Dr. Harold Reed Blog

Category Archives: Circumcision scar

Low and tight, is this the best way to minimize likelihood of HIV

Dr. Reed,

Considering having an adult circumcision for hygiene but also to minimize acquisition of HIV.  Is low and tight the preferred circumcision style, and provide more assurance the final result will be more uniform. Rick

Dear Rick,

The best way to avoid HIV acquisition is to avoid promiscuous sex.  Should this happen, go to a community health center ASAP and obtain some prophylactic medication.

True, the inner skin is the portal through which HIV viruses may enter the body, but cuts or bruises anywhere along the shaft are also invasion points.  The rationale that leaving too much inner skin can provide an unpredictable result doesn’t make a lot of sense to me.  The skin should be cut with equal tension all the way around.  The circumcision is approximated first at 6 o’clock then 12 o’clock , the 3 and 9 o’clock and if the skin is not even a correction can be made to balance it out.

When a circumcision is too low, the circumferences which needs be be joined are unequal, the lower being small as this is the locale of the “neck” of the shaft.  If that is noted, a V-cut may have to be taken on the upper side to match.

Cordially,

Harold M. Reed, M.D.
1-305-865-2000

 

Cosmetic adult circumcision, what’s involved

Dr. Reed,  When you say cosmetically performed adult circumcision why is this different from a standard adult circumcision?  Fred Dear Fred,  I have seen doctors perform a circumcision in 15 minutes and when they are finished, it looks like it was done in 15 minutes.  We take about 50 minutes. Before circumcision we discuss with the patient the 4 circumcision…Continue Reading

What about just using glue for closing?

Hi Paul, We use sutures and steristrips and a 2 layered soft conforming gauze (cotton and Coban).  Under the skin are many cell and tissue layers and unless there is some apposition of these layers, the infrastructure is not properly reconstituted.  I know you wouldn’t drive over a bridge with the most perfect asphalt coating poured over a deficient infrastructure.…Continue Reading

Circumcision sutures and cross hatch marks

Dr. Reed,  Should my adult circumcision sutures be removed, in that my doctor says they’re absorbable.  How soon can I have sex?  Daren Dear Daren,  It takes about 7 to 8 weeks for a properly approximated incision to regain full tensile strength.  I advise patients not to have penetrating sex until then.  And if there…Continue Reading

What type of circumcision styles is most cosmetic

Dr. Reed, Am flying in from Europe for business in Miami this February and wish you would comment on the circumcision styles you offer,  Which is more cosmetic? Colin Dear Colin,  The circumcision styles we offer include remove or do not remove the frenulum, low  moderate or high, loose moderate or tight, cur oblique (parallel to the rim…Continue Reading

What ideas do you have to promote good circumcision wound healing

Dr. Reed, How can I avoid an ugly circumcision scar?  What about keloids, have some on other parts of my body Keith Dear Keith, We have seen patients with keloids on other parts of their body, but in my experience, I have not seen keloids on the penis, although I am sure this could happen,…Continue Reading

Swimming after adult circumcision

Dr. Reed, Want an Adult Circumcision.  First, how soon after a circumcision can one go swimming?  I’d like to get this done around the time of my spring break since I’ll already be in Miami during that time.  However, if I can’t do things like swim in a pool or the ocean more than a…Continue Reading

Big circumcision scar, can this be corrected?

i was circumcised when i was 14 and it left me with a big scar. i need it removed can you help me? Dallas Dear Dallas, Yes, we do revisions of circumcisions at the Reed Centre for Cosmetic Circumcisions in Miami.  If you could E-mail me some well focused photos, and provide your phone number and…Continue Reading