penisdoctor.com

Dr. Reed,

Will my vasectomy remain as effective if my wife is taking fertility enhancing meds?    She does not know about my procedure. And I DO NOT want her to get pregnant.

Chason

Hi Chason,

This question is a little sad because it suggests there may be some marital discord at least along these lines, and deception is anti-love in my opinion.

If you have a vasectomy, and most modern day urologists would ask for your wife’s consent for medical legal reasons, and your semen is checked at intervals, and contains no sperm, the progeny won’t be yours.

Yes, that has come up.

Sincerely,

Harold M. Reed, M.D.

Hi Dr. Reed,

I am a female to male transsedxual patient, 7 years on Testosterone. 5 years post-op top surgery. Legally male in the state of Ohio.
Specific Question: Do you perform testicular implants as a procedure by itself. I typically take a long time to heal and do not want to complicate my healing by having multiple procedures at once. I’m ideally looking to have the scrotoplasty/implants done first and then decide on whether meta or phalloplasty is a better option for myself.

Sincerely, Seth

Good afternoon Seth,

Yes, we can. The attached may be of some help.  Please see  http://srsmiami.com/photography-f2m.html and http://penisdoctor.com/photo6.htm for photographic examples of our work.

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

I had phalloplasty in 1995. Results were good for about ten years but I now have a lumpy and distorted penis (especially during erections) from the fat injection nodules now having moved around. Do you remove those or do any penis reconstruction. I know that several West Coast Doctors do this.

However, I live much closer to your area and wanted to see if you have experience in this area. I have some digital pix that I could forward to you, if that might help.    Donald

Good morning Donald,

Thank you for our interest in what we do.

Please visit our web-sites http://penisdoctor.com/
and http://srsmiami.com/ (the latter not so much for
you) but you’ll see we specialize in genital reconstructive
surgery.

We are very familiar with FF nodules and their removal.

Ideally an incision should never be made on top or even on the sides of the penis, exception the circumcision line.

The attached is posted only for interest and some pre-op suggestions.

If you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 250. 

We’ll get started ASAP.  We’ll have a lot to talk about.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

I would like inquire about a dorsal slit reversal. Is it possible? if it is, will the outcome be just like an intact penis with all the foreskin restored?  Please give details regarding the costs of operation and recovery period.  Thanks in advance.   Matthew.

Good morning Matthew,

As you may know, a dorsal slit is a longitudinal release of the foreskin on the top side which opens the phimotic ring and usually results in a waddle of skin under the head and distal shaft.  Not that pretty, but often convenient when the patient may not be a suitable candidate for circumcision, such as  a gent with a severe penile infection.   A circumcision could be done secondarily.

Thank you for your interest in what we do.  Several thought come to mind.  Reversal is possible with some caveats.

A dorsal slit is usually done by a crushing clamp technique to reduce bleeding followed by an incision over the crushed area.   The edges are then oversewn to prevent delayed bleeding.  This reduces the amount of foreskin available to reconstruct unless you were very generously endowed to begin with.

Normal for men is a preputial ring at the end of the foreskin which upon reconstruction is the weak point and could lead to tearing with erections.  So while an attempt can be made to do this, there is no guarantee everything will be smooth sailing afterwards.

Fee for reconstruction 1500.    You will need to be on an anti-erection medication for 6 weeks.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

Re: anti-erectile medication for circumcisions?

PROCIRCORG@yahoogroups.com,

It seems that the occurrence of erections will prevent an adult man from getting an ultra tight circumcision, otherwise there will be suture marks from pulling during healing.

Are there any safe, reversible methods to block erections for a couple of months to let the wound heal?

Kendall

Hi Kendall.

Thank you for your interesting question. First let’s talk about overly tight circumcisions. Two “no-no’s”. You don’t want it that tight you see lifting of the peno-pubic angle or raising of the pubic skin to meet the needs of the penis, nor do you want your scrotum drawn into the base of your penis creating a peno-scrotal web.

Next for those patients who request tight circumcision, the use of steri strips, left on for about 12 days should suffice. Also plan on being on bed rest for 2 days, after circumcision, in that wound separation is seldom caused by an erection alone, but more often by a simultaneous collection of fluid under the skin which impedes good wound healing. We mean being in bed within 8 to 10 minutes after the patient leaves our office. If the patient lives beyond that distance, he has to stay at a nearby motel. No shopping at the Mall or weddings for the next few days.

Lasting we do procedures such as foreskin reconstruction and after the first stage, have to bury the penis under the scrotum and of course, erections are to be avoided. For that spironolactone 100 mg twice a day (avoid high potassium foods) is what we recommend. This is an anti-testosterone drug. 

To control nocturnal erections, the use of the old styled Sudafed (pseudoephedrine) 2, 30 mg tablets every 6 hours is helpful. Please read the brochure, can cause elevated blood pressure, etc.

Incidentally in our operating room, the patient gets a hand-held mirror and we make the circ is as tight as the patient wants (of course avoiding extremes, that will come back to bite us)

Hope that gets you off to a good start.

Harold M. Reed, M.D.