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Penis reduction or penis reduction surgery refers to efforts or an assortment of techniques intended to decrease the girth or length of the human penis, especially when erect. The motive behind such a procedure can range from complications such as macropenis , [ 1 ] [ 2 ] genital lymphedema , [ 3 ] or sex reassignment . [ 4 ]
In sex reassignment surgeries, a new penis is formed with the use of a penile implant surrounded with a tissue flap. [11] The pump unit of inflatable penile implants resembles a human testicle and can serve as an artificial testicle for concomitant scrotoplasty. [12] Initially, standard penile implants were used in phalloplasty procedures.
In a 2006 study, Zermann et al. found that 90.3% of the men who received a penile implant for urinary management reported that their urinary related problems were resolved after surgery. [3] Kimoto et al. found in 1994 that 93% of the men who had received penile implants for urinary management (a total of 51 men) reported that they were ...
[68] [69] The first successful penis allotransplant surgery was done in September 2005 in a military hospital in Guangzhou, China. [70] A man at 44 sustained an injury after an accident and his penis was severed; urination became difficult as his urethra was partly blocked. A recently brain-dead man, aged 23, was selected for the transplant.
A penile implant is an implanted device intended for the treatment of erectile dysfunction, Peyronie's disease, ischemic priapism, deformity and any traumatic injury of the penis, and for phalloplasty or metoidioplasty, including in gender-affirming surgery. Men also opt for penile implants for aesthetic purposes.
Both the penis and testicles may be removed simultaneously using a sharp instrument, such as a knife or razor or swords. [2] [3] Non-crushing vascular clamps may also be used in medical surgery to cut off blood circulation and reduce bleeding. [4] Alternatively, the penis and testicles may be removed during a series of stages.
Before (above) and after (below) frenuloplasty. Frenulum breve, short frenulum, or the Josh Kelleher phenomenon is a condition in which the frenulum of the penis, which is an elastic band of tissue under the glans penis that connects to the foreskin and helps contract it over the glans, is too short and thus restricts the movement of the foreskin.
An erectile inflatable device was then implanted during a tertiary surgery at least 12 months from the initial scrotoplasty. [18] Later on, this technique was modified in which 1 silicone prosthetic testicle and an erectile inflatable device were implanted during the same surgery between 6–12 months after the initial scrotoplasty. [18]