penisdoctor.com

April 15, 2012
Evening Doctor My son is 8 yrs old. He has an extremely tight foreskin, which cannot retract. The penis sometimes balloons when he urinates, and he often complains of burning. I took him to a Urologist who wants to perform a circumcision this week. My question is is there anything we can do to stretch the foreskin and avoid the circumcision? I don’t know much about the procedure, but I would like to spare my son this, I don’t like the idea of anaesthetic, or of him being in pain, or feeling self-conscious because he looks different to his friends. Thank you
contact: Email
Mrs. Stirbridge

April 15, 2012

Good afternoon Mrs. Stirbridge,

Based upon what you are telling me, a circumcision is indicated for extreme phimosis.   There are conservative medical treatments but if your son cannot practice daily hygiene, why bother.

Chances are his glans is also chronically inflamed, balano-posthitis.   Sure there are risks involved in any surgery, but a board certified urologist should know exactly what to do and what not to do.   I wish your son the best.  I know if he had appendicitis you wouldn’t think twice.

Sincerely,

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

February 26, 2012

Dear Dr. Reed,

What do you recommend as a conservative treatment for occasional phimosis.

Jimbo

February 26, 2012

Good morning Jimbo,

Some doctors will try empirically (without cultures or biopsy) a cream that is a combination of steroid and an antifungal agent.

I cannot recommend this for you in that I am not your doctor and have not examined you.

You may wish to ask your doctor if http://www.tarousa.com/Products/Rx/ClotrimazoleandBetamethasoneDipropionateCreamUSP/Product.html
is right for you.  Do use this product sparingly twice a day if prescribed, as irreversible atrophy of the penile skin may occur.

Have a restful Sunday,

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

February 24, 2012

Dr.Reed, I have a problem with excessive sensitivity of the penis head, frenulum and surrounding skin (with very minor phimosis) which results in early ejaculation. This is a major problem for me and I am ready to do anything to reduce the sensitivity. Will the circ operation and removal of frenulum reduce the sensitivity? I heard there’s also an operation when the nerve leading to the head is cut and connected back again, which leads to much lower sensitivity after everything’s healed. Do you perform anything like this? Sorry for my English. And does your center help with any financing? Thank you.  Nigel

Good morning Nigel,

Please avail yourself of a proper urological consultation at the office.  Many thoughts come to mind and I am inclined to start with the most conservative first.

Sincerely,

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

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

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

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.

 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.

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

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

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