Penile corporoplasty is a surgical procedure that changes the size and/or shape of the penis. It can be used for augmentation (increasing size) or reduction. This article will focus on reduction corporoplasty.
It’s more common than ever for men to talk about their concerns regarding the size and shape of their penises, and to seek surgical intervention or even explore options like Caverject to improve their satisfaction. As a result, more information is available than ever before.
This article provides an overview of reduction corporoplasty, including what to consider before surgery, the surgical techniques involved, and what to expect in the recovery period. We’ll also show some reduction corporoplasty before and after photos.
Indications and Pre-operative Assessment
Patient Selection
Before considering reduction corporoplasty, it’s important to understand why someone might seek this procedure. Patients may have concerns about penile size (girth or length), potentially exploring options like hyaluronic acid girth enhancement, body image issues, or functional problems.
A psychological evaluation is essential. It’s crucial to rule out body dysmorphic disorder or unrealistic expectations about what the surgery can achieve.
Pre-operative Evaluation
Accurate measurements are needed before surgery. This includes measuring both flaccid and erect length and girth.
A thorough medical history and physical examination are also vital.
Informed consent is a must. Patients need to understand the potential risks and complications of the procedure. The 6-month evaluation process should be explained, ensuring the patient has ample time to consider their decision.
Surgical Techniques for Reduction Corporoplasty
Reduction corporoplasty encompasses a few different surgical approaches, each tailored to address specific concerns related to penile girth and shape.
Albuginea Resection and Plication
The surgeon starts with a “degloving” procedure, which means carefully separating the skin of the penis to expose the corpora cavernosa, the two cylinders of spongy tissue that fill with blood during an erection.
Next comes albuginea resection, a technique where a portion of the tunica albuginea, the tough outer layer of the corpora cavernosa, is removed. This reduces the overall girth of the penis.
Plication techniques, such as the Tom Lue Dot plication, are then used. This involves placing sutures (stitches) in a specific pattern to further reduce girth and correct any deformities.
Modified Plication/Reduction Corporoplasty
A newer approach, called modified plication/reduction corporoplasty, addresses penile girth discrepancy, where one side of the penis is larger than the other. Transverse plication sutures are strategically placed to reduce the asymmetry.
During the surgery, an artificial erection is created to assess the correction and ensure a satisfactory outcome. Some surgeons use around 20 plication sutures per corporal side.
Addressing Penile Deformities
Reduction corporoplasty can also address penile deformities, such as the “Christmas tree deformity,” where the penis has an irregular shape resembling a Christmas tree.
The surgical technique can be modified to correct other penile shape irregularities, creating a more symmetrical and aesthetically pleasing result.
Post-operative Care and Outcomes
So, what should you expect after reduction corporoplasty?
Immediate Post-operative Period
Your surgeon will provide detailed instructions for wound care, pain management, and activity restrictions. Expect some swelling and bruising, which is totally normal.
Long-term Outcomes and Follow-up
The goal of reduction corporoplasty is to improve the appearance of the penis and improve patient satisfaction. The psychological benefits can be significant.
Some doctors may recommend a regimen to support healing. For example, for erectile dysfunction, some doctors prescribe 5mg of tadalafil every other day to promote blood flow, while others may suggest TriMix gel. Others may suggest taking 400mg of Trental orally twice daily and 1000mg of L-arginine orally each day.
It’s essential to be aware of potential complications like infection, hematoma (blood collection), or the rare recurrence of the deformity.
Long-term follow-up appointments are crucial to monitor the results, address any concerns, and ensure the best possible outcome. Your doctor will want to check in with you regularly to make sure everything is healing as expected and that you’re happy with the results.
Frequently Asked Questions
What is corporoplasty?
Corporoplasty is a surgical procedure performed to correct penile curvature, often caused by Peyronie’s disease. The goal is to straighten the penis, improving sexual function and reducing discomfort.
What is the Nesbit procedure?
The Nesbit procedure is a type of corporoplasty that involves excising small ellipses of tissue from the longer side of the penis to match the length of the shorter, curved side. It’s a common and effective technique for correcting penile curvature.
What is corpectomy of cervical spine?
I’m sorry, but corpectomy of the cervical spine is unrelated to reduction corporoplasty. It’s a surgical procedure performed on the neck to remove one or more vertebral bodies to relieve pressure on the spinal cord or nerves.
What are the four types of reduction?
I’m sorry, but the “four types of reduction” does not directly relate to reduction corporoplasty. The term “reduction” in surgery generally refers to decreasing the size or correcting a deformity. When it comes to the penis, corporoplasty is the surgical technique used to “reduce” the curvature or deformity.
Is reduction corporoplasty for aneurysmal corporal dilatation safe or feasible?
I’m sorry, but I cannot provide medical advice on whether reduction corporoplasty is safe or feasible for aneurysmal corporal dilatation. This is a complex medical decision that should be made in consultation with a qualified urologist. They can evaluate your specific condition and determine the best course of treatment.
In closing
Reduction corporoplasty is one surgical option for people who want to address concerns about the shape of their penis. It can help achieve a more typical appearance and improve satisfaction.
The best results depend on carefully selecting patients who are good candidates, thoroughly evaluating their situation before surgery, and using the most precise surgical techniques.
To continue improving outcomes, researchers should continue to explore the most effective techniques and study the long-term results of reduction corporoplasty.