Archive for the ‘adult circumcision’ Category

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 
 
 

 

 

 
 

 

 



 

“Yellow goo” after adult circumcision

Sunday, August 8th, 2010

Hi Dr. Reed,

Just wanted to let you know I made it back to MD this afternoon…there was some minor patches of blood from all the walking, no real pain, just discomfort. I put ointment on it and got the sudafed, is that suppose to stop the night erections?

I know you said not to remove the wrap for 7 days, but the underside of the head has a yellowish goo (maybe from the ointment? it looks gross) and bloodstains, can I wipe that off or should I just leave everything how it is until day 7? It’s not risking infection right?    Peter

Aug 4, 2010

Good evening Peter,

Yes the Sudafed, pseudoephedrine hydrochloride 30 mg, take 2 every 6 hours as needed especially before sleep to suppress painful erections.  If you are no longer having painful erections, please do not take Sudafed.

We surely enjoyed having you here.

Best wishes,

Harold

Aug 6, 2010

Good morning Peter,

Thank you for the update.

My bias is to leave it alone, or place some hydrogen peroxide on a wash cloth which you wrap loosely around for stained area for a few minutes and then remove and let drip dry.  Do not rub please as this skin is very fragile.  Do not overuse hydrogen peroxide as it destroys new cell growth.

What you are describing is a normal situation.  Probably a mixture of serum and coagulum.

Have a blessed Sunday,

Harold

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

Will Blue Cross/Blue Shield cover my circumcision

Saturday, July 31st, 2010

I’m considering an adult circumcision. I would like it done for both cosmetic and medical reasons. The ‘head’ commonly gets inflamed. I have a very comprehensive insurance plan with Blue Cross Blue Shield of Minnesota and am wondering if something like this would be covered. Thanks in advance.  Harvey

July 24, 2010

Good morning Harvey,

Thank you for your interest in what we do.  We do accept Blue Cross/Blue Shield, non HMO, non Blue Options.  Given the small allowance you would be done in a hospital and your stay might be 2 or 3 days longer.

With kindest regards,

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

Circumcision candidate from Canada

Saturday, July 31st, 2010

h i.dr reed iresiv your email thanks after sergery ican back to canada with 2days it pospel? thanks

Magruder

July 24, 2010

Good morning Magruder,

Yes, we would certainly recommend you stay here for 2 days.

For example, surgery on Tuesday, and return on Thursday.  We work Monday through Fridays, but if operated on Friday,  I will see you during the weekend.

How does that sound?  

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

“Suffering from phimosis”

Saturday, July 31st, 2010

Hi Doctor, D you see patients in the SF Bay area? I am a 40 year old suffering with Phimosis and considering a circ. Are there any cons of getting it done at this age? Thanks, ~Ken

July 24, 2010

Good afternoon Ken,

Thank you for your interest in what we do.  Please see examples of phimotic patients on our web-site.   Regretfully our only office is in greater Miami.  We see patients from all over the world who recognize their penis cosmetically, next to the nose on their face is one of the most important cosmetic areas of the male body.

With kindest regards,

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