The demand for penile augmentation has been steadily increasing for many years. In order to meet this demand, it was important to devise a global strategy that takes into consideration the desires of patients as well as technical limitations.

The perception of the size of one’s penis often varies significantly from one patient to the other, depending on his age and socioeconomic milieu. However, embarrassment can be so great that it can turn into a complex and then an inhibition, to the point where it becomes a real hindrance to social and intimate interactions.

The size of the shaft varies greatly from one patient to another. When flaccid, the average shaft is 10 cm long and 9 cm around. When erect, it is on average 15 cm long and 12 cm around. The shaft is composed of four erectile structures and four sheaths. The erectile organs include two corpus cavernosa, which extend from the pubic bone to the gland; the corpus spongiosum, through which the urethra passes throughout its length; and the gland.

The four sheaths of the shaft, from the outside in, are as follows:

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• The skin, thin and very mobile

• The dartos, a sub-cutaneous muscular layer 

• A highly vascularised cellular layer

• A fibroelastic envelope, or fascia, that contains the corpus cavernosa and the corpus spongiosum

 

The shaft is connected to the abdominal wall, the pubic symphysis and the pubis thorough the suspensory ligament. It consists of three bodies – one medial and two lateral.