What are the procedures for penis enlargement operation in India?
There are mainly two types of penis enlargement surgeries:
The aim of this process is to increase the girth or width of the penis, along with length, in some cases. Earlier, this involved injecting the fat cells, taken from elsewhere in the body, into the shaft of the penis to make it look bulky. But the procedure carries risks such as the fat would get partially absorbed and your penis would be left looking lumpy.
The newer method of penile augmentation involves implanted allografts. In this, the fat tissues are implanted onto the penis. This method lasts longer and provides much better results. Different types of grafts can be used for this:
- Graft from the Forearm: This involves using the forearm as a donor site for lengthening the urethra. It is a simple procedure, but may result in visible scar over the exposed area of the arm. There is also a risk of loss of arm function if the donor site does not heal properly.
- Graft from the Side of the Chest: This is a comparatively newer surgical technique which involves the use of a graft from the side of the chest, under the armpit. This is also known as musculo-cutaneous latismum dorsi free flap transfer.
There are a number of advantages over the older forearm flap technique, including hairless, aesthetic appealing (normally coloured skin), capable of tactile sensation (for orgasm), hidden scar and a lower risk of complication.
- Graft or Tissue Flap from the Leg: This is similar to the forearm graft but the donor tissue is taken from the lower leg. The advantage with this is that the donor scar can be easily covered with clothing. It can be combined with free forearm graft to reconstruct the glans penis (tip).
- Pubic Area Flap: The graft is sourced from area close to pelvic bone. The incision is usually a horizontal cut running across the abdomen under the belly button. The large horizontal scar may not be aesthetically acceptable to many. Another problem is that the grafts may have a less natural appearance and not maintain an erectile implant for long time.
- Gillies Technique: This surgery involves use of a flap of abdominal skin which is rolled into a cylindrical shape to stimulate the penis with urethral extension using another section of skin graft to create a tube within a tube. This also involves the use of penile implants, mostly flexible rods. The technique for this surgery has improved over time.
- Subcutaneous Soft Silicone Implant: This procedure involves the insertion of a soft silicone implant subcutaneously, under the penile skin.
Possible postoperative problems include fat reabsorption and nodule formation, but these can be minimized by restricting the amount of fat injected in one session.
Penile Lengthening Surgery:
This type of surgery involves releasing the suspensory ligament of the penis. The suspensory ligament keeps the penis anchored to the pelvic bone area and also provides support to the penis during an erection. When the surgeon cuts the ligament, the angle of the penis changes, making it look longer.
Although, it depends on a man’s penis anatomy, the release of suspensory ligament may increase the length of flaccid penis by 1 to 3 cm on average. However, the lack of support by the ligaments during an erection can cause difficulty in penetration.
During a penile lengthening surgery, the surgeon makes an incision above the base of the penis. The surgeon then detaches the penile suspensory ligament, which allows the penis shaft to be brought forward. The lengthening is done externally, typically by 1- 1 ½ inches. Men with prominent fat pads in the pelvic region can gain more length; for instance if a man has a 2-inch fat pad, and 1.5 inches are removed, the additional 1.5 inches will be gained in supplement to the extension due to suspensory ligament release. The increase in length is only in the flaccid position and some men may find the angle of the erection to be slightly lower.
Generally, increase of both the length and girth of the penis is performed at the same time, to give it a natural appearance. However, a man can opt to have either the lengthening or enlargement (girth) procedure, depending on the personal need and desirability. The surgery does not affect the penile functions, in terms of erection and urination.
Penoplasty or penile lengthening is an outpatient procedure. It is performed using a local anaesthetic and IV sedation, not general anaesthesia. The operation typically takes around 45 minutes to 90 minutes to complete, depending on the kind of surgery performed – enlargement, lengthening or both.