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Q. Do men wishing penile enlargement usually consult a urologist?
A. Yes.
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Q. Can a man's perception of his penile size, even if it is normal, affect his interactions with sexual partners and professional associates?
A. Yes.
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Q. Can male self-esteem and self-worth be affected by the "adequacy" of a man's genitalia?
A. Yes.
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Q. Even if penile enlargement surgery improves self-esteem, but other confidence
issues are present, should these issues be dealt with in order to change quality of life?
A. Yes.
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Q. Are the risks of surgery low with your technique of penile lengthening and your technique of penile widening (pericavernosal) with the Allograft Dermal
Matrix Graft (Alloderm ®)?
A. Yes.
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Q. Can penile enlargement surgery improve self-esteem and quality of life?
A. With respect to feelings of penile inadequacy, meaning the man's perception that his penile size is smaller than what he would like, even if it is normal, the results of such surgery frequently will improve his sexual and machismo image and positively affect his interactions with sexual partners, coworkers and professional associates.
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Q. Because this surgery can improve self-esteem and quality of life, and the risks with your techniques are low is penile enlargement surgery, like other cosmetic surgery, justified?
A. Yes.
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Q. Is penile enlargement surgery with your technique of penile lengthening, and penile widening (pericavernosal) and glanular enhancement with the Allograft Dermal
Matrix Graft (Alloderm ®) effective?
A. Yes.
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Q. Is there a high patient satisfaction rate from penile enlargement surgery with your technique of penile lengthening and with your technique of penile widening (pericavernosal) with the Allograft Dermal
Matrix Graft (Alloderm ®)?
A. Yes.
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Q. How much extra length may be obtained?
A. This is a hard question to answer, and absolute promises cannot be made. However, length may be increased by approximately one to two inches. Maximum length is obtained when the surgery is combined with a penile stretching device.
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Q. How much extra width may be obtained?
A. If you have widening by the liposuction technique, the results are variable. If you have the widening (pericavernosal) by the Allograft Dermal
Matrix Graft (Alloderm ®) technique you may expect an approximate 30% width gain (circumference). The Allograft Dermal
Matrix Graft (Alloderm ®) technique is the only technique I use.
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Q. How long after surgery can I have sex?
A. It is advisable to wait six weeks before engaging in penetrative sex. However, you can masturbate in approximately 1 week after surgery, as long as you use gentle masturbation of the glans (head of the penis) only.
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Q. Are the results of penile lengthening permanent?
A. The results of penile lengthening are permanent, and when combined with a penile stretching device added length will occur over time.
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Q. Are the results of penile widening (pericavernosal) permanent?
A. The results of penile widening by the liposuction technique are frequently not permanent. Usually only thirty percent of the fat injected into the penis survives after one year. In addition, asymmetry, that is to say, unevenness and nodularity may occur. Frequently, repeat injections (touch ups) to fill in the defects are needed. If you have the widening (pericavernosal) by the Allograft Dermal
Matrix Graft (Alloderm ®) technique the results are much more predictable and permanent.
I have been using the Allograft Dermal
Matrix Graft (Alloderm ®)
technique for 6 years and I can tell you from my experience
that the results are predictable and appear to be permanent.
I do not perform the liposuction technique, and I no longer perform the dermal fat graft technique.
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Q. How successful are the treatments?
A. It depends upon how you define success. There is a high patient satisfaction rate from penile enlargement surgery with my technique for penile lengthening and penile widening (pericavernosal) with the Allograft Dermal
Matrix Graft (Alloderm ®). Almost all men who have been informed of reasonable expectations - are happy with the results. However, it is also important that the surgical technique, incisions, scars and postoperative management be reviewed and accepted preoperatively. When this is done, almost all men are happy and consider the surgical procedures successful.
Note: There is no unevenness and no nodularity and there are no donor site incisions and, therefore, no scars, on the buttocks, inguinal areas, or abdomen, with the Allograft Dermal
Matrix Graft (Alloderm ®) technique that I use for penile widening (pericavernosal) and the duration of surgery is shorter than the dermal fat graft technique. The contour is even and cylindrical.
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Q. Is help available without surgery?
A. There are several unproven, non-surgical techniques of penile lengthening using penile weights, penile stretching devices and a vacuum pump (penis pump). The medical community does not recommend these techniques and since no studies have been made it is impossible to tell how effective these techniques are or what the risks might be. Sometimes, overweight men with an increase in fat in their pubic area will notice increased penile length after significant weight loss. There is no non-surgical technique that is permanent for penile widening.
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Q. What are the risks of surgical penile lengthening or widening (pericavernosal) with your techniques?
A. The risks of penile lengthening surgery are very low with my technique. Very few patients experience complications. However, I will discuss the following risks with you:
- a reduction of the erect upward angle of the penis
- a keloid scar at the site of the incision
- fibrosis of a superficial vein
- shortening of the penis
- skin incision separation
- bruising
- bleeding
- infection
- temporary swelling of the penis
- a collection of serum under the skin
- reduction in penile sensation
- erectile dysfunction
The risks of penile widening (pericavernosal) surgery are very low with my technique. Very few patients experience complications. However, I will discuss the following risks with you:
- absorption, contracture or failure of the graft to take
- skin incision separation (Note: with the Allograft Dermal
Matrix Graft (Alloderm ®) technique, there are no donor site incisions in the buttocks, groin, or abdomen)
- a keloid scar (Note: with the Allograft Dermal
Matrix Graft (Alloderm ®) technique, no grafts are obtained and, therefore, there are no incisions or scars in the buttocks or inguinal (groin) regions because there are no DONOR SITES )
- fibrosis of a superficial vein
- shortening of the penis
- infection
- bleeding
- bruising
- decrease in penile sensation
- temporary swelling of the penis
- a collection of serum under the skin
- loss of penile skin (Note: because no donor skin is obtained with the Allograft Dermal
Matrix Graft (Alloderm ®) technique, there can be no loss of donor site skin)
- erectile dysfunction
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Q. What can I expect from glanular enhancement surgery?
A. Although greater than 30% increase in the flare of the glans is possible, a reasonable expectation is between 15% and 20% increase in the flare of the proximal 1/3 of your glans (head of penis).
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Q. How expensive is treatment?
A. See the section on Payment Information for complete details.
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Q. Will insurance cover these treatments?
A. If you have a truly small penis - in medical terms this is called micropenis - and the length measures less than three and two thirds inches in the erect state, and the width measures less than three and a half inches in circumference in the erect state; or if you have had previous penile surgery, Peyronie's disease, an aggressive circumcision, other genital trauma, or a neurogenic bladder that caused penile shortening then insurance will probably pay for the surgery of penile lengthening. However, insurance will not cover the costs of these procedures when done purely for cosmetic reasons. Insurance will not cover penile widening.
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