Article by Dr. Ruslan Petrovich
Unfortunately, a surgery that would allow lengthening a normal penis safely and effectively at once does not exist. First, because the extensibility of male urethra, vessels and nerves makes 1.5 to 2 cm, so it is impossible to add considerable length to a penis at once.
Second, it is possible, of course, to conduct a single-stage surgery for penis trans section and its tunica’s plasty (corporoplasty), but such procedure leads inevitably to losing of natural erections, so this kind of surgery is always accompanied by implantation of penis prostheses.
Third, theoretically, a surgery could be conducted that consists in separating the penis from the spot where it is attached to pelvic bones and transferring it forwards. But this operation requires trans section of penile vessels and is also accompanied by implantation of penis prostheses. Therefore, a normal penis with normal erection may not be separated from the pelvic bones and transferred forwards.
Obviously, surgical operations of this sort are nonsense, if the matter concerns a penis of normal size capable of natural erection.
The only safe and effective method of surgical extension of penis with natural erection is ligamentotomy through scrotal access with further using of an extender. The point of surgery is to remove the ligament that fixes the inner hidden part of penis (this part can be long enough) to the pelvic bone. It allows the extender to stretch this inner part.
To put it differently, it is a question of increasing the area of extender’s work. Since the final result depends on initial length of penis, after the surgery an effect of more impressive lengthening during the erection can be achieved.
Ligamentotomy is conducted through the scrotal approach along the middle suture of scrotum. The procedure is exquisite, access minimal; the cut heals up leaving practically no trace. Besides, the surgery is of complementary character, it does not make any sense without further use of extender. So to use the extender after the surgery is an indispensable condition.
In a number of cases, simultaneous performance of ligamentotomy and liposuction in pubic region is required, because increasing thickness of suprapubic fat visually conceals the actual length of penis, and the layers of subcutaneous fat thicken with the age. The surgery is conducted through two different approaches in order to avoid any leakage from liposuction area to the scrotum which may lead to developing of infectious complications.
Indication for operation is not only the patient’s desire, but also the initial size of penis.
- If the penis is shorter than 12 cm, then there are medical indications for surgery, since the matter considers hypogenitalism, and we have to fight for each millimeter.
- If the penis is shorter than 15 cm, then the surgery should be conducted only in order to achieve maximal results.
- If the penis is longer than 15 cm, then the surgery does not make any considerable sense.
Of course, this differentiation is highly relative, and in most cases the patient’s wish matters above all.
