This operation also called phalloplasty. This procedure can be done in several conditions. Congenital birth defect called micropenis, those are men that were born with very small size penis not allowing them to procreate. Some other genetic malformation of the penis such as hypospadias, epispadias or fibrosis of the penis. The most common reason for men seeking this surgery is an esthetic needs and an individual feeling that their penis is too small. Penis enlargement procedure can be divided into two categories temporary and permanent methods. The temporary methods include pills, herbal supplements and vacuum pumps; these methods have various degree of success. Most of the procedures done today are permanent surgical enlargement of the penis length and width.
To increase the length the surgeon uses the following technique. One third of the penis is hidden inside the body, it is attached to the pubic bone by two ligaments, the suspensory and the fundiform ligament. Cutting those ligaments adds to the penis length additional 2-3 c"m in a flaccid state. The size in the erect state varies considerably. After the surgery, to prevent scaring and contraction counterweight is applied to the penis until healing is complete.
To enlarge the width, the surgeon uses fat grafts and performs a lipo sculpture. The fat is taken from another body part, it is being prepared by centrifuge or using special solutions and then injected into the penis. Afterward the surgeon "sculptures" the penis to achieve the new appearance. This way there is almost no tissue rejection and only a minimal scar is seen. Another method to enlarge the width is dermal or foreign body implants. Subcutaneous tissue is taken from another body site and implanted into the penis. Sometimes collagen grafts are also used. This method requires two step surgery and sometimes resulting in graft rejection and permanent penis damage.
The length operation lasts about an hour and general sedation usually applied. The width procedure takes one an half hours and can be done using IV sedation. You will be able to return to work after a few days, but you must wear a bandage for a week. After the operation it is essential to stretch the penis allowing better healing. You can return to sexual activity after 10-14 days following fat transfer and 3-4 weeks following length surgery. The pain is minimal and can be successfully treated with painkillers. The procedure does not affect the ability to have children.