Penis enlargement primarily involves increasing penis thickness and length through injections and surgery. This treatment preserves normal erectile function and sensation, and if effective, can significantly improve the quality of a couple’s sexual life. Furthermore, the effects are generally long-lasting. However, this treatment has certain age requirements and is not suitable for patients with impotence or severe premature ejaculation.
Applicable people
Penis enlargement is suitable for men with underdeveloped penises. It can also be used by men who experience chronic sexual disharmony, have difficulty satisfying women’s sexual needs, or work in certain professions (such as actors, models, and dancers).
Taboo groups
1. Those with local inflammation of the penis.
2. People with bleeding diseases.
3. Diabetic patients.
4. Mental illness patients.
5. People with impotence and severe premature ejaculation.
6. Those who are not mentally prepared enough or have unrealistic fantasies about the surgery.
Technical/surgical risks
1. Edema of the foreskin: Because the surgery cuts off the superficial dorsal penile vein and even the deep dorsal penile vein and its tributaries, lymphatic drainage in the frenulum of the penis is blocked. This can cause edema after surgery and generally subsides after 2 to 3 weeks. If edema persists, seek medical attention promptly. The doctor may use a sterile needle to puncture the frenulum multiple times to release retained lymph fluid to aid recovery.
2. Bleeding or hematoma: Rough manipulation during surgery, excessive tissue damage, incomplete hemostasis, and strenuous exercise or erections after surgery can all lead to ruptured blood vessels and bleeding, which can cause hematomas. If this occurs, seek medical attention promptly. Mild hematomas can be treated with enhanced drainage and bandaging to promote hemostasis and recovery. Severe cases require additional surgery to stop the bleeding.
3. Material exposure: This often occurs after the silicone rubber material is placed. If the material is too large or too thick, or if sexual activity or vigorous movements occur early after surgery, the material can penetrate the ulcerated skin. If material exposure occurs, seek medical attention immediately. The doctor may recommend immediate removal of the material before proceeding with the penis enlargement surgery.
4. Infection: Poor intraoperative aseptic awareness, wound contamination, inadequate sterilization of surgical materials, and inadequate postoperative wound care and protection can all lead to local infection. If infection occurs, seek medical attention promptly. Mild inflammation can be treated with intravenous antibiotics, local dressing changes, and physical therapy to promote inflammation resolution. Severe infection requires removal of the transplanted material, promotion of wound healing, and subsequent secondary surgery.
5. Scar hyperplasia: Improper incision design, excessive suture tension, and wound infection can all lead to scar hyperplasia. Patients prone to scar hyperplasia or those with incisional inflammation prone to scar hyperplasia should be treated promptly. After healing, topical medication to prevent or treat scar tissue hyperplasia should be applied.
6. Skin flap necrosis: Improper pressure on the wound-covering flap, incomplete surgical hemostasis, and poor drainage of exudate can all affect flap survival, with the tip being particularly susceptible to ischemic necrosis. The tip should be trimmed to a blunt, rounded shape, and accidental injury to the branch of the superficial external pudendal artery to the penile skin should be avoided. Small areas of necrosis can be healed with local dressing changes; larger areas of necrosis may require debridement, sutures, or other skin flap transfers to repair the necrotic tissue.
7. Poor appearance: It can be corrected through a second operation. There is usually a 3 to 6 month interval between the first and second operations.
Postoperative care
After treatment, attention should be paid to local care, medication management, diet conditioning and lifestyle behavior management.
1. Local care: Pay attention to the blood circulation of the penis after surgery; keep the local area clean and dry, and avoid getting the wound wet.
2. Medication management: Change medication and use antibiotics as directed by the doctor to prevent infection.
3. Diet adjustment: Eat a light diet, avoid spicy food, and avoid smoking and drinking.
4. Lifestyle behavior management: Try to avoid cycling, sexual stimulation and fantasies; sexual intercourse is prohibited within 6 weeks after surgery; pay attention to maintaining a good mood and adequate sleep.
Preoperative precautions
1. Communicate with doctors and patients, understand the complete surgical process and risks, and be mentally prepared.
2. Stop taking vitamin E, aspirin and other anticoagulant drugs 2 weeks before surgery as directed by your doctor.
3. Cooperate with the doctor to measure the length and circumference of the penis in normal and erectile states, and check whether there are any infection foci, scars, etc. around the penis.
4. Do not smoke or drink alcohol one week before the operation.
5. Take a shower one day before the operation and keep the penis area clean.
Surgical procedure
Penis enlargement includes two main types of surgery: penis lengthening and penis thickening. Penis lengthening mainly includes standard penis lengthening, penis lengthening plus traction, and endoscopic penis lengthening. Penis thickening includes autologous great saphenous vein grafting, silicone rubber material implantation, expanded polytetrafluoroethylene grafting, autologous fat injection, and autologous dermal tissue grafting. Here, we take standard penis lengthening as an example. The surgical process mainly includes incision design, tissue incision, penile suspensory ligament release, and suturing.