penisdoctor.com

December 2, 2011

Dear Dr. Reed,

I am a 28 year old male who has had 2 orchidopexies done 8 years ago. I have had an orchidopexy done twice on my right testicle to fix it to the scrotum because it was retracting frequently and caused a lot of pain when it did. I had it done twice because the first time, the doctor used dissolvable sutures. It wad done laparoscopically. The second time, another doc used permanent sutures. This was done openly. The last surgery was in ?05. Since the surgery I have had chronic pain in my right testicle. This is very troublesome during most sexual activities and the pain occurs randomly throughout the day. I have done a lot to reduce the pain (pain meds, steroid and anti-inflammatory injections, nerve blocks, etc?). Nothing has worked. The pain has only gotten worse. And there are no specific triggers.
 
One urologist wants to perform a spermatic cord denervation (which I don?t want to do based on my own research and other doctors disagreeing with that procedure). I feel like the sutures themselves are causing me the majority of the pain, partly due to one of the suture locations being very painful when touched. I feel like the sutures maybe need to be removed. I have found a couple urologists who feel the sutures are the culprits. So they want to remove the sutures and remove the muscle (not cutting any nerves) to prevent involuntary retraction. So, I?m definitely leaning towards this procedure.
 
I also have a testicular pain that started shortly after the second surgery. I also developed a right varicocele after the surgeries, and so some of the docs recommended doing a varicocele repair along with removing the sutures and cremasteric muscle on the right testicle. I have cosmetic concerns that urologists don?t care to address.
 
So in summary:
 
Right Side: Remove sutures and cremasteric muscle
Concern #1: Even though the testicle cannot retract on its own?especially during sexual activities, it can still be lightly moved up and cause pain. Can that be fixed without sutures?
Concern #2: The incision location will be on the side of the scrotum. Will be unsightly.
 
Left Side: Varicocele Repair
Concern #1: Incision location is in pubic region above and to the left of the penis. Will be noticeable and unsightly.
 
When I had the second surgery, it was done openly and so they made a 2-3 inch incision across my scrotum and it also cut through and distorted the median raphe. I was and am very unhappy about this. Is there a way that these procedures can be made by one incision down the median raphe to minimize and camouflage the scarring and to make the median raphe straight again?
 
I appreciate it you reading this and hope for a response. I have not been given much information at all and my concerns are been brushed aside by many.  Jimmy

December 2, 2011

Good morning Jimmy,

Thank you for your excellent case summary.  No doctor has golden hands and the more procedures you have had in the past the less likely others will be completely successful without any further touch-ups or revisions.

If you feel palpable sutures are the culprit, they could be removed.  You can also have a short term anesthetic administered above the area of sutures to see if that makes the pain go away.  If it does not, removing the sutures may only be of psychologic advantage.

I would concur that removing cremasteric muscle or skeletonizing the cords may be helpful, but does not necessarily have to be done initially.

Lastly we must exercise caution that you do not have a superimposed testicular tumor that is the cause of pain or an epididymitis or chronic orchitis.

Sincerely,

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

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

September 4,  2011

i am wanting bigger testes to replace small ones,i would like to know more bout the operation pls,
Mitch

Good afternoon Mitch,

Thank you for your interest in what we do.   Please clarify, do you wish to replace implants you already have, or are you referring to your small testes.  If so, best not to remove them, as they are doing many wonderful things for you.

Please keep in mind…  if you stay at the Baltic Hotel (advanced tourist class, 877-622-5842) a discount will apply..  Ask for Christina and mention my name.

Cordially,

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

August 7, 2011

I had an orchiectomy (left testicle) due to testicular cancer when i was 28 yrs old. The testicle prosthesis is now hard and smaller than the other testes and i would like it replaced…How much would this cost..Also is it covered by insurance.. Secondly, i suffer from erectile dysfunction and possible retrograde ejaculations..Is there a medicinal alternative/laser treatment to clear the blockage? Also is this condition covered by insurance. Sincerely, Stanley

Good morning Stanley,

Thank you for your interest in what we do.  Our fees are posted on our web-site.  Please confer with your insurance company to learn the benefits
of your policy and see if we are a contracted provider.  I can assure you our implants are very soft and come in all sizes.  I have a “drawer” full
of ones like yours we have removed.

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

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

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

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

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

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

My question is regarding photos of a genetic male’s penis/scrotum with testicular implants on page
http://www.srsmiami.com/images/test-3.jpgI’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.