I am a regular user of Google Researchers, have had answers superbly
answered,and pay honest and fair rates. I am specifically searching
for a
researcher in Health ( Surgery)---the topic will be penile enlargement
by surgery
with an emphasis on reconstruction. Nost of the U.S. surgeons in this
practice
are
zealous physicians who see an opportunity to capitalize on men's ego
or in my
case,severe wounds in the genitalia area due to Dr. X. I have followed
Dr. E. Austoni's trial work at the University of Milan, and am
impressed with his approach,but I have failed to contact him by E-Mail
in order to discover my cchances as a patient under his care. His
idea: blood vessel grafting, and if he accepts candidates, I would
like to apply. I have yet to find a reputable and understanding
physician that can repair
all the damage initiated by their procedures, particularly a
infectious hematoma, in the United States. And if one physician does
idicate that they can aassist me, I find the cost
exorbitant,particularly in New York ($22,000). Technique and cost are
critical issues for me, as I am a disabled vet living on a fixed
income. If
I thought Dr. Austoni would accept me as a "trial" patient, I would be
on a flight to Milan today.There are true and caring physicians,but
most have lost
their innate reasons for becoming a doctor---Hippocratic Oath.
Any researcher capable of handling this very complicated topic would
be appreciated and paid max-fee. I am a 100% service-connected
disabled veteran..
I will go forward with this topic, if there is a top-notch Google
researcher
in this unique and new field of urology/plastic surgery, I would pay
the
$200.00 fee provided we make new progress,beyond my knowledge. I know
there are
some great uroogic surgeons who could help, but they don't advertise
and one needs
a contact to find the best aat this type of work. There is no time
limit for
this difficult research,but it is extremely important to me.
area filled with greed, poor results, and almost litigious-proof. |
Request for Question Clarification by
kevinmd-ga
on
16 Jun 2003 06:48 PDT
Hello,
I was just wondering what the specific question was. Are you
interested in a general overview of the various penile enlargement
surgeries? I would be happy to research to pros/cons/complications of
the surgical techniques available today.
You made mentioned that you required an answer "beyond your
knowledge". So that my research does not overlap, what are the areas
and information that you are already familiar with?
Thanks,
Kevin, M.D.
|
Clarification of Question by
automata-ga
on
19 Jun 2003 09:17 PDT
To: Kevin, M.D.
I apologize for the aparent rambling within the context of my
question. I am aware
of the various techniques used in enlargement. Some physicians believe
fat transfer
is acceptable,while other physicians think that dermal grafting
tissue is the
the correct methodology. My issue is the severe damage that resulted
from an infection,resulting in a series of hematomas that induced
scarring in or near the
pubic cavity that the shaft retracted into the cavity and I now have,
what you
would call a micropenis.This was the diagnoses of another urologist
who evidenced
the damage and scar tissue. Regardless of whom you analyze over the
NET, they all
have one common objective: MAKE MONEY. What I am desperately searching
for is:
1. A urologist/plstic surgeon who does not advertise his ability to
make you into
a huge superstud ( nonsense) but I am searching for a serious
professional who
can repair the damage and restore my sense of masculinity.
2. When I was referring to " beyond the normal practice of genitalia
repair",
I was referring to Dr. E. Austoni---University og Milan, who along
with
two colleagues, sutured two sapheneous vein grafts into the penile
shaft with
excellent results. Dr Austoni is also recognized as a superb trauma
reconstruction neurosurgeon.The surgeries and results were
I guess some clarification on my situation is pertinent:
1. Great surgeons don't need to advertise their abilities---but
then
again, I cannot locate a dedicated and sincere surgeon to
assist me
with a real serious problem, caused by another $$ surgeon.
2. If there were any trial testing being done in the United
States,
I certainly would advance myself as a candidate for micropenis
repair. I know that East Virginia Medical School initiates
trial testing
in genitalia repair using both Urologist ( Dr. Jordan) and the
Chief of
Surgery (David Gilbert).
I know that the existing problem precludes intercourse,yet I wish to
remarry
in the coming year. However, I do not have the funds necessary to see
a great
physician who could help me. Seciond, I would participate in any
trials that were
related to the repair of a traumatized penis. My personal health
coverage is
limited to Medicare,so I cannot seem to find a solution to a very
complex
problem. I hope that assists you in clarifying my problem--of course,
any
dditional information you need, I will be glad to provide.
PERSONAL: Prior to the scar revision on my shaft, my length= flaccid 3
1/2 inchesand in the Erect State 5 1/2 inches. Average. Now L= 1 inch
flaccid
and erect, maybe 3 inches. Hope the above helps. Thank you.
|
Request for Question Clarification by
kevinmd-ga
on
19 Jun 2003 09:56 PDT
Hello,
This question falls outside my area of expertise, so I'll open it up
to other Researchers who are interested.
To find another urologist for a second opinion here is a helpful site:
http://www.urologyhealth.org/find_urologist/
Thanks,
Kevin, M.D.
|
Request for Question Clarification by
guillermo-ga
on
19 Jun 2003 22:39 PDT
Dear automata-ga,
I’m taking my try to help you find the information that you need. You
said that you have failed to make contact by email with Dr. Austoni.
However, I’ve found two email addresses for Dr. Edoardo Austoni, and
sent him a message –written in Italian to facilitate the
understanding- describing briefly what your interest is, and asking
him how could you make contact with him. It would probably take a few
days to receive an answer, if there were any, and in the meantime I’ll
try to find contact information for medical resources of an equivalent
level of academic seriousness. Please confirm if the approach I’m
following corresponds to what you are expecting. Thank you very much.
Regards,
Guillermo
|
Request for Question Clarification by
guillermo-ga
on
25 Jun 2003 21:44 PDT
Hello, Automata-ga
I have interesting news for you. I’ve received an answer from Dr.
Edoardo Austoni’s secretary. I’ll transcribe the messages exchange in
Italian with its translation to English. Not being an Italian native
speaker, I might have made a few grammar mistakes, not affecting the
comprehension though.
My first email:
“Caro Dott. Austoni,
“Io sono un ricercatore per Google Answers, un sevizio di ricerca di
informazioni online, e proprio ora lavoro per un cliente che si è
preoccupato circa una lesione seria nei suoi genitali, e consapevole
del suo lavoro è interessato in fare contatto con lei, per sapere ciò
che sono le probabilitá che le sue tecniche sarebbero appropriate per
il suo problema, e le possibilitì che egli potrebbe essere trattato
sotto la sua cura. Egli sarebbe interessato anche in un trattamento
sperimentale.
“Se lei è d'accordo, me dice per favore come questa persona dovrebbe
fare per entrare nel contatto con lei.”
Translation:
“Dear Dr. Austoni,
“I’m a researcher for Google Answers, an online information service,
and right now I’m working for a customer who is concerned about a
serious injury in his genitalia, and being aware of your work, he’s
interested in making contact with you, in order to know what are the
chances that your techniques were appropriated to his problem, and the
possibility that he were treated under your care. He’s also interested
in a trial treatment.
“If you agree, please tell me how could this person get in touch with
you.”
Answer:
“Egregio sig. Guillermo,
“Sarebbe opportuno che il suo cliente fissasse un appuntamento presso
lo
studio del Prof. Austoni, per una visita e per rispondere alle sue
domande e
perplessità.”
Translation:
“Dear Mr. Guillermo,
It would be appropriate that your client made an appointment to visit
Prof. Austoni at his office, so you’ll get the answers to your
questions and doubts.”
My second email:
“Primo di tutto, tante grazie per la sua risposta veloce. Nel mio
messaggio precedente non ho menzionato che il mio cliente non vive in
Italia ma negli Stati Uniti di America. Inoltre, le sue risorse
economiche sono limitate. Quindi, viaggerebbe a Milano dopo che il
Prof. Austoni avrà visto le informazioni concernenti il caso del mio
cliente, ed avrà stabilito le probabilitá di essere trattato, ed anche
i costi economici saranno stati considerati. Presumo che posso
suggerire a il mio cliente che può inviare la sua storia clinica
all'indirizzo che lei me ha dato, e il Prof. Austoni l'invierebbe una
risposta.”
Translation:
“First of all, thank you for your prompt response. In my previous
message I didn’t mention that my customer does not live in Italy but
the United States of America. Besides, his economic resources are
limited. Therefore, he would travel to Milan after Prof. Austoni had
seen the information about my customer’s case and had established the
chances of being treated, and the economic costs had been considered
as well. I assume that I can suggest my customer to send his clinical
records to the address that you provided, and that Prof. Austoni would
answer him back.”
Apart from that, during these days I’ve been searching the web for
other innovative and serious approaches to genitalia repair. I have
found some that seem to be serious, but maybe not innovative enough,
or in your words, probably not “beyond your knowledge”. I didn’t have
the time to review all of the information available on the net (I
found more than 1000 websites related to the subject), but most of
what I have reviewed so far –among those categorized as “serious”-
typically referred to techniques you’re already aware of.
The other critical issue that you mentioned is cost. It’s very
unlikely that the cost of medical procedures were published on the
Internet, and your case, being as atypical as your description
suggests, would probably need a direct dialog between you and the
physician. Therefore, it’s very unlikely that I or any other
researcher could offer you information on what would be the cost of
any medical solution to your problem before you made contact with the
physicians themselves.
That said, what I can offer to you as an answer is all contact
information for Dr. E. Austoni, including office telephone numbers,
street address, email, and a contact already initiated with his
secretary, and all the information about other serious alternatives
that I could have gathered by the end of the week. Please let me know
whether you find this satisfactory or not. Thank you.
Regards,
Guillermo
|
Dear Automata-ga,
While I would have preferred to read your thoughts about my request
for clarification before posting an answer, I’ve decided to do it now
because tomorrow I’m going out of town due to another job for at least
one week, and will not be able to work on this during that time, and
that will be too close to the question’s expiration date. My question
to you aimed to establish a consensus with you about what would be a
satisfactory answer to your question. However, if your expectations
were not fulfilled with my answer, you can always:
1.- Ask me for clarifications and complementary information.
2.- If not even the additional information made the answer
satisfactory, a request for refund is always an option.
First of all, I’ll provide you with what might be the most significant
information for you. That is Dr. Edoardo Austoni’s business contact
information:
Information provided by Dr. Austoni’s secretary Maurizia D'Amore, by
email.
Casa di Cura Privata del Policlinico
Via Dezza, 48
Milano
Italia
tel. +39 (0) 2 48593400
edoardoaustoni@oh-fbf.it
Information taken from Dr. Austoni’s profile at the Università degli
Studi di Milano ( http://www.unimi.it/chiedove/persona.idc?matricola=12665
)
Office Telephone: +39 02 85994798
Alternative telephone: 02 85994896
Fax: +39 02 85994551
E-Mail: edoardo.austoni@unimi.it
Professore Straordinario
Settore MED/24 - Urologia
Facolta' di Medicina e Chirurgia
http://www.unimi.it/ateneo/istit/med/urologia/
Istituto di Urología
I haven’t received an answer to my second email yet, and I’ll post it
here as a clarification as soon as I get it. From now on I recommend
further contact to be made directly by yourself. However, if you want
my help to write a message in Italian, you may count on me –anyway,
consider that my skills in that language are enough for short and
relatively easy texts as the ones I’ve posted above. If you decide to
send your clinical record to Dr. Austoni, may I suggest you to get a
professional translator with specific medical knowledge –or else ask
his secretary if he prefers the original in English what is, in my
opinion, more likely.
The second part of my answer is about other alternatives.
I’ll give you the URLs and some other contact information of a few
websites, that I believe might be among the most relevant ones. You
may find this a bit scarce, but believe me that the easy job for me
would have to give you tens of websites. Honestly, I didn’t have the
time to review the +1000 websites I’d found, but I did review about
two hundred, and most of my work was invested in sweeping away what is
not here. From what I found among the serious offer, the following
seems to be the more closely related to your needs:
The Center for Urethral and Male Genitalia and Reconstructive Surgery
( http://www.urethralcenter.org/ ) is an organization specialized in
the subject, based in Italy. Via Guido Monaco, 92 - 52100 Arezzo
(Italy)
Phone: 0039.0575.353892 - fax: 0039.0575.27056
Secretary's Office: phone 0039.0575.403412 - fax 0039.0575.298148
Morristown Urology Associates ( http://www.morristownurology.com/ ).
This website has a clinical trial section (
http://www.morristownurology.com/clinicaltrials.shtml ). "To arrange
an appointment with one of our physicians at Morristown Urology
Associates, to reach our office manager Diane Morros, to reach our
billing/insurance liaison, Jackie McNamara, or to ask a question about
our practice please call us at: 973-539-1050"
Morristown Urology Associates Main Office:
261 James St.
Suite 1A
Morristown, NJ 07960
Phone: 973.539.1050
Carol Simon Cancer Center
at Morristown Memorial Hospital
100 Madison Ave.
Morristown, NJ 07960
Glickman Urological Institute
http://www.clevelandclinic.org/urology/patients/rsurgery.htm
Cleveland Clinic Foundation
Building A - The Crile Building
2049 E. 100th Street
Main Campus
216/444-5600
800/223-2273, ext. 45600
Cornell University – Department of Urology
http://www.cornellurology.com/cornell/conditions.shtml
There is a section for clinical trials, although there was no surgical
trial at the moment I reviewed it.
“To schedule an appointment with one of our physicians
for a consultation or medical advice, please contact
our main number at (212) 746-5566”
Other options you may want to consider are clinical trials search
engines online. I came across with these three:
http://www.veritasmedicine.com
http://www.centerwatch.com/studies/listing.htm
http://clinicaltrials.gov/ct/gui/c/r
Although I haven’t found a trial related to your needs at the moment
of my review, I think this is a good resource to consult from time to
time, given that new trials are being implemented constantly.
This seems to be the best that I could find in the time invested. My
search strategies: “e austoni”; “edoardo austoni”; “male genitalia”;
“reconstructive surgery”. As I told you above, please feel free to ask
for any clarification you may need, including widening the
information. Thank you.
Guillermo |
