The length of the penis has little physical importance for the sexual function per se. However, in the sexual play the size can have a significant psychological meaning. As the size and shape of the female breasts might have a significant part in the female selfidentification, the size of the penis might play the same role in males.
Technique: This
type of operation has been practised at the clinic for several years now and
the technique has undergone principal changes, merely in dealing with the
retracting forces binding the penis to its normal place again.. By dividing
some of the connections to the pubic bone and the body of the penis the penis
is detached and can be brought into a new lower position. This is step one
in a 2-step procedure. After approx. 1 week a traction treatment is necessary
to prevent the scary healing to pull the swellbodies back to their original
position. and to merely lengthen the soft tissues. Without any traction treatment
there will be no gain in length at all! Normally the elongation becomes 2
- 4 centimetres in the flaccid state. The elongation in the erected state
is negligible as the swellbodies and their origines in the deep are not changed
at all.
The incision is made at the basis of the penis and the pubic hair will disguise
the scar.
As the vital parts of the swellbodies in the deep are not touched at all,
there cannot be any disturbances of the erectile or sensory functions.
A thickening is achieved by placing either fat-dermal grafts along the sides
of the penis or commercially available grafts form corps ( Alloderm ) or by
multiple minor fatinjections. Approximately 20% girthenhancement is to be
excpected.
Own fatdermisgrafts results in 14-cm long scars at the donorsites, which can
be the groins or buttockcreases. Are fatdermisgrafts used, a circumcision
must be done also. If grafts do not heal in properly, the scary healing can
cause deviations due to scar contracture. With time or with stretching treatment
this can be straightened again.
The genital region is very sensitive for manipulations and reacts with huge
swellings. In order to keep these swellings within reasonable limits, the
horizontal position should be kept as often as possible during the first week.
Normally the swelling will disappear within a month but occasionally this
period can be prolonged.
Anaesthetic: General anaesthesia or conscious sedation and local anaesthetics.
Operating time: 1 - 3 hours.
What happens afterwards?
Complications
Referred unwanted biologic events can occur with a certain low frequency and must be regarded as calculated risks. Other risks not mentioned can also occur. For patients this must be considered before a decision for plastic surgery is made.
Bleeding: All operations can cause postoperative bleeding. These risks increase by the intake of analgesics and Vitamin E. These should be avoided 2 weeks prior to the planned operation.
Infection: All operations can cause infections, which in case it happens will be treated with antibiotics.
Swelling: All healing processes in the body cause swelling. The swelling is biggest at the base of the penis and on the glans. In very few cases swelling can prolong.
Healing problems: Healing need sufficient blood supply. Smoking and infections can reduce healing. The genital area is surgically unclean and in case of healing problems, discharging wounds can occur. These are left to secondary healing and upcoming scarring can be corrected at a later time.
Sensibility: Transient hyposensibility can occur on the back of the penile shaft.
Erection: The ability to erect will not in any way be disturbed. The angle of erection could be altered somewhat. Negligible!
Smoking: Smoking does compromise bloodcirculation and healing. Smoking should be abandoned prior to a planned operation.