Phalloplasty (or penoplasty) is an intimate surgery procedure that increases the size of the penis. Patients looking for thickening or lengthening of the penis have for the most part, genitalia that is normal. However, the inconvenience is so great that it can cause insecurities or even self-consciousness.
A small size penis
When the size of the penis is not satisfactory, the man can consider a phalloplasty. The perception of dimensions is often very different from one man to another. In the state of flaccidity (at rest), the penis is on average ten centimetres long and nine centimetres in circumference. When erected it measures an average of fifteen centimetres in length and twelve centimetres in circumference.
The desire to increase must remain realistic. Taking into account the motivations and expectations of the patient is therefore very important so that the final result is not frustrating.
How the procedure of penoplasty works
The penile surgery is performed under local or general anaesthesia without hospitalization and duration is between thirty to forty-five minutes.
Lengthening alone is very rare because it is obvious that the procedure will be more advantageous if it is combined with thickening. In this case, there is an increase in penis circumference during rest and erection. In addition, the weight of the added fat stretches the penis and simultaneously helps to promote the expansion of the skin tissue.
Patients often prefer thickening alone, which is less difficulty than the overall procedure but both operations can be easily combined.
The thickening penoplasty
It is performed through a lipofilling. The extraction of fat is done from the pubis, the inner or outer thighs, the abdomen or sometimes the buttocks. These areas are rich in adipocytes that are not very sensitive to weight variations and allow a better maintenance of the fat graft over time.
The surgeon removes, without prior infiltration, a quantity of fat that varies between 40 and 70 cm3 using a cannula with a foam tip connected to a syringe. The fat is then transferred directly without decantation or centrifugation.
The point of entry for fat injection is at the level of the furrow which separates the body glands from the penis (the balano-preputial furrow). The surgeon then performs an adequate seeding of small quantities of fat of 0.5 cm3 on average to the base of the penis, at its pubic angle.
The thickening of the penis can also be achieved by means of a medical Penoplasty with hyaluronic acid injections instead of fat. The procedure is more simple than lipofilling but the result is temporary and the injections must be renewed every 18 months.
The lengthening penoplasty
It consists of a partial section of a membrane, the suspensory ligament that connects the penis to the pubis, so that it hangs a little more, associated with a cutaneous plasty. It does not result in a disturbing change in the erection angle of the penis. The incision is made at the level of the pubis.
Effects of penis surgery
The effects are slight and not very painful.
After a thickening of the penis
- Without threads.
- Slight swelling, few hematomas, no pain.
- Sexual rest for 2 weeks.
- Resume of activity 24h after the operation.
After a lengthening of the penis
- The threads are removed ten to fifteen days after the procedure. There is no dressing to do, only a simple cleaning with water and soap.
- Anti- pain treatment for a few days. Oedema and temporary deformation of the penis for a few days.
- Sexual rest for 1 months.
- Resume of activity 1 week after the operation.
One year after the phalloplasty procedure, the gain is about 2.7 cm in length and 2.6 cm in circumference. The penis retains its natural appearance, sensitivity and the patient feels no discomfort during sex.
Thickening of the penis: Visible results during rest and erection
If the increase in length remains the same over time, additional sessions of fat injections are often required to achieve the desired volume of thickening. Indeed, the increase in penis circumference is 1.8 cm after one session and 2.6 cm after 3 sessions. It is important that the patient is aware of this evolution to anticipate the final result and not be disappointed after the first injection. The thickening of the penis is progressive and is visible during rest and erection.
Lengthening of the penis: Result is visible only at rest.
The surgical procedure does not modify the length of the body responsible for the erection.
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