Hi Dr Reed,

I hope this email finds you well.

I have a few more questions.

I would be flying from California, and would like to get circumcised the same day that I arrive, stay the night at a hotel, and then fly back the next morning. Would you recommend that?

What dates do you have available next week or the beginning of February? please review the pics I sent you before. I don’t think i need curvature correction unless you believe I do.

Thanks,

Albert

Good morning Albert,

Thank you for your continued interest.  Presently I am on retreat in the Carolinas.

The desirability of correction of a curvature in the range of 10 to 20% (estimated from photos) is your call. 

Some things to think about.

1.  About 5% of men have similar curvatures and live with them.

2.  If it does not bother you cosmetically or functionally or hurt your partner or provoke comment, then you could leave this alone.

3.  If this is a process in evolution (getting worse or better) we should talk about that, as surgery at this time may not be indicated for the curvature.

4.  Add-ons if you are already in  then operating room are very inexpensive (at least at our facility).  For example your circumcision is done for free, your only fee is correction of
curvature.

5.  You could always have correction of curvature later on, if you wish, but costly… so you haven’t burned any bridges.

6.  If this were my penis, yes, I would opt for simultaneous correction.  Ideally you would need to stay here for 2 days and I would see you daily.. 

Our fee for correcting curvature is 6,200 and includes: local anesthesia with or without IV sedation, use of the operating room and any followup care I provide.

Please call Anne at the office and schedule in with her.  She is also the maker of deals.

Sincerely,

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

Good morning Dr. Reed,

Have you done an Acell? I’ll call tomorrow and do the deposit

Ray

January 24, 2011

Good afternoon Ray,

I have not, but had the rep in my office a few days ago.

Acell is being used at Mount Sinai and the University of Miami, again not for urological reasons. 

There are always penile stretching devices and that of course is non-surgical.

Sincerely,

Harold M. Reed, M.D.

Good morning Dr. Reed,

I just read about the Acell products… The proposed method would involve placing the patient under general anaesthesia. The penile skin would be opened at the circumcision scar, while the scar tissue is surgically debrided. A biomedical solution would then be applied to both ends of the wound, causing the foreskin to regenerate with the DNA in the patient’s own cells. A biodegradable scaffold would be used to offer support for the regenerating foreskin
Im very interested in this procedure much more than the 2 step procedure, as this looks like its easier on the patient and more natural.. is it similar pricing and process?

Ray D.

January 23, 2012

Yes, Ray the price would be the same.

Harold

Dear Dr. Reed,

I would like to… Can you answer a few cursory questions first?  Can the consultation be done through remote means (pics, phone discussions, Face Time etc.), as it’s not just cost prohibitive to go back and forth frequently, it’s difficult with my business in addition.  Can you explain to me what you mean by tissue rejuvenated products?  Is this different than the attachment? Any information on the Acell recent development and that process? I also see on the attached information that it says it “ideally” done in two stages – can it be done in 1, to limit trips and travel? I’ll gladly call, or contact you for the consultation if i can get a little more information…

Ray D.

January 23, 2012

Good afternoon Ray,

The Acell approach is one option and if successful would mean, a one stage procedure, but there will be wound healing for 45 days or so, until your skin regenerates.

There are no published articles on this procedure for foreskin restoration but experience with other parts of the body suggest this could work.

If not successful we can fall back on scrotal implantation as an intermediary step.

Ideally done in 2 stages, means there could be additional stages if revisions or touch ups are needed.

Yes, consultation should over initiated over the phone.  Having done this, your first visit in the office is free, excepting lab tests.

Or you can forget Acell and just decide based on the attached sent out.

Sincerely,

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

Dear Dr. Reed,

Thanks a lot for your responses. Unfortunately from the form below in your email I saw that my original email got cut off for some reason, probably a length limit on your Web form. I had been traveling over Christmas and didn’t have the text of my original email, thus the delay in my response. Plus, it’s ski season…

Let me send the questions that got cut off again and also add some questions for clarification. I know that I’m probably imposing a greater request on your time with these questions than most prospective patients would and very much appreciate your patience–but then again, there is frustratingly little in the literature about the safety of the procedure, and you have done it often enough so as to have statistically significant answers. I’m fairly committed to doing the procedure, but I feel it’d be rather irresponsible to enter into elective surgery without some quantitative grasp on the risks and outcomes.

What percentage (I understand you don’t necessarily collect this systematically–what interests me is the rough size of the number) express dissatisfaction about outcomes? What are the most common complaints?

What percentage comes back for corrections?

How often did you experience adverse events? List the most common and the most serious ones and the final outcomes with their respective frequencies (a rough estimate is fine–the question is not 5 or 6 patients but 5 or 50).

Have you ever had claims for damages, been involved in litigation or arbitration, paid a settlement, been subject to regulatory review, or been subject to criminal proceedings relating to your work? If so, what was the reason and what was the outcome?

In terms of arranging the surgery with the least time off work, what would be the best way to arrange it around a weekend?  A holiday weekend, perhaps?

What downtime should I expect for active sports like skiing, horseback riding, etc.?

Thanks a lot!

 Owen

January 23, 2012

Good morning Owen,

Thank you for your second battery of questions.

After your careful reflection if you wish additional information, be assured I am available for consultation.

Safety / outcomes

What percentage (I understand you don’t necessarily collect this systematically– what interests me is the rough size of the number) express dissatisfaction about outcomes?
What are the most common complaints?

While questionnaires have not been sent out to patients and some may harbor some thoughts that are not shared unless solicited, I can say most are satisfied with the outcome.  Our most common complication is wound separation
which usually reconstitutes and this could be secondary to a rip roaring erection or the patient that refuses to stay at a very nearby hotel but insists driving home even for 30 minutes.

What percentage comes back for corrections?

All our local patients come back and are followed of course.  Nature and normal wound healing takes care of minor healing problems.  The underside is more predisposed to swelling because the skin is looser.  About 10% of our patients will have some revision performed.  You can rightly assume all of our patients are very fussy and are looking
for a near-perfect result, not a journeyman circumcision. 

How often did you experience adverse events? List the most common and the most serious ones and the final outcomes with their respective frequencies (a rough estimate is fine–the question is not 5 or 6 patients but 5 or 50).

One could say if a patient requires a revision or touch up, maybe they wanted the circumcision tighter, or one area healed with a hypertrophic scar, they the incidence could be 10%

Have you ever had claims for damages, been involved in litigation or arbitration, paid a settlement, been subject to regulatory review, or been subject to criminal proceedings  relating to your work? If so, what was the reason and what was the outcome?

Florida operates under the government-in-the-sunshine law.  Physician profiling disclosed about me can be found on http://ww2.doh.state.fl.us/irm00profiling/searchform.asp

Practical

In terms of arranging the surgery with the least time off work, what would be the best way to arrange it around a weekend? 
A holiday weekend, perhaps?

Possible.  Please call Anne our amiable office manager, regarding scheduling.

What downtime should I expect for active sports like skiing, horseback riding, etc.?

In that incisions do not regain full tensile strength until 8 weeks, we would advise no sports with the potential for straddle or genital injuries until then.

Sincerely,

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

Hello Dr. Reed,

I’ve been refereed to you by Pat. I am looking for a doctor to perform a circumcision on my 15 year old, he said he wants to do it for social reasons.. can you tell me a bit about the risks involved? 

Sanford

January 24, 2012

Good morning Sanford,

Thank you for your interest in what we do.

If your son is a mature lad, and can tolerate a local anesthetic with you present in  the room at all times, this is the best way and safest way to perform a circumcision.  At his age it is appropriate that he wishes to have it done, or if there are medical reasons he understands the necessity or desirability.

The risks generic to any circumcision are mentioned in  our informed consent posted on our web-site.  The most common complication is partial wound separation which usually reconstitutes without any additionally surgery.

The attached and what follows is the message we send out to prospective adult men.

 Be assured we will show you and your son every courtesy,
 

All the best,
 

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

I was recently (2 months ago) circumcised due to a BXO condition. Currently treating with Steroid cream.

The surgeon found some adhesions where the shaft skin has attached to the glans penis. (Possibly from BXO).
The skin is above the rim in some areas.

Is there a procedure that can further fix this issue?

Is this something you have done before?

Thanks,

Doug,

Good afternoon Doug,

Thank you for your interest in what we do.  We both have been doing BXO procedures for over 20 years.  Several examples are on display.

Please review our web-site before calling the office http://www.penisdoctor.com/ Our fees are posted on our web-site.

Cordially,

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

What do you consider to be the best type of circumcision, and is there any truth about penis enlargement?

Manny

January 20, 2012

Good afternoon Manny,

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

Yes, penile enhancement procedures do work for patients who follow the instructions. 

If you are also considering circumcision, please have that first as it will make applying traction a lot easier.

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 done elsewhere 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”)
 
Be assured we will show you every courtesy,
 
All the best,
 

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

Dear Dr. Reed,

I’m a 35-year-old male and interested in getting circumcised, partly for aesthetic and partly for non-pressing medical reasons. Unfortunately, there’s very little
systematically collected information in circulation to make an informed decision about the procedure’s safety. Would you be able to answer some questions for me to help me decide whether this is the
right step for me? All the following questions are in regard to circumcisions and/or removal of the frenulum performed on adults or  teenagers: – What number of circumcisions did you perform in the
course of your career? How often did you remove the frenulum? – How often did you have patients expressing dissatisfaction with the outcome, and for what reasons? (and I realize in cosmetic surgery
some patients are unhappy no matter what) – How often do you experience outcomes with problems in appearance? Let’s take as problematic anything like sutures clearly visible without looking
for them and worse. – What adverse events did you experience?

Orson

Dear Orson,

Please don’t worry about mailing lists, as I would be at risk of losing my license if I divulged names of even prospective patients. Occasionally interesting questions are placed on our blog with your name of course changed and any personal data deleted.

My position is that for most men who practice good hygiene and are at very low risk for sexually communicative diseases, a circumcision is certainly not medically necessary.  80% of our patients do it as a matter of choice.  20% had chronic inflammatory problems that have not responded to conservative measures. 

Taking your thoughtful questions in the order posed…

What number of circumcisions did you perform in the
course of your career?6500.  Last week we did 4.

How often did you remove the frenulum?80% of our patients say remove it, of the 20% that say “no”,  80% of those later come back and say “doctor, now remove it.”

How often did you have patients expressing dissatisfaction with the outcome, and for what reasons? (and I realize in cosmetic surgery some patients are unhappy no matter what)Some patients may heal with defects that need to be revised such as an areas of separation perhaps secondary to a rip-roaring erection.   We take care of that gratis, usually in 3 months after complete
wound healing.  Our patients tend to be very fussy; that’s why they are coming to me.

How often do you experience outcomes with problems in appearance?We have not had patients fill out followup surveys, so from their point of view unable to comment.  Not often, fair to say.   Two reasons are:  A. we discuss the 4 options  before circumcision,  and B. you are given a hand held mirror to watch the operation in progress and comment.  Before we apply the dressing, we ask if it is the way you wanted.

Let’s take as problematic anything like sutures clearly visible without looking.You will have about 30 to 40 very small sutures visible after surgery which are rapidly absorbable.  But we recommend those be removed in 12 days to avoid cross hatch marks.

Here is letter we send to prospective patients…

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

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 done elsewhere 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”)
 
Be assured we will show you every courtesy,
 
All the best,
 

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

Thanks a lot for your responses. Unfortunately from the form below in your email I saw that my original email got cut off for some reason, probably a length limit on your Web form. I had been traveling over Christmas and didn’t have the text of my original email, thus the delay in my response. Plus, it’s ski season…

Let me send the questions that got cut off again and also add some questions for clarification. I know that I’m probably imposing a greater request on your time with these questions than most prospective patients would and very much appreciate your patience–but then again, there is frustratingly little in the literature about the safety of the procedure, and you have done it often enough so as to have statistically significant answers. I’m fairly committed to doing the procedure, but I feel it’d be rather irresponsible to enter into elective surgery without some quantitative grasp on the risks and outcomes.

Safety / outcomes

What percentage (I understand you don’t necessarily collect this systematically–what interests me is the rough size of the number) express dissatisfaction about outcomes? What are the most common complaints?

What percentage comes back for corrections?

How often did you experience adverse events? List the most common and the most serious ones and the final outcomes with their respective frequencies (a rough estimate is fine–the question is not 5 or 6 patients but 5 or 50).

Have you ever had claims for damages, been involved in litigation or arbitration, paid a settlement, been subject to regulatory review, or been subject to criminal proceedings relating to your work? If so, what was the reason and what was the outcome?

Practical

In terms of arranging the surgery with the least time off work, what would be the best way to arrange it around a weekend?  A holiday weekend, perhaps?

What downtime should I expect for active sports like skiing, horseback riding, etc.?

Thanks a lot!

Orson

January 23, 2012

Good morning Orson,

Thank you for your second battery of questions.

After your careful reflection if you wish additional information, be assured I am available for consultation.

Safety / outcomesWhile questionnaires have not been sent out to patients and some may harbor thoughts that are not shared unless solicited, I can say most are satisfied with the outcome.  Our most common complication is wound separation which usually reconstitutes and this could be secondary to a rip roaring erection or the patient that refuses to stay at a very nearby hotel but insists driving home even for 30 minutes.

What percentage (I understand you don’t necessarily collect this systematically– what interests me is the rough size of the number) express dissatisfaction about outcomes?
What are the most common complaints?

What percentage comes back for corrections?All our local patients come back and are followed of course.  Nature and normal wound healing takes care of minor healing problems.  The underside is more predisposed to
swelling because the skin is looser.  About 10% of our patients will have some revision performed.  You can rightly assume all of our patients are very fussy and are looking
for a near-perfect result, not a journeyman circumcision. 

How often did you experience adverse events? List the most common and the most serious ones and the final outcomes with their respective frequencies (a rough estimate is fine–the
question is not 5 or 6 patients but 5 or 50).One could say if a patient requires a revision or touch up, maybe they wanted the circumcision tighter, or one area healed with a hypertrophic scar, they the incidence could be 10%

Have you ever had claims for damages, been involved in litigation or arbitration, paid a settlement, been subject to regulatory review, or been subject to criminal proceedings
relating to your work? If so, what was the reason and what was the outcome?Florida operates under the government-in-the-sunshine law.  Physician profiling disclosed about me can be found on http://ww2.doh.state.fl.us/irm00profiling/searchform.asp

Practical

In terms of arranging the surgery with the least time off work, what would be the best way to arrange it around a weekend?  A holiday weekend, perhaps?

Please call Anne our amiable office manager, regarding scheduling.

What downtime should I expect for active sports like skiing, horseback riding, etc.?

In that incisions do not regain full tensile strength until 8 weeks, we would advise no sports with the potential for straddle or genital injuries until then.

Sincerely,

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

Dear Dr. Reed

I’m wondering the costs of penile widening as my wife wants to put this in the budget if affordable. Is there financing if we can’t just payfor it? Also, Is the surgury permanant? Any side effects? Who should think about getting lenthened? What length do woman prefer? My wife won’t give me an honest answer.

Jason

January 15, 2012

Good morning Jason,

Thank you for your interest in what we do.  Dr. Whitehead is retiring and referred your inquiry to our office.  My phalloplasty experience dates back to1986 and includes several thousand procedures.

Surprising a new article recently published in Journal of Sexual Medicine does show that many woman prefer longer length, although it had been commonly believed the erogenous receptors were in the vulva, clitoral area and proximal third of the vagina, not the deep portion.

The risks in penile lengthening are very minimal (see our informed consent posted on our web-site), or else we won’t be doing this since 1986.  Any length you derive both from suregry and the use of traction (traction being moe important) is permanent unless obscured by a massive weight gain.  Medi-credit companies are out there.  In that this is elective sugery, save on your own and avoid the vigorish.

Please review our website http://www.penisdoctor.com/ for the answers to many commonly asked questions.  Our fees are also published there.

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