Penis enlargement may be required for both men with congenital anomalies in the development of this organ and healthy men who want to get a larger penis. The size of the organ in patients with penile hypoplasia is less than 2.5 cm, so the organ actually has to be created anew. Such patients require a very complex surgical procedure called a phalloplasty, which can be best performed at one of the specialized hospitals in Germany.
Doctors in developed countries perform successful surgery to lengthen the small penis. The size of the penis is different in different cultures and ethnic groups. From a medical point of view, a length of less than 9.5 cm is considered small. You can undergo your surgical treatment abroad to enlarge the size of your penis. Surgeons at hospitals in Germany perform even the most complex surgical interventions, which restore not only the appearance and size of the penis but also provide patients with a good functional result. You are welcome to use the Booking Health service to find the cost of treatment in Germany and make your appointment at a hospital at the best price.
- Enlargement of the normal penis
- Phalloplasty for hypoplasia
- Where to undergo penile plastic surgery?
Enlargement of the normal penis
Ligamentotomy and autologous tissue grafting are commonly used for the enlargement of the size of the normal penis. With these operations, doctors can increase both the length and width of the penis without losing its function and sensitivity.
Ligamentotomy is a simple operation that began to be used at the end of the 20th century. The essence of the surgical technique is to eliminate the curvature of the penis by dissecting the suspensory ligament. The cavernous bodies will then be fixed in a new position. This operation is usually supplemented with a V-Y rotation advancement flap plastic surgery above the pubis. The technique increases the length but not the width of the penis.
The following options can be used to increase the width of the penis:
- free autologous fat injections (this approach is rarely used due to a high risk of complications);
- microsurgical transplantation of the patient's own tissues;
- transposition (rotation) of vascularized (having blood supply) muscle or fat fascial grafts.
Microsurgical autotransplantation is an operation during which a doctor wraps the cavernous bodies of the penis with the patient's own tissues. This is followed by a microsurgical stage of the operation to restore the blood supply to the implanted flap. Many variants of autotransplantation have been developed depending on the tissues used. For example, these can be sections of the latissimus dorsi muscle, the serratus anterior muscle or its fascia, a section of the rectus abdominis muscle, and a fat fascial flap of the anterior abdominal wall.
The operation is complex, requiring great experience and skills from a team of surgeons. If unsuccessful, the anastomoses, which should provide blood supply to the transplanted tissues, may fail or become blocked with blood clots.
Artificial tissue implantation (for example, silicone). The advantages of this method are that it is not necessary to inflict additional trauma in the donor area. The operation is easier as the artificial materials do not need any blood supply. The technique, however, is not widely used due to a high risk of infectious complications. A promising method is the implantation of biopolymer foam under the skin, which triggers the growth of the penis' own tissues.
Phalloplasty for hypoplasia
Phalloplasty is actually the creation of a new penis from other tissues. This is an extremely complex reconstructive operation, but surgeons from the hospitals in Germany perform it with good results.
When performing phalloplasty, some or all of the goals from the list below must be achieved:
- penis enlargement;
- ensuring tactile sensations;
- restoring the erectile mechanism;
- an ability to urinate while standing;
- an ability to perform penetrative sexual intercourse.
There is no universally accepted standard for performing phalloplasty. Doctors use different approaches to this operation, depending on the main objectives of the operation, the anatomy of the penis, and concomitant malformations, which are often found in patients with penile hypoplasia.
Phalloplasty is not a single operation, but rather a set of several surgical interventions, which includes the following:
- the formation of the shaft of the penis;
- urethral lengthening;
- the creation of an erectile apparatus;
- scrotal plastic surgery and the placement of testicular implants whenever required.
Each stage of the operation can be performed using many different techniques, and this is especially true for the formation of the penis and urethra.
The choice of surgical tactics depends on the patient's wishes. For example, on how important it is for him to urinate while standing. If it is important, additional urethral lengthening may be necessary. This is a complex stage of the operation, increasing the risk of complications. If a patient agrees to sedentary urination, doctors can only enlarge the shaft of the penis, and this is easier and safer.
Doctors use tissue from other parts of the human body to repair penile tissue. Historically, the first technique was the use of local pedicled skin flaps to preserve the blood supply. However, with the advent of microsurgical techniques, anatomical proximity has ceased to be important. Doctors can now use tissues from any part of the body. When they are transplanted, surgeons suture the blood vessels together, ensuring good vascularization of the implanted tissues.
When recreating the penis at hospitals in Germany, the specialists can use:
- radial forearm free flap (RFFF);
- latissimus dorsi muscle;
- anterolateral thigh (ALT) flap;
- superficial circumflex iliac artery perforator (SCIP) flaps can be used to reconstruct not only the shaft of the penis but also the urethra.
After a donor tissue transplant, it is necessary to cover it with skin. It is also taken from other parts of the body. This treatment can be performed at the same time or after a few weeks during a second operation.
Forearm tissues are the most commonly used for treatment at hospitals in Germany. When they are transplanted, the possibility of urination from the end of the penis remains. However, a forearm circumference of at least 15 cm at the level of the wrist is required, and a scar remains in this area.
The second most commonly used graft is the ALT. This can be transplanted not in a free form but on a leg, which simplifies the treatment process. It is also very sensitive due to the lateral femoral cutaneous nerve. The penis is longer, thicker, and a sexual intercourse is possible even without the use of an erectile device.
Modified latissimus dorsi flaps are less common but still in use. When they are used, problems with the urethral reconstruction arise. However, the scar in the donor area is less noticeable. A buccal mucosal flap can be additionally used for urethral reconstruction.
Where to undergo penile plastic surgery?
Penile plastic surgery is a complicated operation, so it is best to do it in a specialized Plastic Surgery Center. You can undergo your treatment at hospitals in Germany to expect the best results. German specialists achieve outstanding success in plastic surgery.
There are a few reasons for you to undergo your treatment in Germany:
- hospitals have state-of-the-art equipment;
- doctors with extensive experience who can perform operations of any complexity;
- a low risk of complications;
- the use of modern modifications of operations instead of outdated surgical techniques that are still performed to treat penile hypoplasia in countries with poor medicine;
- the possibility of urinating while standing is provided as a result of surgery;
- the sensitivity of the penis is preserved;
- the possibility of a sexual intercourse is provided.
You are welcome to visit the Booking Health website to find the cost of treatment in Germany and book an appointment at a specialized hospital. The website offers the best Plastic Surgery Centers. Please leave your request on the Booking Health website to get advice from our specialists. We will help you to find a hospital in Germany that specializes in penis enlargement surgery and achieves the best results in this procedure. When making your appointment through the Booking Health service, the cost of treatment at hospitals in Germany will be lower due to the lack of additional fees for foreign patients. The specialists from the Booking Health company will take care of the arrangements for your trip, book hotel and airline tickets, meet you at the airport, and take you to the hospital by car. They will also provide support throughout your stay abroad.
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!