Now that I Google the topic, I see that earlier this year, the same paper had asked the hard question (*snigger*): why is this operation so popular in Germany? It involves a ligament snip (which I had heard of before) but also this:
Next, fat harvested from elsewhere on the recipient’s body is injected into the penis shaft so it “grows” (by a modest 2-3 cm girth).Gee. I'm a little surprised that the injected fat stays in situ, so to speak. I mean, to use German engineering speak for a moment, it's going to be subject to some mechanical compression of some vigour, no? But I assume it doesn't all get relocated at the base, or other end, or we would have seen an example on Embarrassing Bodies by now.
As for the reasons why Germans are into it to such a degree, the Tele does mention an apparent national fondness for pornography (I had thought the Scandinavians might hold the European title for that, but this is based on impressions formed in the early 1970's and may require revision.) They don't mention the national fondness for bratwurst, but I wouldn't be surprised if that has something to do with it, in some subliminal sort of way.
Those readers who want to know more about the matter can visit this site from the German Centre for Urology and Phalloplasty Surgery - a very fancy name, hey? But it does some unusual plain talking, for a medical centre:
When we ask patients who have had a failed penis operation somewhere else before coming to us for corrective surgery why they underwent surgery somewhere else in the first place, the answers are always the same:I wonder if all German doctors have such a bedside manner...
We are astonished at all of these answers. Please excuse us for being direct, but is very unfortunate to hear these types of childish answers from grown adults when it is a matter of their health, particularly when it involves the primary male organ.
- '...because it was so cheap there...'
- '...a plastic surgeon even performed the surgery...'
- '...but they promised that it would work...'
And thus ends the post with possibly the biggest use of the "p" word in this blog's history.
Update: it appears some cosmetic surgeons don't think much of the procedure:
Fat grafting is the most common, and the most notorious, of the penile augmentation procedures. It can result in disasters such as loss of the penis if fat is injected into blood vessels or if infection occurs. When the augmentation does work, the result is temporary. Complications such as nodules in the penis, skin deformity, and scarring and loss of normal contour are common. The injected fat is extremely fragile and needs to remain fairly motionless in order for blood vessels to grow into the tissue. If they don't grow in three days, the fat will die and be absorbed by the body. If the fat is disturbed during the first three weeks, it will lose its new blood supply and be resorbed. The penis cannot stay motionless when urinating and when erections develop. Virtually by definition, fat grafting into the penis is doomed to fail.Update 2: on the Australian scene, here's the Australian Centre for Penile Surgery describing the recovery process for the procedure it uses:
You will need to spend two weeks lying flat in bed in order to minimise any swelling. Excessive swelling strains the blood supply of the penile skin and may cause it to die, resulting in loss of shaft skin. This is almost entirely avoided by lying flat.Gee. Men really put themselves through that for cosmetic purposes?
During this time, you will also need to take a combination of three drugs to prevent you having erections. As a side effect of these drugs, you will feel very drowsy.
The technique for this are different from mere injection, too:
The Australian Centre for Penile Surgery does not recommend penile widening by fat injection because of the risk of fat necrosis. Dr Moore uses dermal fat grafting which is long-lasting in 98 percent of cases, and produces excellent results.So, sounds like there might be genuine dispute about technique that is apparently popular in Germany.
But here's another good bit from the Australian site:
What are the chances of retraction?During follow-up, you'll be taught how to stretch your scar. If you fail to perform this exercise properly, some or all of the length gained through surgery might be lost.
Retraction may also result from the patient's own excessive production of adrenaline, which causes the penis to shrink. This is extremely rare.