I would like inquire about a dorsal slit reversal. Is it possible? if it is, will the outcome be just like an intact penis with all the foreskin restored?  Please give details regarding the costs of operation and recovery period.  Thanks in advance.   Matthew.

Good morning Matthew,

As you may know, a dorsal slit is a longitudinal release of the foreskin on the top side which opens the phimotic ring and usually results in a waddle of skin under the head and distal shaft.  Not that pretty, but often convenient when the patient may not be a suitable candidate for circumcision, such as  a gent with a severe penile infection.   A circumcision could be done secondarily.

Thank you for your interest in what we do.  Several thought come to mind.  Reversal is possible with some caveats.

A dorsal slit is usually done by a crushing clamp technique to reduce bleeding followed by an incision over the crushed area.   The edges are then oversewn to prevent delayed bleeding.  This reduces the amount of foreskin available to reconstruct unless you were very generously endowed to begin with.

Normal for men is a preputial ring at the end of the foreskin which upon reconstruction is the weak point and could lead to tearing with erections.  So while an attempt can be made to do this, there is no guarantee everything will be smooth sailing afterwards.

Fee for reconstruction 1500.    You will need to be on an anti-erection medication for 6 weeks.

Cordially,

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

Thank you for your interest in what we do, over 5,500 procedures relating to circumcisions and/or phimosis.    Kevin

Good morning Kevin,

Please keep this in mind, if you have a phimosis, all unhealthy non-stretching tissue has to be removed or you will need a dorsal slit.   If you have scarred prepuce left, that will not retract over the rim of the glans for daily hygiene.  What you may wind up with could resemble a partial circumcision.  Also keep in mind the remaining prepuce normally swells quite a bit after surgery, and you will need a Q-tip for a few weeks to cleanse the inner recessed area.    But yes, it can be done.

Harold M. Reed, M.D.

305-865-2000

Had a very wonderful Greek patient here 2 days ago with retractable phimosis, but cracked and was painful after sex so much, that he needed a week to recover every time he penetrated.  Time for cosmetic circumcision.

Yes, by touching and looking at the white inner skin, I can tell exactly how much is inflamed and non-elastic.  This definitely has to be removed, otherwise the problem will recur.  With careful approximation, was able to do this without a lower V-cut.  He wanted the frenulum preserved, and that’s OK.  It was not hard, cord-like and fibrotic. 

Seen the next day at the office with his beautiful girlfriend and is doing well.  Not pain whatsoever.

Harold M. Reed, M.D.

305-865-2000

In PROCIRCORG@yahoogroups.com, Leland J. wrote

Happy Holidays to all. I’m new to the group and my situation is this. I was able to retract the foreskin when erect and soft but, I only can now when I’m soft. I don’t want a full circ, maybe a partial. Any advice.

There are remedies you can consider: steroids applied judiciously, but usually the end result is not workable. You may also have a dorsal slit, or even “cigar clipping” done but recovering from this may be more problematic. Lastly you can have a loose circumcision with normal ease of recovery. Please look at
http://www.penisdoctor.com/photo-circumcision.htm

We have performed over 5000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

You could return to an office environment in about 4 days after circumcision. Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years! This is your circumcision or partial circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected. I was wondering when i recover can i get a consultation with you.” Photos sent and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

Happy Holidays and a Healthy New Year,

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

December 31, 2009

Hello Magellan,

This is all your call. As mentioned a few messages ago, if you have phimosis, for sure, the bad tissue has to be removed and then you may be looking a moderate or low cut. Regardless you still will be every bit as handsome as you are now, but just a little bit cleaner down below. We give our patients four options, remove or do not remove the frenulum, high medium or low cut, tight or loose or any way in between, and the cut can be parallel to the rim (corona) which is on a slant or perpendicular to the long axis of your penis.

If it is on the diagonal the inner skin is equidistant in width all the way around.

Happy and Healthy New Year,

Harold M. Reed, M.D.

PS. We recommend the Baltic Hotel in Miami Beach (advanced tourist class) with freshly baked gourmet Danish daily, hot coffee, sparkling white thick linens, 8 minute drive to the office, and I make rounds there every morning. Cristina, the owner maanger has shown a strong partiality to our patients. For reservations 888-622-5842.

I am 67 yrs of age and weigh 350 lbs. I have phimosis and I am considering a circumcision. I have Medicare and AARP  and do not have other funds avaiable. I would like to get done as outpatient, no hospital stay. I don’t like the idea of spending a night in hospital. Would this be possible?   Sid

Good morning Sid,

We respectfully would decline to do your circumcision at our office based facility but would in a hospital setting and yes, most likely you needs would be best served to have you stay overnight.  However, we could request an early morning starting time, and most likely if you are stable, you could be discharged later (same day).   Accepting Medicare as the primary and Aetna as a secondary is no problem as long as their regulations are followed.

I know you would not get on a plane with a 5% likelihood of a major mechanical malfunction, why take chances with surgery?

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

 

Harold M. Reed, M.D.

 

Hello Magio,

This is all your call.  As mentioned a few messages ago, if you have phimosis, for sure, the bad tissue has to be removed and then you may be looking a moderate or low cut.  Regardless you still will be every bit as handsome as you are now, but just a little bit cleaner down below.   We give our patients four options,  remove or do not remove the frenulum, high medium or low cut, tight or loose or any way in between, and the cut can be parallel to the rim (corona) which is on a slant or perpendicular to the long axis of your penis.

If it is on the diagonal the inner skin is equidistant in width all the way around.

Happy and Healthy New Year,

Harold M. Reed, M.D.

PS. We recommend the Baltic Hotel in Miami Beach (advanced tourist class) with freshly baked gourmet Danish daily, hot coffee, sparkling white thick linens, 8 minute drive to the office, and I make rounds there every morning.   Cristina, the owner maanger has shown a strong partiality to our patients.  For reservations 888-622-5842.
 

— In PROCIRCORG@yahoogroups.com, “magiogenero” <magiogenero@…> wrote:
>
> Dr. Reed, have an appointment scheduled for this January.  Any ideas?  What
Hotel do you recommend?
>
> Magio

There are remedies you can consider: steroids applied judiciously, but usually the end result is not workable. You may also have a dorsal slit, or even “cigar clipping” done but recovering from this may be more problematic. Lastly you can have a loose circumcision with normal ease of recovery. Please look at
http://www.penisdoctor.com/photo-circumcision.htm

We have performed over 5000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

You could return to an office environment in about 4 days after circumcision.  Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years! This is your circumcision or partial circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected. I was wondering when i recover can i get a consultation with you.” Photos sent and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

Happy Holidays and a Healthy New Year,

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

— In PROCIRCORG@yahoogroups.com, “NYCFirstResonder” <nyfirstresponder@…>
wrote:
>
> Happy Holidays to all. I’m new to the group and my situation is this. I was
able to retract the foreskin when erect and soft but, I only can now when I’m
soft. I don’t want a full circ, maybe a partial. Any advice.

 I wish I had the luxury of just flying down to Florida and paying for Dr.
Reed. Unfortunately, I’m in my mid 20’s, although I have insurance I make under
$600 a week and live in the most expensive city. I would love to go see Reed
but it’s not feasible. Rather keep it local. There has to be a good Urologist
or Plastic Surgeon in NYC.     Thanks,   Chaz

Say Chaz,

What if I picked up your airline ticket. Please check NYC urologists first of course. Remember with us, you choose the 4 parameters, have a hand held mirror in the operating room to be sure it’s done properly as you wish. Can I whisper a secret in your ear. Most of our patients are salt of the earth people just like you, and for them, their penis is special. You take care of little Chaz.

Harold Reed, M.D.
305-865-2000
Sent: Sun, October 25, 2009 9:27:50 AM
Subject: Re: [PROCIRCORG] RE: Recommendation for NYC Dr.

Chaz,

Since you are already circumcised, you are seeking a specific procedure. Dr Reed, being an Urologist and a Plastic Surgeon, is the doctor for that procedure. He has done over 5000 circumcisions and or revisions. Your penis is your calling card, you only get one. Why not go to the best.

A round trip flight to Fort Lauderdale is less than one hundred fifty dollars.  I would at least make a call to Dr Reed and at least tell him the specifics of what you want.
Phil

Hi im 23 going to 24 i’ve been considering getting circumsized by you since i heard your very good at them. Thing is i dont know what to expect once its cut.   what going to get more sensitive and whats not? im just afraid i might lose sensitivity.    Sai.

Good morning friend Sai,

A circumcision is about removing skin only. Reports of loss of sensitivity are probably related to a doctor cutting at the wrong tissue plane and is extremely rare. Be assured having done over 5000 circumcisions, I do not believe one patient has complained of loss of sensitivity.

Studies have been done with large cohorts (number of subjects) such as the Kaiser Permanente study involving thousands of men, and bottom line… no loss or gain of sensitivity on average. Yes, there were some outliers (patients above and below the mean) but on average mean ejaculatory time, a sign of sensitivity remains the same. And biothesiometry studies, a nerve conduction test designed to measure barely perceivable vibrations (fine touch) shows no statitstical difference between the groups.

Most will have heightened sensitivity immediately after circumcision and this subsides to normal in a few weeks. Then, it’s business as usual, and you can put in your regards for me anytime.

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