Surgical techniques for penis length enlargement
In all men, part of the penis is not externally visible and extends inside the body. The hidden part, as it is often referred to, is attached to the pubic bone through the suspensory ligaments. These do not play any role in the functioning of the penis but help retain an upwards facing erection, as opposed to downwards which is the natural tendency of the penis.
Ligamentolysis is the basis of a penis lengthening operation and the surgical procedure involves cutting some of the penis ligaments. This allows part of the “hidden” penis to move downwards and outside the body. As a result, the visible section of the penis increases. While this sounds like a relatively simple technique, there are a number of elements that require significant skill:
Preventing re-attachment of the ligaments: in effect a gap is created after cutting the ligaments and it is important that patient tissue or other material is inserted there so as to prevent reattachment of the ligament. If this happens, it will reverse the gain in penis length. This depends entirely on the doctor’s skill as well as following post-operative instructions, which includes the use of a stretching device to make sure that no significant ligament re-attachment takes place.
Penis angle during erection: care should be taken to retain some of the ligaments so as to minimize changes in the erection angle. Unfortunately, most doctors do not take this into consideration. This will depend on the wishes of the patient, since generally if all ligaments are cut then more length gain is possible but it does risk a downwards facing erection (the effect is aesthetic in nature and successful intercourse is still possible).
Scarring: Standard ligamentolysis involves cutting the ligament through an incision in the pubic hair area just above the base of the penis. This can leave a scar, which for some patients may be very visible and aesthetically unpleasant. Again minimizing the pubic area scarring will depend on the doctor’s surgical skill i.e. how big of an incision he requires to comfortably and accurately perform the ligamentolysis. More importantly, our doctors can also cut the penis ligaments through hidden incisions that do not result in any visible scarring (through the scrotum or the top of the penis shaft), which offer aesthetically superior results. Due to their added degree of difficulty, these techniques are only performed by very few, highly skilled, select doctors.
With an experienced surgeon, the individual results with the ligamentolysis technique will depend mainly on the ratio between the visible and hidden part of the penis. This can be established pre-operatively using imaging techniques as well as a physical examination by the doctor. Given that the penis body size does not alter with ligamentolysis but rather the ratio between the hidden and visible parts, the effect of the operation is more profound during the flaccid state where an increase between 2 – 5cm (0.8in – 2in) is achievable. In the erect state, the gain in length will usually vary between 0.5 – 2cm (0.2in – 0.8in) and will be dependent on post-operative care. As explained in previous sections, for many men and their partners, the flaccid state length and girth size (or at least should be) is more important than the erection length. In this respect, we consider ligamentolysis, in combination with girth and glans enhancement, an excellent penis enlargement option as it is minimally invasive, safe and for the majority of patients and their partners, the results are very satisfying.
Penile lengthening through prosthesis insertion
For patients with severe erectile dysfunction, who are candidates or already have had penile prosthesis surgery, significant penile lengthening can be achieved in both the erect and flaccid states through modified penile prosthesis implantation surgery. For more information please visit the penile prosthesis section.
Lengthening through complete penile reconstruction
This is a radical technique as it involves completely disassembling and reconstructing the penis. By disassembling the penis to its anatomical parts, space is created between the penis glans cap and the penis shaft and cartilage harvested from the patient is inserted in this gap, leading to increased penis length. The average gain in penile length (both in the flaccid and erect state) through this technique is similar to the prosthesis lengthening as it depends on the elasticity of the neurovascular bundle. Combining this technique with standard ligamentolysis can result in increases and an overall impressive outcome. However, due to the high degree of difficulty and significant rehabilitation time, our doctors will only perform this surgery on patients suffering from true microphallia i.e. with an erect penis length of less than 8-10cm (2-3in).
Peno-scrotal web correction and pubic area fat removal
All the aforementioned techniques can be complemented by simultaneous fat removal from the pubic area and adjustment of the penoscrotal web (the skin connecting the penis to the scrotum). The effect of both will depend on the patient’s anatomy but they can add significant visual length to the penis. Although these extra steps are simple, both our patients and their partners report very high result satisfaction rates from this procedure.
I would like to increase the size of my penis. What should I do next?
If you are looking to increase the size of your penis, we advise that you book a consultation with one of our highly experienced doctors. During this consultation, our doctor will examine you and explain all possible treatments options in detail, discuss the size you wish to achieve and answer any questions you may have.