Lengthening of the penis: Can surgeries increase the length?

Mar 20, 2019 0 Comments in Male health by

Much has been written on whether or not it is possible to increase the penis’ length. For those who have already decided to go for it, the main question to contemplate is… “How can I get those extra centimetres?”

The lengthening of the penis or “volumetric increase” as we call it in our Centre, is achieved through a surgery known as phalloplasty. This procedure does not present additional risks other than those specific of any surgery under anaesthesia as long as it is undergone by competent experts.

However, we usually find some misleading information regarding this surgery, which is even advised against by some doctors. Why? In most cases because they do not know about the procedure or because they are unaware of other professionals they could recommend.

There are other elements which have contributed to the bad image this surgery has, such as the fact that some years ago there were other less effective techniques which were poorly carried out. It is indeed important to pay careful attention to the post-surgical cares in order to really consolidate the results, otherwise the patient will not notice any improvement whatsoever.

Another element is the lack of realism, that is, unrealistic expectations about feasible results. This means that patients who expect to see a huge lengthening of their penis, might be disappointed, even if the surgery was a total success. False expectations must be corrected during the pre-surgical consultations, which is a perfect opportunity to answer all doubts and to stop any unrealistic expectation.

It is essential to make it clear which the results might be and what to expect: it is the experts goal to explain all the details of the procedure in order to be clear about the possible outcome of the surgery. As a matter of fact, if the patient decides to ignore all the information provided by the doctor and still expects an unrealistic result, he must be ruled out as patient.

The surgical technique for a lengthening of the penis was first described by a Chinese surgeon called Long Dao Chao, who devised a surgical approach that consisted of making a “Y” shaped incision in the pelvic area, next to the base of the penis. Through this incision, the surgeon can reach the penis’ suspensory ligament, which is in charge of providing support when the penis is erect, and he cuts it so as to extract the part of the penis that was not visible.

In short, what the surgeon does is to extract those few centimetres that already exist, but which are located inside the patient’s body, and thus “hidden.” Therefore, this technique neither adds any material or tissue to the penis nor does it use any prosthesis, unlike the breast prostheses.

What can we expect from a lengthening of the penis?

The most frequently asked question is about the actual size that a man can achieve with this surgery. “How long?” Actually, the answer is not so clear-cut because this surgery does not depend on a prosthesis, unlike the breast augmentation surgery. When talking about lengthening the penis, we have to take as a starting point the patient’s anatomy, which will determine the final outcome of the surgery.

Which are the most effective surgical techniques?

Currently, experts still use Dr Long Dao Chao’s technique. However, after more than 20 years of medical experience, Dr Rosselló Barbará and Dr Rosselló Gayá have significantly improved the surgical approach and the post-surgical process, as well as the final outcome of this surgery.

Regarding the most effective surgery, it depends on each patient. The surgeon will determine the best choice for him during the initial consultation for diagnosis, after the anatomical examination.

That is why it is essential to choose the correct doctor: he should be an expert in the male genital apparatus (Urologist or Andrologist). We advise against plastic surgeons except for those who have specific training in volumetric increase of the penis.

There is also the possibility of increasing the width or the thickness of the penis. As a matter of fact, both techniques may be performed in a single surgical procedure.

Furthermore, the lengthening of the penis can also be carried out together with other procedures such as the implantation of penis prosthesis or the surgical correction of the penile curvature. After all, these pathologies usually include a shortening of the penis.

Which are the possible complications or adverse side effects?

As you may know, every surgical procedure entails a certain risk and it has to be taken seriously. Nonetheless, if your doctor carries out a thorough pre-surgical check-up and if you carefully follow the medical instructions after the procedure, there should not be any problem at all.

The most frequent complication of the lengthening procedure comes at the pre-surgical phase: if the patient has unrealistic expectations before the surgery, then his main post-surgical complication will be dissatisfaction with the final outcome. Not only will he be dissatisfied with the anatomic increase, but he will also be emotionally affected.

That is why it is essential the first visit, which must be long, unhurried and with a psychological study of the patient, in order to detect any unrealistic expectation due to certain emotional deficiencies in his life. In those cases, the patient would need other kind of treatment (maybe medical or psychological) instead of the lengthening surgery.

On the other hand, there is neither risk of losing the fertility nor the erectile capacity after the surgery. The ejaculatory reflex is also kept after the surgery.

Occasionally, the suspensory ligament section may lead to slightly change the angle of erection, even though the stiffness remains untouched. For instance, if the patient’s usual angle is 90º with respect to his legs, it is possible that the angle changes to 80-70º after the surgery because it is necessary to cut the suspensory ligament. The patient must consider whether or not he wants to accept this aesthetic change (we repeat that the function remains the same).

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