A penile surgery can modify the functionality and/or appearance of the penis, potentially contributing to greater patient satisfaction. This is the case with surgeries such as phalloplasty, bioplasty, penile implant, and penile reconstruction. Learn more!
Penile surgeries have existed in rudimentary form since antiquity. Modern medicine has refined these practices, transforming penile surgery into treatments for both functional and aesthetic conditions.
With the surgical treatments available today, surgeries may be recommended to treat injuries and deformities that affect sexual life, and also provide men with more self-confidence.
As with any surgical procedure, it is important to have a good indication, rely on qualified professionals, and know what to expect before undergoing such a change.
Discover the 04 main penile surgeries.
01. Phalloplasty
Phalloplasty, also known as penoplasty or peneplasty, is a penile surgery aimed at increasing the size of the member, both in length and diameter. It also restores sensitivity and urinary function.
To achieve this, tissues from other parts of the body are removed and shaped into the penis to create a member that looks and functions as naturally as possible. In some cases, it is necessary to reconstruct nerves and shape the urethra.
Phalloplasty is a complex solution that requires a detailed medical evaluation, as it is only recommended for certain patient profiles, such as:
- Men with severe erectile dysfunction;
- Men who lost their penis due to severe accidents or amputations;
- Men with medical conditions such as micropenis or bladder exstrophy;
- Transgender men undergoing gender affirmation.
While it is an increasingly safe surgery, there are still some surgical risks and complications, such as potential loss of sensation in the member.
2. Penile Bioplasty
Penile bioplasty aims to increase the width of the penis, which may have a positive impact on male self-esteem and sexual satisfaction.
It is not considered a penile surgery but rather an aesthetic procedure, as it involves the application of substances into the subcutaneous tissue of the penis. Bioplasty cannot treat clinical conditions.
Two substances can be used for penile bioplasty:
- Polymethylmethacrylate (PMMA): a synthetic material with permanent effects;
- Hyaluronic acid: a natural substance with temporary effects, requiring reapplication to maintain results.
In both cases, the substance forms a layer that increases the penis volume. Right after the application, the professional shapes the penis to produce a homogeneous and harmonious appearance.
Although it is less invasive than surgery, the procedure also carries risks, especially in the case of PMMA, which may be rejected by the body.
Are Penile Enlargement Surgeries Safe?
There is no penile enlargement surgery intended solely for aesthetic purposes. In these cases, the procedure is not considered safe.
However, penile surgery that aims to treat clinical conditions such as erectile dysfunction or micropenis, or to help men who have undergone amputations or are in the process of gender affirmation, is safe and is called phalloplasty.
Purely aesthetic non-surgical procedures, such as penile bioplasty, remain controversial. The Brazilian Society of Urology (SBU) considers it an experimental treatment, although the substances have been used safely in other parts of the body for decades.
3. Peyronie’s Disease Surgery
Surgery for Peyronie’s Disease allows for the treatment of curvatures, thinning, and reduction in penis size due to the development of internal fibrous tissue. It can also treat erectile dysfunction (when combined with a penile implant), another consequence of fibrosis.
The surgery can be performed using the Egydio Technique, which provides greater precision for tissue reconstruction. The method involves making geometrically calculated micro-cuts for maximum tissue expansion, without the need for a graft.
After recovery, the surgery aims to reconstruct the penis. This means the member will be more aligned, with its size and thickness restored to the extent allowed by the nerves.
With this, the man will have a more functional penis for penetration, which may help reduce the emotional distress caused by penile deformities.
Are There Other Treatments for Penile Curvature Correction?
Penile curvature, if not severe, does not require surgery and can be treated in other ways.
In some cases, a combination of medications like Vitamin E and Colchicine can help stabilize the initial stage of Peyronie’s Disease.
If there are no sexual function issues, penile curvature can be monitored by a urologist.
4. Penile Prosthesis Implant Surgery
The penile implant surgery aims to restore penile rigidity, enabling the man to achieve an erection suitable for sexual intercourse.
It is recommended in cases of severe erectile dysfunction, which may be a consequence of Peyronie’s Disease. During the procedure, the implant is inserted into the penis after the surgeon aligns, lengthens, and thickens the penis through penile reconstruction.
It is important to emphasize that, although penile aesthetics may improve, the primary focus of the surgery is to restore penetrative function.
The choice of prosthesis type is based on the patient’s needs, as each has its own characteristics.
Alternative Treatments for Erectile Dysfunction
When erectile dysfunction is not severe, it can be treated clinically. There are oral and injectable medications that can help restore penile rigidity, allowing the man to achieve a firm erection suitable for penetration.
Always Seek Medical Assistance!
Before undergoing any penile surgery or aesthetic procedure, careful medical evaluation is crucial, both for determining the indication and for post-surgical care.
This topic is subject to misinformation and confusion, as it directly impacts men’s sexual health and self-esteem. To avoid doubts, consult Dr. Paulo Egydio and understand which penile surgery is most appropriate for your case.
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