penisdoctor.com

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

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

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

September 30, 2010

Dear Dr. Reed,

Had a combined penile procedure which resulted in some loss of length, and in my pubis, a divot is seen along with a spreading scar extending onto my scrotum.  Plus there’s a bald spot in my pubic hair line. 
Is this something you can correct?

Sincerely,

Unhappy Ken

Hi Ken,

We see these scars almost every other month at the office and the reason is distal based flaps usually do not heal well, unless many precautions are taken.  The reason is the blood supply which starts out in the heart is flows down (that  part is OK) but is then turned around and expected to go up or make a U-turn. 
In pre-operative anatomy, blood flow is normally not like that.

At any rate please look at correction of such a case.
http://penisdoctor.com/photo-penis-enlargement.htm.  Figure
9/1-4.

Harold M. Reed, M.D.

Hello Doctor I was wondering if you could help me with this question.  After penis lengthening surgery when weights are required for 8 hours a day, how is this done?  Does that mean that the patient would stand with weights on his penis for 8 hours daily?
 
Thanks
 

July 31, 2010

Good afternoon Bernie,

When we think of weights, more generally we are speaking of  traction which should be started a day after surgery simply with manual extension for 2 minutes (with you lying down) up towards the ceiling for two minutes and down (towards your feet) for two minutes, a least 8 times a day.  Give your penis a chance to accommodate.  You will notice towards the end of the two minute interval your penis is longer.  Also immediately following surgery, your penis has been wrapped, extended outwards, like in a cervical collar.  This helps too.

After 5 days the wrap is removed and slowly you will progress into serious traction graduating up to 8 pounds if your doctor feels your diameter is capable of that much tension without injury.

I could talk for many minutes about how traction should be and not be applied.

You can accomplish a good deal of the minimum 8 hours a day needed while on bed rest.

Sorry the information is vague, because without knowing you, or having a doctor-patient relationship with you, I cannot go into specifics, but I am available for consultation over the phone if you wish.

Our fee is 250 and this is a one time charge, thus there is no charge for your first visit at the office, excluding any lab work which may be needed.

Sincerely,

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

I am thinking about PE surgery and wanted to know the difference between alloderm and belladerm.  What are the differences between the two and which one gives a superior results as far as girth enhancement?

After girth enhancement surgery, with either alloderm or belladerm, can a second girth procedure be done?

How long after lengthening surgery can you start to stretch with thegrip?

Any thoughts on the Dr. E’s silicone implant and the late Dr. Perovic’s bio-scaffold?

How was it possible the patient in example#2 was able to get such a great girth enhancement?

Are you going to post some before and after pictures of patients with glans enhancements?

You are probably aware of the forum, mynewsize.com/forum and the owner/moderator, C. H, had trouble with his 2nd girth surgery. Good or bad, your name is not mentioned all that much on that forum.

Can the $250 consultation fee be applied towards surgery?

Thank you for your time.

Sincerely
Carl

July 27, 2010

Good morning Carl,

Thank you for your interest in what we do.

As consultation (by us) is an independent event, so we do not  co-mingle or reapply fees.  Nor do we try to sell.  We have told many a well hung man he can rest on his laurels and no surgery is needed.

Taking your thoughtful questions in  the order posed…

What are the differences between the two and which one gives a superior results as far as girth enhancement?Personally I do not see any difference in the ultimate result.  AlloDerm comes from a deceased donor, BellaDerm from a live donor (usually tummy tucks with massive amounts of skin removed).  The same corporation that sells BellaDerm also sell deceased donor products as well.

The maximal thicknesses are comparable, but BellaDerm comes in 20% lager widths, so when patients are buying volume and the doctor is charging the same amount for either, BellaDerm provides more volume for the same money.

After girth enhancement surgery, with either AlloDerm or BellaDerm, can a second girth procedure be done?Yes, but I think you’ll be happy enough with one application that you should not have any more girth enhancement surgery.

How long after lengthening surgery can you start to stretch with The Grip?We have our patients doing penis pulling exercises (manually) the day after surgery and it is not painful.  The Grip could be applied about 5 to 6 days after surgery (the zero day).

Any thoughts on the Dr. E’s silicone implant and the late Dr. Perovic’s bio-scaffold?Dr. E claims good experience with the product.  Our early experience with “crescentic” molds despite use of permanent mltiple Prolene sutures showed that as the spermatic cord occasionally lifts the testicle which is a normal thermo-regulatory mechanism, the capsule which tended to fixate to the scrotal wall separated from the testis and some patients reported “empty cup”.  We also did seminal analyses before and after cups and were really taken aback when they dropped to near infertile levels. 

Dr. Perovic my dear recently departed friend introduced the scaffold also pioneered by Dr. Kim from Korea.
At first they were impregnated with tissue culture cells of the implanted patient to permit more inward cell growth.

Dr. Atala noted research worker on tissue engineering and past president of the AUA has said if a scaffold is one cm or less in thickness, prior implantation of tissue culture cells growth is not needed.  Ingrowth of cells follows blood supply and capillaries will grow into a one cm. matrix without difficulty.

As for the results, I would suggest you speak to patients who have had this done.  I personally never used this product because we had excellent success with AlloDerm. 

How was it possible the patient in example #2 was able to get such a great girth enhancement?Example #2 had 3 layers of AlloDerm put in over 1 1/2 years.  We don’t recommend that, but this was his insistent wish.

Are you going to post some before and after pictures of patients with glans enhancements?

Yes, when we have some mature results.

You are probably aware of the forum, mynewsize.com/forum and the  owner/moderator, C. H, had trouble with his 2nd girth surgery. Good or bad, your name is not mentioned all that much on that forum.

Not aware.

Best wishes,

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

When considering a product for penile girth enhancemnt or augmentation phalloplasty, consider BellaDerm and the MTF mission statement.  MTF, Musculoskeletal Transplant Foundation, is a not-for-profit corporation.

The Musculoskeletal Transplant Foundation is a non-profit service

organization dedicated to providing quality tissue through a

commitment to excellence in education, research, recovery and care

for recipients, donors and their families.

No longer in the shadows of medical practice and organ

transplantation, tissue banking and tissue transplantation are coming

of age. Today, over 900,000 Americans receive tissue transplants

each year. The Musculoskeletal Transplant Foundation, known as MTF,

is in the forefront of providing these life saving and life-enhancing

tissues. MTF was founded in 1987 by surgeons. It is a non-profit

national consortium of academic medical institutions and organ and

tissue recovery organizations across the country that recovers,

processes and distributes donated human tissue for use in transplant

surgery and research. MTF is headquartered in Edison, New Jersey,

with additional facilities located in Pennsylvania, California, Minnesota

and Germany, with recovery sites operated by MTF in Wisconsin,

California, Illinois and New York.

A leader in the tissue banking community, MTF’s work touches the

lives of many and, throughout its history, MTF has made a significant

mark on the tissue banking world. MTF has become the number one

tissue bank in the nation and is one of the largest providers of

allografts in the world, according to the American Association of Tissue

Banks (AATB). MTF provides the largest assortment of allografts

available for transplantation – more than 650 different configurations

of tissue including bone, skin and heart valves. Thanks to the

generosity of donors and their families, MTF tissue is used to enhance

the lives of patients in many ways – to help patients walk again, or

recover from debilitating and painful spinal conditions, or to salvage

limbs that might have been amputated due to cancers, to repair

complex traumatic abdominal wall injuries, reconstruct facial defects

such as cleft palate, or in breast reconstruction following mastectomy

– to name just a few.

Harold M. Reed, M.D.

305-865-2000

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

Hi Dr,. Reed,

I am interested in your Alloderm girth enhancement procedure.  I currently reside in Atlanta, GA. If decided to have this procedure done, I would fly in.

I have a few questions:

- What are the payment options? Are there any specials right now?

- Where are the incisions made for this procedure? Under the head of the penis? At the base?

- What is the recovery time for this procedure? How long before intercourse?

- I read patients who undergo this procedure must stay 4 days, is this still standard procedure? Why 4 days?

- Do you perform this procedure on weekends?

- What tasks do out of town patients usually perform before coming into town for this procedure?

Thanks in advance for answering my many questions!

Sergio

Good morning Sergio,
Thank you for your interest in what we do.

Taking your thoughtful questions in the order posed…

What are the payment options?

You have to be prepaid before surgery.   Yes, we accept pre-payments
and many a patient has done that a 1000 dollars at a time. 
For a line of  Medi-credit, please try

Reliance Finance Company, LLC
http://www.reliancemedicalfinance.com/
1-888-502-8020

or

Chase Health Advance, USA only
www.unicornfinancial .com

or

Medicard Finance,  Canada only.
http://www.medicard.com/

or

www.carecredit.com
automated phone application #  is (800) 365-8295

Are there any specials right now?

No.

Where are the incisions made for this procedure?
Under the head of the penis? At the base?

Yes there is a 9 to 3 o’clock incision in the coronal sulcus,
the groove in back of the head of the penis and a vertical incision
about 1/2 to 3/4 on an inch long at the peno-pubic junction.  Both incisions
are closed very cosmetically and usually heal quite neatly
and fairly inconspicuously.

What is the recovery time for this procedure?

You need to be on strict bed rest for 4 days at the Baltic Hotel
following procedure, and keep a wrap on for 7 to 8 days.

How long before intercourse?

About 8 weeks,.

I read patients who undergo this procedure must stay 4 days, is this still standard procedure?

Absolutely.  A.  To prevent shifting and sliding of the dermal-matrix product,
and to minimize post-operative swelling and bruising.

Why 4 days?

Usually maxes out by that time.  I have to see you at the Hotel everyday.

Do you perform this procedure on weekends?

No.

What tasks do out of town patients usually perform before coming into town for this procedure?

Please initiate an over the phone consultation.  Our fee is 250 and is a one time consultation charge.

All the best and have a restful weekend,

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

 I asked for the Ultimate AMS I was given the step down with out my conscent. Ilost 2′ and some Dimension. The Pump leaks and partially fills when its deflated. Can I get back my inches and a better girth?    Rudy

Good morning Rudy,

Thank you for your interest in what we do.  Hope you can relate to our gallery of “ups and downs.”   Have been doing implants since 1975, and probably have done over 2000.

Fortunately your AMS product has a life-time warranty applicable to any treating physician.

We have been known to perform some magic in situations such as yours, but you do need to be seen at the office so I can best advise you.

Please understand it may be as simple as revising some technical errors during your previous installation, but you do need to have this reversed ASAP as scar contracture will make it more difficult to regain the length loss.

Also bear in mind any operation is associated with risk.  The experience of your urologist and his focus to the problems at hand will help minimize this.

You may wish to initiate a consultation over the phone by sending us your name, address, and phone number in an envelope along with a check for 250.

All the best,

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