Эксперт по урогенитальной хирургии мирового уровня
Доктор медицинских наук, врач уролог-андролог
Профессор Курбатов Дмитрий Геннадьевич

Врач уролог-андролог
Профессор Курбатов Д. Г.

My Surgical Skills. Patients Reviews

Hello,

I am Dr. Kurbatov Dmitry, Professor of Urology and Surgery, Moscow, Russia.

I have been practicing Urogenital Surgery and Andrology for more than 35 years.

I was the Student and the Friend of the the World Best Genitourinary Surgeon Professor Sava Perovic.

Write me an e-mail, and I will definitely reply professorkurbatov@gmail.com  


MY SURGICAL SKILLS in GENITAL SURGERY

Treatment of erectile dysfunction (impotence) — implantation of phalloprotheses (semi-rigid and functional models), including penis enlargement (see separate page)

Penis enlargement — lengthening and increasing the volume (see separate page)

Penile reconstruction

Surgical treatment of Peyronie’s disease and congenital deformities of the penis

Treatment of urethral stricture and hypospadias

Correction of premature ejaculation and accelerated ejaculation

Diagnosis and treatment of male infertility


Penile lengthening

I perform penile lengthening using various techniques. The main ones are:Ligamentotomy (modified technique), Suprapubic Lipectomy, Elongating Corporoplasty with grafting.

 Modified Ligamentotomy. The principle of the operation is based on the section of the cavernous bodies supporting ligament, followed by skin plastic surgery with the deepening of skin angle at the base of the penis.

But I perform surgery using a modified technique that allows to achieve penile elongation not only at flaccid state, but also during erection! All surgeons in the world claim that this is impossible. However, my experience and the results of my surgeries prove otherwise.

The surgery involves dissecting the supporting ligaments, accessing the base of the penis. After dissecting the ligament, a closed cavity is formed, which I recommend filling with various materials (silicone strips, testicular prosthesis, or your own fat) to prevent the cavernous bodies from reattaching to the pubic bone.

The operation includes a mandatory stage of skin plastic surgery with deepening of the angle between the base of the penis and the pubic, with fixation of the tissues to the pubic bone. In this case, a permanent penile elongation is achieved immediately, in the range of 1.5-3 cm (the result of elongation depends on the anatomy). In this case, the change of the erection angle is insignificant.

The extender/stretcher using is not required in the postoperative period.

In the case of large pubic fat pad, which reduces the penile length, I recommend simultaneous Suprapubic Lipectomy to remove the fat. This allows for an additional +1-2-3 cm for penile length.

Elongating Corporoplasty

Elongating Corporoplasty with grafting (collagen transplant) — is technically very difficult operation, which allows to achieve real penile lengthening by 2 — 3.5 cm.

For grafting I use special bovine pericardium (Russia). This material is certified for using in genital surgery, is elastic and turns into your own collagen within 1-1.5 years.

                              The scheme of the corporoplasty with grafting


Elongating Corporoplasty (EC) is recommended if the penis is not circumcised, because the foreskin should replace the lack of skin on the corpora cavernosa after lengthening.

Penile lengthening during EC depends on the elasticity of the cavernous tissue, the urethra, and the dorsal vascular-nervous bundles. Therefore, it is impossible to predict the result of penile lengthening before surgery.

The surgery is highly traumatic and carries the risk of complications such as cavernous fibrosis and erectile dysfunction (ED).

After the surgery, the patient should use a vacuum pump and an extender/stretcher every day for at least 4 months to stretch the cavernous tissue and grafts, as they are soft and can shrink.  However, if the patient has a risk of developing ED or already has it and wants to really lengthen his penis, I recommend combining the EC with intracavernous implantation of semi-rigid prostheses (implants). This provides the necessary rigidity to prevent contracture of the cavernous tissue with grafts and it solves the problem of ED and premature ejaculation forever. Penis lengthening by 2.5-3.5 cm is achieved immediately and remains permanently. No traction is required after surgery.

After 1-2 years it is recommended to replace the semi-rigid implant with an inflatable 3-component one.

The scheme of the corporoplasty with semi-rigid prosthesis implantation

It is possible to perform a EC using the Brazilian technique (sliding-plasty), which was proposed by my colleague and friend Paulo Egydio.

I perform surgeries on men over the age of 18, both from Russia and from other countries. I have had patients from the United States, England, the Netherlands, Switzerland, Bulgaria, Romania, Iraq, and Brazil.


PATIENTS REVIEWS

ОТЗЫВЫ ИНОСТРАННЫХ ПАЦИНТОВ НА МОИ ОПЕРАЦИИ УДЛИНЕНИЯ ПОЛОВОГО ЧЛЕНА


Пишите мне на почту
professorkurbatov@gmail.com