Friday, 20 March 2015

What is Glans Enlargement Phalloplasty?

A typical glans of a healthy individual
Glans of healthy male individual
Glans penis (head) enhancement is one of the many enlargement options you can receive during a phalloplasty surgery for penis enlargement purposes. Although glans enhancement surgery can be done by itself it is usually a part of a bigger "package" that involves other surgical techniques like penile lengthening, thickening, scrotoplasty etc.

In recent years, the procedure is becoming more and more popular as it can help to maintain symmetry following girth-increase surgery. Today there are many glanular enlargement techniques that have been developed and successfully tried on hundred of patients.

The technique that appears to offer the best and safest results involves the use of injectable hyaluronic acid (HA) gel directly into the glans. The technique first appeared in 2003, in a paper published in the International Journal of Impotence [1]. After testing the method on 100 adult males, Dr Kim and his team from Korea reported the following:

"The maximal glandular circumference was significantly increased compared to basal circumference of 9.130.64 cm in Group I (P<0.01) and 9.491.05 cm in Group II (P<0.01) at 1 y after injection."
"There were no signs of inflammation and no serious adverse reactions in all cases. These results suggest that injectable hyaluronic acid gel is a safe and effective material for augmentation of glans penis."

In 2008, a 5 year follow-up study from the same Korean team confirmed the safety and efficacy of the procedure:

"Hence, 76% of patients and 63% of partners were still satisfied. There was no serious adverse reaction. In the 5-year long-term follow-up of glans penis augmentation by filler, the implants were well maintained and effective for glans penis hypersensitivity in premature ejaculation patients."

The Procedure
The procedure takes about 1 hour and as aforementioned is typically performed in conjunction with penile lengthening and/or widening. The hyaluronic acid injection (usually 2 to 3 ml) is done using a small 30 gauge needle.

A typical needle is all that is required to perform glans enlargement surgery
A typical needle is used for glans enlargement


As you can see in the papers down below, the typical gains you can expect after glans enlargement with hyaloronic acid is about 10-20% in circumference. The results are not permanent, lasting anywhere from 2 to 5 years.

Glans Enlargement Costs
Expect to pay anywhere from 2.000 to 3.000 $ AUD. There are very few doctors in Australia performing this operation so make sure to chose one with plenty of experience.

After Surgery
Patients are asked to abstain from bathing, swimming and saunas for two months post op. Sexual activities may start after 2 to 4 weeks, depending on the case.

Expectations
Gains from glans enhancement that involve HA injections typically last 1-2 years.

Risks, Adverse Effects
Some common undesirable side include:
  • Hardness
  • Pain 
  • Minimal results after the second year

Dangerous side effects are exceptionally rare


Other Options?
Glans enlargement can also be achieved by sub-glandular implantation of acellular dermal matrix of allogenic origin (MegaDerm). This option is also effective and relatively risk free. However some doctors have reported glans necrosis.


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References
- Kim JJ, Kwak TI, Jeon BG, Cheon J, & Moon DG. (2003) Human glans penis augmentation using injectable hyaluronic acid gel. International journal of impotence research, 16(6), 547-51. 
- Kwak TI, Jin MH, Kim JJ, & Moon DG. (2008) Long-term effects of glans penis augmentation using injectable hyaluronic acid gel for premature ejaculation. International journal of impotence research, 20(4), 425-8. 

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