Elongation / Lengthening of the Penis

FACTS:

There are no medications that can increase the length of the adult penis. This is only possible at puberty and not afterwards.

The only way to obtain a long penis is by surgery.

 

How does surgery elongate the penis?

The penis is composed of two parts, on that is the penis you see and is called the pendulous penis, and another that is hidden in the pubic fat, attached to the bone of the pelvis by a ligament called "the suspensory ligament", and can be named the (reserve penis).

 

The reserve penis can be released from its attachment to the pelvis and from the surrounding fat and advanced to be seen and used, adding to the length of the pendulous penis.

This is performed by cutting the suspensory ligament and reducing the fat that surrounds the penis. Te fat is reduced by liposuction or by removing part of the pubic fat and skin if the fat is excessive and skin is redundant.

This surgery does not involve the corpora cavernosa and is therefore harmless as regards erection, if performed by expert hands.

Surgery can add a length of 2-8 to the penis, depending on the size of the reserve and the volume of fat. Those who benefit the most are men with excessive fat around the penis. Those who benefit least are those with no fat around the penis and with a small penile reserve (the part of the penis attached to the bony pelvis).

The drawback of cutting the suspensory ligament is that the angle of erection (position of the penis in relation to the abdomen) changes and the penis points slightly downwards instead of upwards (normally, the erect penis points forwards or upwards). Most men find this slight change in angle of erection of no importance.

The other drawback is that cutting the suspensory ligament creates a gap between the reserve penis and the pelvis. This gap may swallow the penis back at intercourse and the added length may disappear. Dr.Shaeer designed a surgical technique that fills this gap by vascular flaps that act as a cushion for the penis, preventing the reserve from falling back. This technique gives the best results in penile elongation. It has also been used in cases of accidents, amputations and injuries of the penis where the lost part of the penis can be substituted by the reserve using this technique:

Refining Penile Lengthening: “V-Y Half-Skin Half-Fat Advancement Flap” Combined With Severing The Suspensory Ligament
O.K.Z. Shaeer, K.Z. Shaeer and A. El Sebaie
J Sex Med 2006;3:155–160

Surgery usually requires 1-3 hours according to the extent of fat around the penis. The patient can resume his daily activities the same day and does not usually stay in the hospital except for 4 hours after surgery.