Penis Image Assessment

What can go wrong with Phalloplasty?

Penis enlargement surgery can go wrong for several reasons. The main reasons are outdated or ineffective surgical methods and incorrectly performed surgical techniques. The results can range from disfigurement to dysfunction. Reconstruction of penile enlargement surgery is the surgery that corrects these problems as much as possible.

For example, an outdated technique used to make the penis wider is to inject fat into the shaft of the penis. This technique is known as FFT, or Free Fat Transfer. This method can result in multiple complications. These problems can only be corrected with full and extensive reconstruction surgeries. Dr. Krakovsky has performed a significant number of reconstruction surgeries for men who have experienced the FFT technique. He removes the fat (because it deforms the penis) and substitutes a permanent graft.

On the other hand, even the best techniques can be performed incorrectly, whether for penis lengthening, or for penile girth or glans augmentation. This is another reason why reconstruction surgery is performed. For example, both dermal fat grafts (skin grafts with the fat attached, or DFGs ) and AlloDerm grafts are state-of-the-art methods for making the penis wider, but they can be done incorrectly, again causing complications that can only be corrected through reconstruction surgery. 

Some complications, such as infection or wound opening, can occur with any type of surgery. However, if proper procedures are followed by the surgeon during surgery and by the patient before and after surgery, these complications should not occur. If they do occur, the treatment does not normally involve reconstruction surgery, but rather antibiotics or repair.

Besides the physical complications the patient brings to reconstruction surgery, he also brings psychological complications, including confusion, pain, distrust, fear, and so on. Obviously, in this case, a great deal of exchange of information, understanding of the situation by the surgeon, education of the patient, and building of the doctor-patient relationship is required before reconstruction surgery choices can be made by the patient.

The patient must have realistic expectations when undergoing reconstruction surgery. When the penis has been changed through previous surgery, scar tissue, previous grafts, and other complications can limit what can be reconstructed. The surgeon will explain what can be fixed and what cannot. He will also inform the patient of the minimum and maximum positive outcomes he can expect from the surgery. The patient should understand that sometimes the minimum is all that can be achieved.