penisdoctor.com

February 24, 2012

I have been diagnosed with Peyronies decease and have been suggested to get an implant. My wife also heard about the removal of belly fat to assist in the increase in size of the penis can you please tell me anything about this. Also do you know of a doctor in Orlando or Tamps that could help me with this situation?  Maynard

Good morning Maynard,

Not all Peyronie’s patients need an implant and if an implant is indicated, Peyronie’s curvature may be corrected by the presence of the implant alone  (without further surgery).

Regretfully we do not maintain a directory of a handful of surgeons who are exceedingly skillful in Peyronies.

Yes, we do pubic liposuction and dermatolipectomy and lifting to expose more penis.  If the pubic surgery  is extensive, better not to combine implant and pubic surgery as there will be appreciable transient genital swelling post surgery which may not be an optimal environment for implant healing.

Best wishes,

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

December 1, 2011

I am not abe to get an erection for any length of time. I find when I’m with a hot woman taht i can not even get hard.  Roland

December 1, 2011

Good morning Roland,

Thank you for your interest in what we do.  Please consider
non-operative measures first.  We can advise during your
consultation .

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

So the article says it may help. MAY.

However, 90% or more of patients with ED have 2 problems that a stent cannot overcome. One is corporal fibrosis. The spongy tissue is scarified. Secondly the problem is not reduced arterial inflow, the problem is venous leakage which is a colloquialism meaning the blood is returning to the central venous circulation as fast as it is coming in. So the patient cannot retain sufficient blood volume to produce and sustain an erection. That is why in my opinion, stents will have limited usage.

Next if any of you have access to any scientific articles, we have to see the selection process. That is out of all comers with ED (yes a medical phrase) how many receive the stent, and also the followup period because ED is usually a process in evolution. So you may be King for a few months, but ultimately the same physiologic aging process continues and ultimately you’ll back to square one. My bias anyway.

Harold M. Reed, MD.

 I know this is a bit off subject, but many men have ED and might be
interested in your opinion.
>
> Somebody on another Yahoo group mentioned that there is a stent for
the penile artery that can cure some cases of ED. I looked further, and
found that there is a doctor right in Miami who is advertizing this
treatment.
>
> Is this a reasonable treatment, with a good chance of success and no
serious side effects?

A study released Wednesday found the Medtronic stent is safe and
improves erectile function in men who don’t respond to drugs like
Viagra, Levitra and Cialis.

The clinical trial is the first to test stents for treating impotence in
men who don’t respond to drug therapy, researchers said.

The stent — a tiny wire mesh tube similar to those used to prop open
heart arteries — was based on technology developed in Santa Rosa,
where Medtronic has 840 employees.

Investigators implanted stents in 30 men, with an average age of 60, who
suffered from erectile dysfunction caused by narrowed arteries in the
pelvis. There were no safety problems such as clots or the need for
repeat surgery one month after treatment in the study, which was funded
by Minneapolis-based Medtronic. The men reported a 68 percent
improvement in erectile function three months later.

“Achieving a good erection requires a variety of vascular components
to work well, including a good flow of blood to the penis through the
arteries,” said Jason Rogers, director of interventional cardiology
at the University of California Davis Medical Center in Sacramento.

While drugs like Viagra relax the spongy tissue to allow the blood to
enter, “if you don’t have good inflow into the penis, it doesn’t
matter how much that tissue relaxes, you don’t have a good
erection,” he said.

Thirty million men in the United States and more than 300 million
worldwide suffer from erectile dysfunction. The majority of the cases
stem from vascular problems, including insufficient blood from the
arteries, studies show.

The study was released at the annual meeting for Vascular Interventional
Advances in Las Vegas.

Bloomberg News contributed to this report
Medtronic stent may help erectile dysfunction when drugs fail
<http://www.pressdemocrat.com/article/20111020/articles/www.pressdemocra\
t.com/article/20111020/articles/111029965> STAFF AND WIRE REPORT
[http://www.pressdemocrat.com/] PressDemocrat.com
<http://www.pressdemocrat.com/article/20111020/articles/www.pressdemocra\
t.com> October 20, 2011 2:53 PM <p>A drug-coated stent developed in
Sonoma County by Medtronic Inc. to unclog arteries may provide doctors
with a new way to treat erectile dysfunction.</p><p>A study released
Wednesday found the Medtronic stent is safe and improves erectile
function in men who don’t respond to drugs like Viagra, Levitra and
Cialis.</p><p>The clinical trial is the first to test stents for
treating impotence in men who don’t respond to drug therapy, researchers
said.</p><p>The stent — a tiny wire mesh tube similar to those used
to prop open heart arteries — was based on technology developed in
Santa Rosa, where Medtronic has 840 employees.</p><p>Investigators
implanted stents in 30 men, with an average age of 60, who suffered from
erectile dysfunction caused by narrowed arteries in the pelvis. There
were no safety problems such as clots or the need for repeat surgery one
month after treatment in the study, which was funded by
Minneapolis-based Medtronic. The men reported a 68 percent improvement
in erectile function three months later.</p><p>”Achieving a good
erection requires a variety of vascular components to work well,
including a good flow of blood to the penis through the arteries,”
said Jason Rogers, director of interventional cardiology at the
University of California Davis Medical Center in Sacramento.</p><p>While
drugs like Viagra relax the spongy tissue to allow the blood to enter,
“if you don’t have good inflow into the penis, it doesn’t matter how
much that tissue relaxes, you don’t have a good erection,” he
said.</p><p>Thirty million men in the United States and more than 300
million worldwide suffer from erectile dysfunction. The majority of the
cases stem from vascular problems, including insufficient blood from the
arteries, studies show.</p><p>The study was released at the annual
meeting for Vascular Interventional Advances in Las
Vegas.</p><p>Bloomberg News contributed to this report</p>Copyright 2011
PressDemocrat.com – All rights reserved. Restricted use only.
<http://www.pressdemocrat.com/article/20111020/articles/111029965#licens\
e-43929ECB-422F-40B2-A883-9E6BEBF8A9E7>
[http://analytics.apnewsregistry.com/analytics/v2/image.svc/SR/RWS/www.p\
ressdemocrat.com/CAI/111029965/CVI/11102996520111020/MAI/43929ECB-422F-4\
0B2-A883-9E6BEBF8A9E7/E/prod/PC/Premium/AT/A]
— In PROCIRCORG@yahoogroups.com, “headout2000″ <halfshekel@…> wrote:
>
>

August 7, 2011

I have malleable implant since 2009, but it did not work very good. Iam intending to get Three Piece Inflatable Penile Implant. I am diabetic ( I am controlling my diabetes). My question is how much the total cost of everythings? And how long I should be at Miami? 

Sargent

Good afternoon Sargent,

Thank you for your interest in what we do.  Glad you are controlling your diabetes.   Please consider  the new AMS LGX (length and girth expansion) inflatable implant.

Our fees are posted on our web-site and taking all into consideration including followup care, a lifetime warrantee, this is a very good value.  Insurance may cover most of this.

Ideally allow 5 to 7 days all told, here in Miami.

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

July 22, 2011

Dear Dr. Reed,

I found one of your blogs on the Internet. I saw you were answering questions from some other men. I decided to write to ask a question of you regarding Penile Implants.

I have a 29 year old penile implant (AMS 3-piece unit) that needs replacing. After the original surgery I was devastated to see the loss of length and girth. Before going through a revision surgery, I have done some research and found studies with positive outcomes with men retaining most, if not all of their original length and girth. Most actually gained using the protocols.

They used VED’s and Penis Traction Therapy for several months. Then, they had the penile implants surgically placed in their penis. The result: a larger than previously possible penile implant was now able to be implanted, offering much better satisfaction from the men.

I contacted two Urologists who conducted a VED study (see attachment) that showed good outcomes in retaining length and girth prior to penile implant surgery. This included first-time implants and revisions. The VED (vacuum erection device) was effective for both groups toward improving the final surgical results. Again, a much larger penile implant was able to be implanted than otherwise would have been possible otherwise. Now for my questions:

One of the Urologists said, “yes, it would definitely help”. The other Urologist said, “It wouldn’t hurt, but due to encapsulation it probably would not be of any help”.

What is meant by Encapsulation? Does your opinion lean in one direction or the other of these two Drs.?

It’s confusing when you get differing opinions from doctors, especially those who were involved in the same study.

Thankyou,

Leonard B.

Good afternoon Leonard,

I am familiar with this concept and have been offering it to all my patients
seeking implantation for the past 9 months since I read about this in AUA News.

We may recommend a somewhat different approach but generally the principle is the same.

Additionally we also offer partial release of the suspensory ligament.

If you wish to confer further, I am available for consultation
which you can initiate over the phone. Our fee is 250.

Have a restful weekend,

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

 I had a inflatable implant Put in in 1980. It has failed. I  am having problems. The foreskin can no longer retract and I am having a hard time keeping clean. Also no sex. Can the implant be removed or replaced? Will I need to be circumcised? I am 65. my urologist suggest removing the old implant and splitting the foreskin and no sex. Your suggestions please. I do not think he wants to fool with me.

Jordan

Good afternoon Jordan,

I would consider a circumcision first. Then wait 3 to 4 months for adequate wound healing, then only if you wish, have your  implant replaced. To have done well with a single implant  for 31 years is exceptional. You do have a claim to fame. 

Hoping the attached is helpful,

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

Once again  thanks for the reply. I will contact your office and  schedule a consultation and circumcision. Enjoy your trip to the mountains.

Respectfully, Jordan

May 19, 2011

Good afternoon Jordan,

Going out for some errands and will be back about 4 PM.
 
All you need my friend is a simple circumcision. The dorsal slit is only used as a first  stage step if you have a massive infection or some rare problem
 
Look at our web-site and see photos of how patients present and have all in one visit.
 
 
We’ll talk,.
 

 Harold Reed, M.D.

March 25, 2011

Would like to be circumcised.  My age is 80 is that too old, Ted

Good afternoon Ted,

At your age best to do it only for a justifiable medical reason.

You will need a letter of medical clearance by a cardiologist, and the procedure should only be done in a hospital setting with ancillary care provided by the department of anesthesia.

We have put a penile implant in a man in his early 90′s who still drives, has all his faculties, owns 2 homes.  Safety first.

Sincerely,

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

January 30, 2011

My husband has ED and is a candidate for penile implants. We are undertaking research and would consider your clinic. Jim has already seen a Specialist and is considering the three piece pump implant. We have looked at both the Titan OTR and the AMS Ultrex. Do you recommend either of those devises or would you suggest another model?
contact:   Betty

Good morning Betty,

Thank you for your interest in what we do.

Please review our consent form http://penisdoctor.com/conIPP.pdf which describes some differences between Mentor and AMS.

Both are excellent products, time tested, and well supported.  Fair to say over the years I have implanted equal amounts of both products.

AMS may have a slight edge with less infection owing to their being coated with InhibiZone.  We are talking about a difference of 1 to 2% at most.  However, the care of the surgeon is more important and the used of intraoperative antibiotics such as applied to the coating of AMS will probably reduce if not render both products similar in the regard.

AMS does have the LGX cylinders which stretches when inflated and over time may increase the length of the penis somewhat.  For penile length there are also some other techniques that can be considered as well.

The LGX our favorite, is an improved version of the Ultrex which had problems with aneurysmal dilation and we do not use the Ultrex anymore.

Most important is the attentiveness and experience of the surgeon.  Our last implant for a Canadian was done 2 weeks ago.

We look forward to showing you and your husband every courtesy.

Have a restful weekend,

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

Dear Dr. Reed, I am a 55 year old male, married, and I have Peyronies disease. My Dr. recommends a penile implant but I do not have insurance to cover it. Please tell me your cost to do this procedure. I am on limited funds. Thank you,  Larry

January 27, 2011

Good morning Larry,

Thank you for your interest in what we do.  Our next implant is on for this coming week.  Chap from Canada with a PhD in psychology.

Peyronie’s and penile implants is a subject I am quite knowledgeable about, having done this surgery for close to 35 years. 

There are many caveats.  Of course we are going to be focusing on whether an implant is necessary at all, how best to preserve or restore your length, as well as correcting angulation.

Our fees are posted on our web-site, but add-ons that is doing more than one procedure at the same time, is always at a markedly discounted rate.

Your sexual capability is very important and goes without saying, there are no uninvolved partners.

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