What are my options for penis enlargement surgery?
Is there any loss of sensation?
How long do fat transfer results last?
When can I resume my normal activities?
Will I still be able to father children?
What are my options for penis enlargement surgery?
Options that are currently offered include detaching the ligament that connects the penis to the pubic bone, allowing it to hang lower; thickening the penile shaft with skin from the abdomen, fat grafts, or medically treated cadaver skin (AlloDerm); and inserting inflatable or semi rigid penile implants.
How much larger can I be?
There is no guarantee. Some surgeons claim typical augmentations of as much as 2 inches in length, more in width, but few will put a promise in writing. The Mayo Clinic says surgery may add, at best, a half inch to the length of the flaccid penis and possibly nothing to the erect penis.
How much pain is involved?
Pain levels vary from person to person. Pain after penile prosthesis surgery usually lasts about 4 weeks and is controlled initially by oral narcotic pain medication. Limiting physical activity while pain is present usually helps it resolve sooner. Other penis enlargement surgeries that are performed as outpatient procedures may have a shorter recovery period, but some manageable pain is to be expected.
Is there any loss of sensation?
There may be temporary reduced sensation in the head of the penis. This can sometimes be improved with the use of phosphodiesterase type 5 inhibitors, commonly known as erectile dysfunction medications (Viagra, Cialis, and Levitra).
What are the risks?
The risks are many: Infection, scarring, a shorter penis, swelling of scrotum, drainage of pus, fever, hair on the base of the penis, a low-hanging penis, loss of sensitivity, abnormal fat lumps from fat grafts, malfunction of penile implants or pump, pressure or discomfort from implant, impotence, urinary incontinence, and persistent pain
How long do fat transfer results last?
It varies from patient to patient and from surgeon to surgeon. Some surgeons claim a long term fat survival rate as high as 90%, but figures as low as 30% have also been quoted. It depends greatly on the skill of the surgeon and the fat graft technique used. Few surgeons will predict the amount of fat survival.
When can I resume my normal activities?
Penile implant patients may need a week or more off from work, depending on how they recover and their jobs level of activity. Men who undergo other procedures may be able to return to work the following day. Sex may be resumed 4 to 6 weeks after surgery, but it will take up to 6 months to achieve maximum erection length.
Will I still be able to father children?
This surgery does not affect fertility. If you were able to have children preoperatively, you'll be able to have children postoperatively.