Cosmetic surgery is a growing trend in the United States and often is elected by a person who desires a more appealing appearance. For some men, however, the choice to undergo a cosmetic surgery – such as phalloplasty – may be a decision made for performance as much as appearance. If you are a man considering this type of penile enlargement surgery, it is important to understand how the surgery may improve performance in intimacy, or may diminish performance.
Just like the breast enlargement complications that women experience, men who undergo phalloplasty are at risk for less-than-ideal outcomes. While phalloplasty surgery is relatively safe, the degree to which enlargement and performance are enhanced may vary from one man to the next. It is important, therefore, that you have a realistic expectation about your surgery outcomes prior to undergoing surgery.
One of the greatest mistakes a man can make after undergoing phalloplasty, is to engage in sexual activity too soon, or too often, which can result in infection, malformation of scar tissue, and the onset of internal bleeding. When these complications arise after the phalloplasty procedure, the degree to which you can perform in the short term will be hampered.
In addition, should you develop complications after penile enlargement surgery, and scar tissue develops and is malformed, you may find that your sexual performance is hampered due to the scar tissue complications. Contractures in scar tissue can be painful and lead to a shortening of the phalloplasty procedure, often minimizing enlargement efforts. It is important, therefore, that your doctor provide guidance in your sexual activity after surgery and that you follow the phalloplasty post-operative guidelines closely.
As with any type of cosmetic surgery, it is not uncommon to develop psychological and emotional effects. If you feel that your mental health is adversely affected by your phalloplasty procedure, then performance may, again, be hampered and further psychological testing and treatment may be warranted. Ultimately, phalloplasty is limited in the degree to which it can improve sexual performance and that performance will vary from one man to the next.
Sources: Principles of Transgender Medicine and Surgery, by Randi Ettner