October 9, 2011
In regards to Penile Lengthening/Widening procedures or treatments; I would like to know, considering the fact that I am a resident of Arkansas, how many consults would be needed to schedule possible surgery. Please send me all information regarding risks,probability of success/failure rates following this procedure,as well as any other information available regarding this matter. Thank you for your time Berwind I.
Good morning Berwind,
Thank you for your interest in what we do. Dr. Whitehead is retiring and referred your inquiry to our office. My phalloplasty experience dates back to1986 and includes several thousand procedures.
Seeing patients from out of town is routine. If you are below the age of forty, in good health, have good height-weight conformation, you probably do not need medical clearance. We do need to have a consultation with me and this can be initiated over the phone. This will also include your first visit to the office (not lab work).
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. Please review our informed consents posted on the web-site and the attached.
Cordially,
Harold M. Reed, M.D.
Phalloplasty Services
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000
attached:
Many thanks for your E-mail inquiry and visiting our web-site
http://www.penisdoctor.com/enlargepenis.htm
We hope you can relate to our photo gallery of befores and afters.
Our fees are posted on our web-site.
Patients who have lengthening usually leave for home the next day. You could probably return to an office environment in 3 days.
Or consultation on Thursday, surgery on Friday. Monday, back to work.
From surgery anticipate a 3/8″ increase in length and with dedicated
use of traction, 8 hours a day in divided sessions, anticipate a 1/8″ gain each
month such that after 6 months you’ll have 3/8″ plus 6 x 1/8″ or 9/8″. We say
about an inch longer erection in 6 months. Flaccid lengths will be corresponding
longer.
Whenever you stop using traction whatever you have gained is permanently yours.
If you continue, more length gains will be accrued.
We do not do simultaneous surgery, such as any combination of length, girth of shaft, girth of glans, circumcision, or pubic liposuction.
Hardly a week goes by when some disillusioned patient done elsewhere calls us for a revision. And we told you so.
Generally speaking the penis does not appreciate simultaneous surgery with a few exceptions.
With AlloDerm, we can say quite conservatively you can anticipate a 3/4″ gain in circumference if you have not already had penile girth enhancement which is permanent as far as we know having followed patients for 8 years or so who have had AlloDerm.
Most patients will do a lot better than that. AlloDerm patients must be on strict bed rest with the exception of getting up to use the commode or eating in their room for 4 days. Surgery is the zero day, and we certainly recommend you stay at the Baltic Hotel (877 622 5842) so I can see you daily as your penis will continue to swell for several days, and your dressing will be replaced often to accommodate a larger sized penis. Mention my name for a discount.
AlloDerm is like particle board, when immersed in body fluids, it swells and swells for several days. This spreading of the collagen fibers is helpful to permit ingrowth of a capillary bed and new cells of your own making.
Whereas AlloDerm comes from a cadaver, BellaDerm comes from a live donor. There are many subtle differences which require telephone explanation. I have not seen any communicable disease emerge with either product. AlloDerm is packaged dry and swells like particle board. BellaDerm is pre-packaged in solution and what you see after surgery is more or less what you get.
Early mobilization is the great enemy of good graft take. Again plan on staying in your room, stocking up on food or sending out for food. Good Italian, Greek and Chinese restaurants abound with delivery service only a telephone call away.. I’ve have been known to go shopping for some patients at Publix. You won’t starve.
If you have AlloDerm surgery on Tuesday, you could be back in an office environment on the following Monday. If you do manual labor you may wish to wait a good week after surgery and avoid trauma to your genitals.
Most likely you will have many questions and we are available for consultation only, if that suits your purposes.
Candidates who wish to schedule surgery with our facility are required to have phone
consultation with a favorable response to questions of concern. Assuming this, you will be given the nod to send in a 50% deposit which is non-refundable.
All patents will require these blood tests: a recent CBC, platelet count, PT and PTT. This can be done at our office the day before surgery or in your home town. These tests run about $100.
If you are over 40 or are on medications, please call the office before scheduling surgery, as a letter of medical clearance may be required.
If you are a smoker, you must stop completely for 2 months before surgery (girth enhancement especially) and please never again.
Smoking causes vaso-spasm, impairs wound healing, produces excessive scarring, tissue necrosis, irritates and inflames pulmonary membranes and enhances anesthetic risk. However, most of our penile surgery is done under local anesthesia with IV sedation.
This goes also for any products containing nicotine or nicotine like agents including nicorette gum, nicotine patches, Nicotrol inhalers, and second hand smoke.
Again not for 8 weeks before and not for 8 weeks afterwards. Hopefully never again.
Please no aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx for a week before surgery. No Vitamin E or excessive alcohol or spices for a week before surgery as this may promote bruising. Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice
a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let’s discuss it beforehand.
Boiron brand is available at Whole Foods and on the web at http://www.vitaminshoppe.com for “pennies” and we do notice a difference. You will need 2 vials.
We recommend the Baltic Hotel (advanced tourist class) in Miami Beach (877-622-5842), 7643 Harding Avenue where Cristina the owner-manager takes a special interest in our patients. Somewhat more posh is Daddy O’s Hotel (305-868-4141). In that I need to follow you there every day, we strongly advise if you have any other thoughts, please confer with us, as these Hotels are the exception to the concept that doctors don’t make house calls anymore.
We hope to have the pleasure of serving you
whenever your travel plans include the South
Florida area.
With regards,
Harold M. Reed, M.D. FICS
Phalloplasty Services
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
