NO, we can’t do lengthening, pubic liposuction, circumcision, and AlloDerm all at the same time
Oh yes, by the way please add on peno-scrotal web recession, “I’ve got a turkey neck.”
Phalloplasty has been a preferred term used by phalloplasty surgeons because penis enlargement has been overly worked by the nutriceutical houses such as Enzyte. It is absolutely amazing how many requests we get almost daily to do everything at once. “I won’t hold you responsible.” Guess what? I am responsible and who pays for the revisions and touch ups and prolonged aftercare of a complication when the penis has had too much surgery at one time. The doctor should know better. Patients are allowed in the eyes of the law to be impulsive, but a professional is expected to exercise prudent restraint.
Why not simultaneous surgery? The pubis is the delta which drains the lymphatics of the penis and scrotum. Genital swelling, which may take 6 weeks to come down, is not an optimal environment for good wound healing. The tissues are more prone to infection, blood supply is impaired, tension can result in suture line separation. If you have a fresh circumcision, how are you going to pull on your penis (apply traction) to maintain the added length I gave you in the operating room and build upon that? Failure to apply immediate traction within a day or two is a common reason for no length gain.
I’d rather not take that man’s money. The headaches of aftercare are overwhelming and very time consuming. Frequent panic calls 24 hours a day; rushes of daily photographs by E-mail. If the phalloplasty befores and afters on our web-site is what the patient is looking for, let’s do it properly step by step.
Harold M. Reed, M.D.