penisdoctor.com

A prospective patient called to my attention, that my post-operative photographs of a testicular (scrotal) enhancement were published on another doctor’s web-site.  Although the copies were grainy, there was no question these were my photos and of course the labeling was really inappropriate.

The doctor claims to be an innovator and inventor, but ironically had not even given me credit for the photos.  Although I am dismayed, I guess I should be flattered.

Harold M. Reed, M.D.

When is a circumcision cosmetically performed.  Well for one the detail and match up has to be right on. We don’t want to see puckers when large suture, like howser for mooring a ship, are used every 3rd to 4th space when smaller sutures could have been used.  Surely, we don’t want to see residual pin hopes and ghost lines, which are tell tale signs of an adult circumcision.  The skin should be not so loose it is draping over the rim of the penis or so tight it is tenting the pubic skin during erection or causing a penile scrotal web (turkey neck).

That part’s not supposed to go in the vagina and of course detracts from perceived length.  Is you doctor attentive to you precise requests and giving you good eye contact and pre-marking you with your approval and allowing you to watch work in progress with a hand held mirror to be absolutely sure, it is being done your way.

Harold M. Reed, M.D.

What a loss and how does this happen and what can be done?  In this particular patient I pulled on the head of the penis and the tips were not in the mid glans but at the distal shaft, a loss of 1/2 to 3/4″ right there.  Had an expandable implant been installed with usage the patient might have gained another 1/2 inch.

When inappropriately short implants are used, the penis may just scar down to a smaller size and the only remedy is to try traction before another procedure or a penile lengthening surgical technique which can vary from pubic dermatolipectomy, release of the suspensory ligament, or release of the neruro-vascular bundle and urethra and apply a patch graft to help extend the corpora.  This is very advanced and risk laden surgery as opposed to simply installing an expander cylinder, but requested by a very insistent patient.

Harold Reed, M.D.

Gynecomastia or enlargement of the male breast may produce an unwanted feminizing appearance. This is typically caused by an increase in stromal (connective) and ductal tissue, however a serious underlying cause should always be considered. The incidence of occurrence in naval military exams is about 8 in 100,000. Gynecomastia is noted normally to some degree in pubescence with incidence as high as 65% in boys aged 14 to 15 years. By late teens this finding lessens to 7.7%. Cosmetic surgeons consider 3 grades:

I. a button of extra tissue under the areola (the pigmented area surrounding the nipple)

II. diffuse enlargement with indistinct peripheral margins.

III. further mass effect with excessive skin involvement.

To see before and after examples, visit our web-site and click on photographic examples

http://penisdoctor.com/gynecomastia.htm

A patient writes.  “In a word.  Excellent attention and care.  I was allowed to watch work in progress with a hand held mirror.  The first week afterwards, there was some swelling which subsided by the third week. Ultimate result, just the way it was explained to me.  Very neat incision line, no suture tracks, no puckering, no pin holes or ghost lines.  Pain free and I will be combat ready in 3 more weeks.   Whoopie!    N.A.C”

Who stands to lose.  Presented by Dr. Judy Choi.  Causians, older men, those with absence of partner, being heterosexual and relationship duration greater than a decade.

Harold M. Reed, M.D.

Drs. Perovic and Egydio reported at the AUA meeting.  Case study involves 25 patients who underwent simultaneous penile implant (prosthesis) insertion and opening of penis with Tutoplast.  An average of 1 1/2″ length gain was achieved with excellent preservation of sensation.

I also have had similar experience with Tutoplast.      Harold Reed, M.D.

Answer, per Dr. Andrade, yes it can.  Therefore another article confirming that ESWL is not indicated for Peyronie’s disease.

This May at the AUA, Drs. Choi and Mulhall report erectile dysfunction based upon plaque incision and grafting.  Almost half had some reduction in erectile function after surgery.  The recommendation: this operation by itself is not recommended for older men.  However, 50% of patients pre-operatively had arterial insufficiency and 21% venous leakage, not good vascular signs.

Did two yesterday and both patients are doing well.  Seem to enjoy being housed at the Baltic Hotel which is nearby and had a chance to visit both.  One an aspiring audio engineer for cinema with a bright future ahead.  Both had tight frenulums which required removal.  One had the raphe reconstructed as allowing it to heal by secondary intention would have taken 2 weeks.