penisdoctor.com

March 25, 2012

Hello Dr. Reed, I wanted to apologize for flooding you with questions. You’re a doctor, not a therapist. How can I make a consultation appointment? I wish to know whether or not an Acell foreskin is an exact regeneration of what was cut off? Thank you, ill pay the 250  Jasmus

March 26, 2012

Good morning Jasmus,

Thank you for your continued interest.

At this time we are following our first patient, and perhaps best to wait and see how he does.  So far his recovery looks good, but he is less than 2 weeks out and the Acell rep says it will take 45 plus days to see skin as was there before.  The head of the penis covered with his own shaft skin, and that part looks fine.  We are focusing in on replacement of the denuded shaft, that portion that underwent skin advancement over the glans or head.

Have a productive work week,

Sincerely,

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

February 24, 2012

Hi Doctor Reed,

I am very interested in the Acell procedure for foreskin regeneration and I would like to undergo this surgery as soon as it has a proven track record. Do you intend to test it in a near future?

Kind regards,  

Bela

Good morning Bela,

On retreat in the Carolinas until March 5, but we keep in contact
with our patients always.

Our first Acell case is scheduled for about March 9,
and we already have several others standing by, to see
the outcome and follow the patient’s progress.

Please continue to E-mail me.  Hopefully we’ll be able
to put together a photo gallery chronicling our experience.

Most cordially,

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

February 24, 2012

Dear Dr. Reed,

I just wanted to send a quick thank you email for yesterday. I sincerely appreciate you being so generous in answering all of my questions and willingly taking your time to do so. After so many years of being unhappy with my penis I am 100% confident that you are the right physician to help me. I’m so glad that I got to do a consult and am more certain than ever that I want you to do this procedure on me. I felt very comfortable and welcomed by you and Ms. Ann. I look forward to scheduling my procedure within the next 3-4 months even if the Acell may not work and the old procedure must be used. However, I can hardly wait to see the results the Acell may produce. Thanks again!

Best Regards,

Jason

Good morning Jason,

Thank you for reaching out to me.  Believe me
your visit to the office was treasured.  I will keep you
posted regarding our Acell experience.

Cordially,

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

January 24, 2012

Good morning Dr. Reed,

Have you done an Acell? I’ll call tomorrow and do the deposit

Ray

January 24, 2011

Good afternoon Ray,

I have not, but had the rep in my office a few days ago.

Acell is being used at Mount Sinai and the University of Miami, again not for urological reasons. 

There are always penile stretching devices and that of course is non-surgical.

Sincerely,

Harold M. Reed, M.D.

January 23, 2012

Good morning Dr. Reed,

I just read about the Acell products… The proposed method would involve placing the patient under general anaesthesia. The penile skin would be opened at the circumcision scar, while the scar tissue is surgically debrided. A biomedical solution would then be applied to both ends of the wound, causing the foreskin to regenerate with the DNA in the patient’s own cells. A biodegradable scaffold would be used to offer support for the regenerating foreskin
Im very interested in this procedure much more than the 2 step procedure, as this looks like its easier on the patient and more natural.. is it similar pricing and process?

Ray D.

January 23, 2012

Yes, Ray the price would be the same.

Harold

January 23, 2012

Dear Dr. Reed,

I would like to… Can you answer a few cursory questions first?  Can the consultation be done through remote means (pics, phone discussions, Face Time etc.), as it’s not just cost prohibitive to go back and forth frequently, it’s difficult with my business in addition.  Can you explain to me what you mean by tissue rejuvenated products?  Is this different than the attachment? Any information on the Acell recent development and that process? I also see on the attached information that it says it “ideally” done in two stages – can it be done in 1, to limit trips and travel? I’ll gladly call, or contact you for the consultation if i can get a little more information…

Ray D.

January 23, 2012

Good afternoon Ray,

The Acell approach is one option and if successful would mean, a one stage procedure, but there will be wound healing for 45 days or so, until your skin regenerates.

There are no published articles on this procedure for foreskin restoration but experience with other parts of the body suggest this could work.

If not successful we can fall back on scrotal implantation as an intermediary step.

Ideally done in 2 stages, means there could be additional stages if revisions or touch ups are needed.

Yes, consultation should over initiated over the phone.  Having done this, your first visit in the office is free, excepting lab tests.

Or you can forget Acell and just decide based on the attached sent out.

Sincerely,

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

August 7, 2011

Please e-mail to me a consent form relating to foreskin restoration surgery.

Ethan

Good afternoon Ethan,

Yes, we do foreskin reconstruction.  Please visit our web-site at http://www.penisdoctor.com/foreskin.html    An informed consent
is posted on our site:  http://penisdoctor.com/concent-foreskin.pdf

Many patients, as an alternative to surgery, may elect to use stretching devices under urological supervision which could
produce an acceptable result in 2 to 3 years.

Our procedure normally involves 2 to 3 stages and the combined fee is $7,600.  Consultation is an additional $250.   Lab fees are $100, but
these blood tests can be done in your home town if you wish.  If you are over 40, you will need a letter of medical clearance.

Candidates who wish to schedule surgery with our facility are required to have minimally a letter of medical clearance if applicable
and a 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.

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.

No aspirin or aspirin products, blood thinners such as Plavix, Coumadin, 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 dose 30C (take 4 small tablets sublingually,
4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery.

With regards,

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

February 6, 2011

Im interested in the surgical foreskin restoration. Do I have to fly down for the consultation or can it be done over the phone? Also, what is the cost inluding lab fees, consultation, medical clearance, psychological clearance etc??? Also, the fee seems fair but could quickly get out of hand with all the seperate trips possibly needed for all of these clearences and such. im 41 yr old professional male, very gym fit, but am also HIV+ for 20 plus years but are undectable. I have had a few other cosmetic surgeries and it has not been an issue. 

Rene

Good morning Rene,

Yes, we do foreskin reconstruction.  Please visit our web-site at http://www.penisdoctor.com/foreskin.html  Yes, uopon receipt of your check for 250, we’ll initiate consultation over the phone.  This is onetime charge and provides also for your first visit to the office, excluding any laboratory work.

Many patients, as an alternative to surgery, may elect to use stretching devices under urological supervision which could produce an acceptable result in 2 to 3 years.

Our procedure normally involves 2 to 3 stages and the combined fee is $7,600.  Consultation is an additional $250.   Lab fees are $100, but these blood tests can be done in your home town if you wish.  If you are over 40, you will need a letter of medical clearance.

Candidates who wish to schedule surgery with our facility are required to have minimally a letter of medical clearance if applicable and a 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.

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.

No aspirin or aspirin products, blood thinners such as Plavix, Coumadin, 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 dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery.

With regards,

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

February 11, 2011

Would you kindly forward the Informed Consent form for Foreskin Restoration procedures
Also your blog page appears to be down:
http://penisdoctor.com/blog/

Seth

Good afternoon Seth,

We are aware.  Our web-hostess hopefully will have us up and running this weekend.

Given the procedures you already have had done and your response, I would discourage you from having too much penile surgery.  Probability of too much pain.

Results are not a pretty as you might expect.  Traction with a “tugger” is a  non-surgical way and often does the deed.

Best wishes,

Harold M. Reed, M.D.

Dr. Reed,

Would like more information about foreskin restoration.  How is that done?   Bart

Dear Bart,

Try conservative means with stretching devices first and perhaps you will be able to avoid surgery altogether.

Foreskin restoration has been described even before Celsus, the first great Roman physician (25 B.C. to A.D. 50), wrote “De Medicin.”  The procedure used today is only somewhat modified from what had been done then so “the patient could move around inconspicuously in Greek and Roman society.”  Celsus drew heavily on his Egyptian and Greek predecessors.

Many patients, as an alternative to surgery, may elect to use stretching devices under urological supervision which could produce an acceptable result in 2 to 3 years.

With our surgical procedure, the skin of the distal shaft is advanced forward to create a neo-foreskin. This leaves a denuded area at the base of the penile shaft, which is buried under the scrotum.  The pigmentation of scrotal skin is a close match to epithelial penile skin.  A catheter is left in for a few days and a dressing is placed over the foreskin pulling it forward until the laminated skin heals.

After an interval of 3 months, the penis is lifted from the scrotum with wings of scrotal flaps on both sides.  The flaps are closed underneath the penis.  The scrotum is also closed at that time.  Variation in technique may be required to best suit the unique anatomy of each patient.

Erections must be suppressed with anti-testosterone medication.

This is ideally a 2 stage procedure which can be performed under local with IV sedation.  Comprehensive fee of $7,600 does not include consultation, lab tests, medical clearance and psychiatric clearance. Consultation is $250.

for ILLUSTRATIONS and PHOTOS please see http://penisdoctor.com/foreskin.htmlA. Two conceptions of the procedure.1 and 2
(click image for larger view)

3 and 4
(click image for larger view)

A, B, C, and D
(click image for larger view)

B. Post Op Photos (click images for larger view)

1. Status post foreskin reconstruction with fully covered glans (head).  Viewed from the right.

2. Retracted foreskin showing excellent glans hygiene.

3. Extended foreskin viewed from the left.

C. Post Op Photos of Another Patient (click images for larger view)

1. Status post op foreskin restoration with fully cover glans. Viewed from the left.

2.  Viewed straight on.

3.  With foreskin easily retracted.

D. Re-creation of foreskin, work in progress. Should the patient desire a tighter preputial ring. Small darts of skin could be removed at 40 degrees, 160 and 280.

Foreskin retracts easily showing normal glans and loose inner skin. Frenulum preserved.