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 self identification, the size of the penis might play the same role in males.

Technique:

This type of operation has been practiced 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 swell bodies 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 centimeters in the flaccid state. The elongation in the erected state is negligible as the swell bodies and their origins 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 swell bodies 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 fat injections. Approximately 20% girth enhancement is to be expected.

Own fat dermis grafts results in 14-cm long scars at the donor sites, which can be the groins or buttock creases. Are fat dermisgrafts 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 anesthesia or conscious sedation and local anesthetics.

Operating time:

1 - 3 hours.

You can expect:

• Moderate pain that only need mild painkillers.Spontaneous erections can be painful
• Prophylactic antibiotics are prescribed.
• Shower twice daily.
• The stitches should be removed around the 10th day.
• Physical activities should be postponed for 4 weeks.
• Sexual activities should be postponed for 5 weeks.
• Stretching treatment according to given instructions.

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 blood circulation and healing. Smoking should be abandoned prior to a planned operation.