Archive for the ‘circumcision revision’ Category

Preputial bridges covering corona yearning to breath free

Sunday, August 8th, 2010

At 08:18 PM 7/12/2010, you wrote:
Hey Doc ?  how about extensive

glanular-preputial skin bridges left over from a botched circumcision as an infant? Is this something you can correct?
I would not want to proceed unless I would be happy with the end result. I certainly would not want to do it if it left my penis looking abnormal.  What do you think??
I’m a 41 year old male looking to have circumcision revision surgery. (Since i’m about to get a Vasectomy, though i’d finally address this issue) The origial circumcision as an infant left me with skin that covers the corona and adhered to the head of my penis. There are 2 openings and another small pin size opening that i think happened because of a tear.  When the shaft of my penis is pulled downward it pulls the head down with it.  Can this be corrected and what who is the ‘best’ doctor in the Philadelphia, PA area you would recommend??  Thank you.    Benson H.

June 13, 2010

Good afternoon Benson,

Thank you for your interest in what we do.  Sorry, we do not maintain a directory of handful of urologists who are exceedingly gifted in cosmetic circumcision.

We do preputial bridges almost monthly here at the office.

There may be a slight pigment change at the base of each bridge pedicle, but usually not noticeable to a casual observer.   As a rule these areas are very thin, so this works to your advantage.

Yes, I am confident we can address your concerns and do an excellent cosmetic job.

I 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, and take good care of little Benson

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

 

July 17, 2010

Sure Benson , send photos.

The head of the penis is no stranger to malignant transformation and have such a patient now who had a partial penile amputation and a course of radiotherapy, going from 8 inches (he says) to about 3 measured at office.

If your bridges are covering desquamated skin, simple body dirt, smegma, you name it, best for that area to get a good washing on a daily basis.

More important than cosmesis (and we fuss over that) is hygiene.

Awaiting your photos,

Harold

 

July 21, 2010

Good afternoon Benson,

Thank you for taking time to send to photos.

What I am seeing is a corona (rim) that yearns to breath free.  I do not envision any problems with releasing what nature has given you and needs to be exteriorized.

Suggestion, let us do your vasectomy at the same.  Vasectomy fee is 500; if done as “an add-on” 400.

So far, how’s our driving?

Sincerely,

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


At 01:40 PM 7/17/2010, you wrote:

Doctor Reed
 
Thanks for your response.  I had recently sent photos to another Urologist who specializes in the same work you do.  From my research, there were only 2 doctors that I  found that appear to be experts and specialize in this type of procedure.  You and him.  He stated, my skin bridges were some of the most extensive he?d ever seen?.and it seems he?s seen a lot over the course of his career as well.  My skin bridges are consistent all the way around the head of my penis except for 2 small holes on the left and front side.  I?d say 98% of the corona is covered since the skin adhered over top the corona on the actual head.  So when the shaft of my penis is pulled down or towards my body?.it also pulls the head down too!
 
I?m very interested and am glad to hear that you do these monthly as you?ve stated.  I?m just a little ?wary? since the other professional thought that the head might be a little disfigured after the procedure and concluded that if I wasn?t presently in any discomfort or pain ?it?d be better to leave it alone.  Based on this information, do you still think you could make it right?
 
If you want, I could send you photos to give you an idea of what I?m talking about.  Please let me know.  I do thank you for your time and attention Doc.
 
Benson 
 
 

 

 

 
 

 

 



 

“had loose circumcision with uneven scar line”

Saturday, July 31st, 2010

hello my request is about a circumcision revision im currently 25 i chose to get circumcised when i was 23 just about to turn 24 im very please with my choice how ever my girl friend and i are very unpleased with the outcome of the procedures looks i have a relatively loose circumcision and the scar line came out very uneven with lots of skin tags and scar bumbs i was curious if it was possible to correct these flaws as well as creating the aesthetic look i was hoping for when erect and flacid if there is any information or help you can provide it would e greatly appreciated thank you
HEAR: from yahoo groups  Robert

July 25, 2010

Good morning Robert,

Thank you for your interest in what we do.  What you described is quite common but did not have to be.  A circumcision should be the highest cosmetic calling of a urologist.

We have performed over 6000 cosmetic circumcisions in the past 35 years and quite a few revisions as well, usually doing several cases every week.

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

Unhappy camper who just had circumcision

Saturday, July 31st, 2010

Hello Dr. Reed. Well I was recently circumsiced at 44 years old for irritation problems. This surgery was 10 days ago and I’m not too happy with how my penis looks. Theres some skin bunching over my glans. It is only when I’m very flaccid and soft and when I’m sitting. Dr said it will flatten in a couple of months  because the skin is still swallen. I have a small penis when flaccid and with this bunching skin behind and a little over my glans it doesn’t look good. when erected looks very nice and circumsiced and shows a completaly bared glans and the skin stretched. Is it true that after heal is completed and the swallen in gone that the skin will retract completaly when flaccid? If not I’m thinking on have it fixed by you.  Rudolfo.

July 24, 2010

Good morning Rudolfo,

Thank you for your interest in what we do.

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

If when your penis is erect the penile shaft skin could still be tighter without lifting of pubic skin, then there is room for “tightening.”

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

With kindest regards,

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

Phimosis

Saturday, July 31st, 2010

Hi Dr Reed, I am 37 years old and I am interested in getting my phimotic condition corrected with circumcision. I understand that you use micro sutures used in plastic surgery. Are these self-dissolving sutures? Would I need to revisit you or go to a local urologist to have the sutures removed? Also, what are your normal office hours for me to call your office manager to schedule an appointment with you? Thank you, Arnaud

Hi Arnaud,

Thank you for your interest in what we do.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  Many of our patients have phimosis so we well understand the principles of getting the best result.

Our sutrures while fast absorbing still should be removed 12 days after surgery to prevent permanent cross hatch marks (ghost lines and pin holes).  Please do not let anyone talk you out of having them removed, by saying “they are absorbable, they’ll melt out.”

This should be done by a health care practitioner who has a bright over head light, loupes (eyeglass with little telescopes on  the end) and delicate plastic surgery instruments  like for removing eyelid sutures)  EMLA cream could be applied for 20 minutes beforehand if you are very sensitive.  Some urologists have this equipment in their office if they do delicate surgery, or consider an urgent care center, or an emergency room of a quiet community hospital (not a county “zoo”). 

Next to the nose on your face, your penis is a very important cosmetic structure and standards for care should be no different.

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

You could return to an office environment 3 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, and next week a father and 3 sons! 

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”)

Our office hours are from 9 to 5, Monday through Friday.     Be assured  we will show you every courtesy.

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

Sensation difference low vesus high cut adult circumcision

Wednesday, June 30th, 2010

June 29, 2010

Just curious to know if there is a difference in sensation from a low cut to a high cut , do nerves in your opinion really rechannel themselves. Take care, Antonio

Good morning Antonio,

Thank you for your interest in what we do.  Regarding high or low cut, there is no known difference in sensation leading to “mean ejaculatory latency time, MELT.”   After all is said and done MELT is the best indicator of sensation.   Yes, in the penis a lot of experience has shown that distal nerves do regenerate.  Not to worry.

When I perform a circumcision I am well above the layer of the neuro-vascular bundle.

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

With kindest regards,

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

Unhappy camper needs revision of earlier circumcision

Wednesday, June 30th, 2010

June 29, 2010

Hi Dr. Reed,

I am interested in circumcision revision. I was circumcised at age 11, I’m now 32. Since I was old enough to know the difference, I’ve been very unhappy with how my penis looks. Based on my research, the procedure was done freehand using sutures. The incision line is uneven and I have a couple dozen suture scars around the top of the shaft just under the glans. (Kind of like railroad tracks.) Most of the suture scars are quite thick and pronounced. Many of them touch and even enter the corona. My question is: could a revision help clean up the look of my penis? I know it will never be “perfect” but I would love to lose the ragged, scarred look if possible.   Matthew

 

Good morning Matthew,

Thank you for your interest in what we do.   This is a letter we send to “virginal” patients.  Your situation is one we see frequently and I am confident with proper revision you’ll look a whole lot better.

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) and I will see you there daily.

You could return to an office environment 3 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, and next week a father and 3 sons! 

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,

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

 

Very loose previous circumcision, smarter now

Sunday, May 23rd, 2010

Dr. Reed, I would like your services for circumcision. Due to travel, it would be wonderful if this could be done on June 4 or June 7,8, or 9. I am 33 years old and have been previously circumcised, but very loosely so that I appear to be completely uncircumcised except for a scar far back on my penis. I would like this scar line to be part of the skin removed in the new cutting to avoid having two scars. I would like the frenulum to be totally excavated and the result to remove as much of the inner skin as possible. I want the glans to be totally exposed at all times with no skin bunching behind, but I also want to have a full erection with no discomfort.  Lenny

May 23, 2010

Good morning Lenny,

Thank you for your interest in what we do.  Eveything you request sounds reasonable and can be done.   One of those days should certainly be available.  Please call Anne to make an appointment.  If you need to speak with me directly for any reason, I can be reached at 828-891-1xxx (on retreat in the Carolinas).

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

Be assured we will show you every courtesy,

With kindest regards,

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

Had circ, skin bunches on underside

Sunday, May 23rd, 2010

Hi Dr. Reed -

I am interested in the possibility of having some excess skin removed that bunches on the underside of the penis. This wouldn’t be a circumcision, as I am already circumcised, but more of a ‘penis lift’, I guess, for lack of a better term.  I’m concerned about preserving a particular area of sensitivity on the underside, however, so I’m just curious about what my options, if any, might be for something like this. 

My guess is that a consultation may be in order.  I am in New York, however, and I’m wondering how you go about scheduling consultations for out-of-towners.  Do you request photos first to get a sense of things? If you are able to determine if things can move forward, are consultations and procedures usually scheduled within close proximity, or are subsequent visits are usually made? In this case, though, I suppose it’s best to see first what can be done with my particular situation.

Thank you in advance for your time.  I look forward to hearing from you.

Regards,
Clinton

Good afternoon Clinton,

Thank you for your interest in what we do.  If you will, E-mail me several well focused photos of yourself.  Bunching of skin on the underside may relate to the fact the doctor did not do any even approximation all the way around, which could have been accomplished (usually) if he bisected his suture approach (6 o’clock followed by 12 o’clock followed by 3 and then 9 and so on.   However, we can correct this now.  You may have a longitudinal incsion on the underside, but this should heal fairly neatly.

Best wishes,

Harold M. Reed, M.D.

Phimosis patient wants to know how to prepare for circumcsion

Sunday, May 23rd, 2010

i cant retract my foreskin at all because my opening is so small,and i am planning on getting circumcised.will i need to do anything special prior to the operation and will that cause any complications or any difficulties during or after the procedure?

Jason

Hi Jason,

Thank you for your interest in what we do.  To answer your question, do not manipulate your foreskin or traumatize it for a few days before surgery.  Better for me to see what is actually phimotic (or contracrted) as that has to go.  Most probably you will not have a high circucmsion , could be moderate to low, but if I leave any scar tissue behind you’ll have big time swelling of ther distal shaft once that ring of scar tissue is re-sited above your head.

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) and I will see you there daily.

You could return to an office environment 3 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,

With kindest regards,

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

Self-conscious about scarring and railroad tracks after circumcision

Wednesday, April 28th, 2010

To whom it may concern,
I was circumcised as an adult approximately 3 years ago at age 39  following some complication as a result of phimosis.  Overall the surgery went very well with no complications and very little discomfort, however, I am finding myself wondering whether I have done my homework and chosen the right doctor for my procedure.

While I am perfectly happy being circumcised and I have no regrets having my foreskin removed, I am finding myself somewhat unhappy and self-conscious about the scaring, those ?railroad tracks? left as a result of the freehand circumcision.

After visiting your website I wanted to reach out to you to see about my options if in this case. Given that you have done a number of corrective procedures and revisions, I have hoping that you might be able to offer some advise or help with my situation.  
 
With warm regards,
Miklos
 

April 28, 2010

Good morning Miklos,

Your namesake Miklos was a Hungarian born award winning composer and conductor, best known for his numerous film scores.

Thank you for your interest in what we do.  How to handle tissues, knowing what to do is as important as knowing what not to do.  Why do some bakers’ popovers barely rise above the muffin tin and others balloon out like giant mushrooms?

We have performed over 5500 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) and I will see you there daily.

You could return to an office environment 3 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, and next week a father and 3 sons! 

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,

With kindest regards,

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


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