Our Summary

This research paper looks at various surgical procedures that aim to increase the size of a man’s penis. The study was motivated by an increase in such practices, which are often driven by a belief that a larger penis enhances a man’s virility and may improve a man’s self-perception. However, the authors argue that it’s important to consider each patient’s personal history, psychological state, and the potential benefits and risks of surgery before proceeding.

The researchers looked at studies published in English in the last 15 years, and they specifically excluded studies involving animals or case reports that did not include follow-up research. They focused on changes in penis size, both length and girth, as well as any surgical complications and the impact on the patient’s quality of life.

The study identified a range of procedures for increasing penis size, including lipoplasty, skin reconstruction, flap reconstruction, scrotoplasty, ventral phalloplasty, suspensory ligament release, penile disassembly, total phalloplasty, sliding elongation, and techniques using soft tissue fillers, grafting procedures, biodegradable scaffolds, and Penuma®.

In the end, the researchers conclude that while these surgeries may offer potential solutions for men concerned about their penis size, the potential risks and complexities of these procedures must be taken into account.

FAQs

  1. What were the primary motivations for this study on penis enlargement surgeries?
  2. What types of surgical procedures were identified in the study for increasing penis size?
  3. What were the factors considered by the researchers before recommending these surgeries?

Doctor’s Tip

A doctor might advise a patient considering z-plasty as a treatment option to carefully consider the potential risks and benefits of the procedure, including the impact on their quality of life and psychological well-being. It is important for the patient to have a thorough discussion with their healthcare provider to fully understand what to expect before proceeding with the surgery.

Suitable For

Patients who are typically recommended for z-plasty procedures are those who have scars that are causing functional or cosmetic issues. This may include patients with scars that are causing contractures, limiting range of motion, or causing discomfort. Z-plasty can also be used to improve the appearance of scars that are in highly visible areas, such as the face or hands. Additionally, patients with scars that are causing psychological distress or impacting their quality of life may also be recommended for z-plasty procedures.

Timeline

Before z-plasty:

  1. Patient consults with a plastic surgeon to discuss concerns about scar appearance, range of motion, or other issues with a scar.
  2. Surgeon examines the scar and evaluates the patient’s medical history to determine if z-plasty is the best option.
  3. Patient undergoes pre-operative testing and evaluation to ensure they are healthy enough for surgery.
  4. Surgical date is scheduled, and patient receives instructions on how to prepare for the procedure.

After z-plasty:

  1. Patient undergoes z-plasty surgery, where the surgeon makes incisions to rearrange the scar tissue in a Z-shaped pattern.
  2. Patient may experience some pain, swelling, and bruising in the days following surgery.
  3. Patient follows post-operative care instructions, including keeping the incision site clean and dry, taking prescribed medications, and attending follow-up appointments.
  4. Over time, the scar tissue heals and improves in appearance, with reduced tightness and improved range of motion.
  5. Patient may undergo scar massage therapy or other treatments to further improve the appearance of the scar.
  6. Patient experiences improved self-confidence and satisfaction with the results of the z-plasty procedure.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with z-plasty surgery for increasing penis size?
  2. How long is the recovery process after undergoing z-plasty surgery?
  3. What are the expected results in terms of increased penis size after z-plasty surgery?
  4. Are there any non-surgical alternatives for increasing penis size that I should consider before opting for z-plasty?
  5. How many z-plasty surgeries have you performed and what is your success rate with this procedure?
  6. Will I need to undergo additional surgeries or follow-up procedures after z-plasty surgery?
  7. How will z-plasty surgery affect my sexual function and sensation?
  8. What are the potential psychological impacts of undergoing z-plasty surgery for increasing penis size?
  9. Can you provide me with before and after photos of previous patients who have undergone z-plasty surgery for increasing penis size?
  10. Are there any lifestyle changes or precautions I should take before or after undergoing z-plasty surgery for increasing penis size?

Reference

Authors: Falagario UG, Piramide F, Pang KH, Durukan E, Tzelves L, Ricapito A, Baekelandt L, Checcucci E, Carrion DM, Bettocchi C, Esperto F. Journal: Medicina (Kaunas). 2024 May 2;60(5):758. doi: 10.3390/medicina60050758. PMID: 38792941