SoupFan
http://girlzngirlz.mybestfreehost.com | info@girlzngirlz.mybestfreehost.com | 82.146.49.61

Intersting post. I stumbled upon your blog whilst doing a search on msn for something completely different, but I am glad I have found it and I have spent the past 30 mins reading previous posts. Keep up the good work and best of luck with your blog.

From A work list for revision of an adult cirucmcision, 2008/09/05 at 5:59 PM

Rush on circumcisions.  1 yesterday, 2 today, and one more tomorrow at 6:30 AM.  One circ consultation today of a Canadian who had silicone injected to his genitals and skin now falling down over glans.  We sure appreciate all the referrals generated by happy patients.  One case involved a very dense synechia (skin adherent against the rim of the glans (corona)) that had never seen the light of day.  What a pleasure it is to release this tissue.  The areas will be raw for about 2 weeks and slowly re-epithelialize.  Ultimately should not cause a double take and look very similar to any cosmetic adult circumcision that we do here.

Harold M. Reed, M.D.

Saw a handsome 25 year old architect with synechia or inflammatory fusion between the inner foreskin and the corona (rim) of the glans.  Whether this skin that is rolled in and “plastered” together ever has seen the  light of day is unclear.  However, the way to break op the vicious cycle of recurrent tearing and scar deposition is with a circumcision which will put some gentle tension on the skin so it no longer covers the glans, and the application of antibiotic ointment a few times a day, until the area completely re-epithelializes.  True, after separation of this area under local anesthesia, ointment only
could be the next step, but in my opinion this seldom works.

Harold M. Reed, M.D.

Thank you very much for you wonderful effort, now I sure hope that they work.
I will let you know as soon as they arrive.  Hopefully 500mg will be enough to cause me to have an erection.  Right now I am using a metal ring that I place at the base of my penis and it keeps the blood in the penis. Sometimes it is very uncomfortable, but does produce a fine erection.  Without it and one of the pills, I can produce a moderate erection with manual stimulation but as soon as I attempt to penatrate it goes limp.
Barb thinks that this last circumcision is an absolute wonder, there is only a little skin movement during intercourse and she really enjoys all of the friction of no skin sliding inside of itself.
You stated that my circumcison is generally acceptable, would you have done anything differently?  There is still always more options for improvement.
I will let you know when the Muse arrives and just how satisfied we are with the new drugs. 
Thank you again

Thank you very much for you wonderful effort, now I sure hope that they work.
I will let you know as soon as they arrive.  Hopefully 500mg will be enough to cause me to have an erection.  Right now I am using a metal ring that I place at the base of my penis and it keeps the blood in the penis. Sometimes it is very uncomfortable, but does produce a fine erection.  Without it and one of the pills, I can produce a moderate erection with manual stimulation but as soon as I attempt to penatrate it goes limp.
Barb thinks that this last circumcision is an absolute wonder, there is only a little skin movement during intercourse and she really enjoys all of the friction of no skin sliding inside of itself.
You stated that my circumcison is generally acceptable, would you have done anything differently?  There is still always more options for improvement.
I will let you know when the Muse arrives and just how satisfied we are with the new drugs.  Thank you again.  

Edward

 

Dear Edward,

The reason “generally” was used is that I did not see
a well focused photo of the underside of your penis,
and I am very reluctant to use self-laudatory comments.

Please do not feel obligated to take another photo if you are happy, as this is what really counts.

Sincerely, and have a wonderful weekend,

Harold M. Reed, M.D.

 

Hello can you recommend any good male urologist in the Miami-Dade, Florida area that do good quality circumsions?and is not to expensive. I use the Neighborhood health partnership insurance and there are so many male urologist to choose from but I want the best because I seened a female urologist who when I asked for a high and tight she said ” A CIRCUMSION IS A CIRCUMSION , THERE ARE NO TYPES” so I concluded she could give me a bad quality circumcision so I choose never to go back there again. Help me please.,  K.P.

Dear K.P.

Good morning K.P.,

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. 

Regretfully we do not maintain a directory of a handful
of urologists who are exceedingly gifted in cosmetic circumcision.

Our patients come from all over the world including
the UK, several each month, and even Kazakhstan
(from a small town Alma-Ata, 150 miles west of the Chinese
border).  One patient said something I’ll never forget…
“my penis is my calling card.”

We do several circumcisions and a few revisions
here every week, as we enjoy a reputation for
excellence and exactitude when it comes to
cosmetically performed adult circumcisions.  We
operate within tolerances of 1/32″ or about 1/2 mm.

Harold M. Reed, M.D.

 
K.P.

 

Last week, a man who had an adult circumcison a few years ago had a penile lengthening procedure and we noted puckers on the underside of the penis, like little skin ears. 

This happens when the tissue from either side is not gathered or approximated evenly and in this case was corrected just by removing the puckers down to skin level and putting in a few stitches of rapidly absorable suture material.

We like to apply Sur-Strips over this area to splint the closure, less stress and better wound healing.

Harold M. Reed

In a few days,

Hi Bob,

Please wait a good 3 months before
having any corrective surgery.  Things may
heal better than you could imagine now.

Being left with more skin than desired is
a common complaint.  That is why we have patients see the
work in progress with a hand held mirror.  The operation is
not over until the patient is completely satisfied.

Yes we can cut one blade thickness away from the existing
scar.  Not a good idea to cut down the center of a scar
as the result of leaving some scar behind is virtually
predictable.

Harold M. Reed, M.D.

Dear Dr. Reed,

I am writing to you because you are highly praised among adult circumcision advocates, a group of people I have recently become acquainted with after having an adult circumcision performed about a month ago. I didn’t know all then that I have come to know now, which is unfortunate because I went to a local doctor that was recommended and it is proving to have been a poor choice. He was comfortable hearing my concerns and overall desires regarding the result… but when it came to the procedure itself he seemed to have done his thing. He removed much more inner foreskin than I wanted, leaving me about 1/2 inch, also he seemingly removed more skin on the left side than right. He removed my frenulum but there seems to be some sag in that area now. The area is still healing, so I know that I haven’t seen the final result quite yet (the healing process has been difficult too and there is a “gap”, more like an overlap really, of skin that still bleeds a little bit, even still). What I can be certain of, even at this stage in healing, is that he did not remove enough skin (like i had asked), there is still plenty of play on the shaft.  My questions for you are: How long after this circumcision should I wait before having it redone? I am very concerned about losing more of my sensitive inner foreskin… is it possible to go over his cut line? If not, how much more would i expect to lose? I would love to hear your opinion and what you might be able to do for me.

I wish I had been more educated about my options before picking a local doctor.

Most Sincerely,
   Bob

Caucasians are known for a wide dynamic range, short flaccidity and long erections.

What this means for some is that their skin post circumcision may appear overly loose but if when erect there is lifting of the skin at the peno-pubic junction or triangulation), then the circumcision may be too tight.

If an older man is not sexualy active, we can cater more to his wish of not having skin drape over the glans.   Such was the case of an older Father who presented yesterday in black suit, and was grateful to be “clean once again.”

Hey, I am 19 and have what I am pretty sure is called a skin bridge.  It goes along the top of my penis.  It stops at the edge of the mushroom part, it doesn’t overlap.  I was just wondering the average cost of removing it, and if there is a lot of scarring.  Please get back to me as soon as possible, and thanks,  Steven

Good morning Steven,

Skin bridges are sometimes seen after bell clamp
circumcisions.  Especially if the glans is not
properly separated from the foreskin as there are typically some
adhesions, which if left unattended can form synnechia
or fusion of epithelial surfaces.  The remedy is simple.
First to undermine the bridge and severe the pedicle
at either end flush with the skin and put in some very
fine, fast absorbing sutures.  There may be the slightest
small pin point scar at either end, but with time,
this usually blends in with a very cosmetically acceptable result.

Broad bridges are a great nidus for collection of skin debris,
and of course fly contrary to good hygienic practices.

Our fees are $250 for consultation, and $250 for use of the
operating room, and $250 for minor surgery.

Trusting all this meets with your approval,

Harold M. Reed, M.D.
305-865-2000
Senior Member of the AUA