Genital size has been a source of anxiety for men throughout history. It has various social and psychological ramifications, such as social maladjustment, fear of relationships, and lack of self-confidence. Many men feel a need to enlarge their penis in order to improve their self-esteem, or to satisfy and impress their partners.
There has been great controversy as to what the normal length of penis is and how much length can be gained with surgery. The truth is that the average gain in length is 1-2 inches. However, the real question is for the patient how this result is going to affect his life.
Approximately one-third of the penis is inside the body, and is internally attached to the undersurface of the pubic bone by a ligament. Penis lengthening involves the release of that ligament. Release of this ligament allows the penis to protrude on a straighter path, further outward to give more length. At the same time the angle between the penis and the scrotum is also corrected (penoscrotal angle) in order to gain some more length. A third option is also to reduce the fat pad from the pubic area thereby making it appear longer from the surface of the pubic bone.
GIRTH ENHANCEMENT – Phalloplasty
The girth enhancement (increase in width) as mentioned above comes from using a biodegradable scaffold (poly-lactic-co-glycolic acid, PLGA) which acts as a mould around the circumference of the penis thereby increasing its diameter. This material is FDA approved for use in such procedures in men. The aim is to achieve a simultaneous increase in length and girth, whenever feasible and at the same time maintain anatomical and functional optimal results.
The procedure is done using a circumcision like incision, hence there are no scars post-operatively and also minimizing damage to tissues and achieving the best aesthetic result.
The results of this type of surgery are excellent achieving great rates of patients satisfaction, final surgical outcome concerning penile girth gain is almost 3 cm, they are permanent and the main complications in a small number of patients post-operatively have been temporary lymphoedema (swelling of the penis), which resolves in a few days and transient discomfort in the penile region.
Patients need to avoid certain medications, and in particular anticoagulants, prior to surgery. The patient will be assessed by the Cardiologist prior to surgery and counseled accordingly whether he is fit to undergo surgery depending on his cardiovascular status. Smoking needs to be stopped 1 month prior to surgery and at least two weeks post-operatively. Special instructions regarding underwear are given to patients for their post-operative period. Finally, all pre-operative necessary tests are performed and assessed by the physician.
The post operative instructions are tailored to every patient’s particular needs. They will be given in writing and fully explained to the patient prior to departure from the hospital. A compressive dressing is left in place for 7-10 days. Two weeks after surgery, patients should start using vacuum device twice a day (5-10 minutes) during the first six months to prevent temporary penile retraction.