The length of the penis may be genuinely short or appear to be short due to problems caused by a web of skin attaching the scrotum to the penis.
Genuine shortness of the shaft of the penis can be treated by release of the attachment of the penis to the pubic bone. This procedure does not make the actual penis longer but helps it to look longer by the release, helping the patient gain self-confidence and also improving penetration during sexual activity.
How can it help?
Where the problem is caused by the presence of a web of skin between the scrotum and the penis, the actual length of the penis can be revealed by the rearrangement of skin between the scrotum and the penis.
In the usual arrangement, the skin of the scrotum and the penis are very different, and have a sharp cut off from one to the other.
In the hidden penis, the skin of the penis starts at the lower most part of the scrotum instead of the usual start at the highest part of the scrotum.
This makes the penis appears shorter and also interferes with penetration during sexual intercourse.
Consultation
The first step is a consultation with Dr. Arianayagam. You should frankly discuss your goals and expectations at this consultation.
Dr. Arianayagam will ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments. He will carefully examine your genital area before discussing the options available and his recommendations.
Ideally, a second consultation is had a week or two later to give you the opportunity to come back with more questions and to confirm your decision.
Procedure
This problem of a hidden or "Crypto" penis is treated by the use of a 5 Flap Z Plasty procedure which helps to rearrange the skin of the penis, to permit a more normal start of the penile skin at the top end of the scrotum.
This exposes the full length of the penis and allows normal penetration.
The surgery is done under general anaesthesia and a two-week period of rest is required after the surgery.
All types of sexual activity has to be abstained from for six weeks.
There are few risks from the surgery as the penile skin is very vascular.
Some revision surgery may be required at about six months to improve the appearance of the penis.
Frequently Asked Questions
Any surgery will leave scars, but they are made as inconspicuous as possible, using fine stitches and positioning the incisions so the scars will be difficult to see once they fade.
Dr Arianayagem will provide you with information and advice on scar management and minimisation.
As with all surgical procedures, there will always be risks such as post-operative bleeding, allergic reactions, and haemotoma.