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Male Genital Rejuvenation or Male Genitals Cosmetic Surgery

An Introduction

The most commonly requested procedures in Men are Penile Girth Enhancement and Penile Length Enlargement surgeries in order to give a more youthful appearance to these areas. Other procedures include Inflatable implants to correct pathological impotency, correction of Penoscrotal Webbing and Testicular Implants. Peneplasty consists of combination of the following procedures, depending on what every patient needs.

Penile Enlargement

Penis enlargement procedures (sometimes euphemistically referred to as male enhancement procedures in spam email and television advertisements) are techniques alleged to make the human penis increase in girth, length, or hardness. Often, in the course of advertising fraudulent products, the distinction between temporary enlargement, i.e. erection, and permanent enlargement, is deliberately muddied.

A. Penile Girth Enhancement Surgery

Method involves injection of purified own fat cells beneath the skin of penis, to achieve penis girth enhancement. Sometimes, the derma-fat graft is applied just beneath the skin of penis to provide better and more predictable enhancement in girth of penis. On an average, after the surgery, penile girth is increased by 2-3 centimeters. The procedure has very rare but some side effects including decrease of sensation, scarring, and deformation.

B. Penile Length Enhancement or Elongation / Enlargement Surgery

Approximately one-third to one-half of the penis is inside the body, and is integrally attached to the undersurface of the pubic bone. Penis lengthening involves the release of the fundiform ligament and the suspensory ligament that attaches the two erectile bodies to the pubic bone (ligamentolysis). The suspensory ligament makes the penis arch under the pubic bone. Release of this ligament allows the penis to protrude on a straighter path, further outward to give a longer physical appearance. With the penis on stretch, the ligament is divided close to the pubic bone until all midline attachments have been freed. Once these ligaments have been cut, part of the penile shaft (usually held within the body) drops forward and extends out, enlarging the penis by 2–3 cm (0.78–1.18 in.). After surgery, part of the postoperative treatment includes stretching of the penis to prevent the released suspensory ligament from re-shorten as it was previously. The procedure has rare but some side effects including loss or decrease of sensation.

C. Penile Lengthening by External Stretching Device

The device consists of a plastic ring, where the penis is introduced, with two dynamic metallic rods, which produce the continuous traction on penis. After using the device at least three to four hours daily for four to six months, the mean gain in length is approximately 3-4 centimeters and some increase in girth too.

“Jelqing (milking), Clamping (constricting ring or device at the base of penis) or Hanging weights
on the penis are risky and dangerous techniques, and should never be used.
These may lead to amputation of penis.”

Penile Enlargement

A further method is to replace the two corpora cavernosa with inflatable penile implants. This is performed primarily as a therapeutic surgery for men suffering from complete impotence; or in those patients with a new reconstructed penis, who has lost their penis due to trauma or cancer surgery. An implanted pump in the groin or scrotum can be manipulated by hand to fill these cylinders from an implanted reservoir in order to achieve an erection. The replacement cylinders are normally sized to be direct replacements for the corpus cavernosa, but larger ones can be implanted.

One advantage to this surgery is that an erection can be created whenever desired, for as long as is desired and as firm as desired. However, this surgical procedure can never be reversed.

Penoscrotal Webbing

Penoscrotal webbing can occur as a result of bad circumcision by quacks, whereby the underside of the penis is adhered to the scrotum. As a result a web forms, and the scrotal tissue becomes attached to the underside of the penis like a turkey neck.

Correction of penoscrotal webbing (by a double Z-plasty) is a procedure performed as an outpatient under local anesthesia or IV sedation.

Testicular Implants

There are a number of reasons why a testicular implant is considered, these include: Adults and children with undescended testicles, children and adult males with loss of one or both testes due to trauma, torsion or cancer. Men that have very small and/or deformed non-functional testes may also choose to have a testicular implant. But always remember, these implants are artificial testes made up of silicone, and can never produce sperm or hormones & are non-functional. They are used for aesthetic reason.

Testicular implants can create a normal cosmetic appearance of scrotum and give a man or a child confidence.

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