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Augmentative Phalloplasty

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Abstract

Until 20 years ago, penis size (either nonerected or erected) was not mentioned, discussed, or defined even in serious books of human anatomy. The need of some men to enlarge and elongate their penile size is equivalent to the need of some women to ask for breast augmentation. The same method of transferring autologous fat into other parts of the body can be used in male patients for augmentative phalloplasty. The circumference of the penis increases 2 to 3 cm, and before of a heavier penis, the length increases 1 to 2 cm. If more lengthening is desired, subtotal dissection of the ligament fundiforme penis below the symphysis could be done, pull the corpus cavernosus out, and fix the tunica albuginea at the periost. At the root of the phallus, the skin can be elongated by V-Y-plasty, and the scrotal skin can be released by 1 or 2 Z-plasties. Combining both autologous fat transfer and ligament release allows for penis elongation of 3 to 5 cm. The authors have performed augentative phalloplasty on 88 patients since 1996. They have transplanted 40 to 68 ml of pure fat. Of the 88 patients, 57 underwent autologous fat transfer only, and 31 received additional ligament release. Penis length increased 1.5 to 4.8 cm (average, 2.42 cm), and circumference increased 1.4 to 4.0 cm (average, 2.65 cm). The initial penis lengths were 6.5 to 10.0 cm (average, 8.72 cm), and the circumference were 8.0 to 10.1 cm (average, 9.18 cm) not erected. This article details a simple operative procedure to enlarge the penis and simple postoperative bandages. Patients are advised to obstain from sexual activity for 5 weeks after the surgery. Two patients who disregarded this advice had an unsatisfactory result. In one patient too, much of the grafted fat had to be removed from the preputium. No other serious complications were observed.

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References

  1. Abecassis M, Penis augmentation and elongation. II International Symposium in Bonn on Aesthetic Plastic Surgery, Bonn, Germany, April, 25, 1998

  2. Coleman S: Long-term results using autologous fat: A new phylosophy. II International Symposium in Bonn on Aesthetic Plastic Surgery, Bonn, Germany, April, 25, 1998

  3. Coolsaet B: Der Pinsel der Liebe: Leben and Werk des Penis. Verlag Kiepenheuer & Witsch, Cologne, 1999

    Google Scholar 

  4. Daniélon A: Der phallus Diederichs Verlag: Munich, 1998

    Google Scholar 

  5. da Ros C, Telocen C, et al: Caucasian penis: What is normal size? Presented at American Urological Association 89th Annual Meeting, San Francisco, May 16, 1994

  6. El-Saweiji A: Penisvergrößerung In: Lemperl (eds) Ästhetische chirurgie. 9 Erg. Lfg 6/03, Ecomed Verlag, Landsberg, 2003

    Google Scholar 

  7. Heinen A: Anästhesie in der Ästhetischen Chirurgie. Nofretete Forum, Bonn, June 15, 2002

  8. Horton CE, Vorstman B, Teasley D, Winslow B: Hidden penis release: Adjunctive suprapubic lipectomy. Ann Plast Surg 19:131, 1987

    CAS  PubMed  Google Scholar 

  9. Mihailo Pantović during a personal interview, Belgrade, 1969

  10. Panfilov D: Asthetische Operationen beim Mann in der Privatklinik Nofretete, Bonn. Slide show, 4th Annual Congress of the VDÄPC, Seeon Monastery, Bavaria, 18.09.1999

  11. Panfilov D: Moderne Schönheitschirurgie Trias Verlag, Stuttgart, 2003

    Google Scholar 

  12. Panfilov D: Penis enlargement and elongation. PowerPoint presentation, 13th World Congress of IPRAS, Sydney, August 15, 2003

  13. SchonfeId WA, Beebe GW: Normal Growth and variation in the male genitalia from birth to maturity. J Urol 48:759, 1942

    Google Scholar 

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Authors and Affiliations

  1. Dimitrije E. Panfilov, Privatklinik Nofrete Koblenzer Strasse 63, 53173, Bonn, Germany

    Dimitrije E. Panfilov

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  1. Dimitrije E. Panfilov
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Correspondence to Dimitrije E. Panfilov.

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Panfilov, D.E. Augmentative Phalloplasty. Aesth Plast Surg 30, 183–197 (2006). https://doi.org/10.1007/s00266-004-0153-y

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  • DOI: https://doi.org/10.1007/s00266-004-0153-y

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