Hi Dr Reed,

I hope this email finds you well.

I have a few more questions.

I would be flying from California, and would like to get circumcised the same day that I arrive, stay the night at a hotel, and then fly back the next morning. Would you recommend that?

What dates do you have available next week or the beginning of February? please review the pics I sent you before. I don’t think i need curvature correction unless you believe I do.

Thanks,

Albert

Good morning Albert,

Thank you for your continued interest.  Presently I am on retreat in the Carolinas.

The desirability of correction of a curvature in the range of 10 to 20% (estimated from photos) is your call. 

Some things to think about.

1.  About 5% of men have similar curvatures and live with them.

2.  If it does not bother you cosmetically or functionally or hurt your partner or provoke comment, then you could leave this alone.

3.  If this is a process in evolution (getting worse or better) we should talk about that, as surgery at this time may not be indicated for the curvature.

4.  Add-ons if you are already in  then operating room are very inexpensive (at least at our facility).  For example your circumcision is done for free, your only fee is correction of
curvature.

5.  You could always have correction of curvature later on, if you wish, but costly… so you haven’t burned any bridges.

6.  If this were my penis, yes, I would opt for simultaneous correction.  Ideally you would need to stay here for 2 days and I would see you daily.. 

Our fee for correcting curvature is 6,200 and includes: local anesthesia with or without IV sedation, use of the operating room and any followup care I provide.

Please call Anne at the office and schedule in with her.  She is also the maker of deals.

Sincerely,

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

Dear Dr. Reed,

Could you give me some info on correcting a curved pen.is? I’d like to know if it can be done without losing any current length and if I could possibly gain some once it’s corrected. My curve isn’t painful but it is very obvious. Thank you for your help.        Carter

Good morning Carter,

Thank you for your interest in what we do.  Surgically, the best approach is to simplest one and while grafts which would not deprive you of length (usually) could be employed, the risks are higher, than simple plication or shortening of the longer side.  For smaller curvatures, usually less than 30 degrees, but up to 45 or 60 degrees, this is ideal.  The length lost is anywhere from 1/8th to a 1/4″ for smaller curvature and may be somewhat more such as 3/8″ when more severe.

This can be offset with use of traction once you recover or beforehand and using proper technique your penis could even be longer than it is now.

Also plication is a lot less expensive.

Another thought to remember is 3% of men have noticeable curvature with erection and many get along perfectly well without partner discomfort or intromission difficulties.

Lastly, clarification of terms.  Not all penile curvature is truly Peyronie’s which is more traumatic based (usually) and associated with plaque.  Some is congenital when one side is hypertrophied, usually the right which produces curvature to the left.  Maformation of the urethra can produce spongio-fibrosis and downward curvature.

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.

Please keep in mind.  This November is a promotional month.  Call the office and speak with Anne our amiable office
manager for details.

Cordially,

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

i’m a 30 year old male looking to do 2 or 3 types of surgery. 1 is the circumcision 2 is the vasectomy and 3 if there is any possibility to fix , my penis is tilted to the left and I want it to be a little more   Ellery

Good afternoon Ellery,

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

Yes, all 3 procedures could be done at the same time.  I would need to see photos of your erection to provide a price quote.  Circumcision is frequently suggested at the time of penile degloving for curvature correction as the recovery is a lot smoother.  Please send down views, side views, and face on views by E-mail.

We have performed over 6500 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 done elsewhere 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

Hello there I have a congenital penile curvature, it makes some positions difficult. Do you do penile dorsal plications. I have heard these are less prone to complications and the loss of length is less than an inch.
                                                               Thanks—Phil

Good afternoon Phil,

Sutures can be placed dorsally, however the proper technique is multiple parallel suture plication, as true dorsal sutures would injure the deep dorsal vein.  Ideally sutures should be placed between
the dorsal artery and nerve or second best lateral to the nerve fibers.   55 degrees is very close to 60 degrees and skilled urologists might also speak of a ventral graft.

If you have dorsal plication you may need 4 or more sutures on either side and please anticipate a loss of dorsal length of about 3/8″ inch.

Our office is available for consultation.

Best wishes,

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

Also I have had a kidney transplant.  Is it safe to do this surgery?

And finally do men (after having this surgery) still have sensitivity?

Thanks, Benton

January 25, 2011

Good afternoon Benton,

Thank you for your interest in what we do.  If you don’t need this operation my suggestion is not to have it done, although we did elective surgery on a patient who had a cardiac transplant and is a professional golfer.

Best to confer with your transplant team.

Sensitivity is maintained, however my informed consent reads there’s always a possibility.

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.

Please keep in mind…  April is a promotional offer month if you stay at the Baltic Hotel (advanced tourist class, 877-622-5842).  Ask for Christina and mention my name.

Cordially,

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

Bennett

October 17, 2010

Good afternoon Bennett,

Thank you for your interest in what we do.

Hardly a few days go by, that I do not hear  a “tale of woe” similar to yours.

The most common cause is “get-there-itis” with too much simultaneous surgery. I could show you some photos, but you might find them too gruesome.

The attached is what we send to prospective patients, but could be of more than passing interest.

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

Harold M. Reed, M.D,.

The incidence of spontanous resoltuion of Peyronie’s (without any medical intervention) is about 15%.  This give credence to many medications and non-operative treatments.

Harold M. Reed, M.D.
Penile Implant and Phalloplasty Surgeon

 

Developed Peyronie’s Disease after the 3rd of 3 failed Transurethral Resections in 4 months in 2006. Is this common? What help short of surgery? Use a VED device already–thanks GWJ

 

Good morning George,

This is not common, but certainly I have seen this on a few occasions.  With Peyronie’s there may be also associated loss of length, plaque, waist banding of the circumference, erectile dysfunction and pain.   The treatment options are many and with every one there are some responders.

We have also seen erectile dysfunction following TURP, and of course urinary incontinence.

The vacuum erection device (VED) is a 2 edged sword as pooling of blood in the penis without adequate oxygenation may cause atrophy and injury to your delicate spongy erectile tissue.

I would be pleased to discuss in depth the any options available to you after you initiate a consultation with our office.     

                                                                            

With kindest regards,

Harold M. Reed, M.D.

305-865-2000

On erection his penis was not bent, but there was a small crease in the distal shaft.  The size of his penis was about 3 times volumetrically of average.   He had injected that area on occasion but could not correlate loss of contour with any particular injection.

Thoughts and advice…    Injections into the penis have to be compressed just like ideally a vena-puncture in an arm vein for 5 minutes or so.  The leakage of blood outside the vascular system is a great stimulus for fibrosis and of course loss of spongy tissue.  In this case, spongy tissue of the corpora cavernosa.  Injection techniques were reviewed with the patient.

While I do not believe medications for Peyronie’s will help, perhaps in the future stem cell research may be able to replace lost corporal tissue or impaired corporal tissue.  Some urologists believe
men with large penises may experience erectile impairment earlier because there is a larger demand for rapid filling.

Harold M. Reed, M.D.