Genital Cosmetic & Reconstructive Plastic Surgery ( Male ) :-
Penile Surgery :-
Common penile surgeries
include correction of congenital deformities & acquired
deformity. Goal of surgery in any case of male or female sex organ
deformity is that—“his or her partner should not be able
to recognize that some surgery has been done over his or
her genitalia”. Deformities of genitalia makes its
patients have low self esteem and creates psychological
problem in later life.
So, best timing of surgery is before the age of one and
half years as memory starts establishing after that. If
complete correction has been done before that age patient
usually does not remember either the deformity or surgery.
Congenital deformities or penis :-Includes correction
of any congenital deformity with or without malformation of urethra like Hypospadias, epispadias, abnormal
curvature of penis or curved penis without any deformity of urethra
( Chordee without hypospadias), hidden or buried penis, bifid scrotum, scrotal web,
Congenital short or small penis etc.
Before After Picture : Curvature
Correction ( Straightening ) of Curve or Bent Penis
Penis Enlargement :- Small penis may be due to hormone
deficiency, Idiopathic , scrotal web , buried or hidden penis or due to underdeveloped corpora. Individual
cause is identified and penile enlargement is done accordingly .
Hypospadias Surgery : -
abnormal proximal opening of external urethral meatus of penis (opening for urine passage is on
under surface of penis, and not at tip of glans penis where it
should normally be) – urethra may open anywhere along
length of penis, slightly below its usual position at
glans penis to perineum. Depending upon location of
urethral opening it can be coronal hypospadias,
sub-coronal, anterior penile, mid to posterior penile,
peno-scrotal to perineal hypospadias. In severe cases, scrotum is bifid and
genitalia looks like female, so gender assignment becomes
difficult.
Hypospadias may or may not be associated with chordee
(abnormal curvature of penis). Other associated anomalies
with hypospadias are deformity of glans, underdeveloped
corpora and torsion, narrow meatus ( or meatal
stricture)
Urethroplasty : Surgical intervention ( Urethroplasty)
involves correction of abnormal curvature or penis, lengthening of penis and creation of absent
portion of urethra to bring it to the tip of glans penis
and glans-plasty to create normal appearing glans penis.
Surgery Should avoid any complex rotation of penile skin and goal
is to restore a normal average looking penis with evidence
of circumcision only.
Before and After picture of Hypospadias or abnormal
proximal urethral opening of penis. Subcoronal
Hypospadias - urethroplasty with glans plasty.
Before after picture Hypospadias
Surgery (Urethroplasty with glans plasty)
Peno-scrotal
Hypospadias Surgery Before After Picture :
Two Stage surgery - in first stage
curvature is corrected, penile lengthening done & tissue
is transferred to meet deficiency of urethral tissue on
ventral surface. In 2nd stage tabularization of urethra
is created from the tissue transferred in first stage
and glans-plasty done.
Before After Picture
Urethroplasty showing urine stream before and after
hypospadias correction surgery.
Circumcision :- for Long prepuce ( foreskin) or narrow prepuce
(constricted foreskin opening) which doesn't retract
back and so no exposure of glans. In such cases there is
chance of pain and tear during intercourse, paraphimosis
- leading to De-vascularization of distal penis. Cleaning
of smegma is not possible in such cases and smegma is
known factor for penis cancer. In phimosis (narrow
foreskin of penis) earliest circumcision is advisable. Constricted foreskin also
makes intercourse painful. We are doing cosmetic
circumcision preserving prepucial cover to provide best
look and function.
Phimosis Narrow Foreskin :
Inability to pull foreskin back and clean smegma (a
natural secretion irritant and known carcinogen)
Excoriation near urethral opening - Before & After
Circumcision.
Acquired Penile Deformities : - like post surgical,
post child birth or post traumatic. Needs reconstruction
as per requirement.
Penis (Phallus
) Reconstruction ( Phalloplasty) :- needed in cases
of traumatic loss of penis, rare congenital absence of
penis (Aphalia) , in cases of very small penis (
micro-penis or micro phallia), after surgical removal of
penis and in cases of sex change or gender or sex
reassignment surgery. we have various techniques for it
including hormonal stimulation of clitoris followed by
volume & legth augmentation as in cases of sex change or
gender reassignment surgery ( SRS) , or complete
reconstruction of penis using various flaps.
