penisdoctor.com

I am a 29 yrs old post op FTM. I had my pallopalsty done in 04 in Montreal with Dr. Brassard. Have been on hormones for 10 years.
Specific_Questions: I just wanted information on penile impants. I got testicular implants in 08 and the penile implant is the only thing to left to complete me. How much? Recovery time, etc…

November 15, 2010

Good morning Brantley,

Thank you for your interest in what we do.  I am glad you are 29 years old.  There will be time for a lot of activities.

Hopefully your penis is wide enough to permit 2 cylinders as we would do for genetic men.  You have a choice between inflatable and semi-rigid or malleable implants.

There are pros and cons to each.

Please see our web-site http://penisdoctor.com/prosthesis.htm

The attached may be helpful.  If you elect to have your surgery done here, we ask that you stay at either Daddy O’s or the Baltic Hotel for 4 to 5 days afterwards, so I can follow you.

Our fees are posted on our web-site.

With kindest regards,

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

NOTHING HELPS MY PREMATURE EJACULATION. WILL A PENILE IMPLANT HELP. Parrish
November 13, 2010

Good afternoon Parrish,

There are so many remedies for PE and so many good urologists in Chicago. A penile implant is definitely not on the list of options.

If you need a second opinion we are available for consultation which you can initiate on the phone.  Fee 250.

Have a restful weekend,

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

November 13, 2010

Good afternoon Parrish,

There are so many remedies for PE and so many
good urologists in Chicago. A penile implant is
definitely not on the list of options.

If you need a second opinion we are available for
consultation which you can initiate on the phone.
Fee 250.

Have a restful weekend,

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

November 7, 2010

Doctor Reed, I have a penile implant that is about 12 years old. As of 4 weeks ago, I found that it is not working and now have burning while urinating.   My question now is: should I be in a rush to have a new implant or would it be better to wait for a later date? Also, how long would it be necessary for me to stay at your hospital?  

Charles

Good evening Charles,

Thank you for your interesting case presentation.

I am more concerned about burning with urination called dysuria, than an operable implant as the 2 do not necessarily  go hand in hand.

Dysuria usually but not always indicates a urinary tract infection, and this needs to be tended to first before you consider replacement of your implant.  Rarely dysuria can come about when an implant erodes through the urethra.

At any rate we would be pleased to look at you and have a 2000 case experience with implants.  The procedure for most insured men is done in a hospital setting and we do keep patients overnight.  I would then ask you to stay at a nearby motel for 3 days of so for followup, before you return home.

The attached may be of passing interest.

Sincerely,

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

Which procedure do you recommend for girth enhancement? Which one feels the most like pre op flesh?  Would girth enhancement alone prevent the penis from shrinking and do you gain any length from the girth procedure?  Do you use any implants in the lengthening procedure to prevent retraction?  

Can any type of girth procedure be done together with lengthening?
Would I be able to drive home 3 days after the procedure (10 hr drive)?   Calvin

September 12, 2010

Good morning Calvin,

Thank you for your interest in what we do.

Either AlloDerm or BellaDerm would be acceptable and in our hands produce similar results.  No sir, do no combine length and girth enhancement as the results for length are lackluster at best and often disastrous.  We have patients coming to our office every month who have had “get-there-itis” and rue the day.   You cannot drive home or go to the mall after the procedure.  Right to bed at a nearby motel and bed rest for 4 days.  Yes, sir. 

You want a beautiful result or do you want your penis to have more wrinkles than a stewed prune?

Girth enhancement will not prevent the penis from flaccid contracture as the material is soft (like a wet chamois).

We tried implants for length about 12 years or so ago, and desisted because of the overly high incidence of extrusion of the silicone strips.  We have also heard repeatedly that other physician(s) who employ this technique are (in the here and now) having patients with similar experiences.

Not all that glitters is gold.

Have a restful Sunday,

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

Hello there,
I am interested in the belloderm procedure. My measurements are 6 x 4.5 what sort of gains would I expect. do the grafts reabsorbe over time. I live in Australia, how would I have to stay in USA for recovery. And how long is recommended to have off work, I work in construction.

Thank you,  Harnon

September 12, 2010

Good morning Harnon,

Thank you for your interest in what we do.

The grafts may, (may) reabsorb by about 10% but this is more than offset by replacement with cells of your own making. Please expect some added girth from the bruise effect which will subside, but afterwards the wind up is you should have a noticeable difference in girth.

Please avoid any possibility for genital trauma or straddle injury for a good 6 to 7 weeks. Yes, if caution is exercised you could return to work earlier, perhaps 2 weeks after surgery.

Cordially,

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

can a penile inplant oper be reveresed. i have a lot of scar tissue in my penise so the dr said he could there was no room to put another implant in so is it possible to have the scar tissue lazered out
contact: Thad by Email

July 4th, 2010

Good morning Thad and Happy July 4th,

Thank you for your interest in what we do.

Removing scar tissue associated with prior implantation is a well understood and this procedure is called a corporotomy.

Yes, we can do this procedure.   Please do not abandon hope for penetrating sex.  There are no uninvolved partners.

If you believe I am the doctor for you, please initiate a consultationvwith our office by sending us your name, address, and phonevnumber in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

BellaDerm for penile girth enahncement is about implanting “like into like.”

Michael Kawas, President of MTF’s skin division, notes that plastic surgeons typically rely on other materials, some of them from animals (like pigs) and some of them are synthetic. “Now they will have an option to use human skin, which provides a more natural choice. We have gotten a lot of comments about the desirability of implanting “like into like” – in other words, implanting tissue from one human into another. It seems to be preferable to using animal products or synthetic materials ”

“We have a history of positive clinical outcomes using other MTF tissue”, noted Dr. Philip Bonanno, Director of the Institute of Aesthetic Surgery and Medicine at Northern Westchester Hospital. “Thus we’re comfortable using BellaDerm as a natural human dermal graft for support and reinforcement in many of our procedures.”

Donation of skin for BellaDerm is restricted to living donors who have given specific consent for their skin to be used for these types of procedures. To assure the utmost safety and quality, MTF has the highest standards for tissue donation. Living skin donations are held to the same high standards for acceptance and processing as skin which is recovered from deceased donors.

“It is very important for us to have confidence in the providers of all materials we use” continues Dr. Bonanno, “and MTF’s high standards exemplifies their commitment to providing only the best tissue possible for my patients.”

MTF is a non-profit service organization that has been dedicated to providing high quality tissue to health care providers for over 20 years. Since its founding by surgeons in 1987, MTF has received tissue from more than 74,000 donors and has provided more than 3.5 million tissue grafts for transplantation. For more information, visit www.mtf.org.

Harold M. Reed, M.D.

305-865-2000

At 09:43 AM 5/22/2010, you wrote:

Hi Dr. Reed:

quests: I have tried oral meds, intraurethral pellets,and intracavernous injections (as advertised by national urologist chain). all eventually failed. Is a prosthesis the remaining solution.

Michael

May 22, 2010

Good morning Michael,
Thank you for your interest in what we do.  Sometimes, a less than optimal injection technique can be modified to  produce a good result, or the result can be augmented with a constriction band.  Also we should consider a vacuum erection device.  Please call the office and make an appointment.  These choices can be reviewed  and shown in detail

Patient satisfaction for a penile implant runs about 90% as does partner satisfaction (national averages).   Not too shabby.    A newer technique permits a somewhat longer erection than otherwise, if you should choose an implant.

Have a restful weekend,

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

a large penile size. 

Titan Pump – Coloplast

The FDA approved the improvements to the pump component of the Coloplast Titan prosthesis in July 2008. Although the cylinders and reservoir remain the same as the previous model, the pump now features a one-touch-release (OTR) deflation valve — easy for patients to locate and operable with one hand. In addition, the pump offers a non-bulky, low-profile size; enhanced silicone for higher threshold “tear strength” (likely to result in increased product durability, an issue with previous versions); and an overall simplicity likely to decrease repeat office visits, phone calls, and repeat training time. From a hospital standpoint, intraoperative prep of the device provides for easier priming of the implant system (the removal of excess air prior to filling) and may reduce slightly the overall intraoperative time.

“This remains a great device for the patient with a larger penis, as these are the only cylinders that will expand to 22mm girth.” In addition, only Titan cylinders are available in lengths of 24cm, 26cm and 28cm.

Although the pump is easily identified and operated by patients, the small size of the deflation valve sometimes requires a longer learning curve.

In a recent study (“Evaluation of Three Penile Prosthesis Pump Designs in a Blinded Survey of Practitioners,” Urologic Nursing, 2008), 32 medical professionals, all familiar in teaching the operation of penile implants to patients, reviewed currently available penile pumps. The blindfolded reviewers, examining the pumps under time constraints through mock scrotal sacs, were asked to rate device:

--  ease of location of deflation valve
--  ease of inflation
--  ease of deflation, and
--  anticipated ability to train patients in clinical setting.

The Titan OTR pump design performed very well and “consistently demonstrated a significant advantage in subject preference.” (Quallich, Ohl & Dunn, 2008, p. 5).

After displaying the various models, many of my patients will favor the AMS 700 with LGX cylinders and other features described below

Durability

LGX cylinders are as durable as the CX, the most popular IPP cylinder in the world.²

Controlled Expansion

Designed to allow for up to 15-20% elongation, depending on patient’s anatomy.²

Unrivaled Technology

The only penile implant that provides controlled length girth expansion.

Three more reasons to choose LGX:

• Momentary Squeeze Pump with Lock-out Valve and Deflation Button
• InhibiZone® creates a Zone of Inhibition, effective against the bacteria commonly associated with IPP infections³
• Parylene—coded reservoir designed to mitigate cylinder fatigue and improve reservoir durability

This product is not for men with active urinary infections or active skin infections in the region of surgery; with known sensitivity to silicone or the antibiotic rifampin or tetracyclines; with lupus erythematosus; taking warfarin, thionamides, isoniazid and halothane; or with renal disease. Implanting a penile prosthesis is likely to damage or destroy any remaining natural ability to have an erection.

Montorsi F., et al; “AMS Three-Piece Inflatable Implants for Erectilie Dysfunction: A Long-Term Multi-Institutional Study in 200 Consecutive Patients”; Eur Urol 2000; 37: 50-55

1. Data on file at AMS
2. Carson CC 3rd. Efficacy of antibiotic impregnation of inflatable penile prostheses in decreasing infection in original implants. J Urol. 2004 Apr;171(4):1611-4.