Phalloplasty or Penis Enlargement

Phalloplasty in India With Advanced Operative Techniques
By admin On April 13, 2009 Under Cosmetic Techniques

Indian surgeons promises the successful results for men who wish to undergo a phalloplasty in India for their penis at a very affordable cost at Chennai, Delhi, Bangalore and Pune. More and more people are opting to get phalloplasty in India to improve and rejuvenate their love lives. Innovative new procedures for formerly unmentionable body parts are making it possible. And these new surgeries offer more than just cosmetic change – the psychological aspect of improving self-image is driving patients toward “bedroom” procedures. Phalloplasty refers to the re-construction of a penis or artificial modification of the penis by phalloplasty, often for cosmetic purposes. Phalloplasty techniques have been described in the urological literature for at least 40 years. It is often used to refer to penis enlargement.

A complete reconstruction of a penis is done on cisgendered men who have lost their penis through either illness or accidents, and transmen, that is, female-to-male transgendered or transsexual people. Many men with below average measurements may still appear normal and function quite well. For this reason, phalloplasty should be considered as an elective procedure. The scope of phalloplasty in India is increasing day by day due to its low cost and better healthcare facilities.

The surgery is performed in an ambulatory facility under intravenous sedation and local anesthesia. Incisions are made at the root of the penis (junction of the penis and pubic area). The penis is then released from its attachments (suspensory ligaments) to the pubic symphysis. The space is closed with local tissues and no implant is used. Skin from the penis or the pubic area is used to cover the new extended penis.

Post-op traction is used to reduce the chance of retraction and provide more natural shaft skin. Although the technique of phalloplasty is not complex, the location and its significance to the patient makes the surgery risky. Patients have only one penis and it is therefore important that they read the consent sheet very carefully.

Questions should be answered before and not after the procedure. Please see the special consent to penis lengthening surgery sheet where the risks are outlined in detail. The procedure takes a couple of hours and the patient remains for observation for at least 3 hours prior to discharge. Patients must have someone stay with them the first post-op night. It is recommended that the patient refrain from sexual activities for at least 4 weeks. Medication to reduce nocturnal stimulation is given for 10 days post-operation.

The penis and scrotum are usually swollen and bruised for two to three weeks. Pain is not severe. Soreness in the groin and pubic regions which lasts for about ten days is controlled with light oral analgesics. The scar in the pubic hair area may take many months to fade and soften but it is hidden and not usually a concern. The amount varies with each individual. At present, there is no test to determine the amount pre-operatively. From 1/2 to 2 inches is a reasonable estimate. Therefore men who are larger than average should carefully consider the risks before undergoing surgery.

Also, the use of weights (or other means of traction) attached to the penis after surgery not only maintains the new length, but also may add further length. Patients are seen the next day. Their dressings are changed and instructions are given with respect to bathing and other activities. It is recommended that patients wear loose clothing on the day of surgery and for the early healing period. The next visit is two to three days later at which time most patients are able to start their own wound care, shaft wrapping and commence regular bathing. Sutures are removed 7-10 days post-op. Lead weights or other forms of traction are started a few weeks after the stitches are out and the incisions are firmly sealed (Smokers beware!). Some patients maintain traction for up to 6 months after surgery. This reduces the chance of retraction, stretches shaft skin and in some cases results in further lengthening by stretching tissues which could not be cut at surgery.


















As far as girth (thickness) enhancement goes you have a few options:

• Free fat transfer

• dermal fat grafts

• AlloDerm

With Free fat transfer your own fat is gathered using liposuction then the fat cells are treated to help reduce the chance of absorption and then transferred into your penis.

The Dermal Graft technique is the most invasive of the options because skin is removed from a donor site somewhere on your body and then treated and transferred to your penis.

The AlloDerm technique is the least invasive as well as the most expensive because you have to buy the AlloDerm (processed cadaver tissue) and then it is "installed" into your penis much like a dermal graft. Obviously it is the least invasive because it's not your own body supplying the material for enhancement.

I have read good and bad things about all of these techniques and I am not about to try and guess which one is best. You will have to decide that for yourself. It does look like AlloDerm is the easiest to remove if something goes wrong, but other then that there is way to much contradictory information out there to say one is really a better choice then the other.

I would recommend the laser assisted approach so you have less scar tissue and a smaller scar. If you have pubic hair then that should camouflage the scar almost completely. It seems that the most complications come from excess scar tissue forming and sometimes even reducing length. I would avoid any surgeons that still use the Z,V,Y or U incision.

The risk of infection is approximately 6%, which results in longer periods of antibiotic usage and excess scar formation. Redoes are about 5%, so if you are not satisfied, with the results this may require more money and longer healing, no pun intended. With Fat Transfer it is quite possible to develop irregularities in the shaft area, resulting in a lumpy appearance. You can re-injure yourself or impede healing if you use it too soon. Take care and listen to your surgeon's advice. There is a small chance of hematoma, which according to the Merriam-Webster Dictionary, "is a mass of usually clotted blood that forms in a tissue, organ, or body space as a result of a broken blood vessel."