Dear Dr. Reed,

Are u familiar with the penis tacking procedure for buried penis and retractile penis?

How safe is it.  Does it feel like there is staples in my penis?

Edward

October 6, 2011

Good morning Edward,

Both are ways to correct a penile-scrotal web.
 
The Z-plasty will leave a Z scar and the V-Y plasty  conceals better for the reasons I have mentioned in earlier letters. I am also of the opinion the V-Y will make your penis look longer because the skin wraps around the
base better.
 
Sincerely,

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

So are y-v platy and a Z-plasty basically the same thing used interchangeably?

 October 5, 2011
 Good evening Edward,

Yes, we use the Y-V plasty for many reasons including the fact the  scrotal lines or rugae are shaped like a Chevron and the incision lines tend to fall in the creases and  are more concealable.

 There may be a small scrotal dog ear on either side to clip off  truly representing less than 1.5%  and usually less than 1% of the total scrotal surface area, more than  offset by the added  scrotum from your penis that is now a part of the true scrotum.

 Sincerely,
Harold M. Reed

Do u use the v y technique? Is it possible to remove webbing
without removing skin?
Is your method different from dr gehart patners?

Edward
 

 October 4, 2011
Good afternoon Edward,

 Your opinion is certainly of interest, although I  cannot comment on any noticeable difference. 

Sincerely,
 Harold M. Reed, M.D.

How prominent. Is the scarring
On Oct 4, 2011 8:50 AM, “Edward”  wrote:
It looks as though from the pictures that after surgery, there  scrotum sacs  become much tighter and doesn’t hang loosely anymore. Is that  usually what  happens?

 October 4, 2011

 Good morning Edward,

 We have done many peno-scrotal webs and could do a Z-plasty.  but those I have seen from other offices, look like the mark of “Zorro”  although the problem is corrected. Because you have a midline pigmented structure called the raphe, the incision line is begging to be put there (IMHO).

 Please review photographic examples on my web-site.

Cordially,

Harold M. Reed, M.D.

305-865-2000

Dear Dr. Reed,

Thanks for your prompt reply.  I have to admit I’m a bit confused about your contacting me.  Dr Whitehead practices in New York, and you’re in Florida.  Does he no longer do peno scrotal web surgery? Did his office refer me to you?
 
In searching for reviews about your practice, I discovered a couple of negative reviews that have me concerned.  While I understand that the veracity of one person’s vitriolic review can never be adequately understood, nor the highly subjective nature of this person’s rant assessed, I am concerned about one criticism in particular.  The critic wrote that s/he was misled regarding costs of the surgery.  While s/he was quoted the same costs as those you informed me about ($250 consult; $2500 for surgery, anesthesia and facility fees), the writer maintains the costs quoted at the consult were closer to $6000 for the surgery.  Please respond.  
 
Thanks.

Good afternoon Bob,

Dr. Whitehead has retired and has passed his consult requests on the me.
We have known each other for a good 20 years.

Yes, my office is in greater Miami.

The CDA 230 (section 230 of the Communication Decency Act)  permits
people to write negative reviews about any business without any concern for libel, and they may often re-write another item under another assumed name or  E-mail address to lend more import. 

HIPAA is a federal law which ensures patient confidentiality, so physicians cannot respond in kind without violating HIPAA.

Despite some negative reviews we continue to have a very active practice especially because of patient and physician referral.  You may wish to visit my physician profile with the State of Florida http://ww2.doh.state.fl.us/IRM00profiling/searchform.asp

Fees with patients are established before surgery, and on complicated cases best determined when they visit our office for the first time and are examined.  When patients request ad-ons, the initial estimate does not apply.  For conventional surgery such as a circumcision, a penile implant, insertion of testicular implants, the fee is standardized. 

The fee for peno-scrotal web repair is clearly posted on our web-site and is standardized and I can write to a letter to assure you of this.

Hoping this is helpful,

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

Am 63 yrs old, 5’10″, 168, very good health. Was recently circumsized and now have penoscrotal webbing. Seeking info about cost of surgery to correct it. Please communicate via email or snail mail,. Thanks.

Good morning Bob,

Thank you for your interest in what we do, several hundred penile-
scrotal web resections over the course of 35 years.

Please see http://www.penisdoctor.com/penoscrotal_web.htm

After your review, 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

had te pleasure of speaking with you; appreciate you frankness and approchabilty; still planning to see you for the penscrotal webbing; I’m not decided as to what else to do. if you drop the testicles’ will they still yoyo up if the scrotum contracts? is this process independent or dependent on the boys rising up?do they have to be sewn to the scrotum ? on reading your respionce to Mr oday you stated that you participate with most bcbs plans, is the still true? or are you out of network now at this time? yoyur prices for the webbing was staed as 2500.oo as well as for the orchid…; What is the charge for the ..pubic liposucktion? no matter how much weight i lose I don’t think I will lose it there. what does it involve? pleasent and prosperous holidays; God Bless – Sanford

December 18, 2010

Good afternoon Sanford,

Think of the scrotum as a hammock on which the testes will rest after orchidopexy.

If the scrotum rises, the testes will also, but should always remain on the bottom of the scrotal compartment.

We are contracted Blue Cross, Blue Shield providers.  Please call Anne to validate your plan. 

Peno-scrotal web as a procedure unto itself is 2500, and orchidopexy when done simultaneously is 4500.

Pubic liposuction should not be done at the same time, and does require a general anesthetic.  Our fee for that varies depending upon what has to be done, from 3500 up.

Sincerely and have a restful weekend,

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

   Regards, Rory

December 18, 2010

Good morning Rory,

Thank you for your interest in what we do.

Peno-scrotal release is a procedure we frequently perform, and with any
procedure there is many caveats of things that should be done and things to avoid doing.

Please see http://www.penisdoctor.com/penoscrotal_web.htm

Regretfully we do not maintain a directory of a handful of surgeons who are exceeding gifted in peno-scrotal web release.

Visits from Canadians and UK folks are frequent.

We hope to see you soon and anticipate we will show you every courtesy.

Please do initiate a consultation over the phone.  Our our fee is 275.

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

PROCIRCORG@yahoogroups.com,

It seems that the occurrence of erections will prevent an adult man from getting an ultra tight circumcision, otherwise there will be suture marks from pulling during healing.

Are there any safe, reversible methods to block erections for a couple of months to let the wound heal?

Kendall

Hi Kendall.

Thank you for your interesting question. First let’s talk about overly tight circumcisions. Two “no-no’s”. You don’t want it that tight you see lifting of the peno-pubic angle or raising of the pubic skin to meet the needs of the penis, nor do you want your scrotum drawn into the base of your penis creating a peno-scrotal web.

Next for those patients who request tight circumcision, the use of steri strips, left on for about 12 days should suffice. Also plan on being on bed rest for 2 days, after circumcision, in that wound separation is seldom caused by an erection alone, but more often by a simultaneous collection of fluid under the skin which impedes good wound healing. We mean being in bed within 8 to 10 minutes after the patient leaves our office. If the patient lives beyond that distance, he has to stay at a nearby motel. No shopping at the Mall or weddings for the next few days.

Lasting we do procedures such as foreskin reconstruction and after the first stage, have to bury the penis under the scrotum and of course, erections are to be avoided. For that spironolactone 100 mg twice a day (avoid high potassium foods) is what we recommend. This is an anti-testosterone drug. 

To control nocturnal erections, the use of the old styled Sudafed (pseudoephedrine) 2, 30 mg tablets every 6 hours is helpful. Please read the brochure, can cause elevated blood pressure, etc.

Incidentally in our operating room, the patient gets a hand-held mirror and we make the circ is as tight as the patient wants (of course avoiding extremes, that will come back to bite us)

Hope that gets you off to a good start.

Harold M. Reed, M.D.