penisdoctor.com

July 31, 2011

Dr. Reed,

I am interested in adult circumcision. I am having a lot of problems and was wondering if this was something covered by my insurance (aetna). I was also wondering if age was a factor ( i am 49) and if i have a physically demanding job how long will i have to wait before going back to work?   Felipe

Good morning Felipe,

Thank you for your interest in what we do. Your penis is one of the most important cosmetic and functional features of your body. Fortunately
we are both in Miami-Dade. Our office is next to the Bal Harbour Shoppes.

We are not a contracted Aetna provider, but will fill out your insurance form for maximal reimbursement to you as an “out of network” physician.
Please confer with an Aetna representative to be sure these benefits are working in your favor.

I would certainly propose a good week to be on convalescence. Ideally try to include 2 weekends in your time-off. If all is well, you could return
to work sooner.

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

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 21, 2011

Are there any ways to check and see if I have phimosis?   Adam

Good morning Adam,

Hopefully you do not have phimosis.  But this in itself is usually not a serious condition and treatment can vary from medical to circumcision.

Phimosis is when you cannot easily retract your foreskin over the head of your penis.  Relative phimosis is when erect you cannot have enough pliability to retract the foreskin over the head of your penis. 

If you have associated symptoms such as micro-tears, and recurrent inflammations or infections, of course see a urologist.

If you are having problems with daily hygiene, this also may be an indication of phimosis.

Sincerely,

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

Hello Dr. Reed I am condsidering a circumsion at the age of 19. Will it change the look of my penis from a size point of view. And since I live in the Bay Area in California I was wondering if you could recomend someone for the surgery since I dont think I can make it to Florida. Id really appreciate your input. Thankyou   Aubrey

Thanks for your E-mail inquiry and visiting our web-site http://penisdoctor.com/circumcision.htm.

A circumcision is perhaps the highest cosmetic calling given to a urologist.

There is no scientific reason to believe a properly performed circumcision on an otherwise healthy lad will have any change in the size of your penis. However very rarely we do see a case of compressesive phimosis and yes with those patients the glans seems to open up more. If a circumcision is done too tightly, it may invert your penis,  just the opposite of what you might wish.

Sorry, we do not maintain a directory of a handful of urologists who are exceedingly gifted in cosmetic circumcision.  Please look in the yellow pages under urologists as this is a commonly performed procedure.

Best wishes,

Harold M. Reed, M.D.

 I am 35 and just got circed 10 days ago. My foreskin never pulled back over the head of my penis, and sex was sometimes painful. I am still experiencing a great deal of discomfort and pain when the head of my penis is touched, even lightly touched. Is there any possibility that it will remain like this?
 Erik

Hi Erik,

I am assuming after circumcision the head of your penis is now exposed. Given that you had a phimosis, I am not surprised the head or glans is inflamed and it will take a few weeks for that to subside, may be faster than that. Ask your doctor to prescribe some numbing cream or an antibiotic ointment, sometimes a mixture of an antifungal agent and steroid, but use very sparingly as steroids can cause skin atrophy and this is not reversible.

Usually after a period of time, the glans becomes cornified and this difficulty should cease. Please provide a followup.

Wishing you well,

Harold M. Reed, M.D.

— In PROCIRCORG@yahoogroups.com, “erikdanzoff” <erikdanzoff@…> wrote:
>
>>

 Thank you Shiva for your post.

We do advise no penetrating sex for at least 6 to 8 weeks, as incisions do not regain full tensile strength until 8 weeks out. The penis is continuously challenged every night with 4 to 5 nocturnal erections. That’s enough in the beginning. If there are any unhealed areas or skin that is not completely cornified, certainly penetrating sex is not advised.

Harold M. Reed, M.D.

— In PROCIRCORG@yahoogroups.com, shiva <rudracsn@…> wrote:

June 12, 2011

Dr. Reed,

What about recovery time and discomfort for a 25 year old.

Matt

Good afternoon Matt,

You might be interested to know most of our patients are about your age.  They are mature adults who are starting to earn money and wish to attend to some personal medical care.    Your penis is one of the most important functional and cosmetic features of your body.

A typical scenario is for you to review the informed consent posted on our web-site.  Assuming you are in good medical health, schedule in, and you can see me in the office the day before if you wish, or see me with circumcision to follow on the same day.  You are always welcome to call or write with any questions or concerns beforehand.

We do recommend (highly advised) you stay at one of 2 hotels, the Baltic or Daddy O’s so I can see you the next day. Two days of bed rest is advisable.  If you do that, the discomfort is usually minimal and many patients just take Tylenol.  Our 2 layered wrap minimizes swelling and bruising.

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

Be assured we will show you every courtesy,
 
All the best,
 

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

June 11, 2011

Dear Dr. Reed,

I am interested in getting circumcised for cosmetic reasons, but there a is caveat. I fear losing sexual sensitivity, so I am interested in a type of circumcision the preserves sexual function as most as is possible. I would like to have only the outer prepuce removed and none of the inner mucosal lining and the frenelum to be preserved as well. That way, if I regret getting circumcised after some time, I can stretch my outer prepuce and have an uncircumcised penis back. It is also very important that the glans is completely exposed after the surgery even when in a flaccid state, but no more than necessary for that. Can you perform a circumcision where enough outer foreskin is removed to expose the glans even when flaccid but no more than that, and that preserves ALL the inner mucosal tissue and frenulum? I really prefer the look of the circumcised penis, but I would only get it done if I can have it that way.
 
Thank you

Phillip

Good afternoon Phillip,

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

What you are requesting is a high circumcision and yes we can do that.

Some advisories… you will have a lot more swelling after surgery and may take a few months to come down and may not 100% completely, although usually does.  Secondly, every foreskin has a preputial ring and if that skin is too tight, even though we can pull it over your distal shaft, if may act like a tourniquet and this contributes to the persistence of swelling.

Two other thoughts….  the inner skin is the portal through which sexually transmitted diseases can enter your body.  So you may wish to re-think… “less is more.”  And the ejaculatory latency time for circumcised and uncircumcised men has not been shown to be significantly different, nor have any studies that I am aware of show a high cut man to be more sensitive than a low cut man, although I realize that some individuals feel that way.

Leaving your frenulum intact, no problem.  That’s a routine request.

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

June 9, 2011

Do you know any “emergency circumcision cases?”
Ling Dow Chow M.D.

Good afternoon Dr. Ling,

I guess paraphimosis with inability to reduce could be an occasion
although many urologists might just do a dorsal slit to temporize.

Conceivably phimosis with the inability to void appreciably might be one, although I has never seen that.

A significant tear of the prepuce could be converted to a circumcision
if the patient agreed.  In our country, a patient should be able to review an informed consent and contemplate risks and side effects, etc. for at least 24 hours, to avoid the surgeon being declared “overly aggressive.”   We post our informed consents for circumcision on our web-site.
Hoping this is of help,
Harold M. Reed, M.D.

June 5, 2011

Dear Dr. Reed,

I had 28 year old male painful penis and physical examination  showed swelling penis and phimosis and balanoposthitis 2days.  I did circumcision on him, am I right?  Ling Dow Chow,  M.D.

Good afternoon Dr. Ling,

We certainly have operated on patients with low grade infection and inflammation of the skin and even preputial synechia.  If the infection is clinically significant, always best if possible to try a course of antibiotics to have the patient in best possible shape for semi-elective surgery, or just do a dorsal slit.  This is a judgment call that every urologist has to make, and without seeing your patient beforehand, I am unable to advise.

My web-site shows numerous examples of patients with phimosis, who underwent circumcision without dorsal slit.  http://penisdoctor.com/photo-circumcision.htm  Concealed smegma may smell and of course is laden with bacteria and yet the deeper tissues are not involved.

All patients following circumcision will have some degree of swelling and without seeing the patient, opening your suture line may or may not have been indicated.

Our patients (everyone) receives IM or IV gentamicin pre-operatively and is placed on a course of cephalexine or ciprofloxin for one week afterwards.  If they have phimosis, the glans once exposed is re-prepped with povidone iodine before surgery.  Our incidence of  true post-operative deep tissue infection or cellulitis is virtually nil.

Penile surgery can be a very traumatic event with great potential for bruising and we advise bed rest for a minimum of 24 hours at a nearby motel, driving distance no more than 8 minutes after having spent a few hours in our recovery room.  All are told they need to be seen the next day.

I usually make rounds at the hotel the next morning.

Hoping that is of help and supportive,

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