Dear Dr. Reed,

Interested in penile lenghtening. What are expected erect gains? Can you perform a vasectomy as well?

Mike,

Hi Mike,

Many thanks for your E-mail inquiry
and visiting our web-site
http://www.penisdoctor.com/enlargepenis.htm

We hope you can relate to our phalloplasty before and after photo gallery. I am a phalloplasty surgeon.

Our phalloplasty cost are posted on our web-site.

Yes, we can perform simultaneous vasectomy
at a discount.

Patients who have lengthening usually leave
for home the next day.  You could probably return to an
office environment in 3 days.

Or consultation on Thursday, surgery on Friday.
Monday, back to work.

From surgery anticipate a 3/8?  increase in length and with dedicated
use of traction, 8 hours a day in divided sessions, anticipate
a 1/8? gain each month such that after 6 months
you’ll have 3/8? plus 6 x 1/8? or 9/8?.  We say
about an inch longer erection in 6 months.  Flaccid lengths
will be corresponding longer.

Whenever you stop using traction whatever you have gained
is permanently yours.  If you continue, more length gains
will be accrued.

We do not do simultaneous surgery, such as any combination of
length, girth of shaft, girth of glans, circumcision, or pubic liposuction.

Hardly a week goes by when some disillusioned patient
done elsewhere calls us for a revision.  And we told you so.

Generally speaking the penis does not appreciate simultaneous
surgery with a few exceptions.

With AlloDerm, we can say quite conservatively
you can anticipate a 3/4? gain in circumference
which is permanent as far as we know having followed
patients for 8 years or so who have had
AlloDerm.  Most patients will do a lot better than
that.   AlloDerm patients must be on strict
bed rest with the exception of getting up to use the
commode or eating in their room for 4 days.  Surgery
is the zero day, and we certainly recommend
you stay at the Baltic Hotel (877 622 5842) so I can
see you daily as your penis will continue to
swell for several days, and your dressing will be
replaced often to accommodate a larger sized penis.

Mention my name for a discount.

AlloDerm is like particle board, when immersed in body fluids,
it swells and swells for several days.  This spreading of the
collagen fibers is helpful to permit ingrowth of a capillary bed
and new cells of your own making.

Early mobilization  is the great enemy of good graft
take.   Again plan on staying in your room, stocking
up on food or sending out for food.  Good Italian,
Greek and Chinese restaurants abound with delivery service
only a telephone call away..  I’ve have been known to go
shopping for some patients at Publix.  You won’t
starve.

If you have AlloDerm surgery on Tuesday, you could be back in an
office environment on the following Monday.

Most likely you will have many questions and we
are available for consultation only, if that
suits your purposes.

Candidates who wish to schedule surgery
with our facility are required to have 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.

If you are over 40 or are on medications, please
call the office before scheduling surgery, as a letter of
medical clearance may be required.

If you are a smoker, you must stop completely
for 2 months before surgery (girth enhancement
especially) and please never again.

Smoking causes vaso-spasm, impairs wound healing,
produces excessive scarring, tissue necrosis,
irritates and inflames pulmonary membranes and
enhances anesthetic risk.  However, most of our
penile surgery is done under local anesthesia
with IV sedation.

This goes also for any products containing nicotine or
nicotine like agents including nicorette gum, nicotine
patches, Nicotrol inhalers, and second hand smoke. 
Again not for 8 weeks before and not for 8 weeks afterwards.
Hopefully never again.

Please no aspirin or aspirin products, 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 (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.

With regards,

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

305-865-2000