Dr Jean-Marc Bianchini
Cavernoplasty with implant
Place of cavernoplasty in the therapeutic arsenal of enlargement penoplasties.
Cavernoplasty with implant
Patients who inquire about an enlargement penoplasty wish, in many cases, to correct a situation in which they believe that their penis is not large enough at rest. Thus, they get a feeling of frustration when they are in a gym or naked in the shower.In this situation, the Specialist will offer them a procedure that increases the girth of the penis at rest. It will be performed either in the office by injecting Hyaluronic Acid into the sheath of the penis or during an operating procedure by performing liposuction of autologous fat from the inner thighs or the suprapubic region which is purified and reinjected in the sheath of the penis (lipofilling of autologous fat or fat-grafting). These techniques are attractive and make it possible to fully meet this demand.
Nevertheless, two disadvantages or even three criticisms that can be made about these treatments, which will spoil the feeling.First of all, the injected products will resorb over time. As far as Hyaluronic Acid is concerned, it is the totality of what is injected which is gradually absorbed in 18 to 24 months. As far as autologous fat is concerned, 30 to 50% of the product is absorbed in the first three months, then the gain is fairly stable over time.Another criticism that can be made of these techniques: the consistency of the increased penis is comparable to "meat" and is reminiscent of a soft erection. It is not comparable to that of the erect penis. Indeed, the tension of the erect penis is the result of the accumulation of blood in the corpora cavernosa. By injecting a substance into the subcutaneous tissue of the penis, there is no action on the cavernous bodies which are deeper. Thus, patients who benefit from these enlargement penoplasties by injection of Hyaluronic Acid or by lipofilling have a penis essentially increased in size at rest, slightly increased in size in erection but in this case is a little soft; it has lost its initial hardness because it is coated with a renitent tissue.
The last criticism that can be made of these techniques is that they induce an incongruity between the penis and the glans. The glans is found to be undersized and in some cases, the result is not very nice.There are therefore patients who are looking for a definitive solution, to increase the girth of the penis not only at rest but also and especially in erection, with conservation of the initial tension of the erect penis. They will be disappointed by the injections of HA or the lipofilling which will be offered to them systematically first. Because the procedure is simple and also because very few Specialists practice anything else.Once the disappointment has passed, patients start looking for a solution again, and this is when cavernoplasty can and should be offered to them.
CAVERNOPLASTY WITH IMPLANTDescription of the operative technique
This is a surgical procedure that will be performed under general anesthesia during a short hospitalization on an outpatient basis. It lasts about a little over an hour. The patient can therefore go home the same evening.A manual shave with a depilatory cream as well as a betadine shower must be carried out at home before hospitalization.Rather than going into technical details, I suggest you watch this operating video, produced by the Nancy Urological Surgery team.Sensitive souls can refrain from it.
Performing a circumcision is an essential prerequisite of which patients must be informed.The incision is made at the base of the glans and the penis is thus fully exposed at the level of the corpora cavernosa.The tissues are incised longitudinally, over the entire length of the corpora cavernosa, in order to place a GORE TEX® implant there.It is an inert biomaterial that lends itself perfectly to cavernous plasties because it is flexible, extensible and perfectly waterproof.The size of the implants directly depends on the enlargement that the patient wants. If we have agreed on an enlargement of 3 cm compared to the initial circumference in erection, then we will have, on the right and on the left, implants of 1.5 cm.We can reasonably go up to 4 cm of enlargement compared to the initial circumference of the erect penis. This represents a 30% increase which is very visible.The scars are closed with absorbable thread and sexual intercourse is not recommended for two or even three weeks.It is necessary to perform stretching exercises on the penis during this postoperative period in order to avoid the occurrence of inflammatory retraction phenomena around the implants.Finally, the sensitivity of the penis and the glans are preserved.Visit penoplasty.chVisit Estheticon
CAVERNOPLASTY WITH IMPLANTPost-operative adverse events
These are first, those inherent in any act under general anesthesia, so a careful clinical examination then a preoperative anesthesia consultation must be carried out in the month preceding the performance of the procedure, which is in no way a procedure performed in emergency.Then come the complications related to making incisions on the tissues with possible bruises, hematomas and infections of the surgical site. These complications disappear with local care, antibiotics and patience.Post-operative pain is very mild and relieved by the usual analgesics.Two complications must be isolated in this list.First, erectile dysfunction. This is extremely rare and most often the result of psychogenic erectile dysfunction reactive to the local trauma experienced by the patient. The prescription of a Viagra-type stimulant is sufficient.Finally, the occurrence of a narrowing of the penis is usual. Between 3 mm and 1 cm in relation to the enlargement requested. The larger the enlargement, the greater the shrinkage, but within these limits. The patient must be informed of this in order to find solutions so that this inconvenience is not a badly experienced surprise.
Conclusions
CAVERNOPLASTY WITH IMPLANT is an EFFECTIVE AND DURABLE therapeutic solution which allows an enlargement of the penis IN ERECTION.It is intended for patients who are motivated or who have already performed an enlargement penoplasty using Hyaluronic Acid or lipofilling of autologous fat and who believe that the enlargement obtained is insufficient in erection but also at rest.This treatment is neither aesthetic medicine nor aesthetic surgery. It is performed ONLY by Urologist Surgeons, which explains why it is still not widely offered.The effectiveness and durability of this technique associated with the disappointment of a growing population of patients who have experienced so-called "medical" techniques will mean that it will take an increasingly important place in the therapeutic arsenal of enlargement penoplasties.
Urologist Surgeon
Dr Jean-Marc Bianchini
Welcomes you at the ANDROLOGICAL INSTITUTE GENEVA.
Urologist Surgeon also Medical and Surgical Andrologist, Graduated from the Medical University of PARIS – FRANCE.His large experience in Urological Surgery allows him to secure for you, all andrological procedures of medical and surgical penoplasty !
CONTACT
E-mail : [email protected]Opening hours : 8h - 20h, 7 j / 73 adresses :Institut MédicoChirurgical de Champel
1-2 rue Firmin Massot
1206 Genève
https://medecin-champel.chClinique Vert-Pré
Chemin de la Colombe 15
1231 Conches – Genève
http://www.vertpre.com/Centre MédicoChirurgical Rive gauche
Place Camoletti
1207 Genève