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Does penis enlargement surgery affect erections ?

Does Penis Enlargement Surgery Affect Erections?

One of the most common and understandable concerns men have when considering penis enlargement surgery is whether the procedure could negatively affect erectile function.

This article explains, clearly and factually, how penis enlargement surgery interacts with erectile anatomy, what the evidence shows, and why most men do not experience any deterioration in erections following surgery when it is performed correctly by an experienced urologist.

Understanding How Erections Work

To understand whether penis enlargement surgery can affect erections, it is important to understand the basic anatomy involved in achieving an erection.

Erections occur when blood fills the corpora cavernosa — two cylindrical erectile chambers that run along the length of the penis. These structures are responsible for rigidity and are supplied by delicate blood vessels and nerves.

Crucially:
Penis enlargement surgery is performed around the penis, not within these erectile bodies.

What Penis Enlargement Surgery Actually Involves

At Moorgate Andrology, surgical penis enlargement typically involves one or both of the following:

  • Penile lengthening surgery (ligament release)

  • Penile girth enhancement (fat transfer)

Ligament Release Surgery

This procedure involves releasing the suspensory ligament, which tethers part of the penis internally to the pubic bone. Releasing this ligament allows the penis to sit further outside the body in the flaccid state.

Importantly:

  • The corpora cavernosa are not entered

  • Erectile tissue is not cut or damaged

  • Blood supply to the penis is preserved

You can read a detailed explanation here:
 https://moorgateandrology.co.uk/penis-enlargement/

Fat Transfer for Girth

Girth enhancement uses the patient’s own fat, which is carefully processed and placed around the shaft, beneath the skin.

Again:

  • Erectile chambers are not injected

  • No interference with erection mechanics occurs

So, Does Penis Enlargement Surgery Affect Erections?

In the vast majority of cases: No

When performed correctly by a qualified urologist:

  • Erections are preserved

  • Erectile rigidity is unchanged

  • Sensation is maintained

Most men report:

  • Normal erections after recovery

  • No loss of erectile quality

  • Improved confidence, which may positively influence sexual performance

Why Do Some Men Claim Their Erections Worsened?

Online, you may encounter claims that penis enlargement surgery caused erectile dysfunction. These cases typically fall into one of the following categories:

1. Temporary Post-Surgical Effects

In the early recovery phase:

  • Swelling

  • Bruising

  • Discomfort

These can temporarily affect sexual confidence or comfort but do not represent true erectile dysfunction. This resolves as healing progresses.

2. Psychological Factors

Anxiety during recovery, fear of damaging results, or heightened focus on erections can temporarily affect performance. This is well recognised in urology and usually settles with reassurance and time.

3. Pre-Existing Erectile Dysfunction

Some men already have mild or unrecognised erectile dysfunction before surgery. Surgery does not cause this, but it may become more noticeable afterward.

4. Surgery Performed Outside a Urological Setting

Procedures performed:

  • By non-urologists

  • In non-regulated environments

  • Without proper anatomical training

carry higher risks and may contribute to poor outcomes.

What Does the Medical Evidence Say?

Peer-reviewed urological literature supports that:

  • Ligament release surgery does not interfere with erectile tissue

  • Fat transfer does not compromise blood flow

  • Erectile dysfunction following properly performed surgery is uncommon

This is why patient selection, surgical technique, and post-operative care are critical.

Can Erections Improve After Surgery?

Interestingly, many men report:

  • Improved sexual confidence

  • Reduced anxiety

  • Better sexual satisfaction

While surgery does not directly treat erectile dysfunction, confidence and body image play a major role in sexual performance.

When to Speak to a Specialist

A consultation with a urologist is essential to:

  • Assess baseline erectile function

  • Identify risk factors

  • Discuss realistic expectations

  • Decide whether surgery is appropriate

Moorgate Andrology offers specialist consultations with experienced urologists who routinely assess erectile health as part of the surgical planning process.

 Learn more about suitability here:
https://knowledgebase.moorgateandrology.co.uk/who-is-suitable-for-penis-enlargement-surgery

Key Takeaway

Penis enlargement surgery does not normally affect erections when:

  • Performed by a qualified urologist

  • Conducted using established techniques

  • Proper aftercare is followed

The erectile structures of the penis are not entered, and erectile function is preserved in the overwhelming majority of patients.

If you have concerns, discussing them openly with a specialist is the safest and most reliable way to make an informed decision.