- Q. Do men
wishing penile enlargement usually
consult a urologist?
A. Yes.
- 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.
- Q. Can male
self-esteem and self-worth be affected by the "adequacy" of
a man's genitalia?
A. Yes.
- 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.
- Q. Are the
risks of surgery low with your technique of penile
lengthening and your technique of pericavernosal penile
widening for girth enhancement in
the flaccid state and erect state with the Allograft
Dermal Matrix Graft (Alloderm ®) technique ?
A. Yes.
- 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.
- 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.
- Q. Is penile
enlargement surgery effective with
your techniques of penile lengthening and
pericavernosal penile widening for girth enhancement
in the flaccid state and erect state and glanular
enhancement with the Allograft
Dermal Matrix Graft (Alloderm ®) technique ?
A. Yes.
- Q. Is there
a high patient satisfaction rate from penile
enlargement surgery with your technique
of penile lengthening and with
your techniques of pericavernosal penile
widening for girth enhancement in
the flaccid state and erect state and glanular
enhancement with the Allograft
Dermal Matrix Graft (Alloderm ®) technique?
A. Yes.
- 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 opap casino
- Q. How much
extra width may be obtained?
A. If you have widening
by the liposuction
technique, the results are variable. I
do not perform this technique.
If you have the pericavernosal penile
widening for girth enhancement in
the flaccid state by the Allograft
Dermal Matrix Graft (Alloderm ®) technique you
may expect an approximate 30% width gain (circumference)
in the flaccid state and an approximate 5
to 10% gain in girth in the erect state.
- 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.
- 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.
- Q. Are
the results of penile widening 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 pericavernosal penile
widening for girth enhancement in
the flaccid state with 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.
- 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 techniques for penile
lengthening and pericavernosal penile
widening for girth enhancement primarily
in the flaccid state with the Allograft
Dermal Matrix Graft (Alloderm ®) technique.
Almost all men who have been informed of reasonable
expectations - are happy with the results.
However, it is also important that the surgical
techniques, 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, abdomen, flank
or back 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.
- 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 produces
permanent penile widening.
- Q. What
are the risks of surgical penile
lengthening or widening 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 possible 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 surgery are very low
with my techniques. Very few patients experience
complications. However, I will discuss the
following possible 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, abdomen, flanks or back)
- 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 buttock, groin, abdomen,
flank or back 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
- 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 10% and
15% increase in the flare of the proximal 1/3
of your glans (head of penis).
- Q. How
expensive is treatment?
A. See the section on Payment
Information for complete details.
- 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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