Thank you for your interest in what we do, over 5,500 procedures relating to circumcisions and/or phimosis.    Kevin

Good morning Kevin,

Please keep this in mind, if you have a phimosis, all unhealthy non-stretching tissue has to be removed or you will need a dorsal slit.   If you have scarred prepuce left, that will not retract over the rim of the glans for daily hygiene.  What you may wind up with could resemble a partial circumcision.  Also keep in mind the remaining prepuce normally swells quite a bit after surgery, and you will need a Q-tip for a few weeks to cleanse the inner recessed area.    But yes, it can be done.

Harold M. Reed, M.D.

305-865-2000

I have HPV diagnosed 6 months ago. Just thought circumcision could be a help, since im not circumcised and am struggling with new warts after every treatment (podofilox) -Is that goin to help me? -either way, is there something more efficient than podofilox? surgery???? thank you    Ernest

Dear Ernest,

We have performed over 5500 cosmetic circumcisions in the past 35 years and usually do several cases every week.  We have also had a fair amount of experience treating penile warts and do not use podofilox for the reasons you state.

Our preferred treatment is figuration and if you are having sexual contact with an individual who has HPV, this access has to be thought of a causative.  We often combine circumcision with fulguration of some warts.   In that there are seeds in the penile skin that have yet to germinate, after fulguration expect some new growth for a while.  You will need followup  fulguration under local for that.

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.

Cordially,

Harold M. Reed, M.D.

I recently had an improperly performed circumcision, resulting in misalignment of the midline raphe and the line of the frenulum (frenulum was removed). The glans is rotated to the left in relation to the shaft. There is also a bunching up of skin on the left side. I am quite distressed about it, and would like to know how soon before I can get it redone. The procedure was done 4 weeks ago, and the wound has healed, but of course there is still scarring. I really would not want to wait too long to have it repaired. What is your suggestion? I’ve heard very good things about you. I hope you can assist me. Thank you in advance for your help.

Raymond

Hi Raymond,

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

Please wait a good 3 months before any revision is done as the tissues need to soften and achieve optimal healing.  You bring to us a work list at that time and we’ll revise every item that is feasible.  What you mention so far should easily be correctable.

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.

Pain is virtually non-existent among our patients.  They smile as they leave the office, and by and large remain free of discomfort as evidenced by our followup contact with them.

Cordially,

Harold M. Reed, M.D.

305-865-2000

I was wondering if my husband can get a circumcision at the age of 26? He has a penis that is curved, will it be a problem? But also a problem is he has this bed wetting issue that has been occuring for the past few years. He does this every month or so. He eats healthy and he doesn’t drink caffeine drinks. What can be the cause of this? It happens when he dreams bad stuff he says and he can’t get out of his dreams… he wakes up wet.   

Nancy

Hi Nancy,

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.  
However, we must be mindful of two other important issues, penile curvature and bed wetting (enuresis).  Just to digress one of the most memorable cases in the past 31 years of practice was a bed wetting adult executive type man who had received the million dollar work up from others to ascertain exactly what his problem was.  The answer was later revealed to me.  He was sleeping on a water mattress with a very small pin hole in it, that would never leak unless about a 200 pound man and wife were on top and maybe doing things.  A web-site about bed-wetting in adults is http://www.nafc.org/bladder-bowel-health/bedwetting-2/adult-bedwetting/  One approach is timed voidings, getting up in the middle of the night by alarm clock if needed, and restriction of fluids after 6 PM

Before his circumcision is done, at least we would like to know if he wishes correction for curvature, has he received prior treatment with medication, etc.?  Please check out our penile curvature (Peyronie’s) website  http://penisdoctor.com/peyronies.htm

With kindest regards,

Harold M. Reed, M.D.

I have been interested in PE for quite some time but have put it off until I found the right procedure for girth. I stumbled across a Dr Lim I believe is his name (?). He performs a ‘flap’ surgery that carries more blood to the penis over time. He says the more you stay erect over this period of time the larger it becomes and stays that large. Have you heard of this? What do you think and have you tried this? They say it can be combined with other forms of girth enhancement such as alloderm or dermal grafts etc. What do you think about PLGA Scaffolds and the Elist implant as compared to the other forms of girth enhancements? My penis is average size but I would feel more secure if it were bigger especially in girth. I know I don’t want fat inserted. Thanks for your time.

Tyrole

Hi Tyrole,

I have never heard of him, honestly and the technique of flap surgery is not used by any urologist I know of.    Try to get some more background information, such as articles, photos etc.

We do know of PLGA scaffolds and the “implant” technique and do not recommend this.  I have seen others install PLGA scaffolds and the product is vey friable (tears easily) like an old dried-out sponge that turns to dust when rubbed the wrong way.  Unless great care is taken it may fall apart during installation.  Also be wary of simultaneous surgery.  The results can be anywhere from lackluster, to disastrous.   AlloDerm which we have used for 15 years is very reliable when properly installed.  AlloDerm can be installed via a tunnel and drag technique, for PLGA scaffolds the entire penile shaft skin (as a rule) has to be degloved and sewn back together again.

More involved.

Sincerely,

Harold M. Reed, M.D. FICS

Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America

i am in desperate need of consultation. ever since i was a teen i knew i had some problem….i am 27 yr old male dealing with tight foreskin and tight frenulum. i am not being able to maintain erection and need to self stimulate myself to get an erection. i strongly believe this is cause of my tight foreskin and frenulum. i cannot imagine a girl pulling my skin back as it is very uncomfortable? penetration is possible but i go soft after a minute or so once the skin starts pulling back… i dont know whether this will be fixed if i go for circumcision….i dont knwo whether its a physical problem. i am trying to stretch my skin. do u think there is a possibilty of having erection problems cause of tight foreskin and frenulum…do u think this can be fixed once circumcised. have u come across a situation similar as mine and was normal after circumcision? also my penis bends downwards..not an issue for me and dun think it peyronies… i am very frustrated and am lookin for soem guidance some logic and some sense to my condition. hope to hear from you, any advise would help me more than u can imagine.

i have been researching for years now and havent come across a situation similar to mine. thanks

Jason

Good morning Jason,

Difficult to sustain an erection when you are having pain.  Yes, for your tight foreskin (phimosis) I do recommend a cosmetically performed adult circumcision.  The frenunlm is usually removed at the same time, and that’s included in our fee.  I do believe once that is done, you’ll find  most of your concerns will be in the past.  Downard erection may be a freunulum problem.  We’ll have to see about that when you are at the office.

Be assured we will show you every courtesy,
 
Harold M. Reed, M.D.
305-865-2000