There are many reasons that can lead a man to carry out a penis surgery, to repair functional or aesthetic issues.
In this text, see what surgeries are performed on the male genital organ.
Why does a man need penile surgery?
Since ancient times, the penis has been held in great reverence because of its important role in human reproduction and also because it is a symbol of male virility.
Thus, it is not uncommon for penile surgery to be a way that many men find to be satisfied with the functionality of the organ or even seek procedures for medical advice.
There are several surgeries dedicated to improving the conditions of the sexual organ, such as surgery for excess skin on the penis (phimosis) or even surgery on the penis frenulum.
In modern times, even aesthetic aspirations have become part of this universe related to sexuality, which has also started to include terms such as plastic surgery on the penis in the male vocabulary.
These are procedures that can give an impression of greater caliber and appearance. In this field that encompasses male satisfaction with their own sexual organ, issues such as size and performance, which are highly valued, also end up entering.
Discover the different types of penile surgery:
penis brake
In medical language, the penis brake is called the balano-preputial frenulum. It is a fibrous band that connects the foreskin to the glans. Due to lack of knowledge, many young people believe that they need to break this structure, which is not correct.
When some men want to remove the frenulum, they must resort to surgery on the penis performed with great care by a surgeon, because by breaking the frenulum at home, they can be at the mercy of heavy bleeding and other complications.
This penis frenulum surgery can be either a frenulotomy, which is a simple cut, or a frenuloplasty, which requires a few stitches to reconstruct the region in a more functional way.
The indication for this surgery on the penis is when the man has a short frenulum, which causes a ventral tortuosity below the glans, or when the organ suffers a lot of trauma in all sexual relations, causing fissures and constant pain.
Peyronie's Surgery
A Peyronie's surgery It is indicated for men who have Peyronie's disease, which causes deformities in the penis, which impair and even make sexual intercourse unfeasible. In some cases, the curvature also causes thinning of the sexual organ. This pathology can also cause erectile dysfunction.
Peyronie's disease occurs in two stages: acute phase and chronic phase. Surgery is indicated in the chronic phase, when the curvature is settled.
The surgery techniques in the bent penis to correct the curvatures are plications and grafts.
Surgeries with the plication technique are for curvatures less than 60 degrees, and consist of performing stitches to shorten the organ on the opposite side of the deformity.
In the grafting technique, the surgeon will remove the scar area caused by Peyronie's disease and use grafts to replace it.
In some cases, Peyronie's disease may also require penile prosthesis implantation.
penile prosthesis
Men who have severe erectile dysfunction and have not achieved good results with other approaches such as medication, penile rehabilitation, penile injection, shock wave therapies, etc., have the option of performing this penile surgery.
A penile prosthesis it consists of placing a device inside the cavernous bodies of the penis, which will allow the rescue of the erection. The prostheses can be inflatable or semi-rigid or malleable.
In the inflatable type, erection is very similar to the physiological process: the man inflates the device whenever he wants to have sexual intercourse, after the end of the activity, he deflates it so that the penis is in a resting state.
In the semi-rigid type, the silicone rods implanted in the penis make the organ constantly erect, but there are tricks to disguise it.
Penile prosthesis surgery is the ultimate solution for men who have erectile dysfunction.
Penile surgery (phimosis)
Postectomy or circumcision is a penile surgery known as phimosis surgery, which is the difficulty or impossibility of exposing the glans.
It is a surgery to remove excess skin on the penis (foreskin), usually indicated in childhood (primary phimosis), however, it can also be performed in adulthood, when an acquired phimosis occurs (secondary phimosis), for other medical reasons, such as diabetes, recurrent balanoposthitis, presence of HPV in the foreskin and other pathologies.
In these cases, men may have symptoms such as local swelling, pain in erection and sexual intercourse, injuries, diaper rash, difficulty urinating, skin problems, bleeding, lesions and redness on the penis.
The surgeon will make incisions for partial or total removal of the foreskin to allow exposure of the glans.
Removal of Tyson's glands
Tyson's glands are small, skin-colored or white balls that are located in the region known as the coronal sulcus. These small bumps may encircle the glans in one or two rows.
They are natural and benign structures, which serve to promote local hydration and lubrication in the sexual act.
However, many men don't like the way they look and feel embarrassed by their presence on the penis, because they fear they might be mistaken for HPV warts.
It is not necessary to remove them, however, some men insist on it. The procedure that makes the removal is electrocauterization, which must be performed by a professional experienced in genital aesthetics, so that it is performed accurately, and does not cause other scars in the region.
Cauterization of HPV warts
HPV is a virus transmitted by sexual contact that affects the genital area and oral mucosa. Transmission is by direct contact with infected skin or mucosa.
The most common presentation of HPV is verrucous lesions on the foreskin and glans, but it can also appear in the perianal region, groin or suprapubic region.
To treat these warts, cauterization is possible, which requires special needles and anesthesia, depending on the location and number of lesions.
internal urethrotomy
When the patient has short strictures and strictures of the urethral canal, making it difficult to urinate, a penile surgery that can be performed is internal urethrotomy.
In this endoscopic procedure, the urologist will insert a device with a microcamera into the urethral canal and make a laser or blade incision in the area where there is stricture, to return the canal to its normal size.
The procedure must be performed with the patient sedated, discharge is on the same day and the patient leaves with a catheter in the urinary channel.
urethroplasty
Urethroplasty also aims to correct strictures, however, it is a more complex procedure for urethral canal reconstruction.
In these cases, resection and suture alone are not enough, requiring the use of more techniques. To remake the urethra, it may be necessary to use other body tissues, such as the mucosa of the cheeks or even patches of the penis itself.
With this surgery, the patient is left with a tube for up to 3 weeks.
Meatoplasty
This surgery on the penis is indicated for those patients who have undergone total closure of the urinary orifice. due to inflammation or infection. This problem will cause urinary obstruction.
In this case, a small incision is made to reconstruct the meatus. Local anesthesia is required.
Corporoplasty
This penis surgery is considered when the man has what is called a micropenis.
The sexual organ is considered a micropenis when it is up to 4 cm in a resting state or 7,5 cm in erection. Men who suffer from this problem can perform surgery on the penis to enlarge the organ. In this case, the procedure is considered functional.
Corporoplasty relaxes the tunica albuginea, usually associated with a penile prosthesis implant. With this technique it is possible to gain 2 or 3 centimeters.
Suspensor ligament section
The suspensory ligament section is also a technique that can be evaluated for those who have micropenis.
It is an incision in the suspensory ligament, which connects the penis to the pubis, and allows an average gain of 1,5 cm to 3 cm, with the association of traction techniques.
This structure serves to maintain the pubic-penile angle upward, stabilize the penis, and protect the vascular-nervous bundle of the sexual organ.
Surgery can be performed in two ways:
- The first is the infrapubic, in which an incision is made in the pubis and deepened to section the ligament;
- It can also be performed as a phimosis surgery, known as subcoronal, in which it is possible to descend to the base of the penis to gain access to the suspensory ligament.
When an incision is made in this ligament, there is an impression that the penis has become a little larger, but it is not that there has been an increase. In fact, the surgeon moves the skin from the abdomen to the shaft of the penis, which creates this impression of a larger penis.
In some cases, liposuction on the pubis and grafting of the removed fat on the penis is also indicated to make the organ appear larger.
Men are not always completely satisfied with this surgery, so it is worth having a very honest conversation with the surgeon to understand the pros and cons of the procedure.
Bioplasties
Bioplasties are surgeries that aim to promote penile enlargement with various techniques, such as fat grafts, hyaluronic acid, botox and collagen stimulators.
In the case of penile botox, the application of botulinum toxin to the corpora cavernosa of the penis has also been used for erectile dysfunction.
In addition, a study revealed that the use of botox applied to the fascia of the penile musculature can also improve the appearance of the sexual organ when it is in a flaccid state, that is, without any sexual activity.
Conclusion
Currently, medicine brings numerous surgical procedures that aim to improve a man's self-esteem in relation to the appearance of his own sexual organ or even bring about recovery from certain penile conditions.
However, the most advisable thing is to consult with specialists in sexual medicine, who can clarify the results, risks and degrees of satisfaction.
3 comments on “Penis surgery: find out everything about the procedures”
My dream is to remove the penis and put in a vagina
Hi, please Dr. I am diabetic, I have erectile dysfunction, and my penis has a very long ligament, even erect it hangs down, and a very bad feeling, is there any surgery that can shorten this ligament so that the penis stay at a better and more comfortable angle for a relationship? I've always suffered from this, and I can't find anything about it. I want to change this situation in myself, become more secure and comfortable too. I feel that this is very unfavorable when you are meeting someone, only those who go through this know.
Good morning, I would like to know how much it costs to see a urologist.