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The Male ClinicGenital enhancement surgeryMr F FahmyConsultant Cosmetic and Plastic SurgeonMr C SeippConsultant Urological Surgeon
Penile enhancement surgeryThroughout history the penis has always been regarded as a symbol of masculinity,hence penile size and shape are frequently a source of anxiety for many men. Manymen consciously or subconsciously define their identity and personality through theirpenis, with the view that “bigger is better”. Media and Internet never cease toreinforce this belief.The question of what is considered a “normal penis” remains controversial. There isno scientific consensus and no standardization, but for practical purposes theaverage flaccid un-stretched penis is generally 9.0-9.5cm. It increases to anaverage erect length of about 12.5-14.5cm and an average erect girth (measuredaround the mid shaft) of about 10-10.5cm.There is a lot of conflicting information regarding penile enhancement: today,advertisements boast huge penis size resulting form an array of methods ranging frompills, pumps, penis extenders, natural techniques, chemical enlargement, surgery,implants, girth injections, platelet rich plasma injections carried out by doctors, selfproclaimed experts and anonymous internet forums. What are the techniques that reallyOnly a very small number of men suffer from what is termed a “micropenis”, which iswork? What is feasible and what methods are simply a waste of time and money?a congenital or acquired condition that results in an abnormally short penis. In somemen diseases such as prostate cancer, pelvic or genital surgery, Peyronie’sdisease, lichen sclerosus, penile cancer or trauma can result in penile shortening.This can be associated with functional and psychological problems.Penile size and shape are often a very sensitive topic amongst men. Though themajority of men fall within the “normal” size range, concerns regarding penile sizeand girth can cause low self-esteem, sexual dysfunction, depression and psychiatricdisorders.Penis enlargement has become the most sought after aesthetic medical treatmentfor men. This is not surprising as 45% of men report that they are dissatisfied withtheir penis size.2While pills, creams and other medicinal products do not work; surgical penisenlargement as well as non-surgical enhancements options in the hand ofexperienced surgeons can offer significant gain in penile length and girth.If you are interested in exploring the various options of penile enhancement surgery,please feel free to request a confidential consultation with Mr Fahmy or Mr Seipp. Weare looking forward to discuss your expectations and explain possible treatment optionsin detail.The costs for your treatment will depend on individual circumstances and the chosensurgical techniques. We will be able to quote exact figures after a detailed non-bindingconsultation with one of our surgeons.
Penile lengthening proceduresthe skin should be combined with release of theligament to achieve the best possible result. The skinremoval is called a pubic tuck, - it is not as extensive asDivision of suspensory ligamentApproximately half of the penis is positioned inside thea tummy tuck (abdominoplasty). The incision is usuallyplaced in the crease in the pubic area and improveswith time.body. It is attached to the pubic bone by the suspensoryligament. When this ligament is released, the penisdrops, or extends, further outside the body, increasingthe outside length. A small silicone spacer attached tothe pubic bone will prevent reattachment of theligament.Plastic skin proceduresThe lengthening effect can be enhanced by cosmeticskin surgery on the back of the penis (VY- or Z-plasty)and/or surgery between the scrotum and penis withreconstruction of the penoscrotal angle to expose moreto the penile shaft (division of scrotal web).Pubic tuck and liposuctionA common problem of larger male patients who expressa desire for added length is the excess skin and fat thatforms in the pubic area above the penis. A significantpart of the penis becomes buried in a fat pad, - inLengthening procedures often have tobe combined to achieve the bestpossible resultextreme cases the entire penis can disappear in the fat.Weight loss alone is usually not sufficient and onlyPenis “buried” in excess infrapubic fat pad – beforeand after pubic tuck and division of suspensoryligamentsurgical removal of the fat can expose the penis in it’sprevious length. Many times liposuction alone will besufficient to uncover the base of the penis if the skin isnot excessive.If there is excessive skin, it will need to be removed toobtain added length. The skin acts like a turtle necksweater and covers the base of the penis. Removal of3To achieve the best possibleresults various procedures oftenhave to be combined.
Penile girth enhancementTraditionally one of the most common procedures to enhance the thickness of thepenis is the injection of fat (free fat transfer). The fat injected is usually harvestedfrom other parts of the body (liposuction). A proportion of injected fat is beingabsorbed over time and the results of a free fat transfer remain somewhat variable.An alternative is the use of hyaluronic acid injections into the penis. Hyaluronic acidhyaluronic acid gel injections can be used safely and effectively.Permanent grafts (either harvested as dermal fat grafts from other parts of thebody or commercially available biological matrix) can be used to enhance penilegirth. The penile skin will be pulled back and the graft material will be wrappedaround the penile shaft and secured with absorbable sutures.is widely used as filler in aesthetic medicine. The treatment does not requiregeneral anesthesia, only takes minutes and there is no downtime as with surgery.Surgical procedures to enhance penile girth can be carried out on their own orThe penis is instantly thicker and the effect usually lasts for about 12-24 months.ideally in combination with an operation to lengthen the penis.Repeat treatment will be possible.In cases where an increase in the size of the penile tip (glans penis) is required,4
Penile augmentationBent penisErectile dysfunctionIf you are genuinely worried about the size ofNot only the size, but also the shape of theNot being able to get an erection can causeyour penis, you should not hesitate to arrangepenis varies from man to man. Some menembarrassment and distress. There arean appointment to discuss your concerns withwith grow up with a curved penis while othersmultiple medical and minimal-invasivea qualified and experienced professional. Aacquire deformities later in life. Particularly intreatments that help men who are strugglingconsultation can often dispel your doubts thatcases where the deformity occurs later in life,with their erectile function. In some cases,your penis is too small, - on the other hand, itthe penile bent is often associated withwhere simple treatments have failed, thewill offer you the possibility to discuss yoursignificant shortening of the shaft. For meninsertion of either a semi-rigid or inflatableexpectations and it will give you a realisticwho are worried about the shape of theirpenile implant can provide excellent results inperspective of what you could possiblypenis there are both minimal-invasive as wellrestoring a satisfactory and almost normal sexachieve both with surgical and non-surgicalas surgical treatment options available tolife. If you suffer from erectile dysfunction andtreatment options. If you feel embarrassed torestore penile shape, size and function.would like to return to a life where you candiscuss this issue with your own GP, pleasedo not hesitate to contact us for an in-depthconsultation.become intimate when the mood strikes, thenPenile cosmetic surgeryUnsightly circumcision scars or othercosmetic problems affecting the penis mayrequire surgical attention. If you are worriedabout the appearance of your penis, feel freeto contact us for a confidential consultation.5do not hesitate to contact us. We haveextensive experience in penile implantsurgery with one of the highest treatmentnumbers in the UK.
Combining state of the art aesthetic surgery and urology, we offer the mostadvanced treatments in penile aesthetic and functional surgery applying up-to-datemedical research and technological developments in uro-genital surgery andandrological treatments.In addition to the individual medical excellence, you will benefit from the combinedexpertise of two consultants who will endeavor to provide you with the bestpossible treatment.Please feel free to arrange a private and entirely confidential consultation todiscuss your individual concerns.F FahmyConsultant Cosmetic & Plastic SurgeonMr F. Fahmy FRCSI(Plast) – Consultant Cosmetic & Plastic SurgeonMr C. Seipp MD PhD – Consultant Urological SurgeonSPIRE Yale HospitalWrexham Technology ParkCroesnewydd RoadWrexhamLL13 7YPTel: 01978 291306Nuffield Health Chester, The Grosvenor HospitalWrexham RoadChesterCH4 7QPTel: 01244 680444C SeippConsultant Urological Surgeon
Penile size and shape are often a very sensitive topic amongst men. Though the majority of men fall within the "normal" size range, concerns regarding penile size and girth can cause low self-esteem, sexual dysfunction, depression and psychiatric disorders. Penis enlargement has become the most sought after aesthetic medical treatment for men.
