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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.
Video_of_Penile_erection.ogv (Ogg multiplexed audio/video file, Theora/Vorbis, length 24 s, 320 × 240 pixels, 989 kbps overall, file size: 2.8 MB) This is a file from the Wikimedia Commons . Information from its description page there is shown below.
After maximum erection is obtained, the subject’s penis subsequently becomes flaccid again (3:55). Also visible in this demonstration are the tightening of the subject’s scrotum and the elevating of his testicles during arousal. This conscious process can be compared with the same subject's unconscious nocturnal erection process.
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.
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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.
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]