June 29, 2010

Just curious to know if there is a difference in sensation from a low cut to a high cut , do nerves in your opinion really rechannel themselves. Take care, Antonio

Good morning Antonio,

Thank you for your interest in what we do.  Regarding high or low cut, there is no known difference in sensation leading to “mean ejaculatory latency time, MELT.”   After all is said and done MELT is the best indicator of sensation.   Yes, in the penis a lot of experience has shown that distal nerves do regenerate.  Not to worry.

When I perform a circumcision I am well above the layer of the neuro-vascular bundle.

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

With kindest regards,

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

June 29, 2010

Hi Dr. Reed,

I am interested in circumcision revision. I was circumcised at age 11, I’m now 32. Since I was old enough to know the difference, I’ve been very unhappy with how my penis looks. Based on my research, the procedure was done freehand using sutures. The incision line is uneven and I have a couple dozen suture scars around the top of the shaft just under the glans. (Kind of like railroad tracks.) Most of the suture scars are quite thick and pronounced. Many of them touch and even enter the corona. My question is: could a revision help clean up the look of my penis? I know it will never be “perfect” but I would love to lose the ragged, scarred look if possible.   Matthew

Good morning Matthew,

Thank you for your interest in what we do.   This is a letter we send to “virginal” patients.  Your situation is one we see frequently and I am confident with proper revision you’ll look a whole lot better.

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) 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

Dr. Reed, I would like your services for circumcision. Due to travel, it would be wonderful if this could be done on June 4 or June 7,8, or 9. I am 33 years old and have been previously circumcised, but very loosely so that I appear to be completely uncircumcised except for a scar far back on my penis. I would like this scar line to be part of the skin removed in the new cutting to avoid having two scars. I would like the frenulum to be totally excavated and the result to remove as much of the inner skin as possible. I want the glans to be totally exposed at all times with no skin bunching behind, but I also want to have a full erection with no discomfort.  Lenny

May 23, 2010

Good morning Lenny,

Thank you for your interest in what we do.  Eveything you request sounds reasonable and can be done.   One of those days should certainly be available.  Please call Anne to make an appointment.  If you need to speak with me directly for any reason, I can be reached at 828-891-1xxx (on retreat in the Carolinas).

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

Be assured we will show you every courtesy,

With kindest regards,

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

Hi Dr. Reed -

I am interested in the possibility of having some excess skin removed that bunches on the underside of the penis. This wouldn’t be a circumcision, as I am already circumcised, but more of a ‘penis lift’, I guess, for lack of a better term.  I’m concerned about preserving a particular area of sensitivity on the underside, however, so I’m just curious about what my options, if any, might be for something like this. 

My guess is that a consultation may be in order.  I am in New York, however, and I’m wondering how you go about scheduling consultations for out-of-towners.  Do you request photos first to get a sense of things? If you are able to determine if things can move forward, are consultations and procedures usually scheduled within close proximity, or are subsequent visits are usually made? In this case, though, I suppose it’s best to see first what can be done with my particular situation.

Thank you in advance for your time.  I look forward to hearing from you.

Regards,
Clinton

Good afternoon Clinton,

Thank you for your interest in what we do.  If you will, E-mail me several well focused photos of yourself.  Bunching of skin on the underside may relate to the fact the doctor did not do any even approximation all the way around, which could have been accomplished (usually) if he bisected his suture approach (6 o’clock followed by 12 o’clock followed by 3 and then 9 and so on.   However, we can correct this now.  You may have a longitudinal incsion on the underside, but this should heal fairly neatly.

Best wishes,

Harold M. Reed, M.D.

i cant retract my foreskin at all because my opening is so small,and i am planning on getting circumcised.will i need to do anything special prior to the operation and will that cause any complications or any difficulties during or after the procedure?

Jason

Hi Jason,

Thank you for your interest in what we do.  To answer your question, do not manipulate your foreskin or traumatize it for a few days before surgery.  Better for me to see what is actually phimotic (or contracrted) as that has to go.  Most probably you will not have a high circucmsion , could be moderate to low, but if I leave any scar tissue behind you’ll have big time swelling of ther distal shaft once that ring of scar tissue is re-sited above your head.

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) 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.   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

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

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,
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