Archive for the ‘circumcision revision’ Category

Closure of Prince Albert Piercing and Circumcision Revision requested

Sunday, November 7th, 2010

November 7, 2010

I was circumcised at about 8 years of age due to Phimosis; I am currently 49 years of age. The outcome was good and there have been no functional or comfort problems of any kind. Cosmetically however, there are a couple of minor issues that have bothered me over the years. 1. There is a vestigial amount of foreskin, perhaps a quarter of an inch in height that extends in a neat curve from the top of the penis around the left side to the frenulum. 2. There is a deep blind piercing in the frenulum from the original procedure that I must keep scrupulously clean to avoid unpleasant deposits. I would like the remnant of foreskin removing, and the frenulum removing or modifying as indicated to close the piercing. Is this something you and your staff can help me with? I am looking at the mid December time frame to undergo this procedure. Mitch

Good morning Mitch,

Thank you for your interest in what we do. Yes, we can revise your circumcision to suit and close your piercing tract with fulguration of the epithelium and delicate sutures as needed.

We have availabilities in mid-December but close on Christmas eve till after New Years.

We have performed over 6000 cosmetic circumcisions and numerous 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  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

Circumcision, done by a ? trainee

Tuesday, October 26th, 2010

Hi there again dr Reed  yes you can use my pics on your web sites of which you have a few ,its  was july 21st  that  i had this done to me  i am still  very senceative on the scar line and   it  has  gotten  no  better ,  i  am  not  sure  how long  its ment to  take  to  come  good  but  i  sure  hope  its  not  to much  longer,  its  making  life  hard for  one  it looks  ugly  as  sin  and  2  i tryed masterbating  which  turned  out  to  be  a bad  idea ,it  left  me  so sore  i  dont think  intercourse will be  to  comfee too, i wanted  to ask  is  it possible  to  get  a belladona graft  at the  same  time  as  a revision i am  very  thin down  there  it would help  me  feel  like  a  man i have  tryed  everything  accept  surgery , also  as  i come  from  australia its  costly  to  keep  flying  over  for  surgery ,is  this at all  possible   as  i have pritty much made  my  mind  up  that  i want you  to do  this  for me if  possible ,also i  was  wondering  is  there  any  chance  of  some  pic`s  of  the  before  and  after  work  you   have  done ?       thank  you  dr  Reed         Lemuel   i  wait  with  patience  for   your  response

October 25, 2010

Good afternoon Lemuel,

Thank you for your continued interest in what we do.

If the tissues are well healed enough we probably could do BellaDerm at the same time.  Your will need to stay here for a good week after surgery so I can follow you on a daily basis.

We will use your photos after we do the revision.  Thank you for that.

Sincerely,

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

Need a doctor who does circumcisions in Richfield

Tuesday, October 26th, 2010

I am looking to find a doctor who does adult circumcision in my area

Chad

October 26, 2010

Good morning Chad,

Thank you for your interest in what we do.  Sorry we not maintain a directory of a handful of urologists who are exceedingly gifted in cosmetic circumcisions.    If you wish to see a set of photos from one unhappy camper who will be needing a revision I can forward those to you.

Because circumcision is traditionally a poorly reimbursed procedure, there is often a tendency for rushing through it.  Your penis is one of the most important cosmetic features of your body.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) 877-622-5842 or somewhat more posh Daddy O’s 305-868-4141, and I will see you there daily.

You could return to an office environment in about 4 days after circumcision.  Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, 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 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,

Sincerely,

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

Not the way I wanted it, “too loose” (had circ 2 days ago) . Fix it now, I have Cigna.

Sunday, October 17th, 2010

I just had a circumcision done this past Friday and very disappointed with the final results. It was done very loose and not the way i wanted it. I wanted the frenulum completely off and tight. But I have a very lose circumcision.  I still have foreskin covering the glans of my penis with skin. I have read your previous email from the blog which says i need to wait three months for a new procedure. Is there anything possible to be done before three months? I would like to have the revising done ASAP. I feel as if my penis looked way better before i had my circumcision done. As for this circumcision my insurance (Cigna) had paid 100% of the cost ….will this be the same as for your office.How much is for a revison as well? I live her in south Florida as well. I wish i saw your site before going to have this procedure done.

Phillip

October 17, 2010

Good morning Phillip,

Thank you for your interest in what we do.  What follows is a letter we send to prospective patients.  Yes, you do need to heal as recently operated tissues are not proper for optimal wound healing.  You’d be jumping from the frying pan into the fire.  This means waiting a full three months after complete wound healing (incision closed and no oozing).

Regretfully we are not contracted Cigna providers.  You may wish to inquire about “out of network” benefits.   We will fill out your insurance form for maximal reimbursement.

We have performed over 6000 cosmetic circumcisions and numerous revisions in the past 35 years usually doing 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 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

Unhappy with circumcision in the Philippines

Sunday, October 17th, 2010

hi dr im marlon 27 yr old from philippines i have a problem about circomcision i would like to ask if possible to me to take circomcision at my age rigth now because i am very much depress on mjy help i ask my selp why im not doing this at my young age.how much the cost of this adult circomcision?do u have branch here in philippines?rigth now im trying to searching clinic here in my country. i hope u can help me doc..thank you

October 16, 2010

Good morning Marlon,

Thank you for your interest in what we do.  Regretfully our only office is in Miami.

We have performed over 6000 cosmetic circumcisions 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 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

Can a man with high blood pressure have a circumcision safely?

Sunday, September 26th, 2010
Is circumcision possible if u have HBP or it can cause complications?
Phulasizwe (from South Africa)
September 26, 2010
Good morning Phulasizwe,

If you having an elective procedure, every risk threatening
aspect of your health should be brought under good control.

Many patients have high blood pressure (HBP), and your doctor should
not let you walk around like that.

If you have a bout on unexpected hypertension before surgery perhaps
related to being overly anxious we will medicate you to keep your blood
pressure in a more normal range.  High blood pressure is not good
for your heart, brain, or kidneys, and when undergoing surgery, could
result in more bleeding and oozing after surgery.
Patients with a history of HPB and on medications to control it,
undergo surgery every day.  Not to worry.

With kindest regards,
Harold M. Reed, M.D.
305-865-2000

Was my circumcision done by a trainee?

Sunday, September 5th, 2010

Hi Dr Reed i have been looking at some of the excellent work you do there ,and what i have seen has made me want to come to you ,if you can help me that is ? i am a 37 year old from australia I had a circumcision about 2 month`s  ago, the doctor that did it is ment to have 30 year`s exp of doing it under his belt , so i thought that i would be in good hand`s , the day after the surgery i was looking at the job he did ,as i was i noticed how everything looked uneven , 3
weeks later i went back to see the doctor as the swelling on one side had not gone down he said it looks fine and that the skin would shrink back down ,and i was worryed about the way it was healing with the skin bulging over on each side he did`nt put a pressure bandidge on it which a friend of myn found strange , and that it looks almost like the top of a castel as i think they used a thick grade stitches .On the left side of the shaft from the head to the scar line it is
12 mm and on the right is 32 mm from head to scar line and thats how it was when i first looked at it and thats how it stayed and the scar is not at all straight far from it,it has heald up looking ugly.  On the left side of the shaft
the skin did`nt fuse correctly and it overlap`s and it also overlap`s on the right  ,i was informed it took 15 minutes for the surgery and then they must have stapled me up ,sure look`s like it i think a trainee did it myself the 3 blind
mice, do you think there is a way i can make them pay for it to be fixed ? I would like to know a little more about the girth enhancement tech you do i have read some of whats on your web site and mynewsize.com i have tryed to enhance my girth for year`s trying all sort`s of stuff nothing has so far worked pills, rubs ,ointments, everything but surgery i like what i have seen on here and of all the was it can be done which do you think is best and the one you
would have done if you was going to do it yourself?also would it be better to get that done at the same time as a revision and could you maybe give me a price on that please sir . can you help me Dr Reed or do you know of someone
in australia? i look forward to hearing from you thank you Dr Reed i have attached a few photo`s yours truely

Lionel

September 9, 2010

Good morning Lionel,

Please read the letter we send to prospective patients and a personal comment will follow…

Thank you for your interest in what we do. Yes, we do men in your age group every week.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) or Daddy’s O’s (more posh) and I will see you there daily.

You could return to an office environment in about 4 days after circumcision. Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, 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 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,

Sincerely,

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

OK Lionel, here’s my take and I have a professional responsibility not to be
castigating..

Could have been a lot better. Aside from every critique you mention, of which I would agree, widely placed sutures lead to a lot of puckering which is evident on some of your photos.

Circumcisions are traditionally not well paid for at least in the United States, because conventional wisdom (wrong) is a urologist could run through this procedure in 15 minutes.

When I was a resident, I saw a urologist ask a nurse in the operating room with a prominent clock on the wall…”What time is it.” and the nurse said with some askance “Why doctor it is 8:15.”. Fifteen minutes later he completed the circumcision and the urologist said again, “nurse, what time is it, and she dutifully looked at the clock and complied, “why doctor it is 8:30.” He then said, “Do you mean I just did a circumcision in 15 minutes?” When I look down at the poor patient I thought to myself, it looked like it had been done in 15 minutes.

Lionel, in our practice it takes about 55 minutes. Penile skin does not come cheap.

The unevenness may resolve only somewhat as the swelling subsides, but I would be hard pressed to say this will self-correct. Also there is an area where the penile skin is inverted.

Suggestion, wait a good 3 to 4 months after your circumcision for everything to heal as well as it is going to. If continued improvement is slowly noted, wait even longer, then most likely you will come to revision. We do not maintain a directory of a handful of urologists in Australia who are cosmetically minded (there must be some).  Or see me. In fact we see Australians here quite regularly,

Lastly, I would like permission to post some of your photos on our web-site without mention of your name.

Every best wish,

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

Residual underside edema status post circumcision eventually clears

Friday, September 3rd, 2010

good morning dr reed . i underwent a circumcision procedure under your care in sept 2007. subsequently i had to come back and have a revision to tighten up some sutures on the underside of the shaft. during my first procedure i also had a partial rhinoplasty done by a friend of yours dr ary krau. after the first circumcision  procedure i had quite a lot of swelling which subsided quite slowly. after the revision the swelling was even worse and i sent you photos and you explained that my lymphatic drainage was being compromised and further surgery could alleviate to problem but would be completely elective. i was unpleased with your response and suggested that i wouldnt trust you to perform another surgery on me. however in the past year i went to see a specialist ENT surgeon who informed me that i had a badly deviated nasal septum to the right side and as the previous rhinoplasty  only involved the external nasal bones i believe my ability to heal was being impaired considerably. hypertension being the main issue. so i would like to apologise to you for suggesting that my post operative swelling and lymphatic drainage were because of your dereliction. i no longer have any issues with swelling of the shaft and im very pleased with the final result. thanks for the great job and dedication. best of luck . c. fitzpatrick

August 29, 2010
 
Good morning C.,

Thank you for your followup letter.

Tincture of time often helps a lot with wound healing if the tissues were properly brought together in the first place.

Nature seems to understand what was intended and expected of it, and eventually (usually) complies.

Have a blessed Sunday,

Harold

Status post circumcision revision, letter from grateful patient

Friday, September 3rd, 2010
September 3, 2010
Dr Reed,
 
It was great to hear your voice again and your always optimistic enthusiasm
 
Here’s what my experience has been:
 
As you recall I had a lot of outstanding induration from my initial circumcision all along the incision line attributed to focal inflammatory responses to Suture material (4.0 chromic) which can occasionally happen with absorbable Suture Specifically the induration was pronounced near the right and left of the ventral midline close to the frenulum area which you revised The healing on the right side of the frenulum area has gone really well and I’m surprised that the quality of skin here is just like natural untouched skin that has never been operated on.
                                                                                                                                                                                                                                                         
There’s absolutely no outstanding induration in the area and the skin can be pinched to verify this and the quality of sensation here is exquisite.                                                                                                                                                                                                 
I have to applaud you for this result and your expertise with tissue handling is second to none You’re one of the greatest Cosmetic Urologist’ of our time I would also comment that offering patients a choice of absorbable vs Non-absorbable Suture like 5.0 Nylon maybe a good idea for those seeking the highest level of cosmesis in an Adult Circumcision if having them removed within 2 weeks is feasible for the patient.                                                                                                                                                                                                                                                                  
The advantage here is vastly reduced potential of focal inflammatory responses to suture material as a Non-Absorbable Suture like 5.0 Nylon will most likely not react with the skin
 
Vijay

Preputial bridges, followup questions

Sunday, August 8th, 2010

Thank you sir.  When you get the chance, could you kindly answer the questions in my email which are concerning to me?.and I will be sure to 4leave you alone until I?m ready to contact you for consult.  Thanks very much for taking your time to provide me some information.  Have a great day!  Thanks Dr. Reed!!
 
Benson
 

July 21, 2010

Good afternoon Benson,

Taking your thoughtful questions in the order posed…

Seriously, I’ve wondered if it ever restricted the size when erect?.since the skin gets so tight??.of course only you would know this answer. ??

Probably yes, as men who have phimosis report that their glans gets bigger especially when erect.

I wonder if the ?Corona? is still intact and with proper ?form? being enclosed all these years. ?? 

Again based on our experience with bridges and phimosis I would think yes.  There may be some adhesions which will have to re-epithelialize over.   There are no iron clad assurances in medicine.

So you don’t see any issues with this repair?

No sir, I do not aside from the usual advisories for any incision.

Truly you are fostering a premalignant (that’s saying it kindly) situation, could even be exuding carcinogens during sexual relations.  I know you would not get on board a plane even if there was a 2%
chance of a serious mechanical malfunction.  Why take a chance with your glans?

Sincerely,

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