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http://story.news.yahoo.com/news?tmpl=story&cid=594&e=2&u=/nm/20041210/hl_nm/surgery_penis_dc
Surgery Can Enlarge Very Small Penises
Fri Dec 10,12:22 AM ET Health - Reuters
By Anthony J. Brown, MD
NEW YORK (Reuters Health) - Some men with abnormally small penises gave a portion of their left arm so that surgeons could create a more normal-sized organ.
The operation, known as total phallic reconstruction, dramatically improved their quality of life and, for some, allowed them to experience a full sex life for the first time.
The condition, known as micropenis, is defined as a penis no greater than 3 inches in length when fully erect. Micropenis can result from a variety of causes, including inadequate exposure to testosterone before birth and genetic factors, according to study findings presented Wednesday at the European Society for Sexual Medicine conference in London.
As the name implies, total phallic reconstruction is a comprehensive operation that addresses all aspects of penile function. The main tissue for the new penis is obtained from the forearm and incorporated into the patient's existing penis. Microsurgical techniques are used to connect blood vessels and nerves. Lastly, an inflatable penile prosthesis is placed to mimic normal erectile function.
In the present study, Dr. David Ralph and colleagues, from University College London, describe nine men, between 19 and 43 years of age, who underwent the procedure at their institution. The subjects included three hermaphrodites and two men with testosterone problems. The average penis length was just over 1 inch.
All of the men were satisfied with the cosmetic outcome of their operation, which aims for a new penis length of about 5 inches. In addition, the operation allowed four men to urinate in the standing position and allowed four to have regular sexual intercourse.
Despite these benefits, the procedure was not without its risks. Infectious complications, a shift in the prosthesis position, and the need for surgical revisions were all fairly common problems.
"None of the past treatments for micropenis have been very effective," Ralph told Reuters Health. "So it is not uncommon for these patients to undergo multiple operations."
Complications are common with total phallic reconstruction, "but at the end of the day, all of the patients achieved good results and were 100% satisfied with their outcomes," Ralph said.
Despite its potential for "changing the life of men with micropenis," Ralph noted that total phallic reconstruction "really hasn't caught on elsewhere." But, he is hopeful that the presentation at the current meeting might help change this.
Surgery Can Enlarge Very Small Penises
Fri Dec 10,12:22 AM ET Health - Reuters
By Anthony J. Brown, MD
NEW YORK (Reuters Health) - Some men with abnormally small penises gave a portion of their left arm so that surgeons could create a more normal-sized organ.
The operation, known as total phallic reconstruction, dramatically improved their quality of life and, for some, allowed them to experience a full sex life for the first time.
The condition, known as micropenis, is defined as a penis no greater than 3 inches in length when fully erect. Micropenis can result from a variety of causes, including inadequate exposure to testosterone before birth and genetic factors, according to study findings presented Wednesday at the European Society for Sexual Medicine conference in London.
As the name implies, total phallic reconstruction is a comprehensive operation that addresses all aspects of penile function. The main tissue for the new penis is obtained from the forearm and incorporated into the patient's existing penis. Microsurgical techniques are used to connect blood vessels and nerves. Lastly, an inflatable penile prosthesis is placed to mimic normal erectile function.
In the present study, Dr. David Ralph and colleagues, from University College London, describe nine men, between 19 and 43 years of age, who underwent the procedure at their institution. The subjects included three hermaphrodites and two men with testosterone problems. The average penis length was just over 1 inch.
All of the men were satisfied with the cosmetic outcome of their operation, which aims for a new penis length of about 5 inches. In addition, the operation allowed four men to urinate in the standing position and allowed four to have regular sexual intercourse.
Despite these benefits, the procedure was not without its risks. Infectious complications, a shift in the prosthesis position, and the need for surgical revisions were all fairly common problems.
"None of the past treatments for micropenis have been very effective," Ralph told Reuters Health. "So it is not uncommon for these patients to undergo multiple operations."
Complications are common with total phallic reconstruction, "but at the end of the day, all of the patients achieved good results and were 100% satisfied with their outcomes," Ralph said.
Despite its potential for "changing the life of men with micropenis," Ralph noted that total phallic reconstruction "really hasn't caught on elsewhere." But, he is hopeful that the presentation at the current meeting might help change this.
