Indications for Surgery

At your consultation, Mr Marcellino will talk through whether he thinks surgery is the right option for you. Those presenting with the following problems are most commonly considered suitable for treatment.

Micropenis: A penis smaller than 5 cm in the flaccid state/10cm when erect. This condition is often treated with testosterone therapy in childhood. Where this has not been prescribed or proven successful, however, surgery may offer some improvement in adult patients.

Hidden or ‘buried’ penis: A hidden or ‘buried’ penis is one where it has become hidden from the human eye due to an excess of pubic fat. This condition is often linked to obesity. It is estimated, for example, that for each 10kg of weight a man gains he loses 1cm of the visible length of his penis. Surgery can often prove an effective treatment in these cases, in conjunction with lifestyle interventions such as increased exercise and improved diet.

Trauma: An accident or other trauma which has resulted in the partial loss of penis length can be successfully treated with penis lengthening surgery.

Psychological Small Penis or ‘Small Penis Syndrome’: ‘Small penis syndrome’ describes the male with an anxiety over the size of his penis. Some men believe that their penises are undersized, whether or not this is, in fact, statistically true. Such cases can often benefit from counselling but, where self-image is severely affected, surgery may be indicated to address their concerns, but only after counselling and serious thought.

Contraindications for Srugery

  • Those with weakness or atrophia of the suspensory ligament: in some patients it is possible that the suspensory ligament has a laxity or is ‘relaxed’ and, even if released, the operation may not be successful. Mr Marcellino will inform you after a clinical examination about the likelihood of this risk.
  • Those that smoke, have had serious illness, or more general health issues such as diabetes.
  • Those with congenital abnormalities such as hypospadias, epispadias and chordee.
  • Those with psychiatric disorders.
  • Those with unrealistic expectations about what surgery can achieve.

None of the techniques Mr Marcellino performs affect the natural mechanisms of the penis and are thus totally safe in respect of maintaining its erectile, ejaculatory, urinary, and reproductive functions.