Cosmetic Urology
Cosmetic urology is a subspecialty of urology that focuses on improving a man’s aesthetic appearance. This treatment combines urology and plastic surgery to improve the appearance and functionality of male genitalia.
Aesthetic (cosmetic) urology procedures can boost your self-esteem and sexual health. Addressing unwanted skin or atypically formed genitalia can help you feel more at ease in your own skin and build self-esteem, which is essential for sexual performance. For most men, correcting these issues requires minor surgery, which is usually not covered by insurance.
The field of cosmetic urology has grown significantly over the last two decades. Cutting-edge tools and surgical techniques make treating common issues like erectile dysfunction, Peyronie’s disease, and perceived penile inadequacy not only possible, but also simple.
If you are preparing for an aesthetic urology surgery, here are some general guidelines that you should follow:
- Consult with your surgeon: It is important to consult with your surgeon before the surgery to discuss the procedure, any risks involved, and any concerns you may have.
- Stop smoking: Smoking can interfere with the healing process and increase the risk of complications. You should stop smoking at least two weeks before the surgery.
- Avoid blood thinners: Blood thinning medications such as aspirin, ibuprofen, and warfarin should be avoided for at least two weeks before the surgery. This can help reduce the risk of bleeding during and after the surgery.
- Follow pre-surgery instructions: Your surgeon will provide you with specific instructions to follow before the surgery. This may include fasting for a certain period of time before the surgery, showering with a special soap, and avoiding certain foods and drinks.
- Remember to always follow your surgeon’s instructions to ensure a successful surgery and smooth recovery.
Cosmetic Urology Procedures
Cosmetic urology can help any man who is unhappy with the appearance of his penis or who is suffering from sexual health issues such as erectile dysfunction or Peyronie’s disease.
Your medical history, physical health, and treatment goals will all influence the type of treatment you receive.
Foreskin plasty
A physician removes a narrowing of the foreskin during a foreskin plasty, also known as phimosis surgery. Phimosis prevents the foreskin from sliding off the penile glans, making hygiene difficult, promoting infection development, and causing significant discomfort. Phimosis is most commonly caused by recurring infections or skin injuries, but it can also be congenital. The only treatment option in such cases is phimosis surgery.
The foreskin plasty procedure is used in phimosis surgery. Foreskin plasty involves widening the narrowed foreskin ring so that the foreskin can freely slide behind the glans. The procedure can be done with a scalpel or a laser knife during a traditional surgery. The procedure takes about 30 minutes and is performed under topical anaesthesia.
Penile augmentation with autologous fat transfer (based on stem cells)
This is a technique and procedure that has recently gained popularity in the field of cosmetic surgery. In the penis, a man’s own fat cells are used as dermal filler. The benefit of autologous fat transfer is that once the cells survive, they are immortal. They are also completely natural and come from a man to himself. This technique is also becoming increasingly popular for breast augmentation.
The procedure starts with locating a fat harvesting site on the patient’s body, which is usually in the abdomen or buttocks. The harvested fat cells are then processed through filtration before being injected into the desired areas, in this case the penile shaft. The number of fat cells that survive over time is an important part of this procedure for the best results. To achieve the desired results, a repeat procedure to harvest additional fat cells may be required.
Penile augmentation with implants
If you have severe erectile dysfunction, penile implants may be beneficial. A penile implant can help if your body does not respond to more conservative treatments such as prescription medications or lifestyle changes. Penile implants allow you to have an erection whenever and for as long as you want. Even after ejaculation, the penis remains hard. Simply put, men who receive penile implants have increased sexual satisfaction and satisfaction.
Penis enlargement with hyaluronic acid filler
This procedure not only increases the volume of the male genital organ, but it also makes it appear visually larger and more attractive, allowing both partners to have a longer and more pleasurable sexual encounter.
The injection of hyaluronic acid fillers into the head of the penis to reduce hypersensitivity and thus prolong sexual intercourse is one solution to premature ejaculation.
Hyaluronic acid is a biopolysaccharide that accumulates water molecules in the skin to keep it moist and elastic while also stimulating the synthesis of elastin and collagen. This acid is found in almost all organs, with approximately 50% found in the skin and less in the joints and eyes. Because of their ability to absorb moisture, hyaluronic acid fillers can increase the weight of the injected area by a factor of 500 to 1000, i.e. they add volume where it is needed, ensuring a noticeable rejuvenation of the area and a volumizing effect.
Peyronie's disease treatment
Peyronie’s disease is the most common cause of penile curvature. Microtrauma to penile tissues causes scarring and adhesions, resulting in a curved penis when erect, obstructing sexual activity. The injection of collagenase, an enzyme that softens the thickened tissue, allows for treatment of penile curvature. A surgical procedure, on the other hand, involves the removal of thickened tissues and the placement of supporting sutures on the opposite side.
Straightening penile curvature with collagenase involves injecting collagenase preparation into the thickened tunica albuginea. Several treatment cycles are required, including two injections and one penile straightening procedure. A single procedure lasts several minutes, and the entire therapy is performed as an outpatient. Surgical treatment of penile curvature, on the other hand, entails performing the procedure under anesthesia and necessitates an all-day stay in the clinic. Scarred and thickened tissues of the corpora cavernosa of the penis are removed during surgery. Then, strengthening sutures are inserted on the side of the penis opposite the thickening. As a result, the penis stays in the desired position.
Scrotoplasty
Scrotum lifts are surgical procedures that remove excess, loose scrotum skin and subcutaneous tissues in order to tighten, shrink, and rejuvenate the scrotum. The procedure was originally designed to help cancer patients or those with severe genital injuries.
Scrotoplasty is a 1 to 2 hour outpatient procedure performed under general anesthesia. To achieve the desired result, I mark the patient’s scrotum in both the standing and lying positions with his input just prior to surgery.
Vasectomy
Vasectomy is a microsurgical procedure that involves severing the continuity of the vas deferens, or the tubes that carry sperm from the testicles. The vas deferens is cut and ligated. The procedure is regarded as the most effective method of contraception for men because it has no negative impact on hormonal balance and does not impair sexual performance.
The vas deferens is ligated by breaking the continuity of the skin on the scrotum and locating the vas deferens. They are then cut and coagulated at the ends. The vas deferens is then ligated with a surgical thread in the following step. The procedure takes only 30-40 minutes and is done as an outpatient procedure. The patient can go home immediately after a brief post-procedure observation. Sexual activity can be resumed no sooner than 7 days after treatment.
Cosmetic urology is safe and well-tolerated, but like any surgical operation, there are inherent risks. To lower your risk of complications, make sure to follow your doctor’s recovery instructions carefully. Take time off work to rest, take your medications as prescribed, and attend all of your follow-up appointments. The more invested you are in aftercare, the less likely you are to experience an infection or other complications.
Benefits of Cosmetic Urology
You may choose to undergo some of the aesthetic urology procedures for a variety of reasons, including:
- Desire for increased self-confidence: Some men may feel self-conscious about the size of their penis and desire a larger size to feel more confident in their sexual performance.
- Correcting a medical condition: In some cases, men may have a medical condition, such as micropenis, in which the penis is abnormally small, and phalloplasty may be recommended as a treatment option.
- Addressing the effects of aging: As men age, the penis may naturally decrease in size due to decreased blood flow and tissue elasticity. Phalloplasty can help to restore some of the lost size and function.
Overall, aesthetic urology surgery can help men feel more confident and satisfied with their physical appearance and sexual function. However, it is important to note that these procedures carry risks and should only be performed by a qualified and experienced urologist.