April 15, 2012
Good morning Eduardo,
Thank you for your interest in what we do.  Your p.nis is one of the most important functional and cosmetic features of your body.  A diabetic in good control no problem.  What has been your glycosolated  hemoglobin A1C?
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 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 and have a blessed Sunday,

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

Good morning Flavio,

Please review the attached.  We cannot perform circumcision and penile lengthening simultaneously as you need to apply traction within
a few days after penile lengthening.  A lengthening result is 65% you  (with traction) and 35% me (partial release of the suspensory ligament).  If you apply traction too early, you’ll open your circumcision incision.

You may wish to make an appointment at the office for consultation as there is a lot of information we need to put out to you and surely many questions and concerns you will have.

Have a restful Good Friday and Easter weekend,

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

Dear Dr. Reed,

I would like to have my foreskin removed.  So, I would like to know the cost and I soon that can get back in action after surgery.

Mencedes

March 27, 2012

Good morning Mencedes,

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

You could be back in an office environments 3 days and sexually active in about 7 to 8 weeks,.

We have performed over 6500 cosmetic circumcisions and revisions in the past 35 years and usually do several cases every week.  Our fees are posted on our web-ste (consultation: 250 and circumcision to include surgery, use of the facility, local anesthesia, and any followwp care we provide: 1750).

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

Thank you for your response. I wanted to ask you something else: I am currently lifting weights and exercising regularly, after I get circumcised, for how long will I have to stop lifting weights, running, swimming, etc.?

Thanks again for your time,

Harley

February 12, 2012

Good morning Harley

Thank you for your continued interest in what we do.

You could do upper body exercises within a week.  Would not advise running or swimming for about 4 to 6 weeks, depending on wound healing.

An incision line takes 7 to 9 weeks to regain full tensile strength.

Have a restful weekend,

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

Dear Dr. Reed,

I am looking to have an adult circumsision done. I am finding it difficult to find anywhere in Canada that will do the procedure. I am willing to travel to the US and have it done privately. I am curious is it possible to do phone and email consultations and book an appointment?  James

February 11, 2012

Good morning James,

Thank you for your interest in what we do.  Your p.nis is one of the most important functional and cosmetic features of your body.  We see many patients from Canada.  Yes, we can do the phone consultation prior to your being seen here, as this is truly the best way.  Our consult fee also provides for further discussion and examination at the office gratis.

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 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

Hi Dr. Reed
Thanks for the email however  I still have some questions about the procedure. First of all, I want to know how long it takes to heal? Second of all, will I be able to work in less than a week after doing it? Finally, is it something that I can do secretly without anyone else noticing?
Marceau

February 11, 2012

Good morning Marceau,

Taking your thoughtful questions in the order posed…

How long it takes to heal?An incision takes about 7 to 8 weeks to regain full tensile strength.  Cosmetically here will be noticeable improvement ‘or a few months after your procedure.  Penetrating sexual activity is no recommended before 7 to 8 weeks.

Second of all, will I be able to work in less than a week after doing it?Yes.

Finally, is it something that I can do secretly without anyone else noticing?

Not sure what you mean, but if someone looks at your penis even 2 months after surgery, they may suspect you had recent surgery.  Usually by about 3 months, things should settle down to be what could be called a mature result.

Have a restful weekend,

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

Hi Dr Reed,

I hope this email finds you well.

I have a few more questions.

I would be flying from California, and would like to get circumcised the same day that I arrive, stay the night at a hotel, and then fly back the next morning. Would you recommend that?

What dates do you have available next week or the beginning of February? please review the pics I sent you before. I don’t think i need curvature correction unless you believe I do.

Thanks,

Albert

Good morning Albert,

Thank you for your continued interest.  Presently I am on retreat in the Carolinas.

The desirability of correction of a curvature in the range of 10 to 20% (estimated from photos) is your call. 

Some things to think about.

1.  About 5% of men have similar curvatures and live with them.

2.  If it does not bother you cosmetically or functionally or hurt your partner or provoke comment, then you could leave this alone.

3.  If this is a process in evolution (getting worse or better) we should talk about that, as surgery at this time may not be indicated for the curvature.

4.  Add-ons if you are already in  then operating room are very inexpensive (at least at our facility).  For example your circumcision is done for free, your only fee is correction of
curvature.

5.  You could always have correction of curvature later on, if you wish, but costly… so you haven’t burned any bridges.

6.  If this were my penis, yes, I would opt for simultaneous correction.  Ideally you would need to stay here for 2 days and I would see you daily.. 

Our fee for correcting curvature is 6,200 and includes: local anesthesia with or without IV sedation, use of the operating room and any followup care I provide.

Please call Anne at the office and schedule in with her.  She is also the maker of deals.

Sincerely,

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

What do you consider to be the best type of circumcision, and is there any truth about penis enlargement?

Manny

January 20, 2012

Good afternoon Manny,

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.

Yes, penile enhancement procedures do work for patients who follow the instructions. 

If you are also considering circumcision, please have that first as it will make applying traction a lot easier.

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

Dear Dr. Reed,

I’m a 35-year-old male and interested in getting circumcised, partly for aesthetic and partly for non-pressing medical reasons. Unfortunately, there’s very little
systematically collected information in circulation to make an informed decision about the procedure’s safety. Would you be able to answer some questions for me to help me decide whether this is the
right step for me? All the following questions are in regard to circumcisions and/or removal of the frenulum performed on adults or  teenagers: – What number of circumcisions did you perform in the
course of your career? How often did you remove the frenulum? – How often did you have patients expressing dissatisfaction with the outcome, and for what reasons? (and I realize in cosmetic surgery
some patients are unhappy no matter what) – How often do you experience outcomes with problems in appearance? Let’s take as problematic anything like sutures clearly visible without looking
for them and worse. – What adverse events did you experience?

Orson

Dear Orson,

Please don’t worry about mailing lists, as I would be at risk of losing my license if I divulged names of even prospective patients. Occasionally interesting questions are placed on our blog with your name of course changed and any personal data deleted.

My position is that for most men who practice good hygiene and are at very low risk for sexually communicative diseases, a circumcision is certainly not medically necessary.  80% of our patients do it as a matter of choice.  20% had chronic inflammatory problems that have not responded to conservative measures. 

Taking your thoughtful questions in the order posed…

What number of circumcisions did you perform in the
course of your career?6500.  Last week we did 4.

How often did you remove the frenulum?80% of our patients say remove it, of the 20% that say “no”,  80% of those later come back and say “doctor, now remove it.”

How often did you have patients expressing dissatisfaction with the outcome, and for what reasons? (and I realize in cosmetic surgery some patients are unhappy no matter what)Some patients may heal with defects that need to be revised such as an areas of separation perhaps secondary to a rip-roaring erection.   We take care of that gratis, usually in 3 months after complete
wound healing.  Our patients tend to be very fussy; that’s why they are coming to me.

How often do you experience outcomes with problems in appearance?We have not had patients fill out followup surveys, so from their point of view unable to comment.  Not often, fair to say.   Two reasons are:  A. we discuss the 4 options  before circumcision,  and B. you are given a hand held mirror to watch the operation in progress and comment.  Before we apply the dressing, we ask if it is the way you wanted.

Let’s take as problematic anything like sutures clearly visible without looking.You will have about 30 to 40 very small sutures visible after surgery which are rapidly absorbable.  But we recommend those be removed in 12 days to avoid cross hatch marks.

Here is letter we send to prospective patients…

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.

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

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.

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?

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?

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?

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

Thanks a lot!

Orson

January 23, 2012

Good morning Orson,

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 / outcomesWhile questionnaires have not been sent out to patients and some may harbor 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 (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?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?

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

ide like to see if possible to have an adult circumcision procedure done on myself, i have phimosis

Sergio

January 15, 2012

Good morning Sergio,

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

Based upon what you are saying, you have phimosis and we are experts at allowing your head to see the light of day and for daily hygiene, and avoidance of chronic inflammation (balanitis/posthitis).  Also less malodor. Please see photos on our web-site of cases possibly more advanced than yours.

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 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