Procedures to enhance the girth of the penis thicken or increase the circumference of only the shaft. Various different material or substitutes are used to enhance the girth of penis
Saphenous vein graft
Autologous fat injection (liposculpture)
This method involve taking fatty tissue from another part of the patient’s own body, injected it under the skin of the penis and molding it to the right shape. The average gain in flaccid circumference is around 1 inch.
In this method, subcutaneous tissue from another part of the body is harvested and its epidermis is peeled off. It is then placed in the appropriate area in the penile shaft.
The preferred technique is to place the dermal graft circumferentially.
Shrinkage and graft contraction is avoided by using penile weights after one month post operatively.
This method increases the circumference by 1-2 inches. The increase in girth is uniform, without nodularity. Edema takes 6 weeks to resolve, and normal texture is regained in 4-6 months
Autologous tissue engineering using expanded scrotal dartos cells with biodegradeable scaffolds is a new and promising method for penile widening that generates progressive accumulation of stable collagen rich, highly vascularized tissue matrix that closely resembles deep dartos fascia.