Increasing penile length and girth during penile prosthesis – TunEXT (Tunical Extension)

Using surgical techniques to maximize penile length and girth during penile prosthesis – TunEXT (Tunical Extension)  

One of the biggest concerns men have after suffering from erectile dysfunction for many years is loss of both penile length and girth. An inflatable penile implant is deemed the gold-standard in those men with ED non-responsive to pills, but an inflatable implant is designed to restore function – provide reliable and strong erections. Unfortunately, it will not reverse loss of penile length and girth incurred by progressive ED or even Peyronie’s Disease, penile curvature or deformity related to a tunical plaque.

I am proud to offer the TunEXT (Tunical Extension) technique for men undergoing inflatable penile prosthesis for ED and/or Peyronie’s Disease. This is a modified version of the tunical expansion procedure (TEP) developed by the renowned Dr. Paul Egydio from Brazil. The TunEXT procedure utilizes a series of individualized, relaxing incisions of the tunica to allow simultaneous expansion of both length and girth. Most men using this technique can experience up to a 3-4 cm (1.5 inches) increase in penile length and up to a 2 cm (0.75 inches) increase in penile girth. The TunEXT technique does not involve the use of grafting materials, minimizes the risk of reduced blood flow to the glans, and reduces temporary changes in erogenous sensation. The technique along with placement of the inflatable penile prosthesis can be performed through a single vertical penoscrotal incision, reducing pain and recovery associated with the combined procedure. My surgical technique also requires making slight modifications to the penile implant cylinders during the surgery to maximize the proximal inflatable component. Achieving maximum results with TunEXT requires strict adherence to my post-operative cycling protocol for at least 6 months after the procedure.        

Contact me today to find out more about the TunEXT procedure and whether you are a good candidate!

-Dr. Patel  

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