A/Prof Colin Moore

A/Prof Colin Moore

When it comes to seeking surgical methods to improve the functionality or appearance of the male or female genitalia, awareness and requirement is on an increasing trend. There was a time when you simply had to put up with whatever nature handed out to you; it seems that’s not the case anymore! Cosmetic Surgeon Colin Moore based in Sydney is an expert in such matters having performed hundreds of surgical procedures “down below” for both men and women. We look at some of the different issues in the nether regions that are often seen as too embarrassing to discuss or ask about.

MEN

Size Matters

Of course, this is always the first thing you think of when you think about male genital surgery. Increasing the size – whether it be length or girth – is one of the most popular and regularly performed cosmetic procedures among men today (besides circumcision, of course, although this procedure for young babies and boys is definitely on the decrease). Some men can also be born with a micropenis, and whilst this is usually identified in childhood where certain options are available (such as hormones) to encourage additional growth of the penis, surgery may still be required after puberty has ended. You can read more about the methods by which penis augmentation can be achieved here.

Hidden Penis

This is a variation to that of just having a smaller sized penis. Hidden penis means the length or whole penis is mostly hidden from view due to excessive skin or tissue at the base of the pubic area. You can be born with this condition or it can also be amplified due to a variety of reasons such as obesity, ageing or as a side effect from circumcision.

Penoscrotal Webbing

Sounds a little like Spiderman’s problem! This is where the scrotum skin attaches to the underside of the penis causing a webbed-like appearance. It can actually be quite uncomfortable during intercourse or when wearing a condom. This extra flap of skin can be removed via surgery. A/Prof Moore says, “Often referred to as “turkey neck” the condition can be the result of circumcision, where the tension of the skin underneath the penis causes the scrotum and joining skin to be stretched and lifted up.”

Undescended Testicles

This is a term for testicles that do not drop properly. There are several other issues that may require surgery on a man’s testicles. These include:

  • Damaged testicle – can also be due to trauma from a sports injury or accident
  • Uneven testicles
  • Testicle twisting – actually quite a serious condition that can in some cases block the supply of blood to the area which can cause major issues
  • Removal of a testicle due to cancer

Any of these conditions or issues can be rectified with testicle implants. A/Prof Moore says, “Testicle implants can also restore the appearance of smaller, non-functioning testicles and greatly enhance a man’s diminished confidence and sense of masculinity. During the consultation process, I assist the patient to decide which size implant is best suited to their existing anatomy and explain the procedure in an in-depth manner.”

Hypospadias

This rather difficult to pronounce condition is where the penis opening is not actually located at the top, or head of the penis and is instead somewhere on the bottom of the actual shaft. Whilst this is not a common condition, it is certainly a very awkward one and can cause various issues, both physiologically and psychologically, for the patient. A/Prof Moore says, “The consequences of hypospadias can be devastating. With surgery, it is possible to correct the condition. The surgery is delicate and demands a stay in hospital, but the results are usually excellent.”

Severe Penile Curvature

This issue is just what it sounds like. Whilst a little curve may not cause any issues (and can even make the sex better!), extreme curvature of the penis when it is erect may cause extreme discomfort and even pain especially during sex. A/Prof Moore explains, “The cause of the curvature may be the result of trauma during sex; inflammation in the tunica; scarring; or as the result of medication taken by the patient.” This condition is also known as Peyronie’s disease.

WOMEN

The main difference, apart from the obvious one of anatomy, between women and men is that men usually want more size but women want the opposite when it comes to the genital area. Reductions are a very popular procedure for women in the area downstairs and can include: Labia Minora (inner lips of the vagina) reduction; Labia Majora (outer lips of the vagina) remodelling or reduction and Clitoral Hood reduction. Other female genital issues may include the following.

Vaginaplasty

This is a procedure to tighten the inner parts of the vagina (as opposed to a labiaplasty which we will discuss next). This surgery is often requested after childbirth to tighten the vaginal muscles after the stretching that occurs during labour.

Labiaplasty

This procedure is for those women who are not happy with either the inner or outer lips of their vulva. Many feel they are too large or stick out too far. A/Prof Moore says, “Such inner labia that protrude beyond the outer lips can cause chaffing, especially in tight clothing, may cause urinary infect s and are generally seen as less appealing aesthetically. It is important to know just what concerns the patient. It is just that the inner lips protrude, or are they concerned about the often swollen and roughened appearance of the free edge of the inner labia? For some women, a labiaplasty procedure can be especially beneficial in improving vaginal hygiene.”

See our recent article relating to this issue here.

Pubic Liposuction

Yes, it is a thing! We’ve all heard of liposuction in other areas of our body, however it is a popular solution for a problem that is more common than you might think. The mons pubis area… that layer of fat above the pubic bone, can be more pronounced after major weight loss, childbirth or as a natural effect of ageing. This procedure is often performed alongside an abdominoplasty but can also definitely be done as a stand alone procedure. A/Prof Moore says, “Modern liposuction techniques are minimally invasive, requiring only a small incision to insert the cannula and remove unwanted fat from the area.”

Genital Deformity Reconstruction

Unfortunately, genital mutilation is a part of many cultures around the world, and whilst here in Australia it’s generally not accepted and less common than other areas in the world, certain religions and races still perform atrocious acts on female genitalia. Genital deformity may also be caused from cancer or simply be present from birth. In any case, A/Prof Moore says, “These types of conditions are not uncommon and can be treated safely and effectively, with surgical techniques depending on the type and extent of reconstruction required.”

There are other genital concerns that we haven’t covered here, and if you would like more information for an issue we haven’t mentioned, you may wish to consult with A/Prof Colin Moore, considered an expert in the area. His techniques and expertise are honed from over 30 years of experience and there isn’t much when it comes to genital issues that A/Prof Moore can’t assist you with.

Click here to see more on Colin Moore or phone his office directly on 0414 251 234 to arrange a consult.

Trish

Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn’t mind a little bit of ‘help’ from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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