AESTHETIC Genital Surgery

Circumcision

​Circumcision is the surgical removal of the foreskin covering the head of the penis. Circumcision can be done for religious reasons,  family tradition, personal hygiene, or preventive health care.  Occasionally there is a medical need for circumcision, such as when the foreskin is too tight to be pulled back over the glans - a condition called phimosis. Circumcision has various health benefits, including:

• Easier hygiene
• Decreased risk of urinary tract infections
• Decreased risk of sexually transmitted diseases and infections, including HIV
• Prevention of penile problems such as inflammation, phimosis and balanitis
• Decreased risk of penile cancer. (Also, cervical cancer is less common in the female partners of circumcised men)​

Circumcision Revision
Occasionally a previously circumcised penis may require surgical revision. Frequent reasons for such intervention include: 

• Removal of too much skin during circumcision - rarely may result in a deformed  penis, requiring corrective surgery or additional reconstruction using skin grafts.
• Removal of too little skin during circumcision 
• Adhesions

Frenuloplasty 

An uncircumcised penis may  have a very tightly attached frenulum breve to the undersurface of the glans of the penis. This can can cause difficulty in movement of the skin of the penis, deformity of the penis,  as well as painful erections.  Frequently, the skin will tear next to the frenulum during erections and intercourse, and men will typically complain of penile discomfort and recurrent irritation during and after intercourse. This condition can be remedied by a very quick and effective procedure called frenuloplasty, during which the tight skin of the undersurface of the penis is removed and restriction is rapidly relieved.   The painful erection goes away after skin healing is complete, and sex becomes enjoyable once again.

Scrotoplasty

In some instances, the scrotum attaches too far down the shaft of the penis.  Men will commonly complain that this makes the penis appear short and can be bothersome during sexual activity.  The correction of such peno-scrotal webbing can be accomplished with a procedure called ventral scrotoplasty or ventral phalloplasty.   A diamond shaped wedge of scrotal skin is removed in this area to correct and eliminate peno-scrotal webbing. The end result is a longer visible penile shaft.

Meatoplasty

The meatus is the opening at the tip of the penis. If  this opening is too small or becomes small due to meatal/ urethral stricture, it can cause difficulties in passing urine.  A meatotomy (or meatoplasty) is the procedure performed to correct and enlarge this opening. Types of urethral meatus corrective surgery:

• Meatotomy - making the meatal opening larger by cutting into surrounding tissue and placement of dissolving sutures to keep the meatus open.  
• Meatoplasty - using reconstructive techniques to keep the meatus open:
  • meatoplasty using skin flap
  • meatoplasty with oral buccal mucosa graft
  • meatoplasty with skin graft