I have been experiencing deep cuts on and around my penis head during and after sex. I don’t know if my girlfriend is just that close built or is it because of the friction that accures during sex. Do you have payment plans for self-pay and if so how much will be required for the procedure to take plac? Thanks  

Sylvan

Hi Sylvan,

Good morning Johens,

Thank you for your interest in what we do.  Healthy penile skin should not tear
under normal circumstances.  Chronically injured and somewhat devitalized
skin will.  Most likely your head is fine but the distal foreskin is not.

Yes, I would concur a circumcision would be beneficial.

We have performed over 5000 cosmetic circumcisions in the past 35 years
and usually do several cases every week.

Harold M. Reed, M.D.

The reason being usually a loose circumcision.  The doctor cannot see what is going on underneath the clamp.  Following surgery, if no attempt is made to separate the overlying skin, adhesions or synechia will develop and this ultimately leads to a skin bridge.   Most skin bridges will not bleed but underneath there is often accumulation of smegma which is not healthy.   Here is a typical letter from a patient with skin bridges.

I am an 18 year old with two thin skin bridges– well, I used to have two! My girlfriend and I are both very prude as we are committed to being abstinent until marriage, but it proved to be a bad thing in this case. We were kissing and grinding last night, clothes on, when I suddenly felt a sharp pain “down there.” Not wanting to ruin the moment, I dismissed it and went on my merry way. It didn’t occur to me to check it out until things had calmed down and I noticed some discomfort.

If you have any more information that you think would be beneficial to me, I would be very appreciative for it.

Thank you for your help!

“mypantsaresofancy”

Hi Fancy Pants,

Fortunately the bleeding was episodic and now you have an area of opened skin which like any superficial cut, should heal fine, as long as you keep it clean.  you may wish to apply an antibacterial ointment.

Yes, removal of skin bridges should be covered by insurance especially given your recent history.  Not to worry.

Harold M. Reed, M.D.

Thank you very much for you wonderful effort, now I sure hope that they work.
I will let you know as soon as they arrive.  Hopefully 500mg will be enough to cause me to have an erection.  Right now I am using a metal ring that I place at the base of my penis and it keeps the blood in the penis. Sometimes it is very uncomfortable, but does produce a fine erection.  Without it and one of the pills, I can produce a moderate erection with manual stimulation but as soon as I attempt to penatrate it goes limp.
Barb thinks that this last circumcision is an absolute wonder, there is only a little skin movement during intercourse and she really enjoys all of the friction of no skin sliding inside of itself.
You stated that my circumcison is generally acceptable, would you have done anything differently?  There is still always more options for improvement.
I will let you know when the Muse arrives and just how satisfied we are with the new drugs. 
Thank you again

Thank you very much for you wonderful effort, now I sure hope that they work.
I will let you know as soon as they arrive.  Hopefully 500mg will be enough to cause me to have an erection.  Right now I am using a metal ring that I place at the base of my penis and it keeps the blood in the penis. Sometimes it is very uncomfortable, but does produce a fine erection.  Without it and one of the pills, I can produce a moderate erection with manual stimulation but as soon as I attempt to penatrate it goes limp.
Barb thinks that this last circumcision is an absolute wonder, there is only a little skin movement during intercourse and she really enjoys all of the friction of no skin sliding inside of itself.
You stated that my circumcison is generally acceptable, would you have done anything differently?  There is still always more options for improvement.
I will let you know when the Muse arrives and just how satisfied we are with the new drugs.  Thank you again.  

Edward

 

Dear Edward,

The reason “generally” was used is that I did not see
a well focused photo of the underside of your penis,
and I am very reluctant to use self-laudatory comments.

Please do not feel obligated to take another photo if you are happy, as this is what really counts.

Sincerely, and have a wonderful weekend,

Harold M. Reed, M.D.

 

Both were accompanied by their Moms, in each instance 2 classy ladies who were well dressed and very articulate, and one reserved Dad for good measure.  You can believe the best part about doing the circ is walking out to the waiting room and calling Mom and Dad back to join their son in the recovery room.  Smiles and a look of contentment from the patient (”no big thing”) can instantly provide more assurance than ever I could.

Yes, it is a big thing, because each step of the way, we are providing every quality control measure that this operation will go exactly as anticipated with zero pain, and that the patient will have the opportunity to watch work in progress and approve of the final result before the dressing goes on.

Is it time for breakfast or lunch?  Claire, ask the patient what he has a yen for..  We have fresh French bread and roast beef in the refrigerator, or hot sausages and eggs with coffee to wash it down.  Don’t forget the OJ and our fancy napkins.

Both patients were seen on Saturday and looked great.

Harold M. Reed, M.D.

The fallout seems that 50% of my work is revising the work of other doctors and that is all well and good.

Have to be careful not to cast aspersions, afterall most of what that other urologist does may be excellent.

Two days ago, received a patient from Canada, a college graduate in the science of physical wellness, who
had a circumcision about 6 months ago.  Heavy dense thick scars like pebbles and an irregular suture line, large suture tracts spaced somewhat widely apart, a tough thick frenulum, mis-match of the frenulum and raphe.  But fairly tight circumcision and also low.

My mission was to remove as much underlying scar, (all of it hopefully) freshen up the incision line, remove the frenulum and realign the raphe.  The case took longer than 2 “virginal” circumcisions back to back.   Had to use loupes.

Ultimately the patient had a very acceptable result.  Hand held mirror nearby throughout the case for his review and comment.

Seen at the Whitehouse Inn yesterday and looks great.  Bed rest for 2 more days.  A hematoma or collection of  blood under the skin is a set-up for inflammatory fibrosis which is a great enemy of good cosmetic (soft natural) wound healing.  Even if a patient looks dry on the operating table, simple hydraulics tell us

If a patient is upright, even sitting up, there is a venous column of blood potentially pushing trace oozing out of every ruptured capillary that has yet to seal off.  Simply raise your hand above your heart and the veins on the back collapse.  Less blood, less oozing.

We are careful never to promise perfection, but usually we can greatly improve appearance.

Harold M. Reed, M.D.

Have heard of and seen  tight frenulums pulling down the head creating the SST deformity.  Like the tilt down nose of the Concorde jet, but never saw it cause angulation of the penile shaft.  Think this may be my first case, where the frenulum which was attached to the distal shaft actually produced a 45 degree downward angulation of a medically induced erection in the office confirming “penetration not possible in all positions.”  

The remedy is release of the frenulum.