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I receive in Florence, Prato and Milan

Matteotti Medical Group
Viale Giacomo Matteotti, 42
50132 - Florence (FI)
Telephone: 055 570224
Florence Castello
Villa Donatello
Via Attilio Ragionieri, 101
50019 - Sesto Fiorentino (FI)
Telephone: 055 50975
Studi Medici Life
Viale della Repubblica, 141
59100 - Prato (PO)
Telephone: 0574 583501
Columbus Clinic Center
Via Michelangelo Buonarroti, 48
20145 - Milan (MI)
Telephone: 02 480 801

Peniena Plastic Surgery


Penile plastic surgery Florence consists of surgery to build, reconstruct, lengthen, or enlarge the penis. These are complex operations that go to modify and improve the aesthetic anatomy of the penis, resolving a variety of issues related to multiple pathologies. Phalloplasty can be used for a variety of reasons, ranging from wanting to fix congenital defects in the penis, to the need to address any trauma suffered. Finally, penile surgery is also what women request when they want to change sex.

This is a subject that has been studied and researched for countless decades. Over time, surgical techniques have improved and refined into more state-of-the-art methodologies. The results have also definitely increased, so much so that today, this area is particularly safe and satisfying.

What penis plastic surgery consists of

We have seen that these are surgeries aimed at building, rebuilding, lengthening, or enlarging the penis. Depending on the case, several separate operations may be required. La
aimed at lengthening the penis, or enlarging the diameter of the member, counts multiple surgical techniques. Each of these is valid and effective and has specific characteristics, but also potential associated risks.

The subject matter is without doubt, not new in medical and scientific terms. The topic has been addressed since 1936 when, Russian surgeon Nikolai Bogoraz, performed the first ever penile plastic surgery. Instead, one must wait until 1946 and New Zealand plastic surgeon Harold Gillies to see phalloplasty applied to sex change.

Since then the industry has made great strides, and today the practices applied are certainly not the same as at the beginning of the last century. However, the purpose of
penile surgery
, which is to succeed in achieving an aesthetically well-made penis, properly formed and developed and, above all, functioning in every on different process (passage of urine, tactile sensitivity, ability to produce and maintain an erection, etc…). Lengthening phalloplasty and lipopenosculpture (penile surgery aimed at increasing the diameter of the member) have also made significant strides in just over a century.

Penile plastic surgery Florence: who undergoes it

Lengthening phalloplasty and lipopenosculpture are mostly undergone by men under 45. The most affected age group is 35 to 45 years old (about 40 percent of patients), followed by 25 to 35 years old (30 percent) and 45 to 55 years old (55 percent). Interestingly, the 55-70 age group, on the other hand, accounts for only 5 percent of patients operated on.

It has also been verified that most men who require phalloplasty surgery are usually in stable relationships (67% married and 33% single).

Requiring this type of intervention are those who find:

  • Congenital defects of the penis (micropenis, hypospadias, epispadias)
  • victims of trauma and genital damage

Penile plastic surgery Florence: preparing for surgery

Before the actual surgery, the patient is examined by a medical specialist (urologist/andrologist). At medical examinations, all aspects of the patient’s health condition (both physical and mental) are investigated and a series of tests (blood tests, urine tests, electrocardiogram, etc.) are required.

In the days leading up to the operation, smoking is prohibited and any medications are temporarily discontinued. You must then show up for the operation, fasting for at least 8 hours (this is a procedure that applies to any surgery anyway).

How the operation takes place

In general, construction phalloplasty (for women who want to change sex) and reconstruction phalloplasty (following, for example, penile amputation due to trauma, or cancer) involves the removal of a flap of skin, with associated blood vessels and nerves, from a designated area for the purpose and hidden from view. The excised skin is then relocated and used for the construction, or reconstruction of the penis. The surgeon’s task is also to connect the various blood vessels and nerves at the new transplant site.

Using a flap of skin including blood vessels and nerves has significant advantages. This in fact provides the penis with blood circulation and nerve sensitivity. The size of the skin flap removed varies depending on the purpose of the surgery. In the case of penile construction it will be significantly larger.

Phalloplasty: the surgical techniques

There are several surgical techniques of phalloplasty. These differ according to where the skin flap needed for surgery is harvested. Four major methods are distinguished: In the former case, sampling is done from the radial forearm. This is a recent and modern technique that is more widely used. In contrast to the second where the flap of skin taken from the latero-anterior portion of the thigh has poor nerve sensitivity and for this reason is not widely used.Instead, the technique involving the removal of a flap of skin from the abdomen is the one most commonly used in penile plastic surgery Florence for women who request a sex change.Finally, the last one, is a methodology that wants the skin sampling to take place directly from the large dorsal muscle. It is especially useful when a penis is planned in which a penile prosthesis will later be housed.

Inpatient stay and discharge

Following the operation, the patient is kept in the hospital for assessment and monitoring, only one day in the case of simple operations, 2-3 days for more complex ones.

He is later discharged and sent home, where he will have to be on absolute rest for between 4 and 8 weeks. The rest period varies from subject to subject and from case to case, and will be determined by the treating physician.

In the days following the operation, the patient may experience some pain, soreness, swelling and burning. In some cases, but not always, he may also find blood traces in his urine, suffer from nausea, and have some nervous sensitivity in the affected part.


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    I receive at and Facilities in Milan, Florence, Prato.

    Book your first visit or specialist consultation at the location nearest you.

    For patients living abroad, an initial consultation can also be requested remotely through the contact form.

    Florence | Matteotti Medical Group

    Giacomo Matteotti Avenue, 42
    50132 – Florence (FI)
    Phone: 055 570224

    Florence Castle | Villa Donatello

    Attilio Ragionieri Street, 101
    50019 – Sesto Fiorentino (FI)
    Phone: 055 50975

    Prato | Life Medical Practice

    141 Republic Avenue
    59100 – Prato (PO)
    Phone: 0574 583501

    Milan | Columbus Clinic Center

    Via Michelangelo Buonarroti, 48
    20145 – Milan (MI)
    Phone: 02 480801

    Dr. Andrea Cocci

    urologist and andrologist

    The choice to devote my professional life to urology and in particular to andrologic and reconstructive surgery is the result of a deep passion for anatomy, the art of surgery and in general the diagnostic therapeutic process leading to patient recovery. Oncological pathology, infertility, erectile dysfunction, penile disease, or simply prostate disorders irretrievably afflict not only the individual but also the couple dimension.

    Received at:
    Florence, Milan, Prato

    Dr. Andrea Cocci
    Urologist and andrologist

    I have full conviction that listening to the patient, carping about his or her needs, and assessing his or her expectations is the only way to establish a therapeutic program of success and satisfaction for both physician and patient.