penisdoctor.com

April 12, 2011

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

March 23, 2011

I have been diagnosed with Peyronies. I have ocassional ED. Due to the Peyronies, I have significant shortening and I’m interested in the implant procedure and possible lengthing if possible. email or phone is acceptable means of contact. 

Raymond

Good morning Raymond,

Thanks for visiting our web site on Peyronies’s disease and penile curvature http://www.penisdoctor.com/peyronies.htmPerhaps you can relate to the before and after posted in the gallery. 

The best results for Peyronies’s without question come when there is simultaneous implant of an inflatable prosthesis, which should not be done if there is sufficient wherewithall to penetrate.

We are seeing several Peyronie’s patients every month.  One memorable patient from Ohio was done with a length gain of 1 1/4″ immediately on the table.  When the patient arrived in the recovery room and said to me, “how did I do,” I drew the curtains around his bed and pulled back his sheets and blanket and said, “look.”  An approving smile came across his face.

With post operative use of a vacuum erection device, he’ll even do better than that over the course of the next 6 months.

Correcting penile curvature is one of the mainstays of our practice and the enjoyment we derive is making two people happy.  We see patients from all over the world who seek remedy because of functional or cosmetic disabilities.

My knowledge is updated yearly by attending the AUA meetings.  At any lecture dealing with Peyronie’s you’ll find me sitting very attentively in the audience. 

While our surgical success rate is better than 95%, we do recommend a trial of conservative therapy for at least 6 months as this may often produce a sufficient enough resolution to make you a happy man.  But have you had this without success?

When your travel plans include the Miami – Ft. Lauderdale area please avail yourself of a proper urological consultation.

Or call our office to verify insurance coverage.  Anne is very knowledgeable.  We can even make a conference call with your company to verify your benefits.

If you are over 40 and are on medications other than hormones, please call the office before scheduling surgery,  as a letter of medical clearance will most likely be needed.

If you are a smoker, you must stop completely for 2 months before surgery and please never again.  Smoking causes vaso-spasm, impairs wound healing, produces excessive scarring, tissue necrosis,
irritates and inflames pulmonary membranes and enhances anesthetic risk.

This goes also for any products containing nicotine or nicotine like agents including nicorette gum, nicotine patches, Nicotrol inhalers, and second hand smoke.  Again not for 8 weeks before and not for 8 weeks afterwards.
Hopefully never again.

No aspirin or aspirin products, blood thinners such as Plavix, Coumadin, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx for a week before surgery.  No Vitamin E or excessive alcohol or spices for a week before surgery as this may promote bruising.  Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice a day, Arnica montana dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery.

Sincerely yours,

Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America

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

Had a plication 12yrs ago to correct Chordee which I found out later was a mild case.  It went very badly and had two more surgeries to try and fix. I believe there may have been a graft of some kind also, still not good results was much happier with what God gave me. Have tried to have surgeon remove stitches but no luck can this be done? Damon

December 19, 2010

Good afternoon Damon,

Thank you for your interest in what we do.  The attached may be informative.

Usually once plication sutures have been placed and the tunica is bunched or gathered, it holds or heals that way, even if the sutures are subsequently removed.

I have removed permanent sutures when patients complain of a palpable B-B (knot) under the skin, but the effect created is seldom altered, saying that again.

Regarding your contour status at this time, this should be reviewed in the flaccid and erect state and recommendations can be made to approach as best as possible a normal erection.  Most likely if there is a depressed area or waist banding, a geometric incision and graft will need to be employed.  Hope you have access to a copy of your operative report.

After reading the above and visiting our web-site, 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 would like to come see you for a pre-surgical consultation for the treatment of Peyronie’s Disease.  I am a 57-year old heterosexual white male married to my wife 29 years.  My degree of angulation is quite severe (downward), there is narrowing in diameter at the site which is close to the base of my penis, and I can easily palpate TWO large masses.  One mass is on the lower right and the other is on the lower left, bilaterally symetrical and equal in size.  Erections are usually not a  problem and sex with my wife is possible but not comfortable.

My condition started a little over a year ago and I went through the usual course of Potoba and vitamni E as prescribed by a urologist.  Things only got worse during that time so he recommended I see a urological surgeon after a year has passed, which is consistent with everything I’ve read.  I’ve been stable now for at least 6 months.

So I was wondering if you thought you could help me and, if so, what would be involved in a consultation.  For example, are there particular days you schedules exams?  I’ll need to make plane and hotel reservations since I’d be coming from Maryland and I’ll have to align your calendar with mine.  Also, would you need me to bring photos? 

Any further information would be greatly appreciated but I can tell you that my wife and I are seriously interested in moving forward with surgery.  I learned of your expertise through your web site, which has been very informative.  You may contact me by return e-mail or by telephone.

Many thanks!

Jason

December 18, 2010

Good morning Jason,

Yes, we do Peyronies’s surgery using both plication and grafts.

For grafting we use the geometrical technique. 

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

Peyronies repair. I need to get it fixed. I would like to recoup leanth and girth if possible.

Chad

September 26, 2010

Good morning Chad,

Hope the attached is helpful.  Yes, Peyronie’s and fibrosing cavernositis, a variant, and penile shortening  go hand in hand.

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

There is a lot of information we need to put out to you as well as address all of your concerns, including scheduling and followup care.   Anticipate we will show you every courtesy.

With kindest regards,

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

I was wondering if my husband can get a circumcision at the age of 26? He has a penis that is curved, will it be a problem? But also a problem is he has this bed wetting issue that has been occuring for the past few years. He does this every month or so. He eats healthy and he doesn’t drink caffeine drinks. What can be the cause of this? It happens when he dreams bad stuff he says and he can’t get out of his dreams… he wakes up wet.   

Nancy

Hi Nancy,

Thanks for your E-mail inquiry and visiting our web-site http://penisdoctor.com/circumcision.htm.

A circumcision is perhaps the highest cosmetic calling given to a urologist.  
However, we must be mindful of two other important issues, penile curvature and bed wetting (enuresis).  Just to digress one of the most memorable cases in the past 31 years of practice was a bed wetting adult executive type man who had received the million dollar work up from others to ascertain exactly what his problem was.  The answer was later revealed to me.  He was sleeping on a water mattress with a very small pin hole in it, that would never leak unless about a 200 pound man and wife were on top and maybe doing things.  A web-site about bed-wetting in adults is http://www.nafc.org/bladder-bowel-health/bedwetting-2/adult-bedwetting/  One approach is timed voidings, getting up in the middle of the night by alarm clock if needed, and restriction of fluids after 6 PM

Before his circumcision is done, at least we would like to know if he wishes correction for curvature, has he received prior treatment with medication, etc.?  Please check out our penile curvature (Peyronie’s) website  http://penisdoctor.com/peyronies.htm

With kindest regards,

Harold M. Reed, M.D.

by Dr. M Culha and group from Turkey   Traction was applied from 3 to 8 hours a day for 6 months.  Results 93% (27 patients) noted curvature reduction (from 10 to 30 degrees), length increased from 1/4″ to 3/8″   In another group, comprised of patients who refused to use the penile extender device, a small portion noted penile shortening. 

Harold M. Reed, M.D.

As reported by J. Chen  (J. of Sexual Medicine).  45 men were treated and only one patient reported improvement.  Each patient was treated with 8 weekly injections.  Conclusion: Verapamil is not effective in correcting curvature or facilitating vaginal penetration.

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.

Dr. G. Garaffa (London) and group compared 129 patients who had correction of Peyronie’s by insertion of an inflatable penile implant versus 80 of those who had a semi-rigid rod type implant.  Despite revision surgery in 18 of the first group versus 8 in the second group, the satisfaction rate for inflatables was higher 86% versus 72%.   Our experience has been after you show an inflatable model on the desk top versus a semi-rigid rod almost all patients will opt for an inflatable after learning of the pros and cons.   

Harold M. Reed, M.D.