Archive for the ‘Phimosis’ Category

Phimosis and seeking circumcision with Dr. Reed

Sunday, January 15th, 2012

January 15, 2012

ide like to see if possible to have an adult circumcision procedure done on myself, i have phimosis

Sergio

January 15, 2012

Good morning Sergio,

Thank you for your interest in what we do.  Your p.nis is one of the most important functional and cosmetic features of your body.

Based upon what you are saying, you have phimosis and we are experts at allowing your head to see the light of day and for daily hygiene, and avoidance of chronic inflammation (balanitis/posthitis).  Also less malodor. Please see photos on our web-site of cases possibly more advanced than yours.

We have performed over 6500 cosmetic circumcisions and revisions in the past 35 years and usually do several cases every week.

We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years!  This is your 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 (elsewhere) 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,
 

All the best,
 

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

How do I know if I have phimosis

Tuesday, June 21st, 2011

June 21, 2011

Are there any ways to check and see if I have phimosis?   Adam

Good morning Adam,

Hopefully you do not have phimosis.  But this in itself is usually not a serious condition and treatment can vary from medical to circumcision.

Phimosis is when you cannot easily retract your foreskin over the head of your penis.  Relative phimosis is when erect you cannot have enough pliability to retract the foreskin over the head of your penis. 

If you have associated symptoms such as micro-tears, and recurrent inflammations or infections, of course see a urologist.

If you are having problems with daily hygiene, this also may be an indication of phimosis.

Sincerely,

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

Do you know any “emergency circumcision cases?”

Thursday, June 9th, 2011

June 9, 2011

Do you know any “emergency circumcision cases?”
Ling Dow Chow M.D.

Good afternoon Dr. Ling,

I guess paraphimosis with inability to reduce could be an occasion
although many urologists might just do a dorsal slit to temporize.

Conceivably phimosis with the inability to void appreciably might be one, although I has never seen that.

A significant tear of the prepuce could be converted to a circumcision
if the patient agreed.  In our country, a patient should be able to review an informed consent and contemplate risks and side effects, etc. for at least 24 hours, to avoid the surgeon being declared “overly aggressive.”   We post our informed consents for circumcision on our web-site.
Hoping this is of help,
Harold M. Reed, M.D.

Man with non-functioning penile implant has a foreskin problem that is more pressing

Saturday, May 21st, 2011

 I had a inflatable implant Put in in 1980. It has failed. I  am having problems. The foreskin can no longer retract and I am having a hard time keeping clean. Also no sex. Can the implant be removed or replaced? Will I need to be circumcised? I am 65. my urologist suggest removing the old implant and splitting the foreskin and no sex. Your suggestions please. I do not think he wants to fool with me.

Jordan

Good afternoon Jordan,

I would consider a circumcision first. Then wait 3 to 4 months for adequate wound healing, then only if you wish, have your  implant replaced. To have done well with a single implant  for 31 years is exceptional. You do have a claim to fame. 

Hoping the attached is helpful,

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

Once again  thanks for the reply. I will contact your office and  schedule a consultation and circumcision. Enjoy your trip to the mountains.

Respectfully, Jordan

May 19, 2011

Good afternoon Jordan,

Going out for some errands and will be back about 4 PM.
 
All you need my friend is a simple circumcision. The dorsal slit is only used as a first  stage step if you have a massive infection or some rare problem
 
Look at our web-site and see photos of how patients present and have all in one visit.
 
 
We’ll talk,.
 

 Harold Reed, M.D.

Overly tight foreskin, girl friend reports bad taste

Wednesday, March 23rd, 2011

March 23, 2011

I have been battling the idea of a circumcision for a long time, my insurance is aetna choice pos.my foreskin has never exposed the head of my penis in my lifetime.i never really had issues with girls and sex, except the last 1 who complained of a bad taste.Not only was this embarrassing but it has shot my confidence to an all time low.Not being circumcised is on my mind any time I am I am with a new girl, what will she think, what will she tell her friends, what doesnt she tell me. I would like to know more about adult circumcision and would want you to provide your services to me.I dont last long in bed, i am not sure if its because of the extreme tightness of the foreskin. I live in CT and would like to know when you have available appointments, how long I will have to miss work for? my job is not that strenuous, I am an internet manager and designer for car dealerships, most of the time i sit during the work day, sometimes walk to take inventory. please help me, my sex life is in a down spiral because of
contact: Email Razook

Good morning Razook,

Thank you for your interest in what we do. Regretfully we are not Aetna providers.  They may pay you for out of network coverage. You definitely need a circumcision as your penis probably elaborates carcinogens that could be a causative agent of cervical carcinoma. What woman wants that.

We have performed over 6000 cosmetic circumcisions and revisions in the past 35 years and usually do several cases every week.

We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years!  This is your 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 elsewhere) 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,

All the best,

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

Phimosis, possible BXO

Sunday, February 13th, 2011

February 7, 2011

I’m a 58 yr old male. I’m having problems urinating properly due to the fact that the foreskin on the tip of my penus has recently reduced itself in size preventing my glan from being exposed. All this started when I noticed my foreskin dry with small cracks which by using vaseline I would normalized this situation immediately in previous occasions, but this time around it seems like it took another turn and decided to retract my frontal foreskin. Is this phomosis? What do you recommend? Its quite urgent, please advice. Thanks!  

Fulton

Good morning Fulton,

Thank you for your interest in what we do.  Yes, sounds very much like phimosis to me and may even be BXO.  Yes, time to think of properly performed circumcision.

We have performed over 6000 cosmetic circumcisions and revisions in the past 35 years and usually do several cases every week.

We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years! This is your 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 (elsewhere) 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,
 
All the best,
 

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

Preputioplasty

Thursday, January 27th, 2011

I am a 48 year old, uncircumcised man (born in the UK, have lived in the US since I was a kid). My foreskin is tight. I was evaluated for a circ a few years ago, but chickened out. And, frankly, I kind of want to keep my foreskin. I have  read about preputioplasty to loosen the foreskin. Does anyone have experience with this or knowledge of the procedure.   

Hi Jay (hope I have your first name correct),

We have done preputioplasty which essentially involves making a longitudinal incision to open a tight preputial ring and this is closed transversely. Cosmetically this leaves a little to be desired, but you get to keep your foreskin. Another option is a limited circumcision, but my opinion is that if the skin is scarified, all involved skin needs to be removed, as you will be back for a touch up, or perhaps treatment of BXO. You don’t need surgery on the installment plan.

Sincerely,

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

“Suffering from phimosis”

Saturday, July 31st, 2010

Hi Doctor, D you see patients in the SF Bay area? I am a 40 year old suffering with Phimosis and considering a circ. Are there any cons of getting it done at this age? Thanks, ~Ken

July 24, 2010

Good afternoon Ken,

Thank you for your interest in what we do.  Please see examples of phimotic patients on our web-site.   Regretfully our only office is in greater Miami.  We see patients from all over the world who recognize their penis cosmetically, next to the nose on their face is one of the most important cosmetic areas of the male body.

With kindest regards,

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

Phimosis

Saturday, July 31st, 2010

Hi Dr Reed, I am 37 years old and I am interested in getting my phimotic condition corrected with circumcision. I understand that you use micro sutures used in plastic surgery. Are these self-dissolving sutures? Would I need to revisit you or go to a local urologist to have the sutures removed? Also, what are your normal office hours for me to call your office manager to schedule an appointment with you? Thank you, Arnaud

Hi Arnaud,

Thank you for your interest in what we do.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  Many of our patients have phimosis so we well understand the principles of getting the best result.

Our sutrures while fast absorbing still should be removed 12 days after surgery to prevent permanent cross hatch marks (ghost lines and pin holes).  Please do not let anyone talk you out of having them removed, by saying “they are absorbable, they’ll melt out.”

This should be done by a health care practitioner who has a bright over head light, loupes (eyeglass with little telescopes on  the end) and delicate plastic surgery instruments  like for removing eyelid sutures)  EMLA cream could be applied for 20 minutes beforehand if you are very sensitive.  Some urologists have this equipment in their office if they do delicate surgery, or consider an urgent care center, or an emergency room of a quiet community hospital (not a county “zoo”). 

Next to the nose on your face, your penis is a very important cosmetic structure and standards for care should be no different.

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 3 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, and next week a father and 3 sons! 

This is your 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”)

Our office hours are from 9 to 5, Monday through Friday.     Be assured  we will show you every courtesy.

          
                                                                                                                                                      
With kindest regards,
Harold M. Reed, M.D.
305-865-2000

Unexpected or unexplained neonatal circumcision

Tuesday, July 6th, 2010

Dr. i have my babe 3 week ago the Dr. he did the circumcision to my babe he did`t explain to me what is the circumcision my question is if the circumcision is revercible or he can have surgery foreskin restoration please help me thank you.  Alicia

July 6, 2010

Good morning Alicia,

Sounds like the circumcision of your son was not properly discussed with you.

Despite your misgivings now, a circumcision does confer many advantages health wise.  Such as avoidance of phimosis, decreased likelihood of urinary tract infections, deceased likelihood of his acquiring HIV and sexually transmitted disease.  It could be reversed later on after adolescence.  There are conservative (non-operative) means to do this, but chances are your son will appreciate being circumcised.  Doctors need to take time to talk to their patients and the family, so that you can make an informed decision.

Sincerely,

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