another circumcision revision request
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