At a glance
- Anaesthesia
- General
- Duration
- 45 minutes (lengthening) · 90–120 minutes (lengthening & girth)
- Hospital stay
- Discharged the next day
- Recovery
- Sex after 3 weeks (lengthening) · 2–3 months (with girth enhancement)
The penile enlargement procedure
In normal men with normal erectile function, length is gained by mobilising the penis outwards: releasing it from the pubic bone by dividing the suspensory ligaments, and removing the suprapubic fat when this is increased and “buries” the penis.
Surgical methods
The surgical methods used for penile lengthening are:
- Simple penile lengthening
- Penile enlargement (lengthening and girth enhancement) with the patient’s own fat, with or without Lipogems
- Penile enlargement with adipose-tissue or plasma stem cells and scaffolds
Simple penile lengthening
- Division of the ligaments
- V-Y incision
- Liposuction or lipectomy where required
Penile enlargement (lengthening and girth enhancement) with the patient’s own fat, with or without Lipogems
- Division of the ligaments
- Liposuction
- Lipofilling, with or without stem cells
Penile enlargement with adipose-tissue or plasma stem cells and scaffolds
- Circumcision incision and degloving of the penis (the skin and dartos are taken down to the base)
- Division of the ligaments
- Placement of bio-synthetic absorbable polyglyconate scaffolds, soaked in stem cells from the patient’s own adipose tissue or plasma
- Repositioning and suturing of the skin
What kind of anaesthesia is needed?
Penile enlargement surgery is performed under general anaesthesia.
How long does penile enlargement surgery take?
When the sole aim is lengthening, the procedure takes about 45 minutes. When lengthening and girth enhancement are combined, it takes 90 to 120 minutes.
After penile enlargement surgery
Hospital stay
The patient is discharged the day after surgery.
Results
- Length increases on average by 3.45 cm when flaccid (2.1–4.5) and by 0.65 cm when erect (0.5–1.0).
- Results from 10 years of experience showed an average increase in circumference of 3.15 cm when flaccid (1.9–4.1) and 2.47 cm when erect (1.8–3.0).
Augmentation phalloplasty & other procedures
Where there is increased suprapubic fat, liposuction or lipectomy is performed in addition.
Post-operative instructions
- The penis is bandaged on the day of the procedure
- The bandage stays on for 3 to 4 days
- Antibiotics are prescribed
FOR THE FIRST TIME INTERNATIONALLY, MESENCHYMAL STEM CELLS FROM ADIPOSE TISSUE HAVE BEEN USED IN PENILE ENLARGEMENT (AUGMENTATION PHALLOPLASTY) PROCEDURES BY SURGICAL UROLOGIST DIMITRIOS BOROUSAS AND HIS COLLEAGUES.
Frequently asked questions
Are there complications?
After the procedure there may be some minor swelling or a haematoma. The most significant (but extremely rare) complication is inflammation of the material over time, until it is absorbed (about 3–4 months).
Is penile enlargement a painful procedure?
Patients have not reported any notable pain.
When can I have sex after penile enlargement surgery?
After 3 weeks, if you have had a simple lengthening procedure. After 2 to 3 months, if lengthening was combined with girth enhancement.
Published research by Dr Borousas
- Size of external genital organs and somatometric parameters among physically normal men younger than 40 years oldSpyropoulos E, Borousas D, Mavrikos S, Dellis A, Bourounis M, Athanasiadis S · Urology, 2002 · DOI 10.1016/s0090-4295(02)01869-1
- Augmentation phalloplasty surgery for penile dysmorphophobia in young adults: considerations regarding patient selection, outcome evaluation and techniques appliedSpyropoulos E, Christoforidis C, Borousas D, Mavrikos S, Bourounis M, Athanasiadis S · European Urology, 2005 · DOI 10.1016/j.eururo.2005.02.021
This information is for general guidance only. The right treatment is decided only after a clinical examination. The cost depends on the type of procedure and the patient's clinical picture. For this reason, please contact the doctor personally.