Archive for the ‘adult circumcision revision’ Category

Penile enhancement

Sunday, September 5th, 2010

I would like to know a little more about  the girth enhancement  tech you do i have read some of whats on your web site  and mynewsize.com i have tryed to enhance my girth for year`s trying all sort`s of stuff nothing has so far worked pills, rubs ,ointments, everything but surgery i like what i have seen on here  and of all the was it can be done which do you think is best  and the one you would have done if you was going to do it yourself?also  would it be better to get that done at the same time as a revision  and could you maybe give me a price on that please sir . can you help me Dr Reed    or do you know of someone in australia?       i look forward to hearing from you thank you   Dr Reed  i have attached a few  photo`s    yours truely   Lionel

September 5, 2010

Good morning again Lionel,

Checked out MyNewSize (very well done web-site) and/but  learned this:

http://spotlight.vitals.com/2010/05/dr-mark-knight-may-lose-medical-license-for-sexual-misconduct/

May 5th, 2010

Dr. may Lose Medical License for Sexual Misconduct
As Reported by The Associated Press:

The California Medical Board has accused an Orange County plastic surgeon of sexual misconduct, including having sex with a patient in the examination room.

Dr. K  faces having his license revoked for two instances cited in the board?s accusation.

According to the documents, in 2009 Knight had sex with a patient while her husband and children waited in the parking lot. When the patient?s husband brought the children inside to use the bathroom, he heard moans from the examination room. There, he discovered his wife having sex with Dr. K.

K, 41, declined to comment Tuesday to the Orange County Register

That being said, pills and creams do not work (thus far).  Traction does for length only, when used under the guidance of a knowledgeable urologist.   I would propose you have your circumcision revised first, as traction which of necessity needs to applied after penile lengthening will rip your suture lines apart.  Also the penis does not appreciate too much simultaneous surgery.

Any verifiable news reports, corrections  or followups would be appreciated

Have fun,

Harold M. Reed, M.D.

 

Was my circumcision done by a trainee?

Sunday, September 5th, 2010

Hi Dr Reed i have been looking at some of the excellent work you do there ,and what i have seen has made me want to come to you ,if you can help me that is ? i am a 37 year old from australia I had a circumcision about 2 month`s  ago, the doctor that did it is ment to have 30 year`s exp of doing it under his belt , so i thought that i would be in good hand`s , the day after the surgery i was looking at the job he did ,as i was i noticed how everything looked uneven , 3
weeks later i went back to see the doctor as the swelling on one side had not gone down he said it looks fine and that the skin would shrink back down ,and i was worryed about the way it was healing with the skin bulging over on each side he did`nt put a pressure bandidge on it which a friend of myn found strange , and that it looks almost like the top of a castel as i think they used a thick grade stitches .On the left side of the shaft from the head to the scar line it is
12 mm and on the right is 32 mm from head to scar line and thats how it was when i first looked at it and thats how it stayed and the scar is not at all straight far from it,it has heald up looking ugly.  On the left side of the shaft
the skin did`nt fuse correctly and it overlap`s and it also overlap`s on the right  ,i was informed it took 15 minutes for the surgery and then they must have stapled me up ,sure look`s like it i think a trainee did it myself the 3 blind
mice, do you think there is a way i can make them pay for it to be fixed ? I would like to know a little more about the girth enhancement tech you do i have read some of whats on your web site and mynewsize.com i have tryed to enhance my girth for year`s trying all sort`s of stuff nothing has so far worked pills, rubs ,ointments, everything but surgery i like what i have seen on here and of all the was it can be done which do you think is best and the one you
would have done if you was going to do it yourself?also would it be better to get that done at the same time as a revision and could you maybe give me a price on that please sir . can you help me Dr Reed or do you know of someone
in australia? i look forward to hearing from you thank you Dr Reed i have attached a few photo`s yours truely

Lionel

September 9, 2010

Good morning Lionel,

Please read the letter we send to prospective patients and a personal comment will follow…

Thank you for your interest in what we do. Yes, we do men in your age group every week.

We have performed over 6000 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) or Daddy’s O’s (more posh) and I will see you there daily.

You could return to an office environment in about 4 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! 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,

Sincerely,

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

OK Lionel, here’s my take and I have a professional responsibility not to be
castigating..

Could have been a lot better. Aside from every critique you mention, of which I would agree, widely placed sutures lead to a lot of puckering which is evident on some of your photos.

Circumcisions are traditionally not well paid for at least in the United States, because conventional wisdom (wrong) is a urologist could run through this procedure in 15 minutes.

When I was a resident, I saw a urologist ask a nurse in the operating room with a prominent clock on the wall…”What time is it.” and the nurse said with some askance “Why doctor it is 8:15.”. Fifteen minutes later he completed the circumcision and the urologist said again, “nurse, what time is it, and she dutifully looked at the clock and complied, “why doctor it is 8:30.” He then said, “Do you mean I just did a circumcision in 15 minutes?” When I look down at the poor patient I thought to myself, it looked like it had been done in 15 minutes.

Lionel, in our practice it takes about 55 minutes. Penile skin does not come cheap.

The unevenness may resolve only somewhat as the swelling subsides, but I would be hard pressed to say this will self-correct. Also there is an area where the penile skin is inverted.

Suggestion, wait a good 3 to 4 months after your circumcision for everything to heal as well as it is going to. If continued improvement is slowly noted, wait even longer, then most likely you will come to revision. We do not maintain a directory of a handful of urologists in Australia who are cosmetically minded (there must be some).  Or see me. In fact we see Australians here quite regularly,

Lastly, I would like permission to post some of your photos on our web-site without mention of your name.

Every best wish,

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

Residual underside edema status post circumcision eventually clears

Friday, September 3rd, 2010

good morning dr reed . i underwent a circumcision procedure under your care in sept 2007. subsequently i had to come back and have a revision to tighten up some sutures on the underside of the shaft. during my first procedure i also had a partial rhinoplasty done by a friend of yours dr ary krau. after the first circumcision  procedure i had quite a lot of swelling which subsided quite slowly. after the revision the swelling was even worse and i sent you photos and you explained that my lymphatic drainage was being compromised and further surgery could alleviate to problem but would be completely elective. i was unpleased with your response and suggested that i wouldnt trust you to perform another surgery on me. however in the past year i went to see a specialist ENT surgeon who informed me that i had a badly deviated nasal septum to the right side and as the previous rhinoplasty  only involved the external nasal bones i believe my ability to heal was being impaired considerably. hypertension being the main issue. so i would like to apologise to you for suggesting that my post operative swelling and lymphatic drainage were because of your dereliction. i no longer have any issues with swelling of the shaft and im very pleased with the final result. thanks for the great job and dedication. best of luck . c. fitzpatrick

August 29, 2010
 
Good morning C.,

Thank you for your followup letter.

Tincture of time often helps a lot with wound healing if the tissues were properly brought together in the first place.

Nature seems to understand what was intended and expected of it, and eventually (usually) complies.

Have a blessed Sunday,

Harold

Recurrent micro-tears, an indication for adult circumcision

Friday, September 3rd, 2010

 I am a 39 year old, never circumcised. I want to get a procedure done, as I am experiencing frequent micro-tears on the skin after the sexual activity and some pain, also possible erectal/sensitivity issues. My girlfriend is suggesting I should get it done. What do I need to get prior to the procedure, do I need a referral from my regular doctor? Also, do you know if my insurance (blue cross blue shield) will cover this procedure, as I need it done for medical, not cosmetic reasons? Any advice will be appreciated, Thank you!    Vladimir

September 3, 2010

Good morning Vladimir,

Thank you for your interest in what we do. Please call Anne at the office who will verify your Blue Cross/Blue Shield policy.

Recurrent micro-tears is usually a reason to proceed with circumcision.  We have recently posted some excellent phiotos of this condition on our web0-site http://penisdoctor.com/photo-circumcision.htm  Please look at examples 6/1-2 and 7/1-2.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

Sincerely,

Harold M. Reed, M.D.

contact: Email

Partial circumcision (“cigar clipping”)

Sunday, August 8th, 2010

I was wondering if it were possible for you to perform a partil circumcision. I am happy with my foreskin, have no problems with it, etc. It is just a bit too long for my taste and I would liek to have it maybe 1/2 an inch shorter. I have read online that this surgery is called a partial circumcision or a minimal circumcision. Have you done this procedure before? How exactly would it happen? I would like to have minimal visible scarring and keep the retracting nature of the foreskin intact. Would this be a sleeve resection method? Would the frenulum be removed? Thanks, I appreciate your response.   Daryl

Hello,

Yes the outcome in that figure is how I want my penis to end up. I have heard that partial circs often result in scar tissues causing phimosis, is this true?

July 22, 2010

Good afternoon Daryl,

A partial circ will certainly result in a lot more swelling
and may make it impossible for you to retract your foreskin for several
weeks for daily hygiene.  You will need to use a Q-tip with warm
water and very dilute soap.

Phimosis would most likely persist if the patient had that to begin
with and the doctor did not remove enough scar tissue.

We are very careful about that.

With kindest regards,

Harold M. Reed, M.D.

Would the frenulum need to be removed in a partial circ? Also, I’ve never had problems with phimosis, just a long foreskin, so i’m assuming that phimosis would not happen after a partial circ. What about scarring? is it on the inner or outer foreskin? Are most people happy withtheir partial circ procedures?

August 6, 2010

Good afternoon Daryl,

The frenulum does not have to be removed.

The incision line can wind up at the end or further inside
or outside.

Please initiate a consultation with our office by sending us
a check for 250 when there is further interest.

Sincerely,

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

Preputial bridges, followup questions

Sunday, August 8th, 2010

Thank you sir.  When you get the chance, could you kindly answer the questions in my email which are concerning to me?.and I will be sure to 4leave you alone until I?m ready to contact you for consult.  Thanks very much for taking your time to provide me some information.  Have a great day!  Thanks Dr. Reed!!
 
Benson
 

July 21, 2010

Good afternoon Benson,

Taking your thoughtful questions in the order posed…

Seriously, I’ve wondered if it ever restricted the size when erect?.since the skin gets so tight??.of course only you would know this answer. ??

Probably yes, as men who have phimosis report that their glans gets bigger especially when erect.

I wonder if the ?Corona? is still intact and with proper ?form? being enclosed all these years. ?? 

Again based on our experience with bridges and phimosis I would think yes.  There may be some adhesions which will have to re-epithelialize over.   There are no iron clad assurances in medicine.

So you don’t see any issues with this repair?

No sir, I do not aside from the usual advisories for any incision.

Truly you are fostering a premalignant (that’s saying it kindly) situation, could even be exuding carcinogens during sexual relations.  I know you would not get on board a plane even if there was a 2%
chance of a serious mechanical malfunction.  Why take a chance with your glans?

Sincerely,

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

Preputial bridges covering corona yearning to breath free

Sunday, August 8th, 2010

At 08:18 PM 7/12/2010, you wrote:
Hey Doc ?  how about extensive

glanular-preputial skin bridges left over from a botched circumcision as an infant? Is this something you can correct?
I would not want to proceed unless I would be happy with the end result. I certainly would not want to do it if it left my penis looking abnormal.  What do you think??
I’m a 41 year old male looking to have circumcision revision surgery. (Since i’m about to get a Vasectomy, though i’d finally address this issue) The origial circumcision as an infant left me with skin that covers the corona and adhered to the head of my penis. There are 2 openings and another small pin size opening that i think happened because of a tear.  When the shaft of my penis is pulled downward it pulls the head down with it.  Can this be corrected and what who is the ‘best’ doctor in the Philadelphia, PA area you would recommend??  Thank you.    Benson H.

June 13, 2010

Good afternoon Benson,

Thank you for your interest in what we do.  Sorry, we do not maintain a directory of handful of urologists who are exceedingly gifted in cosmetic circumcision.

We do preputial bridges almost monthly here at the office.

There may be a slight pigment change at the base of each bridge pedicle, but usually not noticeable to a casual observer.   As a rule these areas are very thin, so this works to your advantage.

Yes, I am confident we can address your concerns and do an excellent cosmetic job.

I have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years! 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,
 
All the best, and take good care of little Benson

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

 

July 17, 2010

Sure Benson , send photos.

The head of the penis is no stranger to malignant transformation and have such a patient now who had a partial penile amputation and a course of radiotherapy, going from 8 inches (he says) to about 3 measured at office.

If your bridges are covering desquamated skin, simple body dirt, smegma, you name it, best for that area to get a good washing on a daily basis.

More important than cosmesis (and we fuss over that) is hygiene.

Awaiting your photos,

Harold

 

July 21, 2010

Good afternoon Benson,

Thank you for taking time to send to photos.

What I am seeing is a corona (rim) that yearns to breath free.  I do not envision any problems with releasing what nature has given you and needs to be exteriorized.

Suggestion, let us do your vasectomy at the same.  Vasectomy fee is 500; if done as “an add-on” 400.

So far, how’s our driving?

Sincerely,

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


At 01:40 PM 7/17/2010, you wrote:

Doctor Reed
 
Thanks for your response.  I had recently sent photos to another Urologist who specializes in the same work you do.  From my research, there were only 2 doctors that I  found that appear to be experts and specialize in this type of procedure.  You and him.  He stated, my skin bridges were some of the most extensive he?d ever seen?.and it seems he?s seen a lot over the course of his career as well.  My skin bridges are consistent all the way around the head of my penis except for 2 small holes on the left and front side.  I?d say 98% of the corona is covered since the skin adhered over top the corona on the actual head.  So when the shaft of my penis is pulled down or towards my body?.it also pulls the head down too!
 
I?m very interested and am glad to hear that you do these monthly as you?ve stated.  I?m just a little ?wary? since the other professional thought that the head might be a little disfigured after the procedure and concluded that if I wasn?t presently in any discomfort or pain ?it?d be better to leave it alone.  Based on this information, do you still think you could make it right?
 
If you want, I could send you photos to give you an idea of what I?m talking about.  Please let me know.  I do thank you for your time and attention Doc.
 
Benson 
 
 

 

 

 
 

 

 



 

Adult circumcision, will I lose my sex drive and sensation?

Sunday, August 1st, 2010

Hello I’m interested in getting circumcised I have no problems sometimes I do get burning .. but if I do what are the risks? Will I have loss in sex drive? I heard that you will have loss in sensation.. can you please tell me a few things about it I’m really interested im 31 male thanks hope to hear from you
HEAR: online   Donald

July 31, 2010

Good morning Donald,

Thank you for your interest in what we do.  Your questions are entirely normal.  but can only respond “if done by an expert”…

Large studies involving cohorts of 20,000 men who had circumcision and those who did not (Kaiser Permanente Clinic) have shown no difference in sensation on average.  We see premature ejaculation (a sign of heightened sexual excitement) in circumcised as well as uncircumcised men.

Sex drive relates usually to testosterone levels and if you are a youngster, you will be putting in your regards for decades on a regular basis.  It is no secret most women (certainly a majority) prefer circumcised men (“cleaner”). 

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

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

Circumcision, will it be painful?

Saturday, July 31st, 2010

I’m 27 years old and seriously considering this procedure of circumcision. I just need to know if the procedure is painful & if my insurance will cover it. Thank you Everett

July 25, 2010

Good afternoon Everett,

Thank you for your interest in what we do.  Next to the nose on your face, your penis is one of the most important cosmetic features of your body.

We are contracted providers for Medicare and Blue Cross/Blue Shield (non Blue Options/non HMO) only.  If your insurance policy does not include us in the network of your providers, we will fill out your form for maximal reimbursement to you.  Please confer with your carrier beforehand.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  I can tell you ourright, you will not have any pain during the procedure, and discomfort aftrewards is variable, but for most usually controlled with a few Tylenols.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) on bed rest 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.

Be assured we will show you every courtesy,

With kindest regards,

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

“had loose circumcision with uneven scar line”

Saturday, July 31st, 2010

hello my request is about a circumcision revision im currently 25 i chose to get circumcised when i was 23 just about to turn 24 im very please with my choice how ever my girl friend and i are very unpleased with the outcome of the procedures looks i have a relatively loose circumcision and the scar line came out very uneven with lots of skin tags and scar bumbs i was curious if it was possible to correct these flaws as well as creating the aesthetic look i was hoping for when erect and flacid if there is any information or help you can provide it would e greatly appreciated thank you
HEAR: from yahoo groups  Robert

July 25, 2010

Good morning Robert,

Thank you for your interest in what we do.  What you described is quite common but did not have to be.  A circumcision should be the highest cosmetic calling of a urologist.

We have performed over 6000 cosmetic circumcisions in the past 35 years and quite a few revisions as well, usually doing several cases every week.

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