Some patients complain that their penis size has reduced after Penile Prosthesis Surgery. This is not entirely untrue because if the cause of ED is Peyronie's Disease, neglected ischemic priapism, loss of cavernosal smooth muscle or previous radical prostatectomy this may have resulted in tunical scarring or fibrosis that severely limits the elasticity of the tunica albuginea. While not apparent in a flaccid penis, it becomes obvious after a Penile Prosthesis Implant (PPI) has been inserted and inflated.
Secondly, many patients who underwent PPI insertion may have a history of ED lasting many months or years. This could affect the accuracy of their recollection of what their penile sizes were prior to the onset of their condition.
Thirdly, an inflated PPI fills up only the corporal bodies of the penis and has no impact on glanular engorgement, which is a physiological phenomenon in normal erections. This lack of glanular swelling may contribute to the perception of decreased penile size.
Fourthly, men who require PPI are usually in the older age group. As a man ages or puts on weight, the fat in the prepubic region has a tendency to increase and engulf the penile shaft. This phenomenon of a partially “buried penis” may affect the patient’s perception of penile length after PPI.
Patients suffering from ED due to some underlying condition like Peyronie's Disease, neglected ischemic priapism, loss of cavernosal smooth muscle or previous radical prostatectomy will not experience shortening of penile length after PPI if Vaccuum Erection Device is used daily and regularly after Radical Prostatectomy. If VED pumps are used for 2-3 months before the PPI surgery then longer implants can be placed inside the corpus cavernosa.
Another important factor is the choice of the surgeon. Those surgeons who do more than 25-30 surgeries every year are less likely to use smaller implants than those surgeons who do this surgery rarely. Dr Raman Tanwar at GNH Hospital has done more than 600 such surgeries and there is hardly any case of Penile Shortening.
In patients with refractory ischemic priapism and corporal smooth muscle necrosis, where subsequent erectile dysfunction, corporal smooth muscle fibrosis and penile shortening are almost certain. In such cases the Penile Prosthesis should be done immediatly in order to avoid Penile shortening. However the infection rate goes higher when we do immediate Penile Implant surgery in such patients.
Patient’s perception of decreased penile size after PPI can negatively influence overall satisfaction and sexual quality of life measures. Strategies to preserve and potentially increase penile size are of great importance to all implanters.
Many people believe that they have a small penis due to the misconception about the average size of the penis. They believe that the average penis size is 6 inches while studies have revealed that the average penis size is 5.1 inches in length when fully erect. This mindset has been developed by the porn industry when they show massively endowed male actors performing sex.
A lot of patients think that penile implant surgery is the solution to small penis which is absolutely false. The penile implant surgery will not increase the length or girth of your penis as the implant is placed inside the cavernous and a bigger size implant cannot be placed. Penis is a muscle and grows by exercise and diet just like any other muscle in the body. A large number of patients think that their penis has shrunk due to excessive masturbation which is another fallacy propagated by the quacks who masquerade as sexologists. Masturbation neither shrinks your penis nor causes erectile dysfunction. Such patients need psychological evaluation and treatment.
The best way to increase the penis length is to do regular exercise, eat healthy food, destress your body, stay away from alocohol and smoking. The best exercise for increasing the length of the penis is to do abdominal crunches which makes the pelvic muscles stronger and pushes the penis out. More the fat in the pelvic region, shorter would be the appearance of penis.
Our hospitals are located in the northern part of the country specially in the NCR region within a distance of 20-50 kms from the New Delhi airport. Our hospitals are super specialty in the fields of Urology, Andrology, Neurosurgery, Cardiology, Joint Replacement, Cancer Care, Liver and Kidney Transplants and many other brances of medicine. All our hospitals offer quality treatment and are accreditated by NABH or JCI.
We have done more than 500 penile implant surgeries over the last 10 years on patients from more than 28 countries. The age range of the patients is 28 yrs - 84 yrs.
We have the latest MRI, CT Scan, Digital X-Ray, Bone Densitometry (DEXA), Mammography, Ultrasound, Colour Doppler which gives us the diagnostic confidence for providing the right treatment. Most patients coming to us for Penile Implant Surgery need to undergo Penile Doppler Study before we can finalize the surgery.
Modular fully equipped Operation Theatres with Computer Navigation and C-Arm backed by a state of art ICU helps us in providing world class treatment to our patients. Hepa Filters in the Operation Theatres make sure that we do infection free surgeries.
Our Team of Urologists and Andrologists provide the comprehensive range of treatment in the field of Erectile Dysfunction from medical management to surgical intervention. Dr Chandrakant Kar and Dr Deepanshu Gupta are two of the most experienced and prolific penile implant surgeons in the country having done more than 700 Penile Implant Surgeries between them. They also perform other ED surgeries like Venous Ligation. Our Medical Doctors would first evaluate the patient to see the extent of the disease and whether medical management is possible. Only when the medical management is not possible will we proceed for the surgery.
For USD 15000 you can get Penile Implant Surgery in India using 3 Piece AMS Implant. The Same surgery costs between 25-50 thousand US Dollars in other countries. Dr Raman Tanwar and Dr Deepanshu Gupta are two of the best surgeons for doing this surgery.
The 2 Piece Penile Prosthesis Surgery is most suited for the patients who have penis length upto 6 inches. Most of the asian patients come in this category. The cost of this surgery is USD 10000 with hospital stay of just one day and India stay of 5 days.
Malleable Penile Implant Surgery costs USD 3500 only. The only disadvantage of this kind of implant is that you would have an erection all the time which may be a little inconvient while going to work to doing some other activity. You can get all lengths in this implant.