Semin Plast Surg 2011; 25(3): 189-195
DOI: 10.1055/s-0031-1281488
© Thieme Medical Publishers

Aesthetic Surgery of the Male Genitalia

Gary J. Alter1 , Christopher J. Salgado2 , Harvey Chim3
  • 1Division of Plastic Surgery at UCLA School of Medicine, Los Angeles, California
  • 2Miller School of Medicine, University of Miami, Miami, Florida
  • 3Department of Plastic Surgery, Case Western Reserve University, Cleveland, Ohio
Further Information

Publication History

Publication Date:
03 September 2011 (online)

ABSTRACT

Appearance of the male genitalia is linked with self-esteem and sexual identity. Aesthetic surgery of the male genitalia serves to correct perceived deficiencies as well as physical deformities, which may cause psychological distress. Attention to patient motivation for surgery and to surgical technique is key to achieving optimal results. In this review, the authors describe aesthetic surgical techniques for treatment of penile and scrotal deficiencies. They also discuss techniques for revision in patients with previous surgery.

REFERENCES

  • 1 Spyropoulos E, Galanakis I, Dellis A. Augmentation Phalloplasty Patient Selection and Satisfaction Inventory: a novel questionnaire to evaluate patients considered for augmentation phalloplasty surgery because of penile dysmorphophobia.  Urology. 2007;  70 (2) 221-226
  • 2 Schonfeld W A, Beebe G W. Normal growth and variation in the male genitalia from birth to maturity.  J Urol. 1942;  48 759-779
  • 3 Kamel I, Gadalla A, Ghanem H, Oraby M. Comparing penile measurements in normal and erectile dysfunction subjects.  J Sex Med. 2009;  6 (8) 2305-2310
  • 4 Alter G J. Augmentation phalloplasty.  Urol Clin North Am. 1995;  22 (4) 887-902
  • 5 Alter G J. Penile enlargement surgery.  Tech Urol. 1998;  4 (2) 70-76
  • 6 Shaeer O, Shaeer K, el-Sebaie A. Minimizing the losses in penile lengthening: “V-Y half-skin half-fat advancement flap” and “T-closure” combined with severing the suspensory ligament.  J Sex Med. 2006;  3 (1) 155-160
  • 7 Shirong L, Xuan Z, Zhengxiang W, Dongli F, Julong W, Dongyun Y. Modified penis lengthening surgery: review of 52 cases.  Plast Reconstr Surg. 2000;  105 (2) 596-599
  • 8 Gontero P, Di Marco M, Giubilei G et al.. A pilot phase-II prospective study to test the ‘efficacy’ and tolerability of a penile-extender device in the treatment of ‘short penis’.  BJU Int. 2009;  103 (6) 793-797
  • 9 Nikoobakht M, Shahnazari A, Rezaeidanesh M, Mehrsai A, Pourmand G. Effect of penile-extender device in increasing penile size in men with shortened penis: preliminary results.  J Sex Med. 2010;  January 19 [Epub ahead of print]
  • 10 Yacobi Y, Tsivian A, Grinberg R, Kessler O. Short-term results of incremental penile girth enhancement using liquid injectable silicone: words of praise for a change.  Asian J Androl. 2007;  9 (3) 408-413
  • 11 Kim J J, Kwak T I, Jeon B G, Cheon J, Moon D G. Human glans penis augmentation using injectable hyaluronic acid gel.  Int J Impot Res. 2003;  15 (6) 439-443
  • 12 Christensen L, Breiting V, Janssen M, Vuust J, Hogdall E. Adverse reactions to injectable soft tissue permanent fillers.  Aesthetic Plast Surg. 2005;  29 (1) 34-48
  • 13 Austoni E, Guarneri A, Cazzaniga A. A new technique for augmentation phalloplasty: albugineal surgery with bilateral saphenous grafts—three years of experience.  Eur Urol. 2002;  42 (3) 245-253 discussion 252-253
  • 14 Jin Z, Wu Y G, Yuan Y M et al.. Tissue engineering penoplasty with biodegradable scaffold Maxpol-T co-grafted autologous fibroblasts for small penis syndrome.  J Androl. 2010;  December 16 (Epub ahead of print)
  • 15 Perovic S V, Byun J S, Scheplev P, Djordjevic M L, Kim J H, Bubanj T. New perspectives of penile enhancement surgery: tissue engineering with biodegradable scaffolds.  Eur Urol. 2006;  49 (1) 139-147
  • 16 Alter G J. Reconstruction of deformities resulting from penile enlargement surgery.  J Urol. 1997;  158 (6) 2153-2157
  • 17 Adham M N, Teimourian B, Mosca P. Buried penis release in adults with suction lipectomy and abdominoplasty.  Plast Reconstr Surg. 2000;  106 (4) 840-844
  • 18 Alter G J. Surgical techniques: surgery to correct hidden penis.  J Sex Med. 2006;  3 (5) 939-942
  • 19 Alter G J, Ehrlich R M. A new technique for correction of the hidden penis in children and adults.  J Urol. 1999;  161 (2) 455-459
  • 20 Firlit C F, Hirhlji D, Palafiri A V. Penile concealment: a successful approach to correction.  Dialogues Ped Urol. 2006;  28 (2) 4-5
  • 21 Alter G J. Aesthetic genital surgery. In: Mathes S J, Hentz V R, eds. Plastic Surgery. 2nd ed. Vol. VI. Philadelphia: WB Saunders and Co; 2000: 389-410
  • 22 Walsh P C. Campbell's Urology. 8th ed. Philadelphia, PA: Saunders; 2002: 2339
  • 23 Alter G J. Correction of penoscrotal web.  J Sex Med. 2007;  4 (4 Pt 1) 844-847
  • 24 Chang S J, Liu S P, Hsieh J T. Correcting penoscrotal web with the V-Y advancement technique.  J Sex Med. 2008;  5 (1) 249-250

Gary J AlterM.D. 

416 North Bedford Drive, Suite 400

Beverly Hills, CA 90210

Email: altermd@earthlink.net

    >