penisdoctor.com

June 11, 2011

Dear Dr. Reed,

I am interested in getting circumcised for cosmetic reasons, but there a is caveat. I fear losing sexual sensitivity, so I am interested in a type of circumcision the preserves sexual function as most as is possible. I would like to have only the outer prepuce removed and none of the inner mucosal lining and the frenelum to be preserved as well. That way, if I regret getting circumcised after some time, I can stretch my outer prepuce and have an uncircumcised penis back. It is also very important that the glans is completely exposed after the surgery even when in a flaccid state, but no more than necessary for that. Can you perform a circumcision where enough outer foreskin is removed to expose the glans even when flaccid but no more than that, and that preserves ALL the inner mucosal tissue and frenulum? I really prefer the look of the circumcised penis, but I would only get it done if I can have it that way.
 
Thank you

Phillip

Good afternoon Phillip,

Thank you for your interest in what we do.  Your penis is one of the most important functional and cosmetic features of your body.

What you are requesting is a high circumcision and yes we can do that.

Some advisories… you will have a lot more swelling after surgery and may take a few months to come down and may not 100% completely, although usually does.  Secondly, every foreskin has a preputial ring and if that skin is too tight, even though we can pull it over your distal shaft, if may act like a tourniquet and this contributes to the persistence of swelling.

Two other thoughts….  the inner skin is the portal through which sexually transmitted diseases can enter your body.  So you may wish to re-think… “less is more.”  And the ejaculatory latency time for circumcised and uncircumcised men has not been shown to be significantly different, nor have any studies that I am aware of show a high cut man to be more sensitive than a low cut man, although I realize that some individuals feel that way.

Leaving your frenulum intact, no problem.  That’s a routine request.

We have performed over 6000 cosmetic circumcisions and 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 (elsewhere) 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

Dear Dr Reed,

First, thank you for getting back to me.  I was circumcised at birth. I have developed some scars underneath my corona that I would like to have removed. Additionally, I would like a tighter cut, maybe with my frenulum removed. Second, I don’t have any real problems with my penis or circumcision. I just want some cosmetic changes. Third, I have a few questions, if you don’t mind and have the time.

1. What are the “four parameters” you respect?
2. “Photos sent and received (unspoken comment ‘disaster zone’)” You mean, the pictures of the penises that you circumcised were ‘disaster zones’ before you circumcised them?
3. I’d never heard of a Japanese circumcision until I opened that document. What is it? What are the benefits?

Thank you,
Steve

November 21, 2010

Good morning Steve,

Thank you for your thoughtful questions which are answered in the order
posed…

1. What are the “four parameters” you respect? 

Firstly, I confer with the patient to find out exactly what type of result he is looking for: tight or loose, high or low, removal of the frenulum or preservation of the frenulum, and whether the cut be parallel to the corona (oblique) or perpendicular the shaft.  Secondly, only fine plastic surgery suture is used to create perfect alignment.  The patient has access to a hand held mirror in the operating room  to be sure the circumcision is being done according to his specifications.

2. “Photos sent and received (unspoken comment ‘disaster zone’)” You mean, the pictures of the penises that you circumcised were ‘disaster zones’ before you circumcised them?  

Thank you, as this is a little unclear and could even be construed that I was initially the operating surgeon.   This a letter from a patient who had been circumcised elsewhere and wasn’t happy with the result.  He sent me photos and later had a revision with me.

3. I’d never heard of a Japanese circumcision until I opened that document.  What is it? What are the benefits?

Please avoid this as the cut is made towards the base of the pubis and all of the foreskin is saved.  Problem is this results in a lot of swelling of the shaft which may take months to resolve.    I am not saying that this is the way all circumcisions are performed in Japan, but this is the appelation was given to me by the patient which is also described on the web.

Have a restful Sunday,

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

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

i am in desperate need of consultation. ever since i was a teen i knew i had some problem….i am 27 yr old male dealing with tight foreskin and tight frenulum. i am not being able to maintain erection and need to self stimulate myself to get an erection. i strongly believe this is cause of my tight foreskin and frenulum. i cannot imagine a girl pulling my skin back as it is very uncomfortable? penetration is possible but i go soft after a minute or so once the skin starts pulling back… i dont know whether this will be fixed if i go for circumcision….i dont knwo whether its a physical problem. i am trying to stretch my skin. do u think there is a possibilty of having erection problems cause of tight foreskin and frenulum…do u think this can be fixed once circumcised. have u come across a situation similar as mine and was normal after circumcision? also my penis bends downwards..not an issue for me and dun think it peyronies… i am very frustrated and am lookin for soem guidance some logic and some sense to my condition. hope to hear from you, any advise would help me more than u can imagine.

i have been researching for years now and havent come across a situation similar to mine. thanks

Jason

Good morning Jason,

Difficult to sustain an erection when you are having pain.  Yes, for your tight foreskin (phimosis) I do recommend a cosmetically performed adult circumcision.  The frenunlm is usually removed at the same time, and that’s included in our fee.  I do believe once that is done, you’ll find  most of your concerns will be in the past.  Downard erection may be a freunulum problem.  We’ll have to see about that when you are at the office.

Be assured we will show you every courtesy,
 
Harold M. Reed, M.D.
305-865-2000

December 31, 2009  

 In PROCIRCORG@yahoogroups.com, “luigidecorimani23″ wrote:

Dr. Reed, when you do a circumcision what are your recomnmendations?   Will I lose any pleasure if it is removed?  
Luigi from the Bronx.

Good afternoon Luigi,

We have noted that 80% of our patients request the frenulum be removed, some wish that because it has been problematic in the past with bleeding, minor tearing, some downward tilt of the glans (head). Interesting;of the 20% that don’t want it removed, 80% of these patients come back and say,  “Doctor, now remove it.”

Studies have shown that aside from any pleasure your frenulum or foreskin for that matter provides, removing it will not effect your ejaculatory latency time, one way or the other. In other words you will be as equally orgasmic with or with it.

There will always be a rare patient who bemoans the lose of his frenulum, and I wonder if there is not always the rare female who bemoans lose of her hymen (after marriage of course).

Harold Reed, M.D.