Penis Lengthening and Girth Enhancement
Andromeda Andrology Center, India
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There is no doubt about the fact that penis enhancement surgery can be of immense value to certain men. But present techniques are woefully inadequate, produce dubious results, and are often of short-lived value.
The Chief Medical Consultant of this site, Dr.Sudhakar Krishnamurti, is presently working on a new surgical procedure for `phalloplasty’ – or surgical sculpting of the penis. This technique, when tested, could represent an advance that could overcome present limitations.
Who will benefit?
Surgical sculpting of the penis will help three sets of people.
THE NEEDY These people are penile cripples. They usually suffer from malformations or deformities of the penis. On account of these deformities, the penis is cosmetically and aesthetically unsightly. Besides, in many of these cases, the patient is incapable of normal erectile ability and copulation.
Such people can have a normal sex life if the new phalloplasty technique proves useful.
THE GREEDY The second group of men are those with normal penises but who desire a longer or thicker penis to either bolster their own sagging self-esteem or to satisfy their sexual partners’ unrealistic expectations of penis size.
AND TRANSSEXUALS The third group, where this technique will help is female transsexuals who desire a female-to-male sex change (gender reassignment) operation.
Why is it necessary?
A busy Andrologist may have as many as two or three requests for penis enlargement daily. Many men have a penis fixation just as women have a breast fixation.
We all know that breast size isn’t really important, but still no amount of explanation or reasoning will satisfy some women who will insist on breast augmentation through implants. And if this is not done they are unhappy indeed.
The same analogy holds true for men. Even though their concept of penis size may be unrealistic, they will still insist on a longer and thicker penis. If a penis means so much to a man why not give him a penis that will make him happy ?
Especially if refusal to do so might ruin both his self-esteem and his sex life. What’s important is that the technique should provide a real (rather than apparent) increase in both length and girth, in both flaccid and erect states, without causing any significant complications.
The present techniques
Penis enlargement is being practised in many parts of the world, though the currently employed techniques are highly controversial. Practitioners of these have come in for a lot of flak both from colleagues within the medical profession as well as the laity.
The currently available techniques for penis lengthening and girth-enhancement have many drawbacks
Broadly, a penis comprises of three cylindrical tubes – the paired corpora cavernosa above, and the urethra (the urine tube, that’s anatomically contiguous with the glans penis) below.
The paired corpora (erectile bodies) are attached to the pubic bone by a suspensory ligament that gives the penis stability during erection. In the currently available lengthening procedure, this ligament is cut. This produces a purely illusory and apparent increase in penile length due to gravitational traction – and that too only in the flaccid state.
This means that the penis will not really be much longer in the erect state. Not only that, the patient also loses the important stabilising support of the suspensory ligament which keeps the erect penis steady during the vigorous movements accompanying sexual intercourse.
Likewise, in the currently offered girth-enhancement operation, fat from the lower abdominal wall is drawn out through liposuction and injected beneath the loose skin of the penile shaft to create an illusion of thickening.
This is actually quite ridiculous. You are putting fat into an area that nature has intentionally kept bereft of fat. It must be remembered that the subcutaneous (below skin) tissue in the penis does not have a fat layer. There is a purpose to this. Injecting fat there defeats this purpose completely.
Besides, this kind of fat injection produces only a temporary illusion of thickening. With the passage of time, the injected fat, which is avascular i.e. without blood supply, only dies – a phenomenon known as fat necrosis. This necrosis will sooner or later cause the penis to return to its original pre-operative girth. And, in the process of necrosis, it leaves behind scars, fibrous nodules and a cosmetically disfigured, uneven, lumpy penile contour.
What’s even worse is that even this temporary, complication-fraught girth-enhancement is only an apparent, rather than real one. When the penis gets erect, all the fat is compressed and flattened against the skin of the penile shaft (which also has limitations to its elasticity) and the penis is no thicker in the erect state than it was before operation. And it is this thicker erect penis that most patients and their partners want.
So at most, what these techniques will offer the patient is a few days’ opportunity to fool their friends in the swimming pool locker room. However, they won’t be able to fool their sexual partners. What’s even worse is that they will have down-the-line problems of explaining to the same friends why their organ has begun to suddenly shrivel !
The phalloplasty technique hopes to be able to provide a new operation for transsexual patients.
The goals of surgery for female-to-male gender reassignment are manifold. In the first place, it is required to create a penis that looks like a penis and not just a skin tube. Secondly, the glans penis has to be simulated. Next, the organ should be capable of perceiving erogenous sensations to the point of orgasm and should be capable of erection and vaginal penetration. Testes have to be re-created. The new man must be able to use a gents’ loo without any hassles. And all this plus more without too many complications.
The Status of the new technique
We are only now going from the conceptual stage and cadaver dissection stage to the clinical trial stage. And we have to begin with the `needy’ group of penile cripples where a poor result will at worst only return the patient to his status quo and where a small complication or two will not be of real consequence. Only then can it be tried on the `greedy’ and the transsexual group. One cannot experiment on human beings. Research methodology has to be thorough and fool-proof.
Of course ultimate acceptance and sanction for the technique will come from the scientific community, especially the peer review group of specialists and publications involved in similar work, and the gratified patient population. But meanwhile, work must go on.
Dr.Sudhakar Krishnamurti has already performed the first part of this operation on a 30-year old transsexual woman. This woman has already undergone the first step operation and is waiting for the next step.
Dr.Krishnamurti has been working on this technique for the last two years. One only hopes that all his efforts will finally bear fruit and provide much-needed succour to the needy, greedy and transsexuals alike.
Citation: an article published on the Internet by Andrology.com <www.andrology.com/>