Plenoplasty: Penis Enlargement
A penoplasty is a surgical procedure that can increase the size of the Penis by increasing either the length, girth (width) or both.
To increase the length, an incision will be made above the base of the shaft. Through this we can partially release the penile suspensory ligament, thus allowing the shaft to be brought forward, thereby lengthening it externally by typically 1-2 inches. We usually adopt a modified advanced technique to prevent postoperative shortening of the ligament.
Men with prominent pubic fat pad may gain more visible length by doing a liposuction to this area. This increase in length is in the flaccid position only and some men may find that the angle of the erection may be slightly lower.
The increase in girth, involves a small amount of liposuction of the stomach or thigh areas to collect fat, followed by re-introduction of the fat by injection along the shaft. The usual increase in girth (circumference) is about 1 inch. The fat injection is done through a special cannula and so there will be no surgical incision.
Possible post-operative fat re-absorption and nodule formation can be minimised by limiting the amount of fat injected at one time. The girth enlargement is restricted to be slightly bigger than the tip. The enlargement of the shaft will be apparent in both the flaccid and erect states.
To ensure a natural appearance, we increase both the length and girth at the same time, although it is possible to have either only the lengthening or enlargement (girth). The functionality will be completely normal both in terms of erection, sensation and urination.
Penoplasty is mostly a day case procedure, and will be performed under local anaesthetic with IV sedation (this is not a General Anaesthetic). Sometimes we keep the patient overnight to avoid complications.
You will be completely pain free during the procedure, and will not remember anything about the procedure. The operation usually takes between 60 and 90 minutes, depending on whether you have enlargement, lengthening or both.
After the procedure
In the case of lengthening, you will have deep dissolving sutures in the underlying muscle and tissue and some skin sutures. With the enlargement, you will have two small incisions where we collected the fat and two small incisions to the base of the shaft (where the fat was injected), as well as some strapping of the penis for a couple of days.
You will remain at the hospital for about 2 hours, to allow us to monitor your recovery from the sedation but sometimes we advise to stay overnight depending on your condition.
During the first two or three days after the surgery you may experience a slight amount of discomfort but this is normally controlled with oral pain relief. You may experience a small amount of bruising in the penis and where we took the fat, which will subside after approximately two weeks.
You will need to be resting at home for a week and avoid exercises for 3 weeks. Couple’s ‘activities’ can normally be resumed after one month.
Risks and uncertainties
Like all operations, Penoplasty is not without complications, they are rare but can occur. These include infection, bleeding, and collection of blood under the skin, known as haematoma; however this occurs in less than 1% of patients and drains and heals spontaneously.
In some cases with enlargement surgery the shaft may be asymmetrical or lumps may occur due to the position of the fat. Gentle massage should normally resolve this problem, rarely a second minor filling procedure is required.