Phalloplasty: For increasing the size of the male gender

Phalloplasty (or penoplasty) is an intimate surgical procedure that allows for penis enlargement. Patients who wish to thicken or lengthen the penis are mostly of normal sex. However, the discomfort caused is so great that it can turn into a complex or even a real inhibition.

The indications: A small penis

When the size of the penis is not satisfactory, the man may consider a phalloplasty. We remind you that the perception of size 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. In the erect state, it measures on average fifteen centimetres in length and twelve centimetres in circumference.

The desire for an increase must remain realistic. It is therefore very important to take into account the patient’s motivations and expectations so that the final result is not frustrating.

Phalloplastie | Phalloplasty

The process of the intervention

Penile surgery is performed under local or general anesthesia without hospitalization and lasts between thirty to forty-five minutes.

Lengthening alone is very rare because it is obvious that it has everything to gain by being combined with thickening. In this case, in fact, there is an increase in the circumference of the penis at rest and in erection. In addition, the weight of the added fat stretches the penis and at the same time helps to promote the expansion of the skin tissue.

Patients often prefer thickening alone, which is less cumbersome than the overall procedure, but the two operations can easily be combined.

Thickening penoplasty

It is achieved through lipofilling. Fat is extracted from the pubis, the inner or outer region of the 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 decanting or centrifugation.

The point of entry of the fat injection is at the furrow that separates the glans from the body of the penis (the balanoprepuptial furrow). The surgeon then proceeds with a harmonious sowing of small quantities of fat, 0.5 cm3 on average, up to the base of the penis, at its pubic angle.

Penis thickening can also be achieved by means of medical penoplasty by injecting hyaluronic acid instead of fat. The procedure is lighter than lipofilling, but the result is temporary and the injections must be repeated every 18 months or so.

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 skin plasty. It does not cause any disturbing change in the angle of erection of the penis. The incision is made in the pubis.

After the intervention

The after-effects are light and not very painful.

After a thickening of the penis

  • No wires.
  • Slight swelling, some rare bruising, no pain.
  • Sexual rest for two weeks.
  • Resumption of activity 24 hours after surgery.

After penis enlargement

  • The stitches are removed ten to fifteen days after the operation. There is no bandage to be made, but a simple toilet with soap and water.
  • Pain treatment for a few days. Swelling and temporary deformation of the penis for a few days.
  • Sexual rest for 1 month.
  • Resumption of activity 1 week after the operation.

The results

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 and sensitivity and the patient feels no discomfort during sexual intercourse.

Penis Thickening: Visible result at rest and in erection

If the increase in length remains stable over time, additional sessions of fat injections are often necessary to obtain the desired volume of thickening. In fact, the increase in circumference of the penis is 1.8 cm after one session and 2.6 cm after 3 sessions. It is important for the patient to be aware of this evolution in order to anticipate the final result and not be disappointed from the first injection. The thickening of the penis is progressive, it is apparent at rest and in erection.

Penis enlargement: The result is visible only at rest.

The surgical gesture does not modify the length of the corpus cavernosum responsible for the erection.

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