Aesthetic Andrology

Traditionally aesthetic procedures and treatments have been very popular among women who wish to change or improve their appearance. The last couple of decades though there is an increased interest for this field from men who want to take advantage of the significant progress, aesthetic and cosmetic medicine had done and more recently there has been a trend for more and more individuals looking to improve the appearance of the male genital area. This has led to the appearance of a new informal sub-specialty called Aesthetic Andrology that employs various surgical and non-surgical techniques to enhance the appearance of male external genitalia.

This unfortunately came with a major problem as many untrained surgeons and medical providers tried to take advantage of this emerging field, leading to unfavorable results for the patients using inappropriate, experimental, or even dangerous techniques and materials and by misleading advertisement so as to what can be achieved. Thus, concerns were raised about the efficiency and safety of those procedures with numerous legal claims against clinics and surgeons from patients experiencing life changing complications in countries like the United Kingdom and the United States.

The reality though is different as aesthetic Andrological procedures performed from trained and skilled Urologists with extensive experience, based on the correct indications and following a detailed consultation regarding the expected outcomes and risks can really give to the patient the desired outcome. Therefore, we cannot emphasize enough,

  • The importance of proper guidance in choosing the right modality, which will meet the patient’s needs. 
  • The value of an honest and unbiased consultation from an experienced surgeon.
  • The significance of the surgeon’s surgical skills.

The main applications of Aesthetic Andrology is for:

  • Penile enlargement surgery
  • Scrotoplasty

Penile enlargement surgery

Penile enlargement surgery is a generic term describing all the different techniques used to increase the length or the girth of the penis.

Penis size has historically been a symbol of masculinity, fertility and superiority to other males as well as an indirect indicator of sexual performance. It is therefore not surprising that over the centuries various attempts have been made to increase its size. Examples are the hanging of heavy objects on the penis to lengthen it, as mentioned in some native African tribes, as well as the injection of various materials (paraffin oil, etc.) to increase the thickness. The most modern techniques date back to the 80’s when, in order to gain some extra length, various quite complex and usually not very successful operations were carried out. During the last twenty years, due to the growing interest in such operations, various approaches have been developed which, in experienced hands, can give the patient the desired result.

Techniques for penile enlargement are generally divided into:

  • Lengthening or girth enlargement 
  • Surgical or non-surgical

Those can be performed individually or combined when the patient wants to.

Scrotoplasty

Scrotoplasty is a generic term referring to procedures that are performed either to enlarge or reduce the size of the scrotum. Some indications for scrotoplasty include:

  • Buried penis.
  • Sagging or enlarged scrotum.
  • Webbed penis.
  • Trauma 
  • Infection

Apart from trauma and infection which are performed for functional reasons and are not considered to be cosmetic operations, all other indications fall into the Aesthetic Andrology field.

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