Archive for the ‘Testicular Enlargement’ Category

Lengthening the spermatic cords, testicular enhancement

Friday, December 2nd, 2011

December 1, 2011

I am interested in lengthening the testicular cords bilaterally. Also possible testicular size enhancement, however cord lengthening may provide a good result. I understand it is done by stripping the cremaster muscle. I’m wondering what extra length can be achieved with this?

Godwin

Decemeber 2, 2011

Good afternoon Godwin,

Any urology colleague with training in microscopic surgery, vas reversal, etc, should be able to do credible job,

That you had prior bilateral orchidopexy imposes added risk factors and may make surgery somewhat more complex.  The rate limiting factors are of course vas, arterial length, and occasionally venous length, scarring from previous surgery.

I am enclosing a photo of a patient about to receive orchiectomy to show the potential length of the spermatic cord. taken from an article I wrote on transsexual surgery, appearing in Seminars in Plastic
Surgery, August 2011.

If you are leaning towards testicular implants, how important is it to move a testis from the mid-scrotum to the most dependent portion of your scrotum?

Best wishes,

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

Varicocole with testicular atrophy

Thursday, April 21st, 2011

Have the implants been done on a patients who have issues with testicular torsion and/or varicocele?

Juan

April 10, 2011

Good morning Juan,

Have done numerous cases of testicular atrophy, which can occur for many reasons. If your varicocele is still present, perhaps consideration should be given to ligation first. If your testicles have not been fixed, they may rotate again with more atrophy.  That needs to be done as well.  

Sincerely,

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

Testicular Enhancement

Sunday, February 13th, 2011

I wanted to know that if I were to travel from Spain for testicular enhancement, would there be any possible problems associated with the return air journey back to Spain?

Javier

February 10, 2011

Good afternoon Javier,

Thanks for your interest in testicular enhancement and visiting our web-site http://www.penisdoctor.com/testicular.htm.   We hope you can relate to the before and after photos.  While the likelihood of post-op problems exists for any surgery, to play it safe, perhaps stay here for a week after surgery.  I will see you frequently.

Testicular enhancement is becoming one of our most popular procedures, because the patient satisfaction rate is high and the results are aesthetically pleasing.

We no longer do caps but rather install soft ovoid prostheses in front of your existing testes to reduce any likelihood of impairment to your sperm production.  If there is any concern about this, please have a seminal analysis done prior to surgery.

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

Candidates who wish to secure their reservations with our facilities are required to have minimally letters of clearance if needed and a phone consultation  with a favorable response to questions of concern.  Assuming this, you will be given the nod to send in a 50% deposit which is non-refundable.

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.   Please give us a call and we’ll talk further.

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

Sincerely,

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

More on orchiectomy for atrophied testers

Wednesday, January 26th, 2011

Yes sir, I was given cytoxan in large doses for an auto immune disease (wegeners) I had as a child, that’s what I have been told caused infertillity and low T. I am currently dosed with a compounded cream and have T levels between 700-800.

Since my testicles never really worked and I can’t have children, I wouldn’t care not having them.  Jonah

January 24, 2011

Good morning again Jonah,

OK, this is starting to make sense to me.

Yes, we can perform simultaneous bilateral orchiectomy,  and insertion of bilateral soft silicone implants.

Fees are 6000 for the implants and 1500 for the orchiectomy as it is an add-on procedure.  You would need to stay at either the Baltic or Daddy O’s Hotel for 4 post operative days so I can follow you daily.

Also you will need some lab work, and if you are over 40 a letter of medical clearance.

You will have a choice of many sizes.

Sincerely,

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

Orchiectomy for atrophied testes, and implants

Wednesday, January 26th, 2011

I have testicular failure from Chemo as a child and am currently on Testosterone replacement. I have been looking for a doctor to remove my atrophied testicles and replace them with normal adult sized Testicles.

My questions are; Would you preform such a surgery and where would the scars on the scrotum be? What types and sizes are available, and approximately how much would such a procedure cost?  Jonah

January 23, 2011

Good afternoon Jonah,

Thank you for your interest in what we do.   Best not to remove atrophied testes unless there is a medically valid reason.  Has any other urologist recommended this, and if so why?

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

Friday, November 26th, 2010

Is testicular enlargement or penile widening (with transferred fat) safe for diabetics or offer any positive health benefits (other then appearance) for diabetics or just guys in general? Also anyway, to increase chest hair surgically & easy?   GW

November 26,2010

Good morning GW,

Thank you for your interest in what we do.

Both of these procedures are to be considered cosmetic and of course medically not necessary or even helpful.  Psychologically?, that could be another story.

Diabetics do have a higher incidence of infection, but not that astounding, with any surgical procedure.  We install penile implants on diabetics routinely with erectile dysfunction as this is a well known etiology or cause of ED.  If the diabetic is in good control (hemoglobin A1C) and the surgeon is technically very mindful of many details, patients usually do quite well.

Please confer with others regarding chest hair, as I have in on my chest and back to spare with little on top.  Go figure.

Have a happy Holiday week, yours faithfully,

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

Testicular implants, your photos used on another web-site

Thursday, November 25th, 2010

My question is regarding photos of a genetic male’s penis/scrotum with testicular implants on page
http://www.srsmiami.com/images/test-3.jpg
I’ve been considering having lower surgery with Dr Reed for a long time, and this person’s claims could possibly be in attempt to discredit Dr Reed for work he’s actually done.  He’s doing this for reasons unknown, but he’s giving false hopes to trans men who have dysphoria surrounding their genitals and I don’t thin kit’s right.November 25, 2010

I belong to a message forum for transgender men and there is a person on that message board who is sending these pictures around and claims that the pictures are of his own surgically created penis and that the surgery was performed an intersex specialist named “Dr W”, that the penis in the photos was surgically constructed from something called “penile streak” tissue that he was born with and was attached somewhere in his abdomen.  The problem is, that I recognized the photos from my many visits to Dr Reed’s website, and I called him on his lie.

This person also states that the testes used in the photo were also his internal testes (he claims to be intersex which is irrelevant but may or may not be the case), and were dropped down into a sack created from his genetic labia. Basically he’s sating that these photos are a phalloplasty but rather than using external skin, the skin was taken from this “penile streak” he had growing inside of him which is why he’s claiming that it looks so natural.

He’s also saying that the photos of this penis on your website are not Dr. Reed’s work, and I believe that to be false since Dr Reed credits another affiliated surgeon in some of the other photos but not the ones in question.

I’m not asking for patient information, only to know whether Dr Reed performed the surgery in the photo above, that it was a cis gendered genetic male and if the testicular implants were silicone.

Thank you for any help that you can provide.

Jason

Good afternoon Jason,

How angry would you be at a man who says you are made of green cheese. 

I for one would not waste a second contending with such as individual.

The photos your link brings up is quite the same as http://srsmiami.com/photography-f2m.html example 9/1-2.   I can assure you, this is my patient and is cisgendered or a genetic male, and that the implants are of soft silicone.

Hope this is of help, and Happy Thanksgiving,

Harold M. Reed, M.D.

Steroid user considering injection of silicone to scrotum

Sunday, October 24th, 2010

 I WOULD LIKE TO HAVE SILICONE INJECTIONS IN MY SCROTUM DUE TO YEARS OF STEROID USE LEAVING MY TESTICLES SOMEWHAT ATROPHIED AND A LOT OF EMPTY SCROTAL SPACE. IS THIS A SERVICE YOU WOULD PERFORM?
HEAR: REFERRAL FROM INTERNET SITE  James

October 24, 2010

Good afternoon James,

Please review the attached.  Please do not opt for silicone injections into your scrotum as this will at best create a fluff bag, may injure your testes even further.  Also look at silicone injection disasters http://penisdoctor.com/silicone.htm (several photos).

Consider insertion of soft silicone ovoids which can be almost any size you wish.  I will make some recommendations of course.

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

Urge to bulge, worried about cancer and detection

Sunday, October 17th, 2010

quests: I would like to have testicular enhancement so that I may have a bigger bulge and feel more confident. How do testicular implants affect my ability to detect lumps on my original testes? Do the implants predispose me to higher risk of testicular cancer? I am 32 years old.

Jonas

October 17, 2010

Good afternoon Jonas,

Hope the attached is helpful.  In that our ovoid implants do not occlude your normal testes, they can be felt as needed for self-assurance and detection.  Silicone implants are at least 30 years old or more and that also includes fluid transfer pumps put in the scrotum to operate an inflatable penile prosthesis.

There has been no report of malignancy associated with these implants that I am aware of.   Having said that please be very cautious about silicone cups that wrap around your testes, as we have seen testes atrophy and sperm counts drop all the way down.

Sincerely,

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

Penile silicone disaster patient seeks a better way

Saturday, July 3rd, 2010

Hi Dr. Reed,

I found this email address on www.penisdoctor.com, I am hoping to arrange a consultation regarding a variety of things!

First of all, a few years ago I received silicone injections – 60cc in my scrotum and 10/20cc in my penis.I love the sensation of having a foreskin ( from the silicone in my penis shaft, I was circumcised as a kid), I love the size and the way it feels, however, I am dissatisfied with its appearance. My penis shaft is lumpy, there is a small area that looks inflamed, it looks inflated when flaccid rather than dangling down like a normal penis,

Therefore I am looking to reverse the silicone procedure, and would like to review other augmentation methods.

I am not sure if I am able to have everything done at once or whether it would have to be done in stages, so please provide me a breakdown of costs, and what you would do for the following:

1. removal of silicone
2. foreskin restoration (do you do this surgery?)
3 penile lengthening and augmentation
           (there seems to be lots of techniques in AlloDerm, scaffolding, fat transfer etc – what’s the difference in using each of these )
4. glanular enhancement
5. penis lengthening
            (is there a way to disguise/minimise the scars)
6. testicular enlargement

I have part-time work in adult entertainment, which I love to do. Therefore I want to go as long, and wide (within sensible limitations) as possible.

Ideally I would love to have something close to the porn star Max Delong as seen here (forgive me for the pornographic nature of the content)
http://monstercockland.com/files/2047.jpg
http://pacificsunwholesale.com/photos/DVDs/549/cover2hires.jpg

Also I am pleasantly impressed with one of your after-pictures of one of your patients
http://www.penisdoctor.com/images/larrybuff2.jpg
(exmple #2: 2/1 from page http://www.penisdoctor.com/photo-penis-enlargement.htm#1)

Also, are there any techniques (frequent penis pumping, jez extender, or exercises) that you recommend would compliment the surgery?

I’ve noticed that I have seen any ‘new’ advances in cosmetic surgery to the penis – are there any new techniques that I should consider waiting for?

Many thanks,

Ted

July 3, 2010

Good morning Ted,

Thank you for your interest in what we do.  The attached may provide some helpful background information.

To best advise you, you would need to be seen at the office.

If you wish to take photos and talk over the phone, our consultation fee is 250 (a one time charge).

We perform all of the procedures mentioned on your wish list.

Have a happy and safe July 4th holiday weekend,

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