Can Surgery Restore Size and Shape After Injury to the Penis? - Urology

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The little brother is broken?


Hello doctors, I would like to ask you a question regarding a personal issue.
When I was in middle school, out of curiosity, I accidentally injured my penis while attempting a DIY procedure.
I remember it was very painful at that time.
My penis, which was previously quite well-endowed, became smaller and less prominent.
During that period, I was too shy to tell my parents, and due to the lack of information, I only now feel comfortable asking online.
Currently, my penis has a slight curvature to the left, but its function seems normal.
There is no pain when it becomes erect, but I am still very concerned about its size.
In this situation, is surgery an option? If I undergo surgery, will my penis return to its previous size? Thank you, doctors.

Xiao Dai, 20~29 year old female. Ask Date: 2005/05/20

Dr. Lin Hexing reply Urology


Hello, Xiao Dai: If a penile fracture occurs, it will definitely lead to severe bleeding and significant penile swelling.
If not treated surgically, there is a considerable chance of developing erectile dysfunction, commonly referred to as impotence.
However, your description does not indicate a true penile fracture.
Given the current situation, there are no effective surgical methods to enlarge the penis while maintaining normal erectile function.

Reply Date: 2005/05/20

More Info


In response to your question regarding the potential for surgery to restore size and shape after an injury to the penis, it's important to approach this topic with sensitivity and a clear understanding of the medical options available.

First, it's crucial to acknowledge that injuries to the penis, especially those resulting from self-inflicted trauma, can lead to various complications, including changes in size, shape, and curvature. In your case, it seems that the injury has resulted in a noticeable change in both the size and the alignment of your penis. While the function appears to be intact, your concerns about aesthetics and size are valid.

Surgical options do exist for addressing penile deformities and size concerns. Depending on the specific nature of the injury and the resulting changes, different surgical procedures may be considered:
1. Penile Lengthening Surgery: This procedure aims to increase the length of the penis. It typically involves cutting the suspensory ligament that attaches the penis to the pubic bone, allowing it to hang lower. However, this surgery does not increase the size of the penis itself; rather, it changes its position.

2. Penile Girth Enhancement: If you're concerned about the thickness of your penis, there are procedures that can increase girth. These may involve fat grafting or the use of dermal fillers. However, results can vary, and there are risks associated with these procedures.

3. Correction of Curvature: If your penis has developed a curvature due to the injury, surgical options such as plication or grafting techniques can be employed to correct this. These surgeries aim to straighten the penis and improve its alignment.

4. Reconstructive Surgery: In cases of significant trauma, reconstructive surgery may be necessary to restore both function and appearance. This could involve a combination of techniques to address any scarring, curvature, or size issues.

It's important to note that while surgery can improve the appearance and function of the penis, it may not always restore it to its original size or shape. Factors such as the extent of the injury, the type of surgery performed, and individual healing responses all play a role in the outcomes.

Before proceeding with any surgical intervention, a thorough evaluation by a qualified urologist or a specialist in sexual medicine is essential. They will assess your specific situation, discuss the potential risks and benefits of surgery, and help you set realistic expectations regarding the results. Additionally, they can provide guidance on post-operative care and recovery, which is crucial for achieving the best possible outcome.

In conclusion, while surgery can offer solutions for restoring size and shape after a penile injury, it is vital to consult with a medical professional who can provide personalized advice based on your unique circumstances. Open communication about your concerns and goals will help ensure that you receive the most appropriate care and support throughout the process.

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