What is Penoscrotal Web Excision?

Penoscrotal web excision, sometimes referred to as "penile webbing" or "webbed penis" surgery, is a procedure designed to correct a condition where the skin of the scrotum extends up the underside of the penis. Some refer to this condition as a “turkey neck” of the penis to the scrotum. This webbing can cause functional and aesthetic concerns for some individuals.

What is Penoscrotal Web Excision?

Penoscrotal web excision involves the surgical removal of the webbed skin to create a more distinct separation between the penis and the scrotum. This procedure can help improve the appearance of the penis and potentially increase the functional length of the penis by revealing more of the penile shaft.

Indications for the Procedure

1. Cosmetic Concerns: Some men seek this procedure for aesthetic reasons, wanting a more defined penile shaft. Removal of the penoscrotal web gives the appearance of a lengthened penis.
2. Functional Issues: In some cases, the webbing can interfere with sexual intercourse or cause discomfort.
3. Psychological Factors: Concerns about the appearance of the penis can lead to anxiety or reduced self-esteem.

The Procedure

1. Preoperative Evaluation: A thorough consultation with a urologic surgeon specializing in cosmetic urology is necessary. The doctor will evaluate the extent of the webbing and discuss expectations and potential outcomes.
2. Anesthesia: The procedure is typically performed under local or general anesthesia.
3. Surgical Plan: The surgeon makes an incision to remove the excess skin and then carefully sutures the remaining skin with a cosmetic technique to create a smooth, natural contour. Various techniques can be used depending on the extent of the webbing and patient anatomy.
4. Recovery: Recovery involves managing swelling and discomfort, typically with prescribed pain medication and wearing supportive underwear. Most patients can return to normal activities within a few weeks, though strenuous activities and sexual intercourse should be avoided until cleared by the surgeon.

Risks and Considerations

• Scarring: As with any surgery, there is a risk of scarring. Surgeons aim to minimize visible scarring and place incisions in less noticeable areas.
• Infection: Proper postoperative care is crucial to prevent infection.
• Sensation Changes: There may be temporary or permanent changes in sensation.
• Aesthetic Outcomes: Achieving the desired cosmetic outcome may require precise surgical technique and realistic expectations.

Effect on Penile Length

While penoscrotal web excision can make the penis appear longer by exposing more of the shaft, it does not actually increase the physical length of the penis. This visual lengthening can be significant for some men, improving both appearance and confidence.

Conclusion

Penoscrotal web excision is a specialized procedure that can address both cosmetic and functional concerns related to penile webbing. Consulting with a qualified surgeon is essential to determine if this procedure is appropriate and to ensure the best possible outcome.