OPERATIVE COURSE
May 20, 2007
Location and Time: Surgery is done at a fully
accredited surgery center. The outpatient procedure usually takes
about 75 minutes and you generally leave the surgery facility
within two hours after the operation is completed. You will usually
return to your motel by noon. You will remain at your motel overnight.
You will spend Thursday afternoon and evening lying on the couch
in your motel with your legs up on one arm of the couch and two
ice bags on your penis. Your surgeon will see you Friday morning,
possibly change your dressing, make sure you know how to take
care of yourself when you go home, and you can leave for home.
Free transportation to and from the airport is provided. You
are back at work Monday morning.
Anesthesia: According to your preference and
the circumstances of each case, a registered certified anesthetist
provides anesthesia. Most patients prefer to go to sleep during
the procedure. When you awaken your penis will be about 1 ½ inches
longer and about 50% fatter, assuming adequate donor fat. On
a discomfort scale of 1-10 you will probably rate this procedure
a 2-3. About half the patients don’t even take one aspirin.
The Incision: On the lowest part of the
abdominal wall beneath your pubic hair (there is no incision
on the penis) a 1½ inch, transverse, side-to-side incision
is made within an existing skin crease. There are no visible
stitches, no stitches to be removed, no stitch marks. When, in
five weeks, your pubic hair grows back the scar is invisible.
Even if you shave your pubic hair, your scar is likely invisible
because it is carefully placed within an existing skin crease.
The Lengthening Procedure: Your penis is considerably
longer than it appears. About 40% of its length is concealed behind the skin
where it cannot be seen. It is firmly anchored or tethered to the pelvic bones.
It is attached to the underside of the pubic bone by, among others, two thin,
disposable, dispensable ligaments--the fundiform and the suspensory ligaments.
When these two ligaments are divided with a laser the only result is that the
penis will extend forward about 1½ inches. Using the laser hastens healing.
The actual true length of the penis is unchanged, but the part of the penis
in front of the skin-- the part you can see and use--increases about 1½ inches.
This does not change the angle of the erection. This does not affect the stability
of the penis. It is not known why these ligaments are even there, just as it
is not known why the appendix is there. Those unfamiliar with the procedure
have said that instability of the penis and change in the erection angle will
result when these ligaments are cut. This is entirely untrue.
Before and After photos.
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