Penile Surgery: Lengthening, Thickening, and Circumcision Options - Urology

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Penile surgery


Hello Dr.
Chang, I came across information about you online and would like to consult you regarding my situation.
My flaccid penile length is approximately 4.5 cm, and I have phimosis.
This may not be a medical condition, but I wish to change my body image, so I hope to undergo penile lengthening and girth enhancement surgery, as well as circumcision, within the next couple of years.
I have done some research and understand that there are methods such as "suspensory ligament release" and "autologous fat grafting" for lengthening and thickening, which seem to be more affordable and legal compared to the extensively reported "artificial dermal implants." However, I have also seen reports suggesting that "suspensory ligament release" may have more complications, which seems to be discouraged.
Is this true? If I want to undergo lengthening, girth enhancement, and circumcision, can these procedures be performed together? If your clinic offers these services, could you please provide me with an approximate cost range? I would appreciate a brief response first, and if your clinic provides these services, I will then seek a more precise evaluation from you.
Thank you.

Xiao Wei, 30~39 year old female. Ask Date: 2009/05/28

Dr. Zhang Chengye reply Urology


1.
The "suspensory" ligament relaxation refers to the "suspensory" ligament at the base of the penis.
Cutting it may increase length, but it can affect the stability of the penis during erection, and it is not recommended.

2.
Artificial dermis implantation is not available at our facility; you may inquire at the Tri-Service General Hospital Urology Department, but it may be more expensive.
3.
Currently, our hospital only offers circumcision, which costs approximately NT$5,000 and may slightly increase size.

4.
Overall, your perception of body image is correct, but it is not necessary to undergo surgery on your penis to change your self-image! This is for your reference.

Reply Date: 2009/05/28

More Info


When considering penile surgery for lengthening, thickening, or circumcision, it's essential to understand the various options available, their risks, and the implications for your body image and health.

Understanding the Procedures
1. Lengthening Procedures:
- Suspensory Ligament Release: This procedure involves cutting the suspensory ligament that attaches the penis to the pubic bone. This can result in a visible increase in length when the penis is flaccid. However, it may not significantly affect the erect length and can lead to complications such as instability of the penis during erection, which may cause it to point downward.

- Fat Grafting: This method involves taking fat from another part of the body and injecting it into the penis to increase girth. While this can provide some increase in thickness, the results can be variable, and there is a risk of resorption, where the body gradually absorbs the fat, leading to a decrease in size over time.

2. Thickening Procedures:
- Dermal Grafts or Implants: These involve the insertion of materials to increase girth. While they can provide a more permanent solution, they also carry risks of infection, rejection, and complications related to the implant itself.

- Self-Fat Transfer: As mentioned, this involves using your own body fat to enhance girth. It is less invasive but may not provide the desired long-term results.

3. Circumcision: This is a straightforward procedure that involves the removal of the foreskin. If you have phimosis (tight foreskin), circumcision can alleviate this condition and improve hygiene.


Risks and Considerations
- Complications: All surgical procedures carry risks, including infection, scarring, and dissatisfaction with the results. Specifically, suspensory ligament release can lead to erectile dysfunction or changes in the angle of erection.

- Psychological Impact: It's crucial to consider the psychological implications of these surgeries. Body image issues can be complex, and surgery may not always resolve underlying concerns. Consulting with a mental health professional before proceeding can be beneficial.

- Combining Procedures: It is often possible to combine circumcision with lengthening or thickening procedures, but this should be discussed thoroughly with your surgeon to ensure safety and optimal outcomes.


Costs and Availability
The cost of these procedures can vary widely depending on the type of surgery, the surgeon's experience, and the facility. In the United States, penile lengthening and thickening surgeries can range from $3,000 to over $10,000. Circumcision is generally less expensive, often ranging from $1,000 to $3,000. It's essential to consult with a qualified urologist or plastic surgeon who specializes in these procedures to get an accurate estimate based on your specific needs.


Conclusion
Before proceeding with any surgery, it is vital to have a thorough consultation with a qualified medical professional who can assess your individual situation, discuss your goals, and help you understand the potential risks and benefits. They can also provide insights into the best surgical options for you and whether combining procedures is advisable. Remember that enhancing body image is a personal journey, and surgical options should be considered carefully within the broader context of your overall health and well-being.

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