Penis size has been a major source of anxiety throughout history. For a man, his penis can feel like the defining measure of his masculinity, and where he feels he doesn’t quite ‘measure up’ it can easily develop into an inferiority complex. The penis undoubtedly has a symbolism far greater than its function – timelessly associated, as it is, with strength, power and virility.
However, the perception a man has of its adequacy or otherwise is, of course subjective, and does not necessarily coincide with the true dimensions of the organ. From his years of experience within the field, Mr Marcellino knows that complex social and psychological interactions can affect the degree to which a person accepts his own body image. Thus, men with hypoplasia of the penis may declare themselves satisfied with its size, while others who are statistically ‘normal’ may request augmentation surgery.
In this latter case, what would medically be defined as ‘dysmorphophobia’ tends to be predominantly viewed as an aesthetic issue and, in such cases, penile surgery belongs to the field of cosmetic surgery. However, in the majority of cases, Mr Marcellino finds that the patient suffers from serious psychological issues with the size of his penis that severely affects his life. In such cases surgery is not being considered for cosmetic reasons, but to address a real physical problem, where the size and shape of the organ has not developed sufficiently through puberty. Such surgery, once complete, can often have the effect of significantly improving the patient’s state of mind.
Penis augmentation has become popular in recent years, with the number of men undergoing phalloplasty significantly increasing year on year. The important point to consider here is that, for men experiencing issues with their penis size, perception is reality. A large proportion who seek surgical solutions are not primarily doing so to improve sexual performance, but want to feel more confident in front of other men, and might be considered to be suffering from what is often referred to as ‘Locker Room Syndrome’.
Since he started performing this procedure Mr Marcellino has found that only around 50% of patients attending his consultations present with what would objectively be considered a small penis; 30% have penises within the normal range (but are considered too small by the patient themselves); 15% have penises larger than average; and 5% have what would medically be considered a micropenis .
This is why, with everyone he sees, a meticulous consultation is needed to establish and explore the patient’s reasons for seeking treatment. Psychological counsel is essential in each case, together with honest advice. Patients with a penis which is truly larger than normal are systematically rejected.
If you are considering penoplasty it is crucial that you choose the right person to perform it. Mr Marcellino is one of the leading surgeons working in the UK, having dedicated himself to the attainment of expertise within the field. He will talk openly about the process and the benefits it can bring, but also about its limitations, to avoid his patients harbouring unrealistic expectations about what it can achieve. Whether or not surgery is considered the right option, he has helped hundreds of men to develop a more positive relationship with their penis. The aim of this site is to provide a useful introduction to the subject for those considering treatment. For more in-depth information and a confidential discussion, please call the number provided on the contacts page to arrange a consultation.