Penis Enlargement Surgery Risks

There is little evidence that penis enlargement surgery works, which should be a primary concern going into the procedure. Likewise, the fact that no major medical organization endorses it is telling. At most, the surgery tends to make flaccid penises look slightly longer or wider; it does not necessarily change the size of the erect penis.

The medical risks of penis enlargement surgery include fever, infection, swelling of the scrotum, drainage of pus, loss of sensitivity, scarring, a shorter penis, hair on the base of the penis, a low-hanging penis, fat lumps from fat grafts, pressure or discomfort from implant, impotence, urinary incontinence, and persistent pain.

If an infection develops after implant surgery (as it does in about 20% of all cases), it almost always means the implants must be removed. Erosion, which happens when some part of the prosthesis protrudes outside the body, occurs in 1% to 3% of all cases. It is associated with infection and frequently requires the removal of the device.

Malfunction of the implants or pump is another risk. The failure rate is 10% to 15% in the first 5 years after implantation. Mechanical failure is more likely with inflatable implants than with rod implants. Any leak of the saline inside the inflatable implants is absorbed without harm by the body. Another operation for prosthesis replacement or repair is necessary after a mechanical failure if the man wants to remain sexually active.

Penis enlargement surgery that does not involve an implant has no effect on the frequency or quality of erections, which are controlled exclusively by blood flow to the penis. However, there is evidence that some penis enlargement procedures can cause impotence.

Due to the significant potential complications of penile enlargement surgery, the American Urological Association does not recommend it for routine use.

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