Surgeons at the University of South Florida say that a 17-year-old who complained that his penis was too large has successfully undergone the world’s first penis reduction surgery.
The U.S. teenager requested surgery because his penis had grown too large. He complained to doctors that the size of his penis was preventing him from having sex. He also said that it was preventing him from participating in competitive sports.
According to the Daily Mail, doctors said the teenager was experiencing priapism, or persistent erection.
Clinically, priapism refers to often painful erection occurring independent of sexual stimulation and lasting up to four hours. It happens when blood flowing into the penis is unable to drain due to blood cells with abnormal shape blocking the tiny vessels that supply the penis.
Episodes of persistent penile erection caused the teenager’s penis to become firm and bloated.
He also complained that his abnormally “large and heavy” penis made it difficult for him to wear normal pants. He said he often suffered social embarrassment because his penis was often visible beneath his pants.
The teen said that when he becomes sexually excited, his penis does not grow bigger, but only harder or stiffer. The flaccid dimensions of the teen’s penis, according to doctors, were seven inches in length and 10 inches in circumference or girth.
Doctor Rafael Carrion, urologist at South Florida University, compared the dimensions to the size of a grapefruit. He also compared the shape of the penis to an American or rugby football. He said the teenager’s penis was “massive” and shaped like a football.
“His penis was inflated like a balloon. It sounds like a man’s dream – a tremendously inflated phallus – but unfortunately although it was a generous length, its girth was just massive, especially around the middle.”
Carrion said that even after completion of the operation, the penis still had a “generous” girth.
Doctors were surprised when the young man appeared at the hospital clinic, saying that his penis was too large and that he wanted to have it reduced. Medical practitioners are better accustomed to having men complain that their penis was too small. It is extremely rare for a man to tell his doctors that his penis was too large and that he wanted it reduced.
“There comes a time in every urologist’s career that a patient makes a request so rare and impossible to comprehend that all training breaks down and leaves the physician speechless. That question was ‘can you make my penis smaller?'”
Due to the fact that it is rare for men to complain to doctors that they want a penis reduction surgery, the surgeons could not find medical literature to provide guidance on how to proceed with the teenager’s case.
“Lord knows there’s a global race on how to make it longer and thicker in plastic surgery circles, but very little on how to make it smaller.”
The doctors, therefore, had to improvise by adapting a method normally used to treat another condition called Peyronie’s disease, which happens when the penis becomes bent due to scar tissue forming along its length.
Surgeons described the procedure they adopted, saying that they began by peeling back the skin of the teenager’s penis. This was achieved by making an incision at the point of the scar left by previous circumcision surgery. After they had pulled back the skin, they cut tissue from either side of the penis, taking care to avoid cutting the urethra and the nerves that give normal sensation.
“It was a bit like having two side tummy-tucks – that’s how we explained it to him.”
The patient recovered quickly after surgery and was able to return home after only two days at the hospital. Surgeons said the patient was happy and satisfied with the result of the surgery and reported having normal erections and sensations.
“It looks cosmetically appealing, and he said it was a life-changing event, he’s all smiles.”
However, doctors said they did not measure the new length and girth of the penis after the surgery, but admitted that its dimensions remained “generous.”
“It’s slightly longer and slightly thicker than the average male, but now it looks symmetrical, and the patient was very satisfied. It looks cosmetically appealing, and he said it was a life-changing event, he’s all smiles.”
The surgeons published details of the novel case, including the surgical procedure, in the Journal of Sexual Medicine, under the title, “The Reduction Corporoplasty: The Answer to the Improbable Urologic Question ‘Can You Make My Penis Smaller?'”
“Patient reported normal erectile function and response with masturbation but also reported inability to penetrate his partner due to the enlarged and disfigured morphology. He had three priapismic episodes since the age of 10 that progressively led to deformity of his phallus.”
Dr. Carrion said that another person has since approached them for a penis reduction surgery. He said that although the new patient has a big penis there were no obvious abnormalities comparable to the previous case.
“This [second] man seems to have a naturally large penis, because there’s nothing unusual in his medical history, so it doesn’t seem like there’s any real abnormality in this case.”
Carrion said that taking a decision on whether to perform surgery on the new patient would be difficult because he is apparently healthy.
“These are controversial waters we’re stepping in. Who is to judge what a legitimate complaint is and what isn’t? You don’t normally have men complaining about this kind of thing. These are very unique cases.”
[Photo by George Marks/Retrofile/Getty Images]