrds,

 

Harold M. Reed, M.D.

305-865-2000

Circumcision revision

Thursday, January 21st, 2010

Hey Dr. Reed, i am going to visit Florida University the weekend of the February 5th, 6th, and 7th,  and i was wondering your availability around those days for a circumcision revision.   Mismatch of raphe, deep white hash marks, and puckers.  Not what I expected         
                                  Thank you, Nestor

January 20, 2010

Dear Nestor,

At least 3 months is required following circumcision before a revision is done.  If this makes sense, call Anne and arrange for an appointment.  Please bring your work list to which we will add our recommendations as well.

Sincerely,

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

David’s Journal, Adult Freehand Circumcision

Wednesday, January 20th, 2010

http://www.circlist.com/considering/davids_freehand_circumcision.html

Adult Freehand Circumcision
David’s Journal

A CIRCLIST Member True Experience


6 Months Prior to Circumcision

Over the past years, I’ve slowly trained my long and thick foreskin to remain retracted.  Most success came when I wore boxer shorts, which allowed the cockhead to be gently stroked by the soft fabric, thereby keeping it plump and inhibiting the foreskin from easily covering the glans.  Six months prior to the procedure, I began keeping the foreskin retracted pretty much 24/7, with only occasional periods with foreskin coverage.  I also began learning to masturbate with the skin fully retracted, sometimes by simply pumping the loose shaft skin just over the corona like many circumcised men, sometimes by lubricating the bared glans and providing direct stimulation, and eventually by gently rubbing the bared dry glans and ½ inch or so of inner foreskin lining.  Because of my short frenulum, I could only successfully stimulate a small amount of inner foreskin.  It was also very sensitive to the touch and easily gets sore from the process.

Long Overhang Provides
Fun Pre-Circ
Play and Circ Fantasy

Playing with a Gomco
Fantasizing About
My Pending Circumcision

He Plumps Up
Thinking About His
Pending Circumcision

 

2 Months Prior to Circumcision

After careful consideration and many years of research, I decided to contact Dr. Harold Reed in Florida.  I visited the website (www.penisdoctor.com) and filled out the online questionnaire.  I immediately received a pleasant response from the doctor himself answering some of my questions and telling me what things I should consider.  After so many years on CIRCLIST, I had already considered each item he mentioned, but none the less, it was good of him to give me a bit of homework before my planned visit.  I called his office and spoke to Anne to make the appointment in 2 months time.

Uncut- Completely Soft
(Flaccid)

During Teens, Skin Was
Nippled and Tight
Stretched to Loosen in Adulthood

Trained to Remain Skinned Back
In Preparation For
Circumcision

 

The Day of My Circumcision has Arrived – 12/13/01

(DAY – O and counting)

I arrived in Ft. Lauderdale the day prior to my scheduled circumcision and took a car to my hotel, only six blocks from Dr. Reed’s office. I arrived a day early so as to ensure nothing messed up my plans.  I am going to stay for 5 days after the circumcision and enjoy the warm weather while I rest and recuperate.  Dr. Reed’s staff indicated he would do the consultation and circumcision the same day, and that I only needed to stay one night immediately following the procedure.  I’m using this as an excuse for a longer vacation!

 I called the office upon my arrival to find that the schedule has changed somewhat and that my appointment has been moved to 1PM (from its original 10AM) tomorrow.  I hope I sleep well.  I don’t feel nervous or anxious at all.  I called a CIRCLIST friend and talked to a couple others online.  Everyone is supportive and happy for me.

I slept fine last night.  Got up around 9AM, ordered a large breakfast at 10:30AM assuming I should not eat lunch so close to the appointment time.  I walked to the office (beautiful weather) and was greeted by Dr. Reed himself (‘call me Harold’) and asked to fill out some consent forms.  “How had I found Dr. Reed?”  “CIRCLIST” I wrote down.  Later he would comment that many of his patients come from this source.  (“Should I be getting a commission?”)

Anne, his assistant and nurse, asks me for a urine sample and I’m shown into the washroom.  The waiting room, washroom, hallways, offices, and recovery areas are all covered in oil paintings…. Large ones.  Beautifully done and nicely framed.  Most all them are of people.  They are all by the same artist “Reed 92” this one reads.  All meticulously done.  It’s so hard to get faces, fingers, etc. right, but he has accomplished the task.  Both an artist and a surgeon,  “Good sign” I think to my self.

I chat with Anne a few moments and meet with Harold.  He asks all the usual health history questions, along with ‘why do you want to be circumcised.’  I say I’ve always wanted it and my frenulum has torn several times during sex.  No more questions and its across the hall to the exam room.  I strip naked except for my under shorts, as instructed.  He exams my entire body and asks a few more medical questions. Blood pressure is 110 over 70 “you don’t seem nervous at all… good” he says.  Now the big moment “lift up and push your shorts down to your knees”.  He immediately grasps my soft penis, skins it fully back and gives the frenulum a particularly good exam.  “lots of scar tissue.  We should remove this completely,” he announces.  I agree with him and then he asks if I’ve decided if I really want high/tight circumcision, as requested in my prior correspondence.  We discuss, very briefly, pros and cons and he indicates he will give me just what I want.  He gets a purple marker and begins explaining the procedure and the options…  ‘What do you think… back to here’ he asks?  A bit further I say, but I tell him he is the expert and probably knows best.

I dress, make payment to Anne and get my receipt.  She shows me to the changing room and tells me how to ‘gown up.’  After I release my bladder one last time, I’m shown into a small general recovery area where another patient rests after his procedure.  I’m told to lie quietly for 10 minutes, and then I’m walked into the little operating room they’ve set up.  Very professional looking.  All along the way they tell me every little thing they are doing.  Anne and Harold are extremely nice and polite.  Harold inserts an IV tube with saline into my right arm.  “That’s the most pain you will feel during this,” he says.  I’m glad, because I felt next to nothing.  He tells me he is adding antibiotic to the bag  “We’ve never had anyone get an infection from a circumcision and we don’t want you to be the first.”  Who could argue with that!  Then he moves around and tells me about the local anesthetic.  A very fine small needle is used and there is only a small pinch, like pulling out a hair… even less painful than that.  He makes a number of these injections, which I now don’t feel at all.  “One last one in the frenulum, as this area has its own nerves and blood supply.” I feel it only a bit and again there is no real pain.  “We’ll let that wait for 10 minutes” he tells me and instructs Anne to finish the ‘prep’ work.

She cleans my groin and particularly my penis.  I can’t feel it but we chat as she works.  She spends lots of time scrubbing the fully peeled back penis.  I’ll pay for that later!  She drapes me and gets the instruments ready, all the while conversing about Thanksgiving.

Harold returns and says we are ready to begin.  He first tests to see if I feel anything.  Not a thing, but tugging.  Only my penis is numb from the base forward… and I mean completely without feeling.  They begin.  I can watch in the reflection on the surgical lights.  I think not at first.  Don’t want to get sick, even though I’ve seen others done.  This is different… it’s me being cut.  I occasionally glance.  Doesn’t look too bloody.  He begins with the frenulum.  Once removed, it’s on to the actual circumcision.  It seems to go quickly.  They chat back and forth, he explaining what he’s doing and telling her why this and that.  She makes a suggestion here and there,  all the while holding and positioning my penis for the doctor.  “Penis” they use the word a lot.  I don’t think I’ve ever heard it use more times in one day.  Then I hear him say, “let’s see what David thinks.”  Pardon me?  What I think?  Harold asks me to sit up a little (just with my head) and have a look.  He has my penis completely outstretched and tells me this is how long it is hard.  He has put a couple ‘tacking sutures’ in place and explains the inner/outer skin positions.  Not much blood at all.  He shows me how much skin movement there is and indicates he could leave it like this (may be desirable for masturbation) or he could make it tighter.  He wants to know what I want.  I say I think a bit tighter and he agrees.  I lay back and let him finish.  The suturing takes a long time.  He tells me he uses a very fine suture and makes many stitches to ensure a good looking result.  I find he is not only a certified urologist, but also a certified cosmetic surgeon.  No wonder everyone likes his results.

“All done” they pronounce.  Harold wraps my penis in a serious of bandages with only the tip of the head clear.  “This will keep you from getting erect and will also keep the bleeding and swelling down,” he tells me.   I’m cleaned up and slid over to a waiting bed.  Rolled back into ‘recovery’ and told to lay flat for 45 minutes.  I take the time to look at the paintings next to my bed.  Lovely work.  Very comforting pictures too.  Anne tells me Dr. Reed is not only a painter and surgeon, but a gourmet cook and home restorer too.  “Truly a renaissance man” I think to myself.  Anne is busy cleaning up the area, scrubbing floors, readying for the next patient.  Finally, my IV tube is removed.  I dress and meet with Harold one last time.  He gives me instructions, and gives them to me in writing.  Says he is prescribing antibiotics as a prophylactic measure, and also pain killers (just in case.)  No walking back I’m reminded.  A cab and then flat on my back for 24 hours… “remember, heart never higher than your penis”.  OK Doc!  I’m on my way

 

Circumcision plus 3 hours

I’ve picked up my prescriptions on the way back to the hotel.  I talked to my son, who was also circumcised as an adult.  It’s comforting to talk with others who have been through it.  I have no pain yet, so don’t take any pain pills.  At about 4 hours after, I start to have a burning sensation not at any of the incision sights, but rather just behind the glans on the inner lining.  I can feel where she scrubbed my sensitive inner skin before my circumcision.  It’s not too bad, but I opt for the pain pill just in case.  Only a dull irritation remains.  I get up to urinate without problems.  I take another pill just before bed at midnight and sleep through till morning.

 

Circumcised – Day 1

Not much to report.  No pain at all this morning.  Supposed to lay flat for 24 hours.  I order breakfast in bed.  Then back to sleep for a few more hours.  Now I’m out laying by the pool (in the shade, as instructed) listening to CD’s for the remainder of the 24 hours.  There is no pain and the bandage is in place, but a little bloody.  I can’t get it wet but I would like to change the bandage.  No shower for 2 days, then only with the bandaged penis covered in a plastic wrap to keep it dry.  (Remember to pack your own if you are going to see Dr. Reed.)  Bandage comes off day 4 after the op.  I can’t wait to see it!  I can sit up now, so I resort to doing some work I brought along, to keep me occupied.

 

Circumcised – Day 2

Last night during sleep, I somehow managed to achieve a large erection.  I woke up to find it pointing to the sky and throbbing.  There was no pain, and I turned onto my side and went back to sleep.  In the morning I found my bandage had signs of minor bleeding, which had not been present before.  Assumedly this was from the nocturnal erection.  Toward the end of this day, I decided to take a shower and wrapped my bandaged penis in a plastic bag and placed a rubber band at the base.  Unfortunately, this did not prevent water from entering and my bandage was now wet.  (Dr. Reed had said plastic wrap… I had not followed instructions.)  After a short trip to the local drug store, I removed all of my wrappings and had a very brief look at my circumcised member.  I placed new gauze dressing around the incision line, and rewrapped it with elastic tape in the same manner in which it had originally been done.  There was some minor pain at the incision site as I removed and replaced the bandage, but it was certainly tolerable.  The incision site appeared clean and had no scabs that I could determine from the very quick examination.  I’m looking forward to studying it more closely when the bandage is removed permanently on Day 4.

 

Circumcised – Day 3

Another day of R&R.  Again I lie around by the ocean and read a book on the history of the penis (A Mind of Its Own).  Around 3PM I decide I must go in and shower.  This time I remove the bandage (carefully) and try to get a better look.  A clean incision line is present and from the top you can see many very fine sutures.  I gently pull the skin, which is bunched up around the base of the glans, back so I can fully examine the incision.  The inner foreskin lining which was not removed at my request, is as promised, swollen somewhat.  The shaft skin that remains (not a lot) has no swelling or bruising at all at this point.  I gently examine the underside.  Frenulum cleanly excised and several sutures hold the very straight incision together.  No bleeding on this side either.  In all, about 30-40 tiny sutures appear to have been used.  I shower and feel no pain at all.  Pat the little fellow dry and decide to leave it unwrapped for an hour to ‘get some air’.  Keeping it dry is very important, said the doc.  This will help and also give me the opportunity to take some photos before wrapping it up again for the night.

 

Circumcised – Day 4

Travel day today, tightly wrapped and ready for the plane trip home.  I return to Chicago and answer a few questions on CIRCLIST.  Was a women present? is the question of the day.  Yes, Anne the nurse.  She prepped me and scrubbed it prior to the circ.  Chats pleasantly with me during the procedure and holds my penis in a number of positions during the circumcision.  It was not erotic, I report.  When I arrived home, I unwrapped him and let him ‘breathe free’ for the remainder of the day.  With the tight dressing completely removed, there is swelling on the inner lining, all around the penis.  It looks a bit like an inner tube just behind the glans.  It is worse on the bottom near the frenulum removal area.  I apply some frozen gel packs to help reduce swelling.

One of my assistants at work, who was also circumcised by Dr. Reed, talks with me on the phone and makes the arrangements with a local urology clinic and the Physicians Assistant to have my sutures removed on Friday.  That will only be 8 days after the procedure, but it is either early or late, because of Christmas.  The doc had said 10-12 days, which would put it over the holiday.  I choose early as I’m healing very well, no bleeding even from night time erections and I don’t want skin tunnels to form because the sutures were left in too long.

 

Circumcised – Day 7

Well, it’s been nearly eight days since my circumcision.  I’m really ready to have the sutures removed.  They itch a lot and make it uncomfortable to work.  One of the problems is that my penis is pretty small when soft and draws back into my body.  So, I can feel the sutures quite a lot whenever I’m sitting.  Lying down is fine, but sitting is a pain.  So, this morning the sutures are coming out.  Before I tell you about that, I should tell you that I’ve had a good bit of swelling on the inner foreskin lining, just as the doctor said I would.  The shaft skin didn’t swell hardly at all, but the inner lining did puff up quite a bit.  But, it is not enough to stop the sutures from being removed today.  In fact, the swelling is beginning to reduce. 

I chose a urologists Physician’s Assistant, who removed the sutures from my friends circumcision.  She is a nice young girl, about 28 or so, pretty and does this kind of work on a regular basis.  I considered removing them myself, but why not leave this to a nice professional.  The sutures came out easily, and she commented that at least 10 of the dissolvable sutures had already come out on their own.  She had the remaining 30 or so out in about 10 minutes.  There was just a little bleeding for a couple spots, and no real pain during removal.  She also indicated that because of the very fine sutures, she would have to have her face very close to my penis and apologized for this in case it made me uncomfortable.  It did not.  She feels that since they were dissolvable sutures and were already coming out, they probably should have been removed a day or two earlier.  I think she was correct.  Day 5 or so would have been better, since I seem to be a quick healer.

 

Circumcised – Day 9

Wow!  I’m really glad to be rid of the sutures.  I feel much better.  In fact, I appear pretty well healed.  There are no scabs except for a small one where part of the frenulum was and the wound is closed all around.  Nighttime erections no longer bother me, and pass as they normally would without waking me.  Swelling is going down, but there is still some puffiness on the bottom closer to the area where the frenulum was fully excised.  Swelling on the topside inner lining, has reduced considerably, although has not returned to normal yet.  The doctor indicated it would take 6-8 weeks for most of the swelling to be gone, and that it is possible for some swelling to remain for several months.  He said I wouldn’t really know how it would finally look for about 6 months in total.  That seems like a long time.  I hope it is quicker.

 I still have not seen my penis erect, and I really want to.  I’ve had those nighttime erections, but didn’t get a look in the dark and just wanted them to go away.  I really don’t have a good feel for how tight the circumcision will be, as you can only truly tell when hard.  I think I will wait a day or two if possible to check it out.  I don’t want to do any damage, and my circumciser wanted the stitches to stay in for up to 12 days.  I feel I should try not to get erect until then, as I don’t want the incision line to open, although it doesn’t seem like it will.  It looks pretty healed.  I’m rather small when fully flaccid and grow quite a bit hard, so it is difficult to determine tightness of the circ.  The doc indicated it would be very tight hard… only time will tell.

I’ve kept the foreskin peeled back 24/7 for many months prior to my circumcision.  Even so, the glans has been sensitive from its constant exposure, rubbing on clothes, and of course the scrubbing it got by the surgical nurse.  I’m much more conscious of the bare circumcised head now, even though it was bare for all intents and purposes for many months prior to circumcision.  I suppose this will settle down soon.  I can’t wait to be fully healed and be able to show my circumcised cock in the gym, nude beaches, etc.  I want the world to know I’m cleanly circumcised!

 

Circumcised – Day 12

I’m not sure what to report with regard to my circumcision.   Not much change.  In looking back at photos, it looks a bit worse now than it did just after the circumcision.  But it feels much better.  No pain, but the swelling remains but is slowly getting better.  I had my first jack off last night (Christmas night), which was 12 days after my circumcision.  I wasn’t sure exactly how to do it, as it is still swollen and sore if you rub the incision line or the frenulum area.  Both areas are healing well and there is no bleeding.  Nonetheless, those areas don’t want to be rubbed or pulled for masturbation either.  The inner foreskin lining remains swollen, particularly on the ventral side around the frenulum excision.  All this combined made it difficult to jack off, but I was SO horny.  Earlier on Christmas day, I tried looking at porn pics, nudes of my boyfriend and reading hot sex stories… all while I stroked my bare cockhead (only).  I tried it dry (which I used to do before my circ) and lubricated on the cockhead (which also worked well pre-circ.)  However, I couldn’t do enough to get off, so I gave up.  Then last night I put up another picture of my favorite boy (who has a beautiful tightly circumcised cock.)  I looked at it and got hard.  Then I dropped my pants, and grabbed my sore cock by the base of the shaft and slowly but methodically pumped it up toward the glans.  There is not much shaft skin left (and with the inner skin swollen and sore) so this was not easy.  I ended up staring at my bare cockhead and thinking how I was now a circumcised man, just like all of my friends and family, and all of the boys and men I’d ever seen at the gym.  Just looking at the bare head and thinking of my circumcised cock made me shoot.  I shot the first round about 6 feet in the air.  It felt great.  I delivered a big load and it felt wonderful.  I was relieved, both physically and mentally, knowing that my cock still ‘worked’.  I know that seems stupid, but there is always the fear that something would go wrong and your cock won’t work properly.

I do have one concern and it is not unsimilar to America Petit, who recently posted his ‘folding problem’ to CIRCLIST.  When soft, there is a roll of inner foreskin lining behind the glans.  It is a bit swollen, like the inner lining on the ventral (bottom) side.  The doc said that because there is so much variation in my size from soft to hard, it would have to be this way but guaranteed that when hard I would have a tight circumcision.  I can live with that and truthfully there is only about an inch (1” or so) of actual shaft skin remaining.  But I’m still concerned about the roll of skin bunched behind the glans.  It doesn’t want to peel back smooth on the shaft when soft (pulled by hand) or when hard.  I spoke to the doc about this by phone and he said that this is because of the swollen inner lining, and the swelling in the frenulum area.  This, he says is binding the dorsal (top) lining and therefore doesn’t pull back smoothly as it will when completely healed and erect.  Additionally, the scar line (incision line) is still too tight to the permit the skin to move easily back the shaft. He indicated as healing occurs and the incision line becomes softer and more flexible, then the inner foreskin will be flat back on the shaft as I desire.  I guess he is right, but it is still a concern.  It will be two weeks tomorrow since I was circumcised and I guess I should be more patient.  He said it could take 2-6 months before that swelling goes away completely and it will lay back on the shaft normally.

 

Circumcised – Day 16

After posting the Day 12 report to CIRCLIST, several individuals who have themselves been circumcised as adults, indicated that 1) I should not be masturbating at this point and 2) that I should not be worried about the shaft skin peeling back smooth when erect.  Everyone seemed to concur with the doc.   The advice about being ‘morale’ (as one put it) a bit longer is that masturbation during this period can cause tiny tears and scarring to occur and could possibly cause damage.  So, since my two masturbatory excursions on Christmas day and the day after, I have returned to complete celibacy.  I have decided not to masturbate again until I reach the 30-day mark (which will be very difficult, but I will succeed.)

The good news is, today I did in fact get a hard on while watching a relatively innocent movie (it doesn’t take much without regular release) and I decided to have look.  While there remains some swelling around the incision area and particularly of the inner foreskin lining, things are looking much better.  In fact, today I got my first look that revealed how I will likely look when fully healed.  The incision is no longer red or sore.  It does however remain rather ‘tight’ and a bit hard.  Even so, when erect the inner lining is lying nearly smooth back on the shaft and looking oh so different than before my circumcision.  (Prior to my circ, I kept the foreskin peeled, but it looked nothing like this when erect.)  The only difficulty I have to report (beside the frequent erections) are a nasty pair of underpants (boxers as recommended) that had a relatively rough seem at the fly opening and rubbed my newly bared glans and sensitive inner foreskin a bit raw at a party I attended last night.  Those are headed to the trash.  All in all, I am now sure I’m going to love the new, tightly circumcised, super smooth look of my newly remodeled man-tool.  I’ll take more pix for the archives and post more soon.

 

Circumcised – Day 24

Healing progresses nicely.  Swelling of the inner foreskin lining and just behind the incision line is reducing, but still will take more time.  My only observations are that the inner foreskin lining, of which I was left a lot, seems to be moist/sticky even though it is constantly exposed.  I guess the smegma or whatever the moistness is caused by, will dry up soon enough and this will end.  In fact, seems to be more of a problem on the ventral (under) side of the penis than on the dorsal side.  The only other item I have to report is that, prior to my circumcision I regularly was conscious of ensuring that my long foreskin stayed peeled back off the glans.  I checked this mentally during the day, particularly when sitting down or bending over which could cause it to re-hood.  I still find myself checking for this, both mentally and physically.  Of course, it cannot re-hood, but this old habit will take a bit longer to break.  I plan to take more pictures around day 30 and again at day 45.

 

Circumcised – Day 45

Well, I began masturbating again at day 30 and continue on a regular basis.  I’m pretty well healed and jacking off is again a pleasure.  I feel more strongly than ever that all boys should be circumcised.  The only question is at what age.  But regardless, it should be done sooner rather than later.  Don’t wait until you are too old to enjoy it.

I still haven’t had sex with the new member. Just masturbation.  I’m saving the actual sex acts (sucking and fucking) for time with my favorite boy.  I should be fully healed by then and ready for 10 days of hard loving activities.

 

v

Circumcised and Ready
 For Action!

Some Minor Swelling
Persists in Frenulum Area

Circumcised Sex

Well, I’m home from my long vacation with a gorgeous stud-boy who was also circumcised as an adult.  Like me, he’s really high and tight and we spent the entire time together enjoying our beautifully trimmed tools.  I must report the feelings were exquisite.  Like masturbation, the sensations are not only coming from the bare glans, but from the entire inner foreskin lining area.  The circ incision line is also exquisitely sensitive.  The orgasms feel much deeper inside the penis head then before my circumcision, and post-orgasm the big, bare glans continues to tingle on and off for several hours.  It’s like having many mini-orgasms for several hours after sex has ended.

Condoms are also no longer a problem.  With a long foreskin, the condom often got rolled up on the skin during intercourse.  Regular condoms were simply not made for uncircumcised men.  I hear they make special condoms that just go over the head of uncut dicks, and then the foreskin slips up over that.  Sounds bad… two layers of skin providing even less stimulation to the glans.  Circumcised cocks have none of this trouble.  The condom works much better on the tightly cut dick.

 

Day 60 Photos

Because we were at a private European resort, we were naked most of the time.  Sun bathing and exposing the glans to the sunlight and to the world was most fun.  Sun screen provided necessary protections and just having the cool ocean breeze blowing on the newly bared glans provided a wonderful free feeling.  Did it seem odd to have circumcised dicks with nothing but Germans and Spaniards around.  Not al all.  A much higher number were circumcised than I would have imagined.  I would estimate the number was about 25% – 33% of adults.  Younger boys were largely sporting nippled foreskins.  But seems as though many European adults have heard of the benefits circumcision provides.

Like so many before me, I wonder why in the world I waited so long to be circumcised.  It should be done as a routine service to every boy and man on the planet!

Photo Sets

My circumcision is too loose, needs to be tighter

Wednesday, January 20th, 2010

I was circumcised when I was 17 years old, and, though I am not completely dissatisfied with the result, I would like to know if certain changes can be made to improve the look of my penis when it is flaccid.  I have a V-shaped scar on the underside, and it appears to be that way because my frenulum is too short (between the scar line and the glans) and it is pulling up that section of the scarline.  Is there anyway to fix this?  Also, there is a lot of skin that droops down on the underside.  Is there a way to reduce that?  And last but not least, the circumicision was done slightly loose so some of the shaft skin still hangs over the inner foreskin layer.  I do not wish to reduce this part of the skin any further, but is there a way to remove about a cm of skin from the base (top and bottom) so that the circumcision looks tighter?  Please let me know.  Thank you very much.   Ethan

January 20, 2010

Good afternoon Ethan,

Thanks for your E-mail inquiry and visiting our web-site http://penisdoctor.com/circumcision.htm.

A circumcision is perhaps the highest cosmetic calling given to a urologist. 

Surely excess skin can be removed and if there is a way you can envisualize by using some of the extra skin you have now, replacing the V-scar by transfer, then we can do that as well.  Of course, I would have a better idea once I see you.

We do several circumcisions and a few revisions here every week, as we enjoy a reputation for excellence and exactitude when it comes to cosmetically performed adult circumcisions.  We operate within tolerances of 1/32″ or about 1/2 mm.

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

P.S.   Take a look at this unsolicited web-site
constructed by a patient of mine.  Is this
what you have in mind?  Especially the
photos taken 60 days post-op.

http://www.circlist.com/considering/davids_freehand_circumcision.html

Also view:  http://www.circlist.com/considering/findphysician.html
and read several unsolicited recommendations.

another circumcision revision request

Wednesday, January 20th, 2010

I am continually reading references to you in postings to the (pro circ.) Circlist Group,and it is clear that you are held in very high regard as a very accomplished circumciser.

Therfore I wonder if I could ask you now on something about which I would be grateful for a professional and informed opinion…

I am a 62 year old man who has been (for NON-medical reasons,and with frenulum removed) circumcised (three times actually,and each time under LOCAL anaesthetic) by a “specialist” circumciser in London,England.The first procedure was at the end of November 2003,and the third and last was mid-May 2004 – (three circs. in the space of five or six months then !) I must emphasize that none of these was as a result of some fetish,but rather (and I won`t here go in to all the details) because I was not at all satisfied with the results of the first two `cuts`.I have to say that my circumcised penile `state` as it is NOW may well be such that it could NOT be further improved on:(my penis certainly looks very attractive, – and that isn`t just my opinion by the way).

…Anyway I do,nevertheless, find myself wondering from time to time,if a fourth (and surely absolutely final) procedure (and which I think would be pretty straightforward)could,or indeed would,be desirable or feasible.However,and notwithstanding any other considerations,I can see a potential “medical” problem here and which is the main thrust of this email enquiry.

Last July whilst on holiday (vacation) – (at a nudist-naturist venue in California would you believe!) I was taken to the local regional medical centre(center),where I was diagnosed as having high blood pressure,and congestive heart failure.(Actually I think I had probably been carrying these symptons around for some time before, – and maybe even during the times I was having the afore-mentioned circumcisions!)

When I got back to the UK of course I made an appointment to see my GP (internee) straight away.He prescribed further medication (which commenced in the U.S.actually),and which I am still taking.I have to say that my blood pressure does seem to be coming down,and without I hope tempting providence,I am pleased to say that in myself I feel just fine (I always did feel pretty good actually).Therefore Dr Reed my question to you is, – WOULD (and bearing in mind AS WELL that I am not exactly dissatisfied with my penis as it is now,and `regardless` as it were could easily “live with it” really) WHAT I HAVE TOLD YOU- FROM A “MEDICAL” AND PERSONAL HEALTH STANDPOINT (AS IT WERE) – PRECLUDE  ME (“AUTOMATICALLY”) FROM HAVING A FURTHER OR FOURTH `PROCEDURE` ?,(be it with your good self, or any other “professional”).In connection with this I wondered (and perhaps in woeful ignorance),if the choice (IF indeed there is any choice here) of the ANAESTHESIA employed (for circumcisions and such like) might be a (THE,even ?) key factor and therefore very critical ? In fact being more specific,and also being very mindful that my dentist NOW gives me  NON-adrenaline injections,I wondered if there are suitable non-adrenaline, – OR WHATEVER alternatives (EVEN IF YOU DON`T PERSONALLY USE THEM YOURSELF),that would be compatible with my condition ? (Of course in making these points I am assuming that such is,or are,not being used anyway !)

Dr Reed ,I would really appreciate it if you could give me feedback on the various points I have raised ;(even something in general terms would be better than nothing at all,but obviously – as far as I am concerned anyway – the more “specific” the better of course).I have been so impressed by your reputation that I felt that I just “had” to ask YOU,even if I never get round to sounding out any other `medic` as it were. However if you feel unable to reply then I quite understand,and I thank you for your time anyway.

Thanking you then in anticipation of your help and advice,
                                                                          
                                                                          
                                        All best regards,
                                         Nigel Balfour (England,- UK)

January 19, 2010

Dear Nigel,

While most probably you do not need another circumcision revision, in the event this becomes necessary, in view of your health status, this should be done in a hospital setting.

Next, epinephrine or adrenaline can be avoided altogether as even the slightest amount can cause fast and irregular heart beats.   Care and the use of cautery compensate, as well as a gently applied 2 layered dressing post-operatively. 

Sincerely,

Harold M. Reed, M.D
Senior Member of the American Urological Association

Adult circumcision and circumcision revision

Wednesday, January 20th, 2010

Hi Dr Reed,

Some circumcision questions regarding circumcision on a work trip:

a) A while back you mentioned (I think) that you use double suturing for circumcisions? What exactly is it?

b) Would it be possible to use non-dissolvable sutures instead of dissolvable ones, and would I be able to
remove them myself 5 days or so later?

c) Is it possible to erase previous suture marks?

d) What’s your advice regarding exercise?

e) A cirucmcision revision shouldn’t interfere with my ability to perform (non-physical) work should it -
like attending a conference?

f) I would like to be cut “shiny tight”, but would that cause scrotal skin to be pulled forward too much?  How is that prevented?

g) Also, how much would a revision of a circumcision cost? as opposed to a first circumcison?

Ish Kabish

January 19, 2010

Good morning Ish,

Taking your thoughtful questions in the order posed.

a) A while back you mentioned (I think) that you use double suturing for circumcisions? What exactly is it?Not familiar with this technique except to say the deep fibroareolar layer needs to be approximated independently at times.

 

b) Would it be possible to use non-dissolvable sutures instead of  dissolvable ones, and would I be able to remove them myself  5 days or so later?Non dissolvable sutures are not recommended in that removing delicate sutures which may be imbedded in the tissues is very difficult even for a doctor without loupes, a bright overhead light, and delicate plastic surgery instruments.  We use Vicryl Rapid hich often will melt out in 12 days or so.  At that time 80% will come out with a gently applied tweezers and the rest of course have to be clipped.

 

c) Is it possible to erase previous suture marks?That is our goal, yes.

 

d) What’s your advice regarding exercise?Easy does it for 6 weeks as incisions take 6 weeks to regain full tensile strength.  You can walk some the next day and go shopping and do upper body exercises.

 

e) A circumcision revision shouldn’t interfere with my ability  to perform (non-physical) work should it – like attending a conference?After 1 day of rest, you should be fine, but do not push yourself.

 

 f) I would like to be cut “shiny tight”, but would that cause scrotal skin to be pulled forward too much?  How is that prevented? Could certainly do this and when we pre mark, you have to participate in that decision.

 

g) Also, how much would a revision of a circumcision cost?  as opposed to a first circumcision?Our fee is the same in that you will require exacting attention to detail and if the incision is made circumferentially, the amount of time is virtually the same, and the number of sutures is of course
the same.  Please visit both penisdoctor.com and srsMiami.com to see photographic examples of our work. 

 

With kindest regards,

Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association.

Preputial (skin) bridge

Wednesday, January 20th, 2010

I sent you an email a little over a year ago asking about a skin bridge I have. After my in depth description of my bridge you replied that I had a preputial bridge.I would like to have this bridge removed for hygenical reasons as well as cosmetic, as its not very attractive. I guess my question is what would something like this cost approximately? I would like to have this procedure done in the very near future. I would appreciate any info you can give me. Thank you.     Daniel

Good afternoon Daniel,

Thanks for your continued interest in what we do.  Fees are as follows, consultation $250 and surgery for preputial bridge $500.  I assume you either have had, or are not interested in circumcision or circumcision revision.  Anticipate that the base of the bridge on either side usually 1 to 3 mm wide will heal with a small area whose skin color may be somewhat different from your present skin pigmentation.  Usually this is not especially noticeable.

Sincerely,

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

My husband looks uncircumcised (again)

Monday, January 18th, 2010

Is another circumcision appropriate?

When we were married he appeared to be circumcised and has put on a lot of weight, which he attributes to my cooking and I attribute to the refrigerator door being unlocked. Anyway, is there any connection?  55 pounds overweight.

Is another circumcision appropriate?

Mattie

Good morning Mattie,

More for his heart than his penis, he needs to lose that weight, which is on his heart’s work list.  To pump blood into 55 pounds of unwanted wanted fat with each heart stroke, in addition to the heart’s normal responsibilities.

As men put on weight (women too) and they stand, the weight mass pulls abdominal and sometimes pubic skin downwards.  In men this may create an uncircumcised look, and men who has been fastidious with hygiene, frankly don’t like the extra folds. 

As a urologist before agreeing to re-do the patient I have to be sure that when the penis is erect (approximated by stretched penile length), that there will be sufficient skin to cover.  Also he’ll probably need a letter of medical clearance with reference to a recent EKG.

Sad to say, but a lot of my work is revisions, often because the circumcision is “too loose.”  This situation falls in the same general category. 

Three meals a day for this nice man, and do lock that door.

Harold M. Reed, M.D.


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