Penile Enlargement

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Penile Enlargement


The size and shape of a man’s penis can affect their overall confidence levels. ‘Men who seek a penile enlargement have usually suffered humiliation in a setting such as a changing room,’ explains Sydney cosmetic surgeon Dr Colin Moore.

Penile enlargement surgery, also known as phalloplasty, is an outpatient procedure to permanently enlarge the penis. The surgeon can either lengthen or widen the penis, or both. According to Moore, in 95 percent of cases the lengthening and widening procedures can be performed simultaneously.

In the erect state, the length of the penis can usually be increased between 2.5 and 5cm. In the flaccid state, the length can usually be doubled. Width can be increased by between 1 and 2cm in both the flaccid and erect states.

Dr Moore performs around 200 phalloplasties per year, with the majority of patients ranging in age from their late 20s to early 60s. It seems the desire for this procedure is triggered by an unfavourable comment from a sexual partner. ‘Today’s women are better informed about sexual matters and certainly more vocal. If they think it, they say it,’ says Dr Moore.

The lengthening procedure usually involves an incision at the base of the abdomen, which frees the ligament attachment of the penis to the front of the pubic bone. This pushes the penis forward and, as a result, 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. After the procedure, when the penis is erect it will be around 30 degrees further away from the abdomen than before.

For widening surgery, 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 fades relatively quickly, often in less than a year. If grafts are taken from the buttock/ thigh region, the scars should take about three years to completely fade to the skin’s natural colour. This tissue is then 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.

After surgery, it is common for patients to experience swelling, which can last for up to three months. In most cases, if the post-operative care instructions are followed, recovery will not be painful. This includes two weeks of bedrest to reduce the risk of a major wound problem.

Bandages are generally removed after one week and the sutures will dissolve by themselves. Patients must take medication for two weeks to prevent erections and should refrain from sexual intercourse for at least six weeks after surgery to allow for complete healing.

According to Dr Moore, the procedure can increase men’s confidence not just in themselves but also when interacting with the opposite sex. ‘Women generally respond better to confident men, so their ability to socially interact can also be improved,’ he concludes.

Prof Colin Moore