The penis consists of the foreskin (prepuce), shaft, meatus (opening at tip) and glans (head). Abnormalities of any part of the penis may be a result of congenital (present since birth) issues, previous surgery, weight loss, aging or injury to the genitalia.
Circumcision is the removal of the foreskin (prepuce) of the penis. Adult men undergo circumcision for cosmetic, cultural, religious and hygiene reasons.
Asymmetric and redundant penile skin, incomplete circumcision and penile skin bridges can result in difficulties with male hygiene, affect one’s male hygiene as well as one’s self-esteem, self-image and self-confidence, and interfere with one’s intimate and personal relationships.
Dr. Jeffrey Palmer has a vast experience in performing circumcisions and circumcision revision (penoplasty) to correct cosmetic and function issues associated with previous circumcisions. His Triple-P (P3) Technique™ is an innovative approach to circumcision revision. Dr. Palmer has performed countless number of circumcisions and circumcision revisions using surgical skills to minimize penile scars and meticulous attention to detail.
The length of the penis is a common concerns of men. This concern can affect a man's self-image, self-confidence and self-esteem. The cutting of the penile ligaments in the attempt to address this concern has been associated with significant complications. This is the reason that Dr. Palmer does not perform this operation for penis enlargement. Instead, Dr. Palmer uses surgical procedures that he developed to enhance the visible penile length.
The reason that many men seek penile lengthening surgery is really a result of reduced visible length and not the actual length of the penile shaft. The cause of the reduced apparent length is due to anatomic conditions, which include buried penis (hidden penis or concealed penis) and penile web (penoscrotal fusion or web). These conditions result in a normally developed penis, but with a reduced apparent length of the penis.
Dr. Palmer's developed the 3-Point Repair™ technique of the buried penis and the 2-Point Repair™ technique of the webbed penis to correct these condition. These outpatient surgical techniques involves only a few internal dissolvable stitches to enhance the apparent length of the penis.
Buried penis, also referred to as hidden penis or concealed penis, is a normally developed penis that is hidden resulting in the appearance of a small penis. A buried penis can result in difficulties with male hygiene, affect one’s self-esteem, self-image and self-confidence, and interfere with one’s intimate and personal relationships.
Dr. Palmer's developed the 3-Point Repair™ technique of the buried penis. The technique is a less invasive technique to correct this condition. This outpatient surgical technique involves only three dissolvable internal stitches to address this penile issue.
Webbed penis, also known as penoscrotal fusion or web, is a condition of the skin of the scrotum extending onto the penis resulting in the appearance of a small penis. The causes for a webbed penis include congenital and noted at birth or result from excessive removal of penile skin when circumcised. This penile condition can result in the scrotum being pulled up onto the penile shaft with erections.
Dr. Palmer developed the 2-Point Repair™ technique of the webbed penis is a less invasive technique to correct this condition. This outpatient surgical technique involves only two internal dissolvable stitches to address this penile issue.
Curvature of the penis, including Peyronie’s Disease, can result in cosmetic issues and difficulties with sexual intercourse. Curvature can be congenital or acquired and can occur in a downwards (chordee), upwards, and sideways directions.
Dr. Palmer has extensive experience in penile straightening using several techniques. After a history and physical examination, Dr. Palmer discusses the options based on the man's individual needs.
The urinary opening (urethral meatus) is normally located at the tip of the penis. Hypospadias is usually a congenital condition of the urethral meatus whereby the meatus is located on the underside of the penis, at the scrotum or beneath the scrotum (perineum).
Epispadias is also usually a congenital condition of the urethral meatus, with the location of the meatus on the topside of the
Although the condition is usually repaired as a child by a pediatric urologist, several associated conditions can be present in adulthood, including urethral fistula, urethral diveriticulum, penile curvature and cosmetic issues.
Most plastic surgeons and adult urologists usually require a team approach with a pediatric urologist to assist in the repair of an adult male with hypospadias, epispadias or any of the other associated conditions. However, this is not required by Dr. Jeffrey Palmer who is board-certified in Urology and subspecialty certified in Pediatric Urology. Dr. Palmer is highly-trained has a vast experience in surgically repairing these conditions.
Men undergo genital piercing of the penis and scrotum. There are a number of reasons why a man chooses to have genital piercing repair, including: 1) Tearing due to sexual intercourse and other physical trauma; 2) piercing holes widening over time; and, 3) changing of mind about a genital piercing.
Surgical intervention can be performed to address the cosmetic issues resulting from penile piercing that tears, widens or is unwanted. Dr. Jeffrey Palmer is a highly-trained reconstructive urologist with a vast experience in genital reconstruction. Dr. Palmer surgically repairs the issues associated with penile piercing by paying attention to detail.
Several conditions, including BXO (balanitis xerotica obliterans), acquired conditions (trauma or after epispadias or exstrophy surgery) and congenital anomalies (aphallia or penile agenesis) may require reconstruction of the penis or scrotum.
The De Castro abdominal phalloplasty is the technique used at Cosmetic Urology Institute for neophallus reconstruction. Unlike most surgeons in the United States, Dr. Jeffrey Palmer has been personally trained in Italy by the creator of the De Castro technique. This phalloplasty technique uses an abdominal flap to reconstruct the penis without the potentially deforming consequences of other donor site locations such as the forearm.
NEW YORK OFFICE
Great Neck, Long Island
Eastside of Cleveland
Westside of Cleveland
Southside of Cleveland
NEW NEW YORK OFFICE: Cosmetic Urology Institute opened a new office at 885 Northern Boulevard, Great NECK, NEW YORK. The state-of-the-art facility is our first office in New York as a response to the large number of New York patients coming from the east coast to our Ohio offices. This new facilty also includes an attached outpatient surgery center.
USA TODAY INTERVIEW:
Dr. Jeffrey Palmer was interviewed for an article in USA TODAY. The article discusses the increase of labiaplasties in the United States. Dr. Palmer provided information on his experience of women seeking this cosmetic procedure.
CAMPBELL-WALSH UROLOGY: Dr. Jeffrey Palmer's chapter entitled "Management of Abnormalities of the External Genitalia in Boys" was published in the acclaimed multi-volume textbook, Campbell-Walsh Urology (11th edition). This chapter is an update to Dr. Palmer's chapter in the 10th edition regarding the same topic. This textbook serves as a reference for urologis and other healthcare professional throughout the world.
NEW OFFICE: Cosmetic Urology Institute opened a new office at Mentor Office Park, 8224 Mentor Avenue in MENTOR, OHIO. The state-of-the-art facility includes expansion of the Centers of Excellence and easier access to our Pennsylvania and Northeast patients.
INTERVIEW: Dr. Jeffrey Palmer was interviewed for an article on their expertise on cosmetic and reconstructive urologic surgery. The article will include a discussion on their technique for labiaplasty, clitoral hood reduction and phalloplasty.
CAMPBELL-WALSH UROLOGY: Dr. Jeffrey Palmer contributed a chapter entitled "Management of Abnormalities of the External Genitalia in Boys" in the 11th edition of this accalimed multi-volume textbook, which is currently in press. This chapter is an update to Dr. Palmer's chapter in the 10th edition regarding the same topic. This textbook serves as a reference for urologis and other healthcare professional throughout the world.
NORTHEASTERN SECTION OF AUA: Dr. Jeffrey Palmer was an invited speaker at the 2014 Northeastern Section of the American Urological Association Annual Meeting. The lecture at this inter-national meeting of adult and pediatric urologists, entitled "Caring for Adult Patients with Congenital Problems", addressed congenital problems in young adults and adolescents transitioning into adulthood. Our staff has a large experience in success-fully treating adults and adolescents with congenital conditions.
NEW OFFICE: Cosmetic Urology Institute opened a new office at 7747 South Avenue in BOARDMAN, OHIO. The facility provides easier access to our Penn-sylvania and East-Coast patients.
NEW OFFICE: Cosmetic Urology Institute opened a new office at Firelands Regional Medical Center, Sandusky Medical Office Building at 1012 E. Perkins Avenue in SANDUSKY, OHIO. The state-of-the-art facility includes expansion of the Centers of Excellence and easier access to our Chicago, Midwest and West-Coast patients.