penisdoctor.com

January 23, 2012

Dear Dr. Reed,

Thanks a lot for your responses. Unfortunately from the form below in your email I saw that my original email got cut off for some reason, probably a length limit on your Web form. I had been traveling over Christmas and didn’t have the text of my original email, thus the delay in my response. Plus, it’s ski season…

Let me send the questions that got cut off again and also add some questions for clarification. I know that I’m probably imposing a greater request on your time with these questions than most prospective patients would and very much appreciate your patience–but then again, there is frustratingly little in the literature about the safety of the procedure, and you have done it often enough so as to have statistically significant answers. I’m fairly committed to doing the procedure, but I feel it’d be rather irresponsible to enter into elective surgery without some quantitative grasp on the risks and outcomes.

What percentage (I understand you don’t necessarily collect this systematically–what interests me is the rough size of the number) express dissatisfaction about outcomes? What are the most common complaints?

What percentage comes back for corrections?

How often did you experience adverse events? List the most common and the most serious ones and the final outcomes with their respective frequencies (a rough estimate is fine–the question is not 5 or 6 patients but 5 or 50).

Have you ever had claims for damages, been involved in litigation or arbitration, paid a settlement, been subject to regulatory review, or been subject to criminal proceedings relating to your work? If so, what was the reason and what was the outcome?

In terms of arranging the surgery with the least time off work, what would be the best way to arrange it around a weekend?  A holiday weekend, perhaps?

What downtime should I expect for active sports like skiing, horseback riding, etc.?

Thanks a lot!

 Owen

January 23, 2012

Good morning Owen,

Thank you for your second battery of questions.

After your careful reflection if you wish additional information, be assured I am available for consultation.

Safety / outcomes

What percentage (I understand you don’t necessarily collect this systematically– what interests me is the rough size of the number) express dissatisfaction about outcomes?
What are the most common complaints?

While questionnaires have not been sent out to patients and some may harbor some thoughts that are not shared unless solicited, I can say most are satisfied with the outcome.  Our most common complication is wound separation
which usually reconstitutes and this could be secondary to a rip roaring erection or the patient that refuses to stay at a very nearby hotel but insists driving home even for 30 minutes.

What percentage comes back for corrections?

All our local patients come back and are followed of course.  Nature and normal wound healing takes care of minor healing problems.  The underside is more predisposed to swelling because the skin is looser.  About 10% of our patients will have some revision performed.  You can rightly assume all of our patients are very fussy and are looking
for a near-perfect result, not a journeyman circumcision. 

How often did you experience adverse events? List the most common and the most serious ones and the final outcomes with their respective frequencies (a rough estimate is fine–the question is not 5 or 6 patients but 5 or 50).

One could say if a patient requires a revision or touch up, maybe they wanted the circumcision tighter, or one area healed with a hypertrophic scar, they the incidence could be 10%

Have you ever had claims for damages, been involved in litigation or arbitration, paid a settlement, been subject to regulatory review, or been subject to criminal proceedings  relating to your work? If so, what was the reason and what was the outcome?

Florida operates under the government-in-the-sunshine law.  Physician profiling disclosed about me can be found on http://ww2.doh.state.fl.us/irm00profiling/searchform.asp

Practical

In terms of arranging the surgery with the least time off work, what would be the best way to arrange it around a weekend? 
A holiday weekend, perhaps?

Possible.  Please call Anne our amiable office manager, regarding scheduling.

What downtime should I expect for active sports like skiing, horseback riding, etc.?

In that incisions do not regain full tensile strength until 8 weeks, we would advise no sports with the potential for straddle or genital injuries until then.

Sincerely,

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

November 19, 2011

Hello Dr. Reed.

I was reading some of the information on your website concerning Adult Circumcision and noted that you suggest a course of antibiotics during the post-op period. [Keflex 250 mg. #28, 1 tablet 4 times a day for the next 7 days]. Is the suggestion of these antibiotics absolutely necessary? The reason why I ask is that I was prescribed a course of antibiotics for another condition a number of years ago and, as a result, contracted c.difficile. Although the c.difficile is no longer present, I am under the belief that I am now at a higher risk of it returning should I take another course of antibiotics.

Thank you.

Raymond

November 19, 2011

Good morning Raymond,

Thank you for your interest in what we do.  Your pen.is is one of the most important cosmetic and functional features of your body.

While we routinely employ an injection of gentamicin before the procedure as prophylaxis, as this is urological surgery and colonization of skin bacteria is common even if not clinically apparent and the Keflex you mention
for non-allergic patients, surely there are purists (in the medical profession) out there who would say antibiotics are not necessary routinely and confer the possibility of promoting an overgrowth of resistant organisms or even
desensitization of the human race to antibiotics now available when the cause could be justified ion another instance.

So in short, we can do you without antibiotics.  I have not seen a deep penile infection in any circumcision case we have performed.  Occasionally there is wound separation, but the inciting event was not an infection, rather a small collection of blood under the skin or a strong erection.

We have performed over 6500 cosmetic circumcisions and revisions 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 done elsewhere 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,
 

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

Dr. Reed and Anne,   i cannot express how fortunate i consider myself for making you my choice when i decided to become circumcised.      Let me first say that i have lived 46 years ashamed and embarrassed because i felt different. I avoided relationships and abandoned a childhood dream of joining the military as i feared being nude in front of others. even after having the money for the procedure i was still reluctant because i was even ashamed of having to disrobe for medical professionals.                                                             After searching the internet for a local urologist/ surgeon i decided to call your office because of how informative your website was.           I first spoke with Anne,  who by the way was the first woman i have  ever  felt comfortable being nude in front of, a testament to her absolute professionalism. while prepping me for the procedure we talked as though we were in line at the supermarket.  For any one reading this and considering this procedure, i can tell you that there was zero ( ZERO ) pain involved at all, not even from the first injection to numb the area. Dr.Reed asked me continuously how i was doing, making sure i felt no pain. Even with sutures i was amazed by the transformation and how it good it looked after he was done.                                                                                                          What impressed my the most about Dr. Reed was when i  called telling him that i had managed to tear all of the  sutures on the bottom and now had a large scar. Most businesses as most of us know would rather not hear from you again after receiving payment, unless that is  there is more money to be made. The torn sutures was my doing, but Dr.Reed repaired it, made me feel as welcome as when we first met and the cost to repair the damage i had done probably would not cover the amount  of electricity it took do do it, truly some one who cares about his patients. THANK YOU Dr.Reed and Anne for giving me confidence that i have never before experienced and making me feel complete. please allow this letter to be read by all.                                                                                                  very sincerely ,   V.W.

July 31, 2011

Dear Dr. Reed,

 I had a circumcision about 5 months ago and it was not done neatly at all there are suture tracks, raised and sensitive spots and this 3 cm scar which looks like a incision that didn’t heal let when they put in the stitch I agreed to, I agreed to a straightening bendable stitch to be put inside of my penis to make it straight because of my downward curvature but they put it too close to the surface on top of my penis right below my head and the whole area keeps getting irritated and you can see one prong of the stitch through the skin and it looks terrible would i be able to get a revision and have the stitch inside of my shaft taken out or moved to the middle bottom of my shaft without leaving extra incision marks?
contact:     Nathan

Good morning Nathan,

Thank you for your excellent case presentation. Really sorry to hear that so many things have not worked out as you
anticipated. We would never close a penile curvature case without producing an erection in the operating room to be sure
it is straight. or meets with patient approval. Look at photographic examples of our circumcision results and see if this is more to your expectations.

The following is a letter we send to prospective concussion patients.   Might be of interest.

Thank you for your interest in what we do. Your penis is one of the most important cosmetic and functional features of your body.

We have performed over 6500 cosmetic circumcisions and revisions 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 done elsewhere 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,
 

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

June 4, 2011

Hi Dr. Reed,

Have a preputial or penile skin bridge, noted ever since birth and I believe it is high time, I got it taken care of.
Please advise.  Enclosed you’ll find a photo. 

Evan

Good afternoon Evan,

We see these ever now and again and removing them is usually easy but ideally should be done under sterile conditions in our operating room.  As with circumcision we advise bed rest for 24 hours to minimize any bruise effect.  We’ll use highly absorbable and fine sutures, but still for the best cosmetic result, they should be removed in 12 to 14 days.

You’ll be pretty.  You may wish to see a  recent example of our work on http://penisdoctor.com/photo-circumcision.htm
look for photos 18/1-3.

Harold M. Reed, M.D.

May 26, 2011

Dr. Reed,

I had a Circ on 4/12/2011, the disolving sutures disolved after a week and a half, there is a opening a 1/4 inch on top and about 1/2 in on the right side its been open for the last month, my surgeon says it will close up, but after a month of being open I dont know if it will close up. do you think it will close up?

Tom

Good afternoon Tom,

This is a letter we send to prospective patients.

Taking one consideration with another, most probably you will
heal fine.  If you wish, I will review some photos and our phone
consult fee is 250.   Recommendations will be made to speed wound healing.

Here’s the letter… (again most probably you will heal fine)

Thank you for your interest in what we do.  Your penis is one of the most
important functional and cosmetic features of your body.

We have performed over 6000 cosmetic circumcisions and revisions
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
(elsewhere) 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,
 

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

May 3, 2011

Hi Dr. Reed,

We spoke in August of last year regarding the tract marks that were left from my circumcision. Please read our emails below for a quick refresher.

I took your advice and went to see a dermatologist and explained the situation in its  full entirety. He gave me a cream called Dermovate  which is a steroid cream that I have to apply nightly. I don’t think this will help as it will not tackle the fact that the skin healed around the stitches creating tiny holes that seem to contain sebum sometimes. It seems to me that the only other way would be to excise the skin from the area.

How much would this procedure cost and how many days would I need to be in Miami for?

Also I have tiny Fordyce Spots on the shaft of my penis and would like them removed. I know they are not of any concern but for me I hate them. I have researched this tremendously and it seems the only method to tackle Fordyce Spots with a hyfrecator.   Do you do hyfrecatio treatments and if not can you recommend anyone to Hyfrecator these tiny Fordyce Spots.

These issues are affecting my sex life and as a young male who loves women, I really want them to get sorted.

Hope you guys are doing well in sunny Miami,

Kind Regards,
Dillon

Good morning Dillon,

Thank you for your update. Most likely we can do both if the Fordyce spots are not too extensive or clustered so that hyfrecation will leave a noticeable scar on the skin. As you know Fordyce spots are small sebaceous cysts unassociated with hair follicles.

Out fee for both is 1800 to include office consultation, local anesthesia, use of the operating room, and my followup care.

Plan on staying either at Daddy O’s Hotel or the Baltic as I will see you there daily for 2 post-operative days.

Please review the attached for general suggestions.

Sincerely,

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

March 31, 2011

Thank you for your speedy response.  You said Most insurance companies pay a doctor about 300 for circumcision.  I can handle 300 with no problem.  Is that the max that it would cost for the surgery alone?
You listed some reasons for having it done.  Surprisingly you mentioned a problem that I have, uncomfortable sex.

I was married for 25 years and sex was not enjoyable. My wife had passed away 6 years ago. If I re-marry, I don’t want to go through the same experience again.  Why other guys have no problem with their sex lives being uncircumcised is beyond me.  I did.  Go figure.

You didn’t reply to my transportation question. If transportation is not readily available and near by  I  can’t come.  I am legally blind and can’t drive. How far is the hotel from your clinic where I would spend the night?

Also you did not reply to my question for after the surgery, do I have to follow up with my doctor?  Yes that one doctor did laugh at me that’s why I don’t want to tell my present doctor.  I called the urologist some time ago here in Saginaw and asked if they did adult circumcision.  She said yes.  After answering my other questions I heard the receptionist laugh as she hung up.

Was she laughing at me or of something else I don’t know but due to my past experience I took it personal. Oh by the way I am 58 years old.
And one last question for now that you didn’t respond too, how much discomfort is there after the medicine wears off?

Thanks again,

Ernie

Good afternoon Ernie,

Our fee is 250 for the consultation and 1750 for circumcision .

That alone is 2000 and transportation and hotel room for 3 nights could
be another 700 more.  Is this affordable for you. 

If not, then please have you circumcision done locally.  Hate to say this
but if you are legally blind, you may not be as fussy if you have a
standard circumcision.

Mean no offense but let’s be practical and economical as well,

Harold M. Reed, M.D.

March 23, 2011

I have been battling the idea of a circumcision for a long time, my insurance is aetna choice pos.my foreskin has never exposed the head of my penis in my lifetime.i never really had issues with girls and sex, except the last 1 who complained of a bad taste.Not only was this embarrassing but it has shot my confidence to an all time low.Not being circumcised is on my mind any time I am I am with a new girl, what will she think, what will she tell her friends, what doesnt she tell me. I would like to know more about adult circumcision and would want you to provide your services to me.I dont last long in bed, i am not sure if its because of the extreme tightness of the foreskin. I live in CT and would like to know when you have available appointments, how long I will have to miss work for? my job is not that strenuous, I am an internet manager and designer for car dealerships, most of the time i sit during the work day, sometimes walk to take inventory. please help me, my sex life is in a down spiral because of
contact: Email Razook

Good morning Razook,

Thank you for your interest in what we do. Regretfully we are not Aetna providers.  They may pay you for out of network coverage. You definitely need a circumcision as your penis probably elaborates carcinogens that could be a causative agent of cervical carcinoma. What woman wants that.

We have performed over 6000 cosmetic circumcisions and revisions 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 elsewhere) 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,

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

March 19, 2011

I have been reading a lot of info on your webcite regarding adult circumsision, and I am considering your location and another one in Atlanta. Can you please tell me how much is the average procedure for a $32 years old male. Thank you.   Hope to hear from you soon. 

Ferek Tothe

Good morning Ferek,

Thank you for your interest in what we do.  We own our center outright and that may explain why our fees are somewhat less.

We have performed over 6000 cosmetic circumcisions and revisions 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 (elsewhere) 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,
 

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