penisdoctor.com

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

 I had a inflatable implant Put in in 1980. It has failed. I  am having problems. The foreskin can no longer retract and I am having a hard time keeping clean. Also no sex. Can the implant be removed or replaced? Will I need to be circumcised? I am 65. my urologist suggest removing the old implant and splitting the foreskin and no sex. Your suggestions please. I do not think he wants to fool with me.

Jordan

Good afternoon Jordan,

I would consider a circumcision first. Then wait 3 to 4 months for adequate wound healing, then only if you wish, have your  implant replaced. To have done well with a single implant  for 31 years is exceptional. You do have a claim to fame. 

Hoping the attached is helpful,

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

Once again  thanks for the reply. I will contact your office and  schedule a consultation and circumcision. Enjoy your trip to the mountains.

Respectfully, Jordan

May 19, 2011

Good afternoon Jordan,

Going out for some errands and will be back about 4 PM.
 
All you need my friend is a simple circumcision. The dorsal slit is only used as a first  stage step if you have a massive infection or some rare problem
 
Look at our web-site and see photos of how patients present and have all in one visit.
 
 
We’ll talk,.
 

 Harold Reed, M.D.

May 3, 2011

Hi Dr. Reed,

We spoke in August of last year regarding the tract marks that were left from my circumcision. Please read our emails below for a quick refresher.

I took your advice and went to see a dermatologist and explained the situation in its  full entirety. He gave me a cream called Dermovate  which is a steroid cream that I have to apply nightly. I don’t think this will help as it will not tackle the fact that the skin healed around the stitches creating tiny holes that seem to contain sebum sometimes. It seems to me that the only other way would be to excise the skin from the area.

How much would this procedure cost and how many days would I need to be in Miami for?

Also I have tiny Fordyce Spots on the shaft of my penis and would like them removed. I know they are not of any concern but for me I hate them. I have researched this tremendously and it seems the only method to tackle Fordyce Spots with a hyfrecator.   Do you do hyfrecatio treatments and if not can you recommend anyone to Hyfrecator these tiny Fordyce Spots.

These issues are affecting my sex life and as a young male who loves women, I really want them to get sorted.

Hope you guys are doing well in sunny Miami,

Kind Regards,
Dillon

Good morning Dillon,

Thank you for your update. Most likely we can do both if the Fordyce spots are not too extensive or clustered so that hyfrecation will leave a noticeable scar on the skin. As you know Fordyce spots are small sebaceous cysts unassociated with hair follicles.

Out fee for both is 1800 to include office consultation, local anesthesia, use of the operating room, and my followup care.

Plan on staying either at Daddy O’s Hotel or the Baltic as I will see you there daily for 2 post-operative days.

Please review the attached for general suggestions.

Sincerely,

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

April 23, 2011

I am terribly sorry for the delay of scheduling my appointment. I was caught up with some personal matters. In either case, I have been doing a little more research on peoples adult circumcision experiences and I have a very specific question regarding style and procedure.

Do you operate on the penis while it is erect to ensure the look is aesthetically pleasing with a full erection, or do you operate on it while it is flaccid? Is it bad practice to operate on a penis while it is erect?

My concern is that my penis is very small when flaccid (1.5 inches) but about 5.5-6inches when erect. The other cosmetic urologist I spoke to said he would not induce an erection neither before or during the procedure (indicating it was unacceptable practice) and he will estimate how much skin to remove only while flaccid with some manual traction to simulate an erection. This makes me worry too much skin will be removed without knowing how much the penis expands on an erection and as a result will cause my penis to become shorter in length.

What is your approach to this? Is operating on an erect penis truly more risky than while it is flaccid? How would we ensure that only enough skin is removed to maintain a good look when fully erect?

Thanks,
 
Pattash

Good morning Pattash,

While we do not operate on the penis when erect, we do put the penis on traction to simulate erect length.

Inducing an erection with medication leads to enhanced blood flow and may cause more bruising and blood loss.  Of course we could inject your penis with sterile saline and place a tourniquet at the base as we do for Peyronies’s patients, but this is normally not done. 

If you wish, we could induce an erection in the examination room and pre-mark your penis. Then we could reverse the erection in the operating room.  So there are many ways we can accommodate you.

More importantly is that you like the result when your penis is flaccid.  For every patient we see that is unhappy with their penis erect post circumcision by another doctor, we see 20 times as many patients unhappy with the appearance when flaccid.  For example,  loose skin rolling over the corona or rim of the glans.

That too much skin will be removed is a good hypothetical consideration, but in fact has never happened in our practice.

Have a restful weekend,

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

April 17, 2011

I would like to know what would be considered medical reasons to have adult circumcision, what are the criteria for it to be considered medical rather than cosmetic?
Does any insurance pay part of this procedure, I have Blue Cross Blue Shield.

I can be reached by phone any time during the week, thank you!

Best,

Pendor

Good afternoon Pendor,

Thank you for your interest in what we do.  While the good news is that most insurance companies do pay for circumcision and are fairly liberal,
although they would all insist on a medically valid reason, the bad news is they allow about 200 to 300 for the procedure, and this is why
some doctors tend not to exercise the degree of attention we do.

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