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PHALLOPLASTY CAN ADDRESS ISSUES SUH AS PERFORMANCE ANXIETY THAT STEM FROM FROM EMBARRASSMENT, SAYS SYDNEY PLASTIC SURGEON DR COLIN MOORE. TARA CASEY REPORTS.

Men seek penile enlargement surgery not just for physical reasons – more often than not psychological factors also play a significant role, according to Sydney plastic surgeon Dr Colin Moore. ‘While length is a primary concern for many men, phalloplasty – an outpatient procedure to enlarge the penis permanently – can also increase the circumference of the penis,’ he says.

According to Dr Moore, most patients opt to have the penis lengthened and widened in one surgical procedure. ‘In its erect state, the length of the penis can usually be increased by between 2.5 and 5cm, and in its flaccid state the length can normally be doubled,’ he says. ‘Width can be increased by around 1 to 2cm in both the flaccid and erect state.’

Dr Moore has recently employed a new technique for penis widening with impressive results. ‘We are using new biologically derived grafts which, over time, merge with the patient’s own cells. This means that the result is undetectable unless a patient was to tell his sexual partner.’

This technique has been used for many years in the US but has only recently been adopted in Australia. ‘The graft ensures the increase in diameter is even all along the shaft,’ says Dr Moore.

Another popular technique for enhancing the penis is fat transfer. ‘This can often achieve excellent initial results but over time the fat is reabsorbed,’ says Dr Moore. ‘In some patients, small pockets of fat persist and cause a distorted, lumpy appearance. This can be very difficult to repair and usually requires complete removal of the remaining fat followed by dermal fat graft surgery.’

According to Dr Moore, many patients not only want to feel more confident but also want to correct issues such as performance anxiety or impotence that have stemmed from their embarrassment.

When lengthening the penis, Dr Moore draws upon the part that is hidden inside the body. This can add up to one third of the total penis length. ‘Tissue is placed between the pubic bone and the lengthened penis, and it is this manoeuvre plus certain aspects of the post-operative care that makes this operation the only one that increases the size of the erect penis,’ he explains. ‘Other penis-lengthening procedures only increase the flaccid length,’ he says.

A phalloplasty takes around four hours to complete. For the next 48 to 72 hours the patient is fitted with a ‘pain-buster’ system that uses a catheter to release local anaesthetic to the area. ‘During this time the patient takes medication to suppress erections so the grafts and sutures
don’t dislodge during the healing process,’ explains Dr Moore. ‘Patients should also refrain from sex for at least six weeks.’ Patients can usually resume their daily activities between four and six weeks and the tissues typically return to normality betwen nine and eighteen months. Sexual
activity can be resumed within six to ten weeks.

In Dr Moore’s experience, satisfaction is very high. ‘Most patients report a vast improvement in their self-image and confidence,’ he concludes.

Prof Colin Moore