Penoplasty (plastic surgery of the penis)

Penoplasty covers a range of plastic surgery procedures on the penis. The most common and best-established indication is buried penis: the penis is of normal size but is hidden by excess fat and skin over the pubic area, often in a person who is overweight or after weight loss. Treatment then consists of removing this fat and skin (pubic lipectomy) and reattaching the skin at the base of the penis. Other requests concern the length or girth of the penis. Dividing the ligament that holds the penis against the pubic bone can give a modest gain in apparent length, and fat transfer can slightly increase girth. These procedures have limited and variable results; they do not improve sexual function, and dividing the ligament can alter the angle or stability of the erection. They are not recommended by professional societies for men of normal size and remain exceptional. They are only offered after an honest assessment. Many men who seek advice have a penis of normal size. The consultation therefore begins with an examination, measurements and listening to the concern being expressed. When the worry seems out of proportion, a discussion with a psychologist or sex therapist may be offered before any decision. No implant is placed; time to think is always given. At Clinique Pasteur Tunis, these procedures are performed by a plastic surgeon or urologist, with respect for confidentiality, most often as a day case or with a short hospital stay.