Penis Enlargement Surgery
No one should have penis enlargement surgery unless he really has to. There is a high risk involved and the results are limited. Penis enhancement surgery should only be performed for medical reasons, i.e. not for cosmetic purposes.
If you are seriously considering penis enhancement for cosmetic reasons (your penis size is adequate for sexual intercourse but you still want to increase your penis length or penis girth) you should be looking at non-surgical penis enlargement treatments.
How Does Penis Enhancement Surgery Work?
There are two main types of surgery penis enlargement, i.e. penis lengthening surgery and girth penis surgery.
Penis Lengthening Surgery
The most common procedure to enhance penis length is actually about revealing more of the penis shaft. This is done by cutting the ligament that connects the penis to the pelvic bone. This allows more of the penis shaft to become visible, on average less than an inch (2.54 cm).
Sometimes this can be achieved by partially disconnecting the scrotum to reveal more of the shaft, i.e. works for men were the scrotum attaches high up on the penis shaft. This does not lengthen the penis as such but it may look longer.
The problem with cutting the ligament is that it is there for a purpose, it helps keep the erect penis pointing upwards.
Some men find that after penis lengthen surgery they do have small increase in flaccid penis length but the erect penis is similar size as before but now points downwards.
Some specialists even recommend using penis traction devices daily for about six months to prevent the ligament from reattaching (meaning you might as well go straight for penis traction therapy?).
Girth Penis Surgery
Girth penis surgery can be performed as part of penis lengthening surgery or on its own. There are two main procedures to surgically increase the penis girth, i.e. liposuction and grafting.
Liposuction is when fat is extracted from the abdominal wall or thigh and injected under the skin of the penis shaft. Big portion of the fat can though disappear within a year, meaning the result is not always sustainable.
Grafting is when layer of tissue (well supplied with blood vessels) and fat from the groin or buttock area is placed inside the penis shaft.
The Pros And Cons Of Penis Enlargement Surgery
The downsides of penis enhancement surgery easily outweigh the benefits for most men (though surgery penis enlargement may be feasible option for some men due to medical reasons, see later).
Penis lengthening surgery can result in increased penile length (usually within 1 inch, or 2.5 cm). While girth penis surgery, especially the grafting procedure, can result in wider penis.
All penis surgeries have inherited operational risk and potential serious side effects, including erectile dysfunction / impotence, nerve damage, loss of elasticity, reduced penile sensation and even… penile shortening (due to scarring).
Girth penis surgery is also controversial procedure and can result in unsightly looking penis (bumpy / uneven penis).
The actual penis enhancement from penis enlargement surgery can be disappointing (usually within 1 inch) and is not always sustainable.
Penis enhancement surgeries can go wrong. Sometimes men need to have Reconstruction Surgery to fix deformities resulting from their penis enhancement surgery.
Penis plastic surgery is also expensive treatment option; the cost can run into thousands of dollars.
Surprisingly few studies seem to have been done on the results from penis enlargement surgery.
This European Urology Study looked at 42 patients that underwent division of the penile suspensory ligament (i.e. penis lengthening surgery cutting the ligament that connects the penis to the pelvic bone). The overall patient satisfaction rate was only 35%.
This article in the International Journal of Impotence Research, 2008 offers excellent review of penile size and penile enlargement surgery and is recommended read.
It also includes the following position statement on penile lengthening and girth enhancement surgery from The Sexual Medicine Society of North America:
"The Society for the Study of Impotence has found no peer reviewed, objective or independently-monitored studies, or other data, which prove the safety or efficacy of penile lengthening and girth enhancement surgery.
Therefore, penile lengthening and girth enhancement surgery can only be regarded as experimental surgery"
Who Should Have Penis Enlargement Surgery?
Due to the serious risk involved in any penis plastic surgery and limited results (low satisfaction rate, not always sustainable results, etc.) penis enlargement surgery can only be recommended for those that really need it for medical reasons.
This can include men with congenital abnormalities, like micro penis. It can also include men that have experienced severe penis trauma, e.g. accidental or deliberate amputation.
Finally, penis enhancement surgery may be appropriate for men that have had penis surgery that went badly (penis reconstruction) or resulted in penis shortening (e.g. after prostate or Peyronie's surgery).
The penile shortening would though have to be significant to warrant penis enlargement surgery.
The patient might be better off using Androsurgery (post penis surgery traction device) to prevent penile shortening following penis surgery.