Dr. Harold Reed Blog

Category Archives: The Reed Centre for Cosmetic Circumcision | Miami

Best treatment for phimosis

Dr. Reed, Have serious phimosis.  Unable to retract my foreskin over my head.  I am 24 and worried.  What is the best ways to manage this and any alternatives?  I am very nervous.  Roger

Dear Roger,

Phimosis is a normal situation for newborns and by the time a man reaches 18 years of age, only 3% still have phimosis.  The others can retract fully without difficulty. The best treatment for phimosis is adult circumcision.  Others will mention steroid creams which may work temporarily but the phimotic tendency will return again and again.  With each stretching event the elastic fibers of your foreskin are replaced with scar fibers, which only when stretched and  broken reform with more scar.

If you wish to maintain semblance of a foreskin, you need at least to have the scarred portion removed.  Another procedure called a preputioplasty could be considered, but if you look at the medical illustrations, I can’t imagine you’ll be happy with that.

Please see pictures of phimosis on our web-site  penisdoctor.com/before-after-adult-circumcision  Start at Phimosis Example: 10/1 – 10/3 and scroll down.

Here’s an article re: preputioplasty on children.  Note this was written in 2003 and from the UK  J R Soc Med. 2003 Sep; 96(9): 452–453.

23 boys (mean age 5 years; range 1–10) underwent preputioplasty as a day case under the care of two consultant urologists in the course of 3 years. The procedure was offered to those who had a problematic irretractable prepuce with a clear tight band and no evidence of balanitis xerotica obliterans (lichen planus et atrophicus). Under general anaesthesia, a dorsal longitudinal incision is made through the tight preputial band. After haemostasis, the wound is closed horizontally with a 4/0 Vicryl Rapide suture (Figure 1). Parents were asked to begin retraction of the foreskin the next day, placing 2% lidocaine gel behind it, and to continue for three days. The questionnaire (available from the authors) asked parents to address nine questions concerning the outcome and their satisfaction.

Image result for image preputioplasty

Preputioplasty with dorsal incision
Cordially,
Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision | Miami
1-305-865-2000
Phimosis picture
 
Phimosis picture
 
Phimosis picture with inflammation and micro-tears
 
Picture of phimosis treated with adult circumcision
 

Where can I see a gallery of adult circumcision before and after pics

Dr. Reed,  Where can I see a gallery of adult circumcision before and after pics?  Earl Dear Earl,  The best web-sites are from urologists who do lots and lots of circumcisions.  We have done about 8,000 adult circumcisions.  We give the patient a choice of 4 circumcision styles.  Remove or do not remove the frenulum,…Continue Reading

How easy is to do a meatotomy while doing a circumcision?

Dr.  I have a narrowing of my urinary opening which another urologist called metal stenosis.  He said I’d need a meatotomy to have a full forward directed steam. Jeff Dear Jeff,  A meatus has to be calibrated with bougie a boules to be sure the constriction is just at the opening and not deeper, which…Continue Reading

Is my circumcision too loose? Had an adult circumcision a few years ago

Dr. Reed,  Is my circumcision too loose? Had an adult circumcision a few years ago.  Below is a photo of how I see myself.  Ryan Dear Ryan,   Mot importantly is you need sufficient skin to cover an erection.  Caucasian men are notorious grow-ers not showers.  If that loose skin were removed, when erect, you are drawing pubic…Continue Reading

Need a penile skin bridge removed

Dr. Reed,  Need a penile skin bridge removed.  Is this minor surgery and do you have and before and after pics of penile skin bridge removal?  Clinton Dear Clinton,  Penile skin bridges are usually remnants of an infantile circumcision.  And penile tunnels may be secondary to incomplete removal of absorbable sutures.  The annoyance aside from distracting…Continue Reading

Directions to the Reed Centre please

Dr. Reed, Can you provide directions to the Reed Centre?  Have an appointment this December for an adult circumcision revision .  Ethan Dear Ethan, Google maps was kind enough to designate our office location with a highlighted red H icon.  Simply go to www.google.com/maps and in the search option tap in  The Reed Centre, Kane Concourse  Below…Continue Reading

How do I get to the Reed Centre for Ambulatory Urological Surgery?

Dr. Reed, Is the Reed Centre for Cosmetic Circumcision highlighted on Google maps?  I know you are in the Miami area.  Is parking available near your building?  Jeff Dear Jeff, | The Reed Centre is definitely highlighted on Google maps which is an honor because there are numerous businesses on Kane Concourse in Bay Harbor Islands.  Parking is available…Continue Reading

Can you do a circumcision with a Prince Albert piercing? Albert asks

Dr. Reed, I have a Prince Albert piercing and am uncircumcised.  I am seeking to have an adult circumcision and not disturb my Prince Albert piercing.  It is possible to also remove the frenulum.  Will my dressing get soaked with urine.  Albert Dear Albert, Do you remove the Prince Albert piercing for any reason?   If…Continue Reading

Pearly pink papules, can they be removed during my adult circumcision

Dr. Reed, Planning on an adult circumcision.  Is it possible to remove pearly pink papules (PPP) at the same time and what is the additional charge?  Kevin Dear Kevin, Pearly pink papules (PPP) in adults are seen more commonly in uncircumcised men.  There is no additional fee to remove them as you will be  under…Continue Reading

Tight frenulum is like a G-string, would like it removed

Dr. Reed, My frenulum is very tight like a G-string.  I don’t think this is normal and would like it removed.  Had an adult circumcision about 5 years ago, and cannot recall the details about why the doctor may have left it.  Carlos Dear Carlos, The frenulum’s purpose is to restore the foreskin to its original…Continue Reading