Modern Phalloplasty: Procedures, and Results.

Most men are familiar with the concept of making their penis bigger. Usually, it�s through an unwanted email with outrageous claims such as add 3-5 inches in WEEKS!. There has been a literal explosion in the exposure to penis related advertising in the print, audio, and visual media within the last few years. T.V. commercials featuring Bob, countless pills, products, etc. Even subtle, and not so subtle size matters type advertising not even related to the penis is out there, and messes with the minds of every man exposed to it, and makes him think of his penis in one way or another. The purpose of this blog entry is not to tackle the �does size matter, or not� argument, rather to enlighten men about the advances made in the last several years in the area of Phalloplasty.

Many of us have heard the horror stories, and/or seen images of botched operations. A man goes in to have his most prized possession enlarged, only to come out smaller, or horribly disfigured. Fortunately, this is NOT the norm contrary to what the media may want you to believe. There are still a few quacks out there who for whatever the reasons are still practicing, and disfiguring men. There are also, and in greater number doctors practicing in this specialized field who know what they are doing, and care about the end result, and making their patients happy.

THIS is the focus of this blog entry. To share modern procedures that are available, and to describe them in detail. Phalloplasty is an elective procedure. Meaning, its not necessary to perform, but can be performed. It is in the category of plastic surgery, and thanks to financing options now available through companies such as Capital One (Capital One Health Care Financing) can be very affordable, and is no longer out of reach for most men with decent or better credit. Payments can be as low as $116 a month!

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First, we�ll start with the most practiced procedures:

• Penis Widening:

Penis Widening is making the penis thicker, or more girthy. There are two procedures for doing this.

1) Allograft Dermal Matrix Grafting (using Alloderm �)

2) Autologolous Dermal Grafting

Alloderm (Borrowed from Lifecell.com):

Core technology: AlloDerm is an acellular dermal matrix derived from donated human skin tissue supplied by US AATB-compliant tissue banks utilizing the standards of the American Association of Tissue Banks (AATB) and Food and Drug Administration's (FDA) requirements. Since AlloDerm is regarded as minimally processed and not significantly changed in structure from the natural material, the FDA has classified it as banked human tissue.

In other words, donated tissue that has been sterilized, and stripped of identifying cellular compounds which would make your body reject it. What�s left is basically an empty matrix of tissue ready for implantation, or grafting. In a matter of weeks your body begins to make it your own tissue. With Alloderm widening, typical first procedure result is an increase from ?� up to 1�. That may not sound like much, but I encourage you to make a paper cylinder measuring 5� in girth, and then one measuring 6� in girth. Compare the two visually, and based on how they feel in the hand. Big difference!

The doctor makes a curvilinear incision in the infra-pubic region at the base of the penis that approximately 2 inches in length and a second incision usually made approximately 5 mm proximal to the glans (the head) of the penis. This incision in necessary in order to insert the AlloDerm/Dermal grafting below the skin inside the front part of the penis for the girth enhancement procedure. Extreme precaution is taken to avoid major blood vessels and nerves. (From Mynewsize.com)

Typical cost for Allograft Dermal Matrix Grafting: $13,000

Autologolous Dermal Grafting: This option uses the patients� own dermal tissue for the procedure. Performed the same as with Alloderm. Typical first procedure result is an increase from 1� up to 2�. Why the big difference? Alloderm comes in sheets, and requires more material to achieve a similar result to Dermal Grafting. Also, Alloderm costs more due to its processed, and patented nature.

Typical cost for Autologolous Dermal Grafting $12,000

• Penis Lengthening:

Penis Lengthening is making the penis longer. The penis is held in place partially by the suspensory ligament. This ligament connects the upper base of the penis to the pubic bone. An incision is made in the skin of the pubic area above the base of the penis, and the ligament is severed, and the penis is allowed to advance forward of the body. Contrary to popular misconception, the penis does not flop downward, or around uncontrollably when erect post operation. Erection angle usually lowers, but not dramatically. 10-15% lower erection angle is typical. Typical result is an increase in length from 1� to 2� post operation with potential for more if proper post operation physiotherapy is followed. This includes the use of a vacuum weight hanger typically. Typical cost for lengthening $7,000

• Glanular Enhancement:

Glanular Enhancement is making the glans (head) of the penis larger. This is done by inserting either Alloderm, or a Dermal Graft under the �ridge� area of the glans. Patients can expect up to a 30% increase in glans size from this procedure. With Alloderm the cost is typically $7,000. With Dermal Graft $6,000. Again the price difference is due to the higher cost of Alloderm.

• Reconstruction Of Other Phalloplasty Surgeries:

As mentioned earlier, there are unfortunately some doctors practicing who should not be. Once in a while they botch a procedure, and corrective surgery is required. The smart men find another surgeon. The corrective surgery can sometimes only require repair, but most of the time complete reconstruction is required. With a widening procedure that needs correction, the tissue which was implanted is removed, and replaced. With lengthening surgery that needs correction, the suspensory ligament was usually not cut enough, and is severed more completely. Any other corrective procedure that needs to be done is assessed, and the patient is informed of what needs to be done. Cost depends on procedures required. Unfortunately, it may mean starting completely from ground zero.

I hope this blog entry has been informative, and enlightening. Maybe some misconceptions you may have had have now been resolved.

For more information about Phalloplasty, and a complementary consultation:

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