Archive for the ‘Augmentation phalloplasty’ Category

How far apart should girth enhancement be staged after penile lengthening

Sunday, August 7th, 2011

August 7, 2011

Dear Dr. Reed,

The operations should be staged?  from what you are saying.   I was wondering how long apart

Celio

Good morning Celio,

Do not proceed with girth enhancement until you are happy with your length result which is 65% dependant upon your use of traction for a minimum of 8 hours every 24.

Typically a wait of 6 months, could be a year and a half.

Adding girth requires longer strips.  “Get-there-itis” brings a lot of  revision patients to my office from other primary locations.

Have a restful Sunday,

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

Technique for added penile length when doing penile implant

Saturday, July 30th, 2011

July 22, 2011

Dear Dr. Reed,

I found one of your blogs on the Internet. I saw you were answering questions from some other men. I decided to write to ask a question of you regarding Penile Implants.

I have a 29 year old penile implant (AMS 3-piece unit) that needs replacing. After the original surgery I was devastated to see the loss of length and girth. Before going through a revision surgery, I have done some research and found studies with positive outcomes with men retaining most, if not all of their original length and girth. Most actually gained using the protocols.

They used VED’s and Penis Traction Therapy for several months. Then, they had the penile implants surgically placed in their penis. The result: a larger than previously possible penile implant was now able to be implanted, offering much better satisfaction from the men.

I contacted two Urologists who conducted a VED study (see attachment) that showed good outcomes in retaining length and girth prior to penile implant surgery. This included first-time implants and revisions. The VED (vacuum erection device) was effective for both groups toward improving the final surgical results. Again, a much larger penile implant was able to be implanted than otherwise would have been possible otherwise. Now for my questions:

One of the Urologists said, “yes, it would definitely help”. The other Urologist said, “It wouldn’t hurt, but due to encapsulation it probably would not be of any help”.

What is meant by Encapsulation? Does your opinion lean in one direction or the other of these two Drs.?

It’s confusing when you get differing opinions from doctors, especially those who were involved in the same study.

Thankyou,

Leonard B.

Good afternoon Leonard,

I am familiar with this concept and have been offering it to all my patients
seeking implantation for the past 9 months since I read about this in AUA News.

We may recommend a somewhat different approach but generally the principle is the same.

Additionally we also offer partial release of the suspensory ligament.

If you wish to confer further, I am available for consultation
which you can initiate over the phone. Our fee is 250.

Have a restful weekend,

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

Alford wants simultaneous surgery, “hey, that’s a no-no”

Saturday, May 21st, 2011

May 21, 2011

I think I would have to go in for a consultation. Another question let’s say I would want the lengthening procedure done, can I later decide I want the girth enhancement… Is there a price difference doing them at the same time or separately. By the way thank you for your response

Alford

Good morning Alford,

We do not do simultaneous surgery, as this is often a blueprint for disaster.  Most patients who have this done elsewhere do not get any appreciable length results, as they cannot initiate  traction within a few days after surgery.  If you have heard the expression unhappy camper, this is aptly applied to this group with “get-there-itis.”

When you have the length result you want, then have appropriately longer strips put in for girth.

Have a restful weekend,

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

Glans enhancement

Saturday, May 21st, 2011

May 20, 2011

I’ve been researching on penis enlargement surgery Im currently 20 years old, Im over overweight and working on that. I was interested to know more about the penis girth enhancement. I don’t mind my length as much as my girth. I do realize that since Im over weight my length is affected by it. I have a few questions that id love to ask you. One of my concerns is when penis is made thicker does the penis head look un even? 

Thank you,

Alford

Good afternoon Alford,

At times, yes.  However, most patients who have girth enhancement do not have glanular enhancement.

Congratulations on your taking dieting seriously. Your heart will say thank you.

Sincerely,

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

Someone in Texas that does penile enlargement?

Sunday, April 24th, 2011

April 22, 2011

i AM WANT THE PENIS ENLARGEMNET WIDTH AND GIRTH. BUT HAVE BEEN TOLD MANY DIFFERENT THINGS AS FOR AS PROCEDURES GO, BUT NO PRICES.HERE IS MY QUESTION. I AM WANTING TO GET THIS PROCEDURE DONE IS THERE ANY ONEHERE IN TEXAS THAT HAS A GOOD REPUTATION IN DOING THESE PROCEDURES, AND HOW MUCH?

Samuel

Good afternoon Samuel,

There are prices posted on our web-site. Know of no one in Texas that does this surgery.

Sincerely,

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

Putting in more sheets (of AlloDerm, BellaDerm) to make it thicker

Thursday, April 21st, 2011

April 15, 2011

Hi there i was wondering firstly the average gain in erect length i will be able to obtain with say for example a 1 inch increase in length. Seconddlt ive come across this surgical enter who claim to “put in 4-5 sheets compared to 1-3 sheets from other surgeon’s” Is this even safe and how many sheets would Dr so and so  use?

Roland

Good morning Roland,

Dr. so and so is no longer in practice.  We do not stack sheets as this is a blue print for disaster.  We use the thickest strips available, single layer.

Doctors who do stack, have a higher incidence of complications for many reasons.

However, if this is your goal, for sure someone will accede to your request.

Best wishes,

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

Had autologous fat transfer to penis with some loss, now seeks AlloDerm

Saturday, April 2nd, 2011

April 1, 2011

I’ve had the girth enhancement fat transfer done in the 90′s. I would just like a “touch up” to even out after weight loss. Can you help me with this? If so, what would the cost be?

Thanks
 Richard

Good afternoon Richard,

Thank you for your interest in what we do.  Yes, can be
done assuming some essential conditions such as available fat stores
and laxity of penile skin.  Our fee: 4000.

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.

Cordially,

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

Had augphal with others and seeks scar revision

Saturday, April 2nd, 2011

April 1, 2011

My name is Jordan and I am interested in finding out how much a reconstruction surgery would cost and if you believe the following goals could be achieved.
 
1. Removal of scar tissue at base of penis in pubic region.
 
2. Scar revision of pubic scar
 
3. Removal of small ball of tissue underneath head of penis on the lower side of the shaft.
 
I would be very interested in paying for a telephone consult, since I live in KS.
 
Thank you,
Jordan

Good morning Jordan,

Thank you for your interest in what we do.

Revising genital scars is one of our “specialties of the house.”  Please see our web-site

Called and left a message.  Having trouble distinguishing between # 1 and # 2.

If these is the same, then fee is 4000 to be done under local with IV sedation.  Includes use of the facility and any followup care we provide..

You will always have some scar at the base of the penis but it will not be as conspicuous hopefully.

Sincerely,

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

Unkind remarks in the company pool

Saturday, April 2nd, 2011

March 29, 2011

Hi my name is Holter S. I really want to do this procedure because it is so hard to deal with the ‘SHT TALKING’ or other soldiers… Some of the things they say is not good at all even though I can die just like they can…. Iam just wondering if their is a discount for soldiers? I hope to get a response back from u email is the best way to contact me I’ll be home from AFGHANISTAN in a couple of months and dependin on how much money i have will decide if I can do it or not…. Thank You for your help…. Holter

Good afternoon Holter,

You find people who make unkind remarks are probably telling more
about their lack of good role models than anything else. Chances
are you are within normal limits. Some men are tall and some short,
but still most of these are normal.

Thank you for your interest in what we do.

After reading the attached, if you believe I am the doctor
for you, before discussing discounts 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 keep safe in Afghanistan and thank you for your service
to our country. Play it cool in the company pool.

Cordially,

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

retired Army Capt, MC 2/10 Cav

One more question about elevation of erection

Saturday, March 26th, 2011

Sorry I forgot to include this in the email I just sent. With the lengthening procedure, is there a loss of erection angle where the erect penis will point down? How severe and how often does this occur?  Geoff

Hi Geoff again,

We have not seen this although conceivably this could occur.  For sure while the elevation  angle is essentially uncharged, the ease of downward deflection with pressure is increased.  Perhaps this could be said humorously, if before surgery you can hang two wet towels on your erect penis without any deviation whatsoever, after surgery, it’s one wet towel.

Think of holding a pencil in your hand with all fingers wrapped around it and slowly working from your index finger to your 4th finger, release one finger at a time.


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