Q: I am 40 years old and I have a mound around my penis area. When fully erect I have 4 1/2 inchs but when I press down on the mound my penis measures about ¾ inch more. I have lost some weight and consider myself in good shape. But understandably I am a little embarrassed about my penis size. Plus my scrotal skin is high up on my penis making it smaller than it otherwise would be. Do you think liposuctioning of this mound would help? How long would the recovery be if I had the procedure?
A: Fullness of the suprapubic mound can definitely cause some concealment of the penis. There is no doubt that liposuction of the suprapubic mound can help with penile exposure but it is a question of how much. There are numerous factors that can contribute to camouflaging penile length besides a surrounding fat collection including scrotal skin position, overhanging suprapubic and lower abdominal skin and ligamentous attachments to the penile shaft. Whether liposuction alone would be beneficial or whether it should be combined with other penile lengthening procedures should be discussed with a Urologist.
When liposuction to the suprapubic mound is done, there is an immediate result that is apparent intraoperatively. However, because of swelling and gravity these early results can quickly be obscured. While compression after surgery with a garment is always provided, the low position of the suprapubic mound makes it difficult for any compression garment to be ideally effective. Therefore, one should anticipate a fairly long period of swelling and firmness around the penis. It may take as long as 6 to 8 weeks after before the results of the liposuction procedure can be fully seen.
Dr. Barry Eppley