When Size Does Matter

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When Size Does Matter

An increasing number of men are opting to undergo penis enlargement surgery, Sydney cosmetic surgeon Professor Colin Moore explains.

Surgery is becoming more and more popular for men hoping to lengthen and widen their penis. Phalloplasty – or penile surgery – can improve both the appearance and function of the penis. It is suitable for men who’ve been born with an unusually small penis, who have suffered trauma or who simply wish to make their penis larger.

As technology advances, and the stigma around genital surgery begins to lift, an increasing number of men are opting for phalloplasty. As well as being able to augment the penis, and correct what might be perceived as an “abnormality”, Sydney cosmetic surgeon Professor Colin Moore believes penis enlargement can lead to a significant boost in confidence.

‘Men who are embarrassed about the size of their penis seek penile enlargement surgery not just for physical reasons – more often than not psychological reasons also play a significant role,’ he says. ‘Most patients who come to me seeking a penile enlargement fall into this category and have a desire to not only feel more confident but to also correct issues such as performance anxiety or impotence that have stemmed from their embarrassment.’

Penile surgery can increase both the length and the width of the penis. Typically during surgery, the section of the penis that resides inside the body is extracted, resulting in a permanent augmentation.

‘About one third of the penis resides inside the body and, in most cases, we can expose at least half of this during phalloplasty,’ says Professor Moore. ‘We do this by creating an incision and cutting the suspensory ligaments which hold back the extra penis length. To widen the penis, we use fat grafts taken from the stomach or buttocks to widen the erectile cylinders of the penis underneath the skin. This ensures the increase in diameter is even all along the shaft and back inside the tissues deep within the intra-pubic region.’

The operation typically takes around four hours to complete, which is followed by an extensive recovery process. For the first 48 to 72 hours after surgery the patient uses a “pain buster system” where a catheter releases local anaesthetic into the area. During this period, patients also take medication to suppress erections; this ensures the grafts and sutures don’t dislodge.

Two weeks of bed rest is recommended post-operatively, and patients may experience some swelling for up to three months. The bandaging can be removed a week after surgery, and the sutures dissolve by themselves.

Sex can be resumed around six weeks after surgery, and men will generally be fit to resume normal activities after six to 10 weeks. Typically, scarring will fade in one to three years following surgery. The duration of scarring depends on the type of grafting used and the patient’s individual healing response

Prof Colin Moore