penisdoctor.com

January 15, 2012

ide like to see if possible to have an adult circumcision procedure done on myself, i have phimosis

Sergio

January 15, 2012

Good morning Sergio,

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

Based upon what you are saying, you have phimosis and we are experts at allowing your head to see the light of day and for daily hygiene, and avoidance of chronic inflammation (balanitis/posthitis).  Also less malodor. Please see photos on our web-site of cases possibly more advanced than yours.

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

January 12, 2012

Dear Dr. Reed,

A bit of an upset within the pro-circumcision community. Your name was mentioned as the exponent of a particular opinion concerning circumcision style. I’d like to check whether you have been correctly quoted.   It’s the old high/low debate again. The opposing factions are lined up thus:   One group is saying, in effect, that all circumcisions should be in the ‘high’ style (ample retention of inner foreskin) because (a) that is more sensitive and (b) subsequent conversion to a ‘low’ style is a possibility whereas the converse (conversion low-to-high) is not.   The opposing opinion is that the ‘low’ style (minimum retention of inner foreskin) should be contemplated on a “where appropriate to the objective” basis. This second group do not express disagreement with the tenets (a) and (b) of the first group, but go on from that point to reason thus: If retention of inner foreskin enhances sensitivity, then it follows that removal of inner foreskin should reduce it. Such reduction may be beneficial especially in instances where the objective is to increase what is sometimes termed ‘latency time’. An instance would be a problem of premature ejaculation.   So:   [A] Do you ALWAYS rule out ‘low’ styles, and if so… why?

Gary

Good morning Gary,

Thank you for your interesting questions.

My position is:

1.  For most man who practice good hygiene and are monogamous, a circumcision is not a medically necessary operation.  Can 350,000 years of human evolution be all that wrong?

2.  Pre-mature ejaculation is as commonly seen in circumcised as in uncircumcised men.  This is confirmed in our practice and my training is that no studies have shown otherwise.

3.  Large studies involving perhaps 20,000 cohorts of men (Kaiser Permanente Clinic in California), circumcised versus non, show no difference in penile sensitivity as a rule.  True if a doctor cuts inappropriately deep, there can be nerve injury.  In our practice we believe “a circumcsion is about removing skin.”

4.  The problem with very low circumcsion is that the circumference near the coronal sulcus or neck” is narrower versus the main portion of the shaft and marrying 2 circle or ellipses of unequal circumference can result in puckers in the larger circle, unless a V-cut or some other remedy is employed to reduce the larger circle.

5.  Moderation is always a good idea, although we try if possible to accede to patient request.

6.  For the present, I think we can agree circumcsion will continue for some to remain an emotionally  charged subject, contexted and laden with misrepresentation and exaggeration.

7.  Yesterday did an 11 week old boy with a  huge tubular umbilical hernia (its size, the  diameter of a garden hose and stuck out about 2 inches, 5 cm.).  The mother has been told to follow this expectantly as it might recede.  He also had a pin point phimosis that barely admitted the tip of a fine malleable rounded edge probe.  Surprised that he could urinate at all.

I didn’t believe for one second the umbilical hernia will go away, nor would the phimosis.  Did an uneventful circumcsion using a Mogen clamp.

Sincerely,

Harold M. Reed, M.D.

305-865-2000

Hi Jerry,

I liked being called Uncle, by twins who were the product of a vasectomy reversal I did about 11 years ago. I get cards and photos from them every few months, see them in swim suits at competitors where their instructors tell them they need to be in the next higher age group to be better stimulated because they are too good, and seeing them at social functions at school with their proud Mom and Dad. They have been to my house several times, slept over, and photos of them chronicling their maturity are in our library. I get birthday calls from them every year.  Each one puts the other on the phone.

The first chance a doctor gets to do a reversal if properly done is his best chance. Some doctors say if there is a reappearance of sperm in the ejaculate, they have done well, but it is more than that. To produce naturally without costly artificial insemination, the count has to be sufficiently high and there has to be lots of active swimmers (the best indication the sperm are capable).  Circumcisions can go easy and they can result in untoward swelling and bruising.  I just don’t want any associated problems that might cause lots of patient activity, excessive visits etc. to interfere with a very delicate microscopic procedure.

This patient as I understand had a vasectomy 4 years ago, he is in next to the highest favored “age” related group for success. Why dowse his chances to have a great result. I have had numerous patients come back and say it has worked too well, please do another vasectomy. That’s what we want to hear.

Harold M. Reed, M.D.

December 7, 2011

Dear Dr. Reed,

 i am considering circumcision, ligament release, skin release, & p.fat lipo. can you finance the balance with $1500.00 cash down ? i have been a auto salesman for 34 yrs. my credit score is 650-675. with me the priorities in order of importance concerning surgery are; 1. health 2. comfort 3. appearance  Ronald

December 7, 2011

Good afternoon Ronald

Thank you for your interest in what we do.  That is a very good credit score for these times.  You should not have any problem getting an unsecured loan from your bank.  You will need several procedures and Anne our  office manager could give you a discount contingent upon a package.

After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 250.  We’ll get started ASAP.  We’ll have a lot to talk about.

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,
 

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

PS…

We have noted 50% of our patients come in with a sponsor, could be a family member, loved one, spouse, significant other, business partner or church group.

For a line of  Medi-credit, please try

Reliance Finance Company, LLC
http://www.reliancemedicalfinance.com/
800-322-6377

or

SurgerylLoans.com
1-888-502-8020

or

Chase Health Advance, USA only
www.unicornfinancial.com

or

Medicard Finance,  Canada only.
http://www.medicard.com/

or

www.carecredit.com
automated phone application #  is (800) 365-8295

Please be advised any service fees deducted from our check (often 3 to 5%),   will be passed back to you for pre-payment.   Some firms do, and others do not.   Or anticipate the fee for surgery will in that case be somewhat higher.

November 19, 2011

 I am wondering what the rate is for satisfactory men? Can this be covered by Social Security, and is it possible to cover the head enough so that when erect it is still covered?

Salim

Good morning Salim,

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

Circumcision when medically indicated is covered by Medicare.  The rate for men in the United States is possibly 65 to 70%, but please keep in mind for most men a circumcision is not medically necessary.  Yes, I can leave you with enough skin to cover a portion of your head.

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

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

November 19, 2011

Hello Dr. Reed.

I was reading some of the information on your website concerning Adult Circumcision and noted that you suggest a course of antibiotics during the post-op period. [Keflex 250 mg. #28, 1 tablet 4 times a day for the next 7 days]. Is the suggestion of these antibiotics absolutely necessary? The reason why I ask is that I was prescribed a course of antibiotics for another condition a number of years ago and, as a result, contracted c.difficile. Although the c.difficile is no longer present, I am under the belief that I am now at a higher risk of it returning should I take another course of antibiotics.

Thank you.

Raymond

November 19, 2011

Good morning Raymond,

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

While we routinely employ an injection of gentamicin before the procedure as prophylaxis, as this is urological surgery and colonization of skin bacteria is common even if not clinically apparent and the Keflex you mention
for non-allergic patients, surely there are purists (in the medical profession) out there who would say antibiotics are not necessary routinely and confer the possibility of promoting an overgrowth of resistant organisms or even
desensitization of the human race to antibiotics now available when the cause could be justified ion another instance.

So in short, we can do you without antibiotics.  I have not seen a deep penile infection in any circumcision case we have performed.  Occasionally there is wound separation, but the inciting event was not an infection, rather a small collection of blood under the skin or a strong erection.

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

November 17, 2011

I have a physically demanding job that requires me to walk a lot and often hike long trails. I was wondering how much time I would need off of work after circumcision?

Donald

November 17, 2011

Good morning Donald,

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

Following cir., your best friends are 2 or 3 days of bed rest, pseudoephedrine hydrochloride to reduce nocturnal erections, and a supportive but not overly tight dressing as well as a doctor who will see you at a local hotel (Baltic or Daddy O’s) until stable.  Patients respond variably.  Most likely you could resume strenuous walking in about a week.  Doing it sooner might incur some healing problems.  Once you are on the healing trail (ha) you’ll know best how much you can push it in terms of advancing your convalescent activities.

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

November 5, 2011

I have always wanted a circumcision because I have always felt different, self conscious around other men in the locker room etc. Lasting a little more then 5 seconds would be wonderful..I have read the research that this is no guarantee that I will eliminate PE (premature ejaculation) completely but to me it has to improve as anything is better then what happens now and has happened for years. I have seen the pictures and are thinking of a middle circumcision with no pigment discoloration. How do I go about scheduling a time this December?   Jimmy

Good morning Jimmy,

Thank you for your interest in what we do.  Your penis is one of the most important functional and cosmetic features of your body.  When you initiate a consultation, we’ll discuss a medication which helps to retard ejaculation.  Circumcision should not effect ejaculatory latency time, one way or the other.

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

Dr. Reed and Anne,   i cannot express how fortunate i consider myself for making you my choice when i decided to become circumcised.      Let me first say that i have lived 46 years ashamed and embarrassed because i felt different. I avoided relationships and abandoned a childhood dream of joining the military as i feared being nude in front of others. even after having the money for the procedure i was still reluctant because i was even ashamed of having to disrobe for medical professionals.                                                             After searching the internet for a local urologist/ surgeon i decided to call your office because of how informative your website was.           I first spoke with Anne,  who by the way was the first woman i have  ever  felt comfortable being nude in front of, a testament to her absolute professionalism. while prepping me for the procedure we talked as though we were in line at the supermarket.  For any one reading this and considering this procedure, i can tell you that there was zero ( ZERO ) pain involved at all, not even from the first injection to numb the area. Dr.Reed asked me continuously how i was doing, making sure i felt no pain. Even with sutures i was amazed by the transformation and how it good it looked after he was done.                                                                                                          What impressed my the most about Dr. Reed was when i  called telling him that i had managed to tear all of the  sutures on the bottom and now had a large scar. Most businesses as most of us know would rather not hear from you again after receiving payment, unless that is  there is more money to be made. The torn sutures was my doing, but Dr.Reed repaired it, made me feel as welcome as when we first met and the cost to repair the damage i had done probably would not cover the amount  of electricity it took do do it, truly some one who cares about his patients. THANK YOU Dr.Reed and Anne for giving me confidence that i have never before experienced and making me feel complete. please allow this letter to be read by all.                                                                                                  very sincerely ,   V.W.

August 9, 2011

Just tell me if it has to be 130/80 to be operated on or not. I want to know everything, before I attempt to make arraingements or fly  to miami, anytime this year if possible. I understand there is possible bleeding, and have been researching this surgery procedure for particulars. How ever I am serious about having this done, I have had hemoglobin test, I am not diabetic. If a person weighs 300  does this play a factor, I will need to know if this will be false hopes, or not about being operated on. Is it a standard physical or is  it in depth, or very comprehensive. Again  do you do a lot of blood work. Sometimes I have white coat syndrome, sometimes I dont, I take two kinds of blood pressure, medicine to correct it  Damien

August 10, 2011

Dear Dr. Reed!!!  Thanks, I will try to acquire that, when I can.  with reference to ekg? You didn,t tell that in  beginning, It is not life or death situation, However, Phimosis, is my diagnosis, It needs to be done, All you told me before was I needed was a letter from doctor saying I am fit to udergo this kind surgery, in this setting.

Good morning Damien,

Any prudent internist, if you are being treated for hypertension or weigh 300 pounds, will need to do an EKG to clear you.  This is a called a “standard of  (good medical) care.”

Please do not take short cuts with medical safety.

Best. 

You have a friend in Bay Harbor Islands,

Harold

August 10, 2011

Dear Dr. Reed!!!  Thanks, I will try to acquire that, when I can.  with reference to ekg? You didn,t tell that in  beginning, It is not life or death situation, However, Phimosis, is my diagnosis, It needs to be done, All you told me before was I needed was a letter from doctor saying I am fit to udergo this kind surgery, in this setting.

Good afternoon Damien,

I am sure you realize I really know nothing about you and picking on bits and pieces of data such as weight without height and an occasional blood pressure, or taking things out of context
is not good medicine.

If you want more reassurance from me, I would need a letter of medical clearance saying you are fit to undergo circumcision in an outpatient free standing facility from your primary care doctor
with reference to an EKG and list of all your current medications.

I’ll bet any doctor who is going to operate on you, will ask for the same.

Best wishes,

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