penisdoctor.com

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.
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e-43929ECB-422F-40B2-A883-9E6BEBF8A9E7>
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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:
>
>

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

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

How much (on average) does a penis lengthening and girth widening normally run.
I would assume insurance doesn’t cover any of this?

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

I am 57 years old. And am considering a Penile Prosthesis because of E.D . My doctor skirts around some very important questions I have. Length and girth. I would consider a trip to FL to get the operation. Thank you for your time.  Geoffrey

November 26, 2010

Good morning Geoffrey,

Many thanks for your in interest in what we do.  Since 1975, I have installed about 2000 implants and the closest and most appreciative relationship I have with patients relate to those who have regained the wherewithal to penetrate.

There are some thoughts about combining  enhancing length with implant surgery I’d like to share with you.   Yes, this can be done.   However, doing girth at the same time is too much surgery.  I would  respectfully propose you defer this until after your implant is well healed and encapsulated, a good 6 months later perhaps.

Be assure we look forward to your initialing a consultation over the phone (one time fee of 250) and when you arrive, anticipate we will show you every  courtesy.

Have a restful Holiday week!

Yours faithfully,

Harold M. Reed, M.D.
3050-865-2000

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

I received the 2 piece inflatable penis implant after suffering from priapism.

My penis size before was 8″ in length and after surgery is only 5″.

My esteem has been devastated and I am enquiring to see if I could possibly return to my original size (or bigger)

I have being doing some research and reduced length is not uncommon, but 3″ is an unacceptable reduction in size.

The surgery that I have seen offered that looks most appealing to me is the

Penile Triple AugmentationT surgery.

It consists of Penile Lengthening Surgery, Penile Widening Surgery and Penile Glanular Enhancement Surgery (penile head enlargement) all being performed at the same time.

The Penile Widening procedures that I think I need is the Penile Dermal Fat Grafts (DFG) or Dermal Widening Grafts or Allograft Dermal Matrix AlloDerm (R). 

Please let me know if there is any new implants or surgery methods (fat implant, cutting internal to allow extra length)

Ideally I would like to get to my original 8″ in length and a large increase in thickness. 

I understand the best 3 piece implant is the AMS 700 LGX.  What is the maximum implant length available?

Would this be possible and approximately what are the costs?

I would appreciate feedback on this as I want to feel good about myself again and regain my man-hood.

Yours hopefully,

Damien

October 17, 2010

Good morning Damien (today is Sunday),

Thank you for your interest in what we do.  If your stretched
penile length was or close to 8 inches immediately before surgery,
this is a big “wrongo-mundo.”  I could only begin to explain this by
saying, the proper size implants were either not on the back table or in the
operating room at the time of surgery.  Even if you had lost length secondary to Peyronies
or fibrosing cavernositis, when implants are installed this is the perfect time to recoup.

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

I received the 2 piece inflatable penis implant after suffering from priapism.

My penis size before was 8″ in length and after surgery is only 5″.

My esteem has been devastated and I am enquiring to see if I could possibly return to my original size (or bigger)

I have being doing some research and reduced length is not uncommon, but 3″ is an unacceptable reduction in size.

The surgery that I have seen offered that looks most appealing to me is the

Penile Triple AugmentationT surgery.

It consists of Penile Lengthening Surgery, Penile Widening Surgery and Penile Glanular Enhancement Surgery (penile head enlargement) all being performed at the same time.

The Penile Widening procedures that I think I need is the Penile Dermal Fat Grafts (DFG) or Dermal Widening Grafts or Allograft Dermal Matrix AlloDerm (R). 

Please let me know if there is any new implants or surgery methods (fat implant, cutting internal to allow extra length)

Ideally I would like to get to my original 8″ in length and a large increase in thickness. 

I understand the best 3 piece implant is the AMS 700 LGX.  What is the maximum implant length available?

Would this be possible and approximately what are the costs?

I would appreciate feedback on this as I want to feel good about myself again and regain my man-hood.

Yours hopefully,

Damien

October 17, 2010

Good morning Damien (today is Sunday),

Thank you for your interest in what we do.  If your stretched penile length was or close to 8 inches immediately before surgery, this is a big “wrongo-mundo.”  I could only begin to explain this by saying, the proper size implants were either not on the back table or in the operating room at the time of surgery.  Even if you had lost length secondary to Peyronies or fibrosing cavernositis, when implants are installed this is the perfect time to recoup.

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

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

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