Penis Enlargement Surgery - phalloplasty surgery

How much can phalloplasty surgery increase penis size?

How much can penile length be increased with lengthening phalloplasty surgery?

Achievable length varies. This can not be predicted before surgery. On average, lengthening phalloplasty surgery, followed by an additional year of physiotherapy stretching exercises, increases penile length one-half to one-and-one-half inches in the flaccid position.

How realistic is a desire to increase the length of the penis three to four inches with phalloplasty surgery?

This is not at all realistic.

Does the success of lengthening phalloplasty surgery depend on the surgery or on post-surgical stretching exercises?

Both. The desired results are achieved through a combination of surgery, performed by the surgeon, and a post-surgical stretching exercise therapy program, performed by the patient.

How much can girth be increased with Girth Enhancement?

Shaft circumference enlargement depends largely on the quantity of implanted skin. This enlargement may vary from a 10% increase to a 30% increase over the existing pre-operative circumference size depending on the number and size of the grafts used during this surgery.

How much glanular enhancement can be achieved with Standard and Maximum Glanular Enhancement?

Glanular enhancement also depends on the quantity of implanted skin. This enhancement may vary up to a 15% increase over the existing pre-operative circumference size depending on the number and size of the grafts used during this surgery.

Can you give me more information about the phalloplasty surgery process?

Is an HIV positive patient a candidate for phalloplasty surgery?

No. A healthy immune system is a necessary component of appropriate post-surgical healing. An immune system impaired by HIV would compromise the healing process and promote the development of post surgical infection complications.

Can a patient continue to smoke if he is scheduled for phalloplasty surgery?

Not at all. Smoking has a tremendous effect on the healing process and must be discontinued from at least two months prior to surgery to two months after surgery. Phalloplasty surgery is not performed on patients who smoke during the two months prior to surgery.

How long does a patient need to remain near the surgical facility before and after surgery?

One day before surgery and one day after surgery.

What kind of anesthesia is usually used for phalloplasty surgery?

General anesthesia.

How much pain does a patient experience after phalloplasty surgery?

The pain is minor. In the majority of cases, patients experience discomfort, rather than pain. If a patient has a low tolerance for pain, additional post-surgical pain medication can be prescribed.

How quickly after surgery does the patient see the results of the surgery?

Following a girth enhancement procedure with DFGs or AlloDerm (R), the results of the surgery can be seen immediately. Following a lengthening enhancement procedure, the results of the surgery can be seen after one year of regular physiotherapy exercises.

Will insurance cover phalloplasty surgical procedures?

No.

What are some of the post-surgical requirements for phalloplasty surgery?

How long after surgery must the patient avoid sexual activitiy?

The patient can not engage in any type of sexual activity, including masturbation, for at least three weeks after lengthening surgery, or for six weeks after combination augmentation (Penile Dual AugmentationTM or Penile Triple AugmentationTM), girth augmentation, or glans augmentation. After reconstruction surgery, this period of waiting is eight weeks or more. Usually, after these time periods, the patient can resume his normal sexual activities, but he must use a condom during the first month of these sexual activities. Before resuming sexual activity, clearance by the surgeon is required for the purposes of safety.

For how long after surgery must the patient prevent an erection and why?

Erections are considered sexual activity. The patient must prevent spontaneous erections during the same time periods as those listed above for avoiding sexual activity after surgery. These time periods allow the surgical wounds to heal.

How are spontaneous erections prevented?

There are several medications available to prevent post-surgical erections. The patient must stay in very close contact with the surgeon to monitor and suppress spontaneous erection.

How critical is it to have an erection after surgery?

Very critical. An erection tears off the skin, opens the wound, and dramatically increases the post-surgical infection rate.

How long after lengthening surgery does the patient begin a physiotherapy program?

The patient must begin the hand stretching technique one week after single augmentation (lengthening) surgery. After performing hand stretching for two weeks, the patient must begin a physiotherapy program, using a penis stretching device, for up to two hours a day, five days a week, for up to one year after surgery.

If the patient has undergone penile lengthening as part of a multi-augmentation surgery, the patient must begin the hand stretching technique four to six weeks after surgery, depending on the speed of healing. After performing hand stretching for two weeks, the patient must begin a physiotherapy program, using a penis stretching device, for up to two hours a day, five days a week, for up to one year after surgery.

If the patient has undergone reconstruction surgery, time frames are defined by the surgeon.

Is physiotherapy necessary to achieve an optimum result after lengthening phalloplasty surgery?

Yes.

Who is qualified to perform phalloplasty surgery?

Is phalloplasty surgery usually performed by a urologist or a plastic surgeon?

Phalloplasty surgery can be performed by a urologist, a plastic/cosmetic surgeon, or a general surgeon trained to perform phalloplasty surgery.

What kind of training does a phalloplasty surgeon usually have?

There is no formal phalloplasty surgery training available in the United States at this time. The American Academy of Phalloplasty Surgeons has developed guidelines and standards that a phalloplasty surgeon must follow.

What are the level of risk and the satisfaction rate of phalloplasty surgery?

What is the satisfaction rate of phalloplasty surgery?

The level of satisfaction with phalloplasty surgery depends in large part on the patient’s expectations of the surgery. The patient must have realistic expectations regarding the surgery, and understand that desirable and achievable results are not always the same. In a recent follow-up study of 311 patients who underwent phalloplasty surgery using AlloDerm (R), a questionnaire explored satisfaction in the areas of penis size, sexual experiences, and self-perception of the penis before and after enhancement surgery. Seventy-four per cent of these patients reported the highest level of satisfaction with their male cosmetic genital surgery.

What are the potential post-surgical complications of phalloplasty surgery?

How often does post-surgical retraction develop?

Not very often. Usually, post-surgical retraction develops in patients who are prone to keloid scar formation. A keloid scar is a linear mass of hyperplastic scar tissue. It develops in the dermis and adjacent subcutaneous tissue, usually after trauma or surgery in genetically predisposed individuals.

Are there other post-surgical complications the patient should know about?

Bruising, swelling, temporary changes in skin sensation during the healing period (not related to sexual sensation), and infection (2% to 3% in the phalloplasty surgery field today) are other possible post-surgical complications. Also, the erection angle may decrease after the lengthening procedure. Some patients have developed fibrosis of superficial veins, bleeding, keloid scar formation, skin incision separation, and erectile dysfunction.

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