Commonly known as penile enlargement surgery, phalloplasty permanently enlarges the penis, whether by lengthening, widening or both. In most cases, lengthening and widening procedures can be performed at the same time. In the erect state the length of the penis can usually be increased between 2.5-5cm. In the flaccid state the length can normally be doubled. Width can be increased by around 1-2cm in both the flaccid and erect state.
What it involves:
The procedure takes approximately 2-3 hours under regional/general anaesthetic on an outpatient basis, although in some case an overnight hospital stay may be required.
This procedure involves an incision at the bottom of the abdomen, which frees the ligament attachment of the penis to the front of the pubic bone. It pushes the penis forward thus the part of the penis that was previously hidden now becomes visible. Some soft tissues are also rotated so the penis does not re-attach.
Grafts are taken from the buttock/thigh folds or from the pubic area, if there is enough fat. Taking fat from the pubic area is desirable as this leaves just one scar across the stomach, which usually fades in less than a year. If grafts are taken from the buttock/thigh region, the scars will normally take about three years to fully fade. This tissue is grafted underneath the skin of the penis onto the two erectile cylinders. This ensures the increase in diameter is even all along the shaft and back inside the tissues deep within the intra-pubic region.
Temporary swelling, numbness, bruising.
Downtime and recovery:
You may go back to work in 1-2 weeks. Sexual activity can be resumed gradually after 6 weeks, by which time the penis should be fully healed, although swelling can last up to three months. If the instructions for post-operative care are followed, recovery will not be painful in most cases. This involves two weeks of bed rest to reduce the risk of a major wound problem. Bandaging is removed after one week and the sutures will dissolve by themselves. You must take medication for two weeks to prevent erections.
Infection, asymmetry, sensory changes, scarring.
How long it lasts:
The procedure is typically permanent.