penisdoctor.com

Good morning Miklos,

Your namesake Miklos was a Hungarian born award winning composer and conductor, best known for his numerous film scores.

Thank you for your interest in what we do.  How to handle tissues, knowing what to do is as important as knowing what not to do.  Why do some bakers’ popovers barely rise above the muffin tin and others balloon out like giant mushrooms?

We have performed over 5500 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 3 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, and next week a father and 3 sons! 

This is your 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,

With kindest regards,

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

I have a really tight foreskin, I’d like to either fix that or do a circumcision surgery… but I am afraid of the way my pennis will look like after the surgery.  Michael

April 27, 2010

Good afternoon Michael,

Thank you for your interest in what we do. Anticipate a beautiful result, just the way you want it. You will have a hand held mirror to verify that. This is your adult circumcision. See examples of our work on penisdoctor.com

We have performed over 5500 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 3 days after circumcision. Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

Harold M. Reed.  M.D.

305-865-2000

WHAT KIND OF INSURANCE DO YOU TAKE AND HOW MUCH IS? DO YOU PUT YOU PATIENTS UNDER OR ASLEEP? HOW LONG DOES IT TAKES?? DO YOU IT IN UR OFFICE OR HOSPITAL? Luigi

April 27, 2010

Good afternoon Luigi,

Thank you for your interest in what we do. While we only accept Medicare and most types of Blue Cross, Blue Shield, we will be happy to fill out your insurance form, for maximal reimbursement to you.

Virtually 99% of our patients are done under local and feel no pain whatsoever. You will be done in a Quad A inspected, Florida state registered surgical facility appended to our office.  We take 55 minutes to complete a cosmetic adult circumcision.  This is not the type of operation I want to rush through.   Our fee is 250 for your consultation,  and circumcision to include local anesthesia, use of the facility and any followup care I provide is 1,500.

How does that sound?

We have performed over 5500 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 3 days after circumcision. Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

With every best wish,

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

Hello Doctor Reed,

It makes me relieved to have found your site and to know that there are circumcision specialists.

I underwent circumcision 7 weeks and I’m very dissatisfied with the results. Apparently the suturing was poorly performed, resulting in bumps that (to me at least) resemble warts. There’s also an area
around the scar line that folds inward (as seem in picture DSCN0474) when the penis is erect.

As for me it’s a long way to drop by for just a consultation (I live in Brazil), I was wondering if you could take a look at attached pictures and give me an idea of what I should expect from a revision surgery. Can I have a good looking scar line again?

The pictures were taken today, 48 days after the procedure.

Thank you,

Alexildo

April 27, 2010

Good morning Alexildo

Your photos have been reviewed and several thoughts come to mind. Until a doctor-patient relationship has been established, I do not wish to critique what you and I both see.

Fair to say you need to wait a good 3 to 4 months after your original procedure (adult circumcision) before a revision can be done. Your situation may improve somewhat without my intervention, but I am not sure, even then you will be happy unless a touch up is done.

Please initiate a phone consultation with our office. Puckers are often the result of widely placed, overly tight large caliber sutures, and regretfully may persist unless revised.

With kindest regards,

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

Sal

Good morning Sal,

Assuming you are not a transgendered patient and that this has been a chronic problem refractory to many conservative measures, not based in neuropraxia above the level of the testes, and appropriate imaging and laboratory studies have been done… yes, we will consider doing an orchiectomy for men such as yourself for the reason of orchalgia.  

 As this is not conventional urological surgery, a letter of psychiatric clearance from 1  American Boarded psychiatrist is required. We want to be sure you will be a happy and more productive person after your orchiectomy, and most importantly that you will have no remorse.

The letter should also state if correct, that you have had no emotional problems or suicidal ideation.  One resource would be to look up psychiatrists under Physicians and Surgeons in your yellow pages or any neighboring large city.

When you see me, an injection of local anesthesia will be administered to see if this reduces pain.  Experience of other physicians as well as at our office with orchalgia as your describe show the reduction of pain on average is no better than 85% overall as other factors may be involved.

Fair to say, considering our the patients who have received orchiectomy, so far there have been none that regretted the procedure.,

Next, if you are married we will need a release from your wife.  Remember this is an irreversible procedure and unless you sperm bank, you are forfeiting your right to pass on your excellent genetic potential to the next generation.

If there is further interest, we are available for consultation.   Our fee is 250 for consultation and 2500 for the orchiectomy.

If you are over 40 or on medications, a letter of medical clearance with reference to an EKG  is required.  Routine lab work for all patients includes a CBC, platelet count, PT and PTT.

Typical scenario, day one consultation, day two orchiectomy, You will need to stay for two additional days with a generous amount of bed rest, and be seen before departure.

We recommend the Baltic Hotel in Miami Beach at 7643 Harding Avenue (phone 877-622-5842), where Christina the owner-manager takes a special interest in our patients.

Please no aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx (removed from the market for cardiac concerns) for a week before surgery. No Vitamin E or excessive alcohol or spices for a week before surgery as this may promote bruising.

Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let’s discuss it beforehand.

Boiron brand is available at Whole Foods and on the web at http://www.vitaminshoppe.com

for “pennies” and we do notice a difference.  You will need 2 vials.

We hope to have the pleasure of serving you whenever your travel plans include the South Florida area.

Sincerely,

Harold M. Reed, M.D. FICS

305-865-2000

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 apologize for my bad English. I want to if anyone has experience with circumcision, which is wound up at the base of the penis? Or with very high and tight circumcision. Is it possible to do these types of circumcision, or even in childhood and in adulthood? Please mail the information to barca.mala@…

Hello Barca,

The Japanese circumcision looks good on paper but if you have any significant tightening of the distal foreskin (phimotic ring), dragging that up as high as possible will constrict the base of the shaft and cause lots of distal edema which may only go away with revision surgery. If this is what you want, best to have the front side and back side done at 2 different times, or something still high, but less extreme. Also remember a dragged inner skin is a distal based flap, in other words getting its blood supply from the end of the penis, then taking a U-turn to go back to the pubis. The blood supply is therefore attenuated. This can result in unsightly scarring.

Another suggestion, and I am not trying to be cute, is to go to Japan to be under the care of a doctor who does this frequently with minimal complications.

Also please keep in mind the inner skin which you wish to preserve is the portal for many sexually transmitted diseases, even HIV.

Why leave the door open? Take good care of little and big Barca.

Harold M. Reed, M.D.

— In PROCIRCORG@yahoogroups.com, “barca.mala” <barca.mala@…> wrote:
>
>                                                                         Hi,
>

At 01:54 AM 4/4/2010, you wrote:
quests: hello. i was wondering how much is it cost to do it with just a block and what is the recovery time thank you   Vladimir

April 4, 2010

Good morning Vladimir,

Thank you for your interest in what we do.  Using a block is routine for us and that is included in our fee.  We do recommend that you convalesce (bed rest) for 2 days at the Baltic Hotel before departure.  Typically you could return to a office environment 3 days after your circumcision.  Penetrating sex is usually permitted after 6 to 7 weeks.

We have performed over 5500 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 3 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, and next week a father and 3 sons!

This is your 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,

With kindest regards,

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

April 4, 2010

Good morning Dante,

The purse string suture technique has a lot of appeal in that wedge resection and incision healing is not involved.  I would favor using a permanent suture which would be removed about 6 to 8 weeks later.  Some reactive scarring and contracture should occur as a result and this may achieve the effect you are seeking.  If the distal circle now is very large circumferentially, then wedge resection would be appropriate.

If the purse string suture approach is not effective, we can always revert to wedge resection.

Your call, but I will make recommendations when I see you.

Remember surgery would be inappropriate if the new foreskin does not completely drape a good 1/4″ to 3/8″ over the head of the flaccid glans.

If there is continued interest, please initiate a consultation by sending us a fee of 250 which is a one time charge, includes E-mail chatting, telephone calls, and your first visit to the office, excluding lab tests.

Have a restful weekend,.

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

At 06:25 PM 4/2/2010, you wrote:

Hello Dr. Reed, I can’t tell you how impressed I am that you are dialoging with me about this. This is so atypical to most physicians I have dealt with. I guess as this point I would like to know your professional opinion upon what is the best procedure; the purse-string suture or cutting out a wedge and suturing the foreskin? I must admit that removing any part of what I have worked to hard to obtain seems anathema, but I also know that you have much more experience in these things than I. I also want to make sure (if it is realistic) that I don’t end up with what would be the equivalent of a phimosis. This procedure is not only for me but for the sake of my partner as well. He is uncut, so I’m familiar with how things are ‘supposed’ to work. I’m also aware that I should not have unrealistic expectations. If we go with the string, will I need to abstain from any kind erection for those 4 weeks? Is that the same for any other procedure? There is no problem with that, I only need to know what I should expect. The second question I have is about timing. Should I go ahead with some sort of procedure, when is your schedule open to do it, and what is the recovery time? I live in Dallas so I will need to make a special plan to go to Miami. I have friends in Miami, Key West, Orlando and Tampa, so accommodation should not a problem. But I have a job and will need to request time off well in advance. Thank you again for working with me on this. I have waiting a long time (over 3 years) to get to this point. I’m so grateful to have a Dr. that is not freaked out my such questions and requests.  Dante________________________________________ From: Harold M. Reed, M.D. [ Subject: Re: Finishing touch of foreskin restoration April 2, 2010 Good morning Dante, The first article mentions very briefly purse string suture, but does not disclose, whether it is permanent left in or removed later on, or absolvable.  The second article written by Dr. Greer, who I conferred with about 15 years ago, uses a  technique similar to ours, also described by Dr. Willard Goodwin. So, we can do the purse string if you wish. My recommendation  is to leave the suture in for a good 4 weeks if tolerated and some scarring will result around the suture and then, remove it. While I am familiar with the application of a purse string I have not had any experience for the reason you mention. Sincerely, Harold M. Reed, M.D. At 11:23 PM 3/31/2010, you wrote: >http://www.cirp.org/library/restoration/greer1/

April 2, 2010

Good afternoon Shannon,

Perhaps you mean a “no scalpel vasectomy”.  Yes, we can do that.  Please consider that a “non-scalpel” vasectomy is a promotional term, in that local anesthesia is applied with a small needle and is used to wet and soften the skin as well.  Then a pointed scissors with a spreading technique is used to “poke a hole” or tear the tissue down to the vas.  So, something sharp is used after all.

Our fee is 250 for consultation 500 for the procedure.

Sincerely,

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

At 05:41 PM 4/2/2010, you wrote:

im not looking to get circumsized im want a vasectomomy and theirs a no needle procedure that i heard of that i was inquiring more info about.

On Fri, Apr 2, 2010 at 8:25 AM, Harold M. Reed, M.D. <admin@srsmiami.com> wrote:

April 2, 2010

Good morning Shannon,

Thank you for your interest in what we do.  Don’t rightly understand your

question about needles.  Even sutures have needles on the

end.  We can numb the skin so you don’t feel them.

We have performed over 5500 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 3 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,

and next week a father and 3 sons!

This is your 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,

With kindest regards,

Harold M. Reed, M.D.

305-865-2000