penisdoctor.com

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

May 30, 2011

Hi Dr. Reed,

Does insurance cover any part of the surgery and does size matter in pricing. Do you have a payment plan?

Romero

Good morning Romero,

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

You’ll be happy to know, your size doesn’t matter.  We have done super large before, and it’s all in a day’s work.  The fee is the same.  

Please call the office for questions about your insurance coverage.  If you are not covered, it’s cash and carry.

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 o 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 29, 2011

Had a circ last year in Baltimore. How do you explain some wrinkles I have in
my distal mucosal, or inner skin after circumcision. I thought they would go
away.

Lex

Hi Lex,

A circumcision is more than just an approximation of 2 fresh incisions. If the doctor doesn’t like what he sees or knowing how it’s going to look before he’s finished, it would not be very cosmetic to ignore that.

Underneath the loose skin of the penis are tissue septa or strands that limit the amount of stretching penile skin will undergo. On the soles of the feet, the septa are very short, somewhat looser on the palm, still looser on the back of the hand and much looser on the penis.

However, because of chronic inflammation the septa may yield just a little and so when the penile skin is on the stretch, they still are seen, creating little wrinkles.

The way we handle this is to undermine the septa and allow them skin to heal over the dartos fascia without wrinkles. If we see there is a potential for a penile scrotal web, we also free up the skin at the base of the penis on the underside, so it settles better. Please understand that this is our intention and no urologist can guarantee a perfect result, but we try to get as close as we can. We might be a little fussier, and that is why it is important to leave your dressing on for a good week, to immobilize the skin so it will heal with minimal scarring. 

For excesive wrinkled skin we may often removed a strip on the underside and close in the midline to provide a smoother look.

For this reason we prefer to have our patients watch work in progress with a hand held mirror to be sure, they are happy before the dressing is applied.

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

This rare form of balanitis was described in 1952. The aetiology is unknown but it has been postulated that the condition may represent a chronic irritant mucositis.

May 27, 2011

Is adult male circumcision safe for someone in their forties or late stage in my life? Are there any disadvantages of having an adult circumcision now verse at birth?

Colin

Good afternoon Colin,

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

Today we did 2 circumcisions… one on a physician from Massachusetts he was about 62, and the other an electrical contractor age 56.  Both did well and had easy, painless procedures.  I’ll be seeing both tomorrow, even though it’s the weekend.

The disadvantage of having circumcision done as an adult is the postoperative course is more involved.  The penis is larger and of course more vascular.  2 days of bed rest is the best guarantee you’ll have minimal discomfort and a smooth convalescence. 

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

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