Archive for the ‘Uncategorized’ Category

Is hypospadias a contraindication to penile lengthening

Sunday, September 4th, 2011

September 1, 2011

If i was born with hypospadius. Does that at all matter to the difficulty of any procedure i am interested in doing ?
Fabian

Good afternoon Fabian,

Thank you for your interest in what we do.  Dr. Whitehead is retiring and is referring prospective patients to my practice.   We both have been doing phalloplasty procedures for over 20 years.

Usually hypospadiacs can have the procedure without difficulty.  Did one such case last week.  The key, is whether you can apply traction to your penis. In his regard, I ask all penile lengthening patients to order traction kits (the Grip is recommended) and try it for several weeks before surgery to make sure, this is for you.

Cordially,

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

Penile enlargement questions

Thursday, August 11th, 2011

August 11, 2011

Dear Dr. Reed,

I have a few questions for you. If you could answer them  with some good information for me.

1. My girth is 4 1/2 erect. That’s quite skinny. Can i get to a girth of 6 inches through your surgery ?

2. The alloderm once it’s in the penis…when it’s erect, how does the alloderm feel ? Is the penis still rock hard like my erections now ? Or is it kinda squishy and you loose a little of the firmness and hardness ?

3. Does the surgery affect the erectile angle of the penis ? Angle is actually extremely important in sex and having a good angle around 2 o clock position is a huge plus. Would the surgery affect the erections angle so it points lower and cant rise to where it once was ?

4. Do you have any erect before and after pictures ? I see ones on all the sites in flaccid but im interested in the erection as well.

5. Is there any way to determine how much penis is inside a man’s body for lengthening surgery ? What is the average amount inside and what is the largest amount you’ve seen ?

Thank you,

Charles M.

Dear Charles,

Thank you for your interest in what we do.  Taking your thoughtful questions in the order posed…

1. My girth is 4 1/2 erect. That’s quite skinny. Can I get to a girth of 6 inches through your surgery ?Perhaps with 2 applications of AlloDerm

2. The alloderm once it’s in the penis…when it’s erect, how does the alloderm feel ?
Is the penis still rock hard like my erections now ? Or is it kinda squishy and you
loose a little of the firmness and hardness ?

Seems to feel by and large like normal penis. If your penis flaccid is not soft and squishing now, neither will
it be with AlloDerm, nor will it be that way erect.

3. Does the surgery affect the erectile angle of the penis ?No, for reasons we’ll discuss when you initiate a consultation over the phone.

4.  Angle is actually extremely important in sex and having a good angle around 2 o clock position
is a huge plus. Would the surgery affect the erections angle so it points lower and cant rise to where it once was ?
Do you have any erect before and after pictures?   I see ones on all the sites in flaccid but im interested in the erection as well.
When you become an established patient by initiating a consultation, I’ll show you a photo that will answer question concern
not shown on our web-site.

5. Is there any way to determine how much penis is inside a man’s body for lengthening surgery ?No.

6. What is the average amount inside and what is the largest amount you’ve seen ?3/8″ on average, nothing more impressive than that.

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 n 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

More on Collagenase and Peyronie’s

Monday, May 30th, 2011
Our site in southern California participated in the phase IIb double 
blind study that was reported last June at the San Francisco AUA, and 
is currently running the phase III double blind study.  The data for 
this is not available, but I can tell you we have seen some very 
encouraging results. Looking back to the open label crossover study 
that allowed placebo patients in IIb to be retreated, I can think of 
one patient whose pre treatment measurements were 78 degrees bend 
(dorsal) and symphysis-glans length of 9 cm, who now has 14 degrees of 
bend and SG length of 13 cm. Not everyone has responded this well but 
I personally find this kind of result amazing – probably better 
curvature correction than I would get with a temporalis fascia graft 
(and I have done about 200 of them),and not only no length loss, but a 
very significant recovery of lost length. If this agent makes it 
through all the hoops, one might expect FDA approval in about 2 years. 
Note that it has already been approved by the FDA for use in treating 
Dupuytren’s contractures.
M.G., MD

Priapism effects men, transgendered women and natal women

Monday, May 30th, 2011

Clitoral necrosis associated with priapism, intracavernous methylene blue

May 30, 2011 | Edit

Dear Dr. Reed,

i require revision of unsuccessful prior attempt…i would like to primarily address improvements in function and appearance of the external genitalia, at this time. also, what forms of payment do you accept?
Specific_Questions: i have developed problem with ‘priapism’ with competent oxygenation, past several years, near to post-surgical period, there was a loss of whole tip of clitoris, from which some tissue was banked. could phalloplasty technique, and banked tissue, ironically be adapted to reconstruct a clitoris upon remnant penile root inside? do you use methylene blue injection for priapism? i can’t wear any of my jeans, nor my wetsuit… although i’m 57, i don’t appear to be, and i have no issues with bp, cholesterol, diabetes, etc. although i do have fibromyalgia. what would be the cost of such a novel procedure, and what would it be called…?

Muriel

Good afternoon Muriel,

While we do revisions, for tissue banking and regeneration, perhaps write to
Dr. Anthony Atala at Wake Forest Institute, Winston Salem, NC.

Hope he can help with that.  For other aspects of your revision or perhaps
a simulated clitoral body, please confer with us.  In this area we do have
some experience and please see some of our revisions.  http://srsmiami.com/photography-m2f.htmlThere are medications to control the necrotizing effects priapism.

Intracaverous injection of  mehtylene blue certainly has been reported (vide infra)

Response from Allen D. Seftel, MD  http://www.medscape.com/viewarticle/440468

The penis is innervated by both autonomic and somatic nerves. Sympathetic and parasympathetic fibers in the cavernous nerves regulate blood flow into the corpus cavernosum during erection and detumescence. Erection begins with transmission of impulses from parasympathetic nerves and nonadrenergic, noncholinergic (NANC) nerves. This neural stimulus leads to the release of nitric oxide from the NANC nerves and possibly from the endothelial cells. Nitric oxide increases intracellular levels of cyclic guanosine monophosphate (cGMP) in the cavernosal smooth muscle, which relaxes cavernosal tissue, perhaps by activating protein kinase G and stimulating the phosphorylation of proteins that regulate corporal smooth muscle tone. The actions of the parasympathetic nervous system, nitric oxide, and cGMP permit rapid blood flow into the penis and the development of an erection. As pressure within the corporal body increases, small emissary veins transversing the tunica albuginea are occluded, trapping blood in the corpus cavernosum. The erection is maintained until ejaculation, which usually leads to detumescence, via the sympathetic nervous system inducing contraction of the corporal tissue via adrenergic nerves.[1]

Priapism is a pathologic condition of a penile erection that persists beyond or is unrelated to sexual stimulation and typically involves the paired corpora cavernosa. Priapism is an important medical condition that requires evaluation and may require emergency management.[2]

Priapism has 2 forms; the most common is low-flow priapism, commonly known as ischemic priapism. It is clinically characterized as a painful, rigid erection absent of cavernous blood flow. Ischemic priapism beyond 4 hours is identified as a compartment syndrome that requires emergent medical intervention. Potential consequences are irreversible corporal fibrosis and permanent erectile dysfunction.

Standard therapy for ischemic priapism includes injection of an alpha-agonist, such as phenylephrine, directly into the corpus cavernosum, to produce contraction of the smooth muscle tissue and achieve detumescence.

Recent studies have shown the efficacy of injecting methylene blue intracavernosally to achieve detumescence. Methylene blue inhibits the activity of guanylate cyclase, thus preventing cGMP formation. This may reverse the prolonged penile erection. Portillo and colleagues[3] reported on 12 men with priapism, 10 of whom were successfully detumesced with 5 cc of methylene blue solution. Thus, methylene blue may be a first-line option for ischemic priapism.

Happy Memorial Day weekend,

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

Filed under:
Clitoral necrosis associated with priapism, Clitoroplasty, intracavernous methylene blue, MTF, Vaginoplasty, Vaginoplasty and age limits, Vaginoplasty revision by Dr_Reed

Marathon runner doctor wants vasectomy and lengthening

Wednesday, March 23rd, 2011

????

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

Scrotal enlargement with fillers

Wednesday, January 26th, 2011

I am a 52 year old Male. I’m happy with the size and shape of my Penis and Erection. However it has been a long time wish of mine to have a larger, fuller scrotum. I understand that Silicone implants are not used for this purpose. Can anything else be done to permanently enhance and enlarge my scrotum? I’m not looking for “Softball” size, but “Baseball” size would be nice! Thank You–Dario

January 23, 2011

Good morning Dario,

Please be leery of practitioners who inject the scrotum with silicone as this
creates a fluff bag appearance and loss of normal gonadal contours.

Please see our web-site. See how the operation should be property done
and look also for silicone disasters. http://www.penisdoctor.com/photo5c.htm

http://www.penisdoctor.com/photo6.htm

Sincerely,

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

Orchiectomy for Orchalgia

Sunday, April 18th, 2010

Sal

Good morning Sal,

Assuming you are not a transgendered patient and that this has been a chronic problem refractory to many conservative measures, not based in neuropraxia above the level of the testes, and appropriate imaging and laboratory studies have been done… yes, we will consider doing an orchiectomy for men such as yourself for the reason of orchalgia.  

 As this is not conventional urological surgery, a letter of psychiatric clearance from 1  American Boarded psychiatrist is required. We want to be sure you will be a happy and more productive person after your orchiectomy, and most importantly that you will have no remorse.

The letter should also state if correct, that you have had no emotional problems or suicidal ideation.  One resource would be to look up psychiatrists under Physicians and Surgeons in your yellow pages or any neighboring large city.

When you see me, an injection of local anesthesia will be administered to see if this reduces pain.  Experience of other physicians as well as at our office with orchalgia as your describe show the reduction of pain on average is no better than 85% overall as other factors may be involved.

Fair to say, considering our the patients who have received orchiectomy, so far there have been none that regretted the procedure.,

Next, if you are married we will need a release from your wife.  Remember this is an irreversible procedure and unless you sperm bank, you are forfeiting your right to pass on your excellent genetic potential to the next generation.

If there is further interest, we are available for consultation.   Our fee is 250 for consultation and 2500 for the orchiectomy.

If you are over 40 or on medications, a letter of medical clearance with reference to an EKG  is required.  Routine lab work for all patients includes a CBC, platelet count, PT and PTT.

Typical scenario, day one consultation, day two orchiectomy, You will need to stay for two additional days with a generous amount of bed rest, and be seen before departure.

We recommend the Baltic Hotel in Miami Beach at 7643 Harding Avenue (phone 877-622-5842), where Christina the owner-manager takes a special interest in our patients.

Please no aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx (removed from the market for cardiac concerns) 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 (Boiron brand) dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let’s discuss it beforehand.

Boiron brand is available at Whole Foods and on the web at http://www.vitaminshoppe.com

for “pennies” and we do notice a difference.  You will need 2 vials.

We hope to have the pleasure of serving you whenever your travel plans include the South Florida area.

Sincerely,

Harold M. Reed, M.D. FICS

305-865-2000

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

David’s Journal, Adult Freehand Circumcision

Wednesday, January 20th, 2010

http://www.circlist.com/considering/davids_freehand_circumcision.html

Adult Freehand Circumcision
David’s Journal

A CIRCLIST Member True Experience


6 Months Prior to Circumcision

Over the past years, I’ve slowly trained my long and thick foreskin to remain retracted.  Most success came when I wore boxer shorts, which allowed the cockhead to be gently stroked by the soft fabric, thereby keeping it plump and inhibiting the foreskin from easily covering the glans.  Six months prior to the procedure, I began keeping the foreskin retracted pretty much 24/7, with only occasional periods with foreskin coverage.  I also began learning to masturbate with the skin fully retracted, sometimes by simply pumping the loose shaft skin just over the corona like many circumcised men, sometimes by lubricating the bared glans and providing direct stimulation, and eventually by gently rubbing the bared dry glans and ½ inch or so of inner foreskin lining.  Because of my short frenulum, I could only successfully stimulate a small amount of inner foreskin.  It was also very sensitive to the touch and easily gets sore from the process.

Long Overhang Provides
Fun Pre-Circ
Play and Circ Fantasy

Playing with a Gomco
Fantasizing About
My Pending Circumcision

He Plumps Up
Thinking About His
Pending Circumcision

 

2 Months Prior to Circumcision

After careful consideration and many years of research, I decided to contact Dr. Harold Reed in Florida.  I visited the website (www.penisdoctor.com) and filled out the online questionnaire.  I immediately received a pleasant response from the doctor himself answering some of my questions and telling me what things I should consider.  After so many years on CIRCLIST, I had already considered each item he mentioned, but none the less, it was good of him to give me a bit of homework before my planned visit.  I called his office and spoke to Anne to make the appointment in 2 months time.

Uncut- Completely Soft
(Flaccid)

During Teens, Skin Was
Nippled and Tight
Stretched to Loosen in Adulthood

Trained to Remain Skinned Back
In Preparation For
Circumcision

 

The Day of My Circumcision has Arrived – 12/13/01

(DAY – O and counting)

I arrived in Ft. Lauderdale the day prior to my scheduled circumcision and took a car to my hotel, only six blocks from Dr. Reed’s office. I arrived a day early so as to ensure nothing messed up my plans.  I am going to stay for 5 days after the circumcision and enjoy the warm weather while I rest and recuperate.  Dr. Reed’s staff indicated he would do the consultation and circumcision the same day, and that I only needed to stay one night immediately following the procedure.  I’m using this as an excuse for a longer vacation!

 I called the office upon my arrival to find that the schedule has changed somewhat and that my appointment has been moved to 1PM (from its original 10AM) tomorrow.  I hope I sleep well.  I don’t feel nervous or anxious at all.  I called a CIRCLIST friend and talked to a couple others online.  Everyone is supportive and happy for me.

I slept fine last night.  Got up around 9AM, ordered a large breakfast at 10:30AM assuming I should not eat lunch so close to the appointment time.  I walked to the office (beautiful weather) and was greeted by Dr. Reed himself (‘call me Harold’) and asked to fill out some consent forms.  “How had I found Dr. Reed?”  “CIRCLIST” I wrote down.  Later he would comment that many of his patients come from this source.  (“Should I be getting a commission?”)

Anne, his assistant and nurse, asks me for a urine sample and I’m shown into the washroom.  The waiting room, washroom, hallways, offices, and recovery areas are all covered in oil paintings…. Large ones.  Beautifully done and nicely framed.  Most all them are of people.  They are all by the same artist “Reed 92” this one reads.  All meticulously done.  It’s so hard to get faces, fingers, etc. right, but he has accomplished the task.  Both an artist and a surgeon,  “Good sign” I think to my self.

I chat with Anne a few moments and meet with Harold.  He asks all the usual health history questions, along with ‘why do you want to be circumcised.’  I say I’ve always wanted it and my frenulum has torn several times during sex.  No more questions and its across the hall to the exam room.  I strip naked except for my under shorts, as instructed.  He exams my entire body and asks a few more medical questions. Blood pressure is 110 over 70 “you don’t seem nervous at all… good” he says.  Now the big moment “lift up and push your shorts down to your knees”.  He immediately grasps my soft penis, skins it fully back and gives the frenulum a particularly good exam.  “lots of scar tissue.  We should remove this completely,” he announces.  I agree with him and then he asks if I’ve decided if I really want high/tight circumcision, as requested in my prior correspondence.  We discuss, very briefly, pros and cons and he indicates he will give me just what I want.  He gets a purple marker and begins explaining the procedure and the options…  ‘What do you think… back to here’ he asks?  A bit further I say, but I tell him he is the expert and probably knows best.

I dress, make payment to Anne and get my receipt.  She shows me to the changing room and tells me how to ‘gown up.’  After I release my bladder one last time, I’m shown into a small general recovery area where another patient rests after his procedure.  I’m told to lie quietly for 10 minutes, and then I’m walked into the little operating room they’ve set up.  Very professional looking.  All along the way they tell me every little thing they are doing.  Anne and Harold are extremely nice and polite.  Harold inserts an IV tube with saline into my right arm.  “That’s the most pain you will feel during this,” he says.  I’m glad, because I felt next to nothing.  He tells me he is adding antibiotic to the bag  “We’ve never had anyone get an infection from a circumcision and we don’t want you to be the first.”  Who could argue with that!  Then he moves around and tells me about the local anesthetic.  A very fine small needle is used and there is only a small pinch, like pulling out a hair… even less painful than that.  He makes a number of these injections, which I now don’t feel at all.  “One last one in the frenulum, as this area has its own nerves and blood supply.” I feel it only a bit and again there is no real pain.  “We’ll let that wait for 10 minutes” he tells me and instructs Anne to finish the ‘prep’ work.

She cleans my groin and particularly my penis.  I can’t feel it but we chat as she works.  She spends lots of time scrubbing the fully peeled back penis.  I’ll pay for that later!  She drapes me and gets the instruments ready, all the while conversing about Thanksgiving.

Harold returns and says we are ready to begin.  He first tests to see if I feel anything.  Not a thing, but tugging.  Only my penis is numb from the base forward… and I mean completely without feeling.  They begin.  I can watch in the reflection on the surgical lights.  I think not at first.  Don’t want to get sick, even though I’ve seen others done.  This is different… it’s me being cut.  I occasionally glance.  Doesn’t look too bloody.  He begins with the frenulum.  Once removed, it’s on to the actual circumcision.  It seems to go quickly.  They chat back and forth, he explaining what he’s doing and telling her why this and that.  She makes a suggestion here and there,  all the while holding and positioning my penis for the doctor.  “Penis” they use the word a lot.  I don’t think I’ve ever heard it use more times in one day.  Then I hear him say, “let’s see what David thinks.”  Pardon me?  What I think?  Harold asks me to sit up a little (just with my head) and have a look.  He has my penis completely outstretched and tells me this is how long it is hard.  He has put a couple ‘tacking sutures’ in place and explains the inner/outer skin positions.  Not much blood at all.  He shows me how much skin movement there is and indicates he could leave it like this (may be desirable for masturbation) or he could make it tighter.  He wants to know what I want.  I say I think a bit tighter and he agrees.  I lay back and let him finish.  The suturing takes a long time.  He tells me he uses a very fine suture and makes many stitches to ensure a good looking result.  I find he is not only a certified urologist, but also a certified cosmetic surgeon.  No wonder everyone likes his results.

“All done” they pronounce.  Harold wraps my penis in a serious of bandages with only the tip of the head clear.  “This will keep you from getting erect and will also keep the bleeding and swelling down,” he tells me.   I’m cleaned up and slid over to a waiting bed.  Rolled back into ‘recovery’ and told to lay flat for 45 minutes.  I take the time to look at the paintings next to my bed.  Lovely work.  Very comforting pictures too.  Anne tells me Dr. Reed is not only a painter and surgeon, but a gourmet cook and home restorer too.  “Truly a renaissance man” I think to myself.  Anne is busy cleaning up the area, scrubbing floors, readying for the next patient.  Finally, my IV tube is removed.  I dress and meet with Harold one last time.  He gives me instructions, and gives them to me in writing.  Says he is prescribing antibiotics as a prophylactic measure, and also pain killers (just in case.)  No walking back I’m reminded.  A cab and then flat on my back for 24 hours… “remember, heart never higher than your penis”.  OK Doc!  I’m on my way

 

Circumcision plus 3 hours

I’ve picked up my prescriptions on the way back to the hotel.  I talked to my son, who was also circumcised as an adult.  It’s comforting to talk with others who have been through it.  I have no pain yet, so don’t take any pain pills.  At about 4 hours after, I start to have a burning sensation not at any of the incision sights, but rather just behind the glans on the inner lining.  I can feel where she scrubbed my sensitive inner skin before my circumcision.  It’s not too bad, but I opt for the pain pill just in case.  Only a dull irritation remains.  I get up to urinate without problems.  I take another pill just before bed at midnight and sleep through till morning.

 

Circumcised – Day 1

Not much to report.  No pain at all this morning.  Supposed to lay flat for 24 hours.  I order breakfast in bed.  Then back to sleep for a few more hours.  Now I’m out laying by the pool (in the shade, as instructed) listening to CD’s for the remainder of the 24 hours.  There is no pain and the bandage is in place, but a little bloody.  I can’t get it wet but I would like to change the bandage.  No shower for 2 days, then only with the bandaged penis covered in a plastic wrap to keep it dry.  (Remember to pack your own if you are going to see Dr. Reed.)  Bandage comes off day 4 after the op.  I can’t wait to see it!  I can sit up now, so I resort to doing some work I brought along, to keep me occupied.

 

Circumcised – Day 2

Last night during sleep, I somehow managed to achieve a large erection.  I woke up to find it pointing to the sky and throbbing.  There was no pain, and I turned onto my side and went back to sleep.  In the morning I found my bandage had signs of minor bleeding, which had not been present before.  Assumedly this was from the nocturnal erection.  Toward the end of this day, I decided to take a shower and wrapped my bandaged penis in a plastic bag and placed a rubber band at the base.  Unfortunately, this did not prevent water from entering and my bandage was now wet.  (Dr. Reed had said plastic wrap… I had not followed instructions.)  After a short trip to the local drug store, I removed all of my wrappings and had a very brief look at my circumcised member.  I placed new gauze dressing around the incision line, and rewrapped it with elastic tape in the same manner in which it had originally been done.  There was some minor pain at the incision site as I removed and replaced the bandage, but it was certainly tolerable.  The incision site appeared clean and had no scabs that I could determine from the very quick examination.  I’m looking forward to studying it more closely when the bandage is removed permanently on Day 4.

 

Circumcised – Day 3

Another day of R&R.  Again I lie around by the ocean and read a book on the history of the penis (A Mind of Its Own).  Around 3PM I decide I must go in and shower.  This time I remove the bandage (carefully) and try to get a better look.  A clean incision line is present and from the top you can see many very fine sutures.  I gently pull the skin, which is bunched up around the base of the glans, back so I can fully examine the incision.  The inner foreskin lining which was not removed at my request, is as promised, swollen somewhat.  The shaft skin that remains (not a lot) has no swelling or bruising at all at this point.  I gently examine the underside.  Frenulum cleanly excised and several sutures hold the very straight incision together.  No bleeding on this side either.  In all, about 30-40 tiny sutures appear to have been used.  I shower and feel no pain at all.  Pat the little fellow dry and decide to leave it unwrapped for an hour to ‘get some air’.  Keeping it dry is very important, said the doc.  This will help and also give me the opportunity to take some photos before wrapping it up again for the night.

 

Circumcised – Day 4

Travel day today, tightly wrapped and ready for the plane trip home.  I return to Chicago and answer a few questions on CIRCLIST.  Was a women present? is the question of the day.  Yes, Anne the nurse.  She prepped me and scrubbed it prior to the circ.  Chats pleasantly with me during the procedure and holds my penis in a number of positions during the circumcision.  It was not erotic, I report.  When I arrived home, I unwrapped him and let him ‘breathe free’ for the remainder of the day.  With the tight dressing completely removed, there is swelling on the inner lining, all around the penis.  It looks a bit like an inner tube just behind the glans.  It is worse on the bottom near the frenulum removal area.  I apply some frozen gel packs to help reduce swelling.

One of my assistants at work, who was also circumcised by Dr. Reed, talks with me on the phone and makes the arrangements with a local urology clinic and the Physicians Assistant to have my sutures removed on Friday.  That will only be 8 days after the procedure, but it is either early or late, because of Christmas.  The doc had said 10-12 days, which would put it over the holiday.  I choose early as I’m healing very well, no bleeding even from night time erections and I don’t want skin tunnels to form because the sutures were left in too long.

 

Circumcised – Day 7

Well, it’s been nearly eight days since my circumcision.  I’m really ready to have the sutures removed.  They itch a lot and make it uncomfortable to work.  One of the problems is that my penis is pretty small when soft and draws back into my body.  So, I can feel the sutures quite a lot whenever I’m sitting.  Lying down is fine, but sitting is a pain.  So, this morning the sutures are coming out.  Before I tell you about that, I should tell you that I’ve had a good bit of swelling on the inner foreskin lining, just as the doctor said I would.  The shaft skin didn’t swell hardly at all, but the inner lining did puff up quite a bit.  But, it is not enough to stop the sutures from being removed today.  In fact, the swelling is beginning to reduce. 

I chose a urologists Physician’s Assistant, who removed the sutures from my friends circumcision.  She is a nice young girl, about 28 or so, pretty and does this kind of work on a regular basis.  I considered removing them myself, but why not leave this to a nice professional.  The sutures came out easily, and she commented that at least 10 of the dissolvable sutures had already come out on their own.  She had the remaining 30 or so out in about 10 minutes.  There was just a little bleeding for a couple spots, and no real pain during removal.  She also indicated that because of the very fine sutures, she would have to have her face very close to my penis and apologized for this in case it made me uncomfortable.  It did not.  She feels that since they were dissolvable sutures and were already coming out, they probably should have been removed a day or two earlier.  I think she was correct.  Day 5 or so would have been better, since I seem to be a quick healer.

 

Circumcised – Day 9

Wow!  I’m really glad to be rid of the sutures.  I feel much better.  In fact, I appear pretty well healed.  There are no scabs except for a small one where part of the frenulum was and the wound is closed all around.  Nighttime erections no longer bother me, and pass as they normally would without waking me.  Swelling is going down, but there is still some puffiness on the bottom closer to the area where the frenulum was fully excised.  Swelling on the topside inner lining, has reduced considerably, although has not returned to normal yet.  The doctor indicated it would take 6-8 weeks for most of the swelling to be gone, and that it is possible for some swelling to remain for several months.  He said I wouldn’t really know how it would finally look for about 6 months in total.  That seems like a long time.  I hope it is quicker.

 I still have not seen my penis erect, and I really want to.  I’ve had those nighttime erections, but didn’t get a look in the dark and just wanted them to go away.  I really don’t have a good feel for how tight the circumcision will be, as you can only truly tell when hard.  I think I will wait a day or two if possible to check it out.  I don’t want to do any damage, and my circumciser wanted the stitches to stay in for up to 12 days.  I feel I should try not to get erect until then, as I don’t want the incision line to open, although it doesn’t seem like it will.  It looks pretty healed.  I’m rather small when fully flaccid and grow quite a bit hard, so it is difficult to determine tightness of the circ.  The doc indicated it would be very tight hard… only time will tell.

I’ve kept the foreskin peeled back 24/7 for many months prior to my circumcision.  Even so, the glans has been sensitive from its constant exposure, rubbing on clothes, and of course the scrubbing it got by the surgical nurse.  I’m much more conscious of the bare circumcised head now, even though it was bare for all intents and purposes for many months prior to circumcision.  I suppose this will settle down soon.  I can’t wait to be fully healed and be able to show my circumcised cock in the gym, nude beaches, etc.  I want the world to know I’m cleanly circumcised!

 

Circumcised – Day 12

I’m not sure what to report with regard to my circumcision.   Not much change.  In looking back at photos, it looks a bit worse now than it did just after the circumcision.  But it feels much better.  No pain, but the swelling remains but is slowly getting better.  I had my first jack off last night (Christmas night), which was 12 days after my circumcision.  I wasn’t sure exactly how to do it, as it is still swollen and sore if you rub the incision line or the frenulum area.  Both areas are healing well and there is no bleeding.  Nonetheless, those areas don’t want to be rubbed or pulled for masturbation either.  The inner foreskin lining remains swollen, particularly on the ventral side around the frenulum excision.  All this combined made it difficult to jack off, but I was SO horny.  Earlier on Christmas day, I tried looking at porn pics, nudes of my boyfriend and reading hot sex stories… all while I stroked my bare cockhead (only).  I tried it dry (which I used to do before my circ) and lubricated on the cockhead (which also worked well pre-circ.)  However, I couldn’t do enough to get off, so I gave up.  Then last night I put up another picture of my favorite boy (who has a beautiful tightly circumcised cock.)  I looked at it and got hard.  Then I dropped my pants, and grabbed my sore cock by the base of the shaft and slowly but methodically pumped it up toward the glans.  There is not much shaft skin left (and with the inner skin swollen and sore) so this was not easy.  I ended up staring at my bare cockhead and thinking how I was now a circumcised man, just like all of my friends and family, and all of the boys and men I’d ever seen at the gym.  Just looking at the bare head and thinking of my circumcised cock made me shoot.  I shot the first round about 6 feet in the air.  It felt great.  I delivered a big load and it felt wonderful.  I was relieved, both physically and mentally, knowing that my cock still ‘worked’.  I know that seems stupid, but there is always the fear that something would go wrong and your cock won’t work properly.

I do have one concern and it is not unsimilar to America Petit, who recently posted his ‘folding problem’ to CIRCLIST.  When soft, there is a roll of inner foreskin lining behind the glans.  It is a bit swollen, like the inner lining on the ventral (bottom) side.  The doc said that because there is so much variation in my size from soft to hard, it would have to be this way but guaranteed that when hard I would have a tight circumcision.  I can live with that and truthfully there is only about an inch (1” or so) of actual shaft skin remaining.  But I’m still concerned about the roll of skin bunched behind the glans.  It doesn’t want to peel back smooth on the shaft when soft (pulled by hand) or when hard.  I spoke to the doc about this by phone and he said that this is because of the swollen inner lining, and the swelling in the frenulum area.  This, he says is binding the dorsal (top) lining and therefore doesn’t pull back smoothly as it will when completely healed and erect.  Additionally, the scar line (incision line) is still too tight to the permit the skin to move easily back the shaft. He indicated as healing occurs and the incision line becomes softer and more flexible, then the inner foreskin will be flat back on the shaft as I desire.  I guess he is right, but it is still a concern.  It will be two weeks tomorrow since I was circumcised and I guess I should be more patient.  He said it could take 2-6 months before that swelling goes away completely and it will lay back on the shaft normally.

 

Circumcised – Day 16

After posting the Day 12 report to CIRCLIST, several individuals who have themselves been circumcised as adults, indicated that 1) I should not be masturbating at this point and 2) that I should not be worried about the shaft skin peeling back smooth when erect.  Everyone seemed to concur with the doc.   The advice about being ‘morale’ (as one put it) a bit longer is that masturbation during this period can cause tiny tears and scarring to occur and could possibly cause damage.  So, since my two masturbatory excursions on Christmas day and the day after, I have returned to complete celibacy.  I have decided not to masturbate again until I reach the 30-day mark (which will be very difficult, but I will succeed.)

The good news is, today I did in fact get a hard on while watching a relatively innocent movie (it doesn’t take much without regular release) and I decided to have look.  While there remains some swelling around the incision area and particularly of the inner foreskin lining, things are looking much better.  In fact, today I got my first look that revealed how I will likely look when fully healed.  The incision is no longer red or sore.  It does however remain rather ‘tight’ and a bit hard.  Even so, when erect the inner lining is lying nearly smooth back on the shaft and looking oh so different than before my circumcision.  (Prior to my circ, I kept the foreskin peeled, but it looked nothing like this when erect.)  The only difficulty I have to report (beside the frequent erections) are a nasty pair of underpants (boxers as recommended) that had a relatively rough seem at the fly opening and rubbed my newly bared glans and sensitive inner foreskin a bit raw at a party I attended last night.  Those are headed to the trash.  All in all, I am now sure I’m going to love the new, tightly circumcised, super smooth look of my newly remodeled man-tool.  I’ll take more pix for the archives and post more soon.

 

Circumcised – Day 24

Healing progresses nicely.  Swelling of the inner foreskin lining and just behind the incision line is reducing, but still will take more time.  My only observations are that the inner foreskin lining, of which I was left a lot, seems to be moist/sticky even though it is constantly exposed.  I guess the smegma or whatever the moistness is caused by, will dry up soon enough and this will end.  In fact, seems to be more of a problem on the ventral (under) side of the penis than on the dorsal side.  The only other item I have to report is that, prior to my circumcision I regularly was conscious of ensuring that my long foreskin stayed peeled back off the glans.  I checked this mentally during the day, particularly when sitting down or bending over which could cause it to re-hood.  I still find myself checking for this, both mentally and physically.  Of course, it cannot re-hood, but this old habit will take a bit longer to break.  I plan to take more pictures around day 30 and again at day 45.

 

Circumcised – Day 45

Well, I began masturbating again at day 30 and continue on a regular basis.  I’m pretty well healed and jacking off is again a pleasure.  I feel more strongly than ever that all boys should be circumcised.  The only question is at what age.  But regardless, it should be done sooner rather than later.  Don’t wait until you are too old to enjoy it.

I still haven’t had sex with the new member. Just masturbation.  I’m saving the actual sex acts (sucking and fucking) for time with my favorite boy.  I should be fully healed by then and ready for 10 days of hard loving activities.

 

v

Circumcised and Ready
 For Action!

Some Minor Swelling
Persists in Frenulum Area

Circumcised Sex

Well, I’m home from my long vacation with a gorgeous stud-boy who was also circumcised as an adult.  Like me, he’s really high and tight and we spent the entire time together enjoying our beautifully trimmed tools.  I must report the feelings were exquisite.  Like masturbation, the sensations are not only coming from the bare glans, but from the entire inner foreskin lining area.  The circ incision line is also exquisitely sensitive.  The orgasms feel much deeper inside the penis head then before my circumcision, and post-orgasm the big, bare glans continues to tingle on and off for several hours.  It’s like having many mini-orgasms for several hours after sex has ended.

Condoms are also no longer a problem.  With a long foreskin, the condom often got rolled up on the skin during intercourse.  Regular condoms were simply not made for uncircumcised men.  I hear they make special condoms that just go over the head of uncut dicks, and then the foreskin slips up over that.  Sounds bad… two layers of skin providing even less stimulation to the glans.  Circumcised cocks have none of this trouble.  The condom works much better on the tightly cut dick.

 

Day 60 Photos

Because we were at a private European resort, we were naked most of the time.  Sun bathing and exposing the glans to the sunlight and to the world was most fun.  Sun screen provided necessary protections and just having the cool ocean breeze blowing on the newly bared glans provided a wonderful free feeling.  Did it seem odd to have circumcised dicks with nothing but Germans and Spaniards around.  Not al all.  A much higher number were circumcised than I would have imagined.  I would estimate the number was about 25% – 33% of adults.  Younger boys were largely sporting nippled foreskins.  But seems as though many European adults have heard of the benefits circumcision provides.

Like so many before me, I wonder why in the world I waited so long to be circumcised.  It should be done as a routine service to every boy and man on the planet!

Photo Sets

My husband looks uncircumcised (again)

Monday, January 18th, 2010

Is another circumcision appropriate?

When we were married he appeared to be circumcised and has put on a lot of weight, which he attributes to my cooking and I attribute to the refrigerator door being unlocked. Anyway, is there any connection?  55 pounds overweight.

Is another circumcision appropriate?

Mattie

Good morning Mattie,

More for his heart than his penis, he needs to lose that weight, which is on his heart’s work list.  To pump blood into 55 pounds of unwanted wanted fat with each heart stroke, in addition to the heart’s normal responsibilities.

As men put on weight (women too) and they stand, the weight mass pulls abdominal and sometimes pubic skin downwards.  In men this may create an uncircumcised look, and men who has been fastidious with hygiene, frankly don’t like the extra folds. 

As a urologist before agreeing to re-do the patient I have to be sure that when the penis is erect (approximated by stretched penile length), that there will be sufficient skin to cover.  Also he’ll probably need a letter of medical clearance with reference to a recent EKG.

Sad to say, but a lot of my work is revisions, often because the circumcision is “too loose.”  This situation falls in the same general category. 

Three meals a day for this nice man, and do lock that door.

Harold M. Reed, M.D.