Procedures & Treatments

In-depth clinical guides for every aesthetic and reconstructive urological procedure — written to the standard of a subspecialty fellowship, not a supplement website.

Vertical A

Advanced Aesthetic & Reconstructive Urology

Surgical procedures requiring ABU board certification and dedicated andrology or prosthetic urology fellowship training.

Surgical · Augmentation

Silicone Penile Implant (Himplant / Penuma)

FDA-cleared subcutaneous silicone sleeve implantation in the sub-dartos plane for permanent girth augmentation.

$15,000 – $25,000
Surgical · Augmentation

Autologous Fat Transfer Girth Enhancement

Micro-liposuction and structural fat processing for penile soft-tissue volume expansion using the patient's own adipose tissue.

$5,000 – $15,000
Surgical · Reconstructive

Peyronie's Disease Reconstruction

Precision plaque excision, dermal matrix grafting, or tunica albuginea plication to correct pathological penile curvature.

$10,000 – $20,000
Surgical · Lengthening

Suspensory Ligament Release

Fundiform and suspensory ligament detachment to advance flaccid penile presentation — laser ligamentolysis technique.

$6,000 – $12,000
Surgical · Prosthetic

Inflatable Penile Prosthesis (IPP)

Three-piece hydraulic implant with corpora cavernosa cylinders, scrotal pump, and abdominal reservoir — gold-standard ED surgical treatment.

$15,000 – $25,000
Surgical · Prosthetic

Malleable Penile Prosthesis

Paired semi-rigid silicone corpora cylinders — mechanically simple, highly reliable, suitable for patients with limited manual dexterity.

$8,000 – $15,000
Surgical · Corrective

Penile Plication

Tunica albuginea shortening stitches to correct mild-to-moderate Peyronie's curvature without graft — lowest complexity surgical option.

$8,000 – $15,000
Surgical · Rejuvenation

Scrotoplasty & Scrotal Lift

Surgical resection of redundant scrotal skin to correct ptosis and restore scrotal architectural integrity.

$4,000 – $8,000
Surgical · Corrective

Penoscrotal Web Correction

Z-plasty or ventral skin advancement to release a webbed penile architecture and correct a low-set penoscrotal junction.

$3,000 – $6,000
Surgical · Grafting

Dermal Matrix Grafting for Peyronie's

Plaque incision or excision with human dermal allograft bridging — indicated for severe, complex, or length-loss Peyronie's disease.

$12,000 – $20,000
Vertical B

Functional Performance & Regenerative Andrology

Non-surgical and minimally invasive protocols in male sexual medicine, vascular andrology, and regenerative tissue engineering.

Regenerative · Vascular

Low-Intensity Shockwave Therapy (Li-ESWT)

Extracorporeal acoustic pulse delivery triggering penile angiogenesis to structurally reverse arteriogenic erectile dysfunction.

$3,000 – $6,000
Regenerative · Cell Signalling

PRF Regenerative Injection Therapy

Autologous platelet-rich fibrin matrix delivering concentrated growth factors for local tissue regeneration and microvascularity restoration.

$2,000 – $5,000
Regenerative · PRP

PRP for Erectile Dysfunction

Platelet-rich plasma injection targeting corpora cavernosa tissue repair, nerve activation, and vascular endothelial growth factor stimulation.

$1,500 – $4,000
Hormonal · Optimisation

Testosterone Replacement Therapy (TRT)

Precision hypogonadism management via injectable, transdermal, or pellet delivery with continuous hormonal monitoring.

$150 – $500 / month
Regenerative · Vascular

Acoustic Wave Therapy

Focused or radial acoustic wave stimulation of neovascularisation and plaque dissolution in vascular and Peyronie's-related ED.

$3,000 – $6,000
Diagnostic · Vascular

Penile Duplex Doppler Ultrasound

Dynamic haemodynamic assessment measuring PSV, EDV, and resistive index to classify erectile dysfunction aetiology with precision.

$500 – $1,500
Non-Surgical · Injectable

Hyaluronic Acid Penile Enhancement

Cross-linked HA filler injection into the sub-dartos plane for reversible circumferential girth augmentation without surgical incision.

$3,000 – $8,000
Microsurgical · Vascular

Microsurgical Penile Revascularisation

Inferior epigastric artery bypass to penile arterial supply — for young patients with confirmed focal arteriogenic erectile dysfunction.

$20,000 – $35,000
Pharmacological · Optimisation

PDE5 Inhibitor Optimisation

Evidence-based sildenafil/tadalafil titration, on-demand vs. daily dosing strategy, and combination therapy with regenerative modalities.

Varies
Rehabilitative · Post-Surgical

Post-Surgical Penile Rehabilitation

Structured VED, PDE5 inhibitor, and ESWT protocol following radical prostatectomy, prosthesis removal, or penile reconstruction.

$500 – $3,000