The field of penoplasty comprises two separate procedures, one of which enlarges the length of the penis, lengthening of penis (extension penoplasty or phalloplasty), while the other, Enlargement, increases the girth or circumference of the penis.

Both of these procedures can be undertaken at the same time, and, in both cases, can either be performed under general anaesthetic or with local anaesthetic with sedation. The procedure takes between one to two hours to complete, depending upon whether one or both are performed. Extension Penoplasty (or phalloplasty).

This procedure works by releasing the suspensory ligament which connects the penis to the pubic bone. In some men this ligament is very developed and is constantly contracting the member, not allowing it to reach its full dimension.

This surgical technique enables the penis to become more visible, the severing of this ligament usually freeing up around 1 to 2 inches of the ‘inner’ penis. This is because in pre-operative men, only about half of the penis shows externally and the rest is hidden inside of the body.

The suspending ligament itself is something of an ‘evolutionary leftover’ and has no remaining function in a man’s body – the support and orientation of the male erection controlled entrely by hydraulic pressure.

It is not possible to predict the exact amount of gain in each case, as this depends on the anatomical makeup of your penis. The lengthening procedure is permanent and very difficult to reverse. It is very important for those considering this procedure to understand that it does not increase the length of penis in the erect state, only in the flaccid state. As such, any improvement will be aesthetic rather than functional.

There procedure will leave a small but permanent scar, shaped like an inverted ‘Y’, in the pubic area. The pubic hair will usually cover this where it is allowed to re-grow (you will be required to shave the pubic area in preparation for your surgery).

In most men there will be no change in the angle of erection. However, some patients (around 15%) may experience a slightly lower angle of erection.

Mr Marcellino will also advise on some complementary physiotherapy which will need to be performed after your procedure to ensure that the gains you make are maintained. The technique is extremely safe and straightforward, with the minimal possibility of complications which, where there they occur, are usually easy to resolve.