There are two highly specialized male genital surgery procedures to enlarge and lengthen the size of your penis: penis lengthening surgery and penis enlargement surgery (also known as penile girth enhancement).

In addition to penis lengthening surgery and penis enlargement surgery, the following procedures can be performed.

Circumcision is a personal decision which many men make later in life for various reasons. Some men find that a tight foreskin can be uncomfortable or even painful. Some feel that they have too much foreskin. For others, they simply prefer the appearance of a circumcised penis. It is important to understand that the sensation of the glans (head) of the penis may be irreversibly altered (reduced) and therefore one should be certain that circumcision is right for them before proceeding. Dr. Ramesha will discuss the implications of circumcision surgery with you during your consult.

Many men are bothered by a poorly performed circumcision. Common problems include uneven or wide scars, suture "track marks," and uneven, excessive or tethered skin. In some cases, usually following a circumcision performed as an adult, too much skin has been removed leading to uncomfortable or painful erections and intercourse. Many men have lived with these issues all of their lives but have been uncomfortable discussing them. Fortunately, there are solutions to repair circumcisions and many of our patients express satisfaction and great relief after finally having had these issues dealt with.

In most cases, the procedure may be performed using local anesthetic and it will take under an hour to complete. You will be asked to keep the area dry for 3 days. The sutures will dissolve on their own within about 3 weeks. You will need to refrain from sexual intercourse for 4 to 6 weeks following your procedure.

"Peno-scrotal webbing" refers to excessive skin that spans between the under surface of the penis and the scrotum. Some men find this unsightly and want the web removed. For others, the skin can be so excessive it can interfere with intercourse or even the ability to roll a condom onto the penis. A peno-scrotal web can be improved by a procedure that actually lengthens the midline of the web, allowing it to settle back towards the scrotum. In some cases excess skin will be removed.

This procedure can be performed under local anesthetic if it is a small web, but larger webs requiring skin removal are best dealt with under a general anesthetic (with you asleep). You will be asked to keep the area dry for 5 days following surgery and the sutures will dissolve on their own within 3 weeks. You will need to avoid strenuous activity such as sports or vigorous exercise for 4 to 6 weeks following surgery.

Testicular implants are performed for men who have had an absence since birth or who have had one or both testicles removed for various reasons. The implants come in several sizes and can be matched to the other side. Adolescents are eligible for this surgery once they have reached maturity so that the appropriately sized implant can be chosen to match the other side. The surgery is performed under general anesthetic and takes between a half and one hour. The incision is made at the top of the scrotum just beside the base of the penis and the scar will be very inconspicuous. You will be able to shower on the 3rd day following surgery and you will be asked to refrain from any vigorous activities for 2 weeks.

The above genital surgeries are real surgeries. Before you decide, it's important to learn about any possible complications, even though they are rare. These will be fully explained to you during your private consultation with Dr. Ramesha. At that time, you will have an opportunity to have all your questions answered and to have a complete discussion of your options and what is involved.