Approximately one-half of the penis is located inside the body. It is
attached to the pubic bone by what is known as the suspensory ligament.
Lengthening is achieved by a procedure that releases the suspensory ligament
where it's attached to the pubic bone, thereby allowing the penis to
be advanced toward the outside of the body. The procedure is performed
through a discreet horizontal incision located in the pubic region where
the pubic hair will help conceal the incision site. No incision is made
on the penis itself.
A patient can anticipate a typical gain of between 1 to 2 inches. The
amount one can expect to gain depends on several factors. First, length
gain is dependent on the size of the penis. A larger penis will typically
result in a bigger gain than a smaller penis since there is usually more
inside the body that can be advanced. Secondly, the body build of the
patient is important. If there is excessive fat located in the pubic region,
this can conceal part of the penis and thereby affect the length gain
that is achieved.
It is often helpful in these cases to also perform pubic liposuction
or a pubic lift to expose more of the penis. Also, a peno-scrotal web
(turkey-neck deformity) can decrease the 'usable' penis length. Correction
of the peno-scrotal web can usually be performed in conjunction with penis
lengthening. Lastly, the use of a penis stretching device following the
surgery is necessary to achieve the best possible results from penis