I think it depends on what you would like to achieve and if you are willing to pay for it for what its worth to you. If you plan on getting more than an inch in lnegth i would say you are not bein realistic. And most of the time it will cost you around 10 thousand dollars, so dont know if it would serve its purpose. Am not afraid of it, while theer can be complications, so there maybe be on anything in life you do, so you just would have to make sure you choose the right doctor, clinic, care, etc.
Phalloplasty (for length).... should i get one?
- Thread starter D_Jimmy Fluffet
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yoursgetsmine
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The only thing I get out of these conversations is that no matter what we have, we almost always want something different or more of something and can't seem to be satisfied with what we have. We all have something in abundance, just not all things or maybe specifically what we want, but somebody somewhere would give his left nut to be in possession of what we take for granted....so think about it BEFORE you do it, because once you do it....you're stuck FOREVER with it!!!
For years I have operated the Surgical_Enlargement_Forum which was a Yahoo Group dealing with the aftermath of these procedures. It did not start out that way, it in fact was originally intended to bolster and not be critical of these surgical procedures.
Phalloplasty was brought to the United States from Asia by Dr. Ricardo Samitier who had his practice in Florida many years ago. At that time what he was doing was only the lengthening procedure and he did not do girth enhancement which has proven to be the worst areas for problems. Samitier in the beginning did a relatively good job and he did that job cheaply. The problem was that he became greedy and as a result he became sloppy violating sterile procedure and a host of other atrocities. Florida has some of the worst laws to protect people against Surgeons in the United States and as a result he got away with it for a very long time. He raked in the bucks doing barely acceptable work towards the end when a South American Entertainer showed up on a plane. That man was taken by commercial jetliner, got off and was whisked to the good doctor's office where he was operated on and was back on a plane heading home the same day. There was no follow up. The man developed a massive infection and died. Because of his popularity in his home country it now became a matter for two governments. The FEDS forced a raid on the practice and found horrific conditions. Samitier last I knew was still in prison and was convicted of manslaughter I believe based on his treatment or lack of it of that patient.
When the only procedures being done were lengthening the results were mixed but people were not going through absolute hell for the most part. The pioneers for this in the early years of PE surgery were Doug Whitehead in New York and Gary Rheinschild in California. All went well in relative terms until girth enhancement entered the picture. It was girth enhancement that has overall been more problems short and long term than anything else.
Doug Whitehead was not blessed with the best of "bedside manner" and if a guy showed up with over 7" he would get blown out Doug's door as an idiot. Rheinschild in the early years turned down patients right and left based on pre-existing medical conditions particularly those relating to blood flow and immune problems. This was not because of discrimination in any way, it was to assure the safety of the patient. Later he would do the procedures if the T-cells were in nearly normal ranges and the Specialist treating the Immune disorder be it transplant drugs or HIV gave him an all clear.
When the girth enhancement procedures became the rage the real problems started. Lipo Transfer simply took body-fat from another location and injected it under the skin of the penis. Because the fat did not develop a blood supply, eventually it would re-absorbn into the body. On some but not all occasions it would leave behind small hard nodules which had to be removed surgically. The next procedure was dermal graft. Dermal Grafts did have some successes, but, they still did not develop blood supplies very often and when they did not, the fat of the graft would like the injected fat be destroyed and re-absorbed by the body. The grafts also had problems because of the best locations for the harvest sites. The grafts were usually harvested from under the buttocks in the fold between the buttocks and the ham string area of the rear of the leg. These did not heal well or quickly and in a percentage of men particularly those with darker skin scarring was far worse than what had been expected. Infections were common as well.
The next and worst disaster was the use of the implantation of foreign bodies into the penile tissues. There have been several, but, popular for a while was Alloderm. This is a substance designed for severe burn patients where there is not enough available graft tissue. It is used in skin grafting. It did not receive FDA approval for implantation inside the body. Though it is supposed to be biologically inert, it is basically made from the tissue of cadavers who have donated their bodies for medical science. This tissue is irradiated and treated in such a manner that it is not always recognized as a foreign body. In a burn victim some risk taking is in order, in a PE patient the problem became what is called "encapsulation". This is an immune reaction where the body cannot get rid of something so it builds a layer of tough fibrous tissue around it. The "encapsulation" can take years to happen. If it does happen the surgical procedures to get this stuff out are mind boggling. Basically the surgeon has to make incisions along the length of the penis and peel it back like one would peel a banana. The surgeon then in a very long procedure or sometimes several procedures must then "dig out" this tissue and do everything possible not to damage nerves in the process. It is risky and the chances for nerve damage are very high. This would create loss of sensation or abnormal sensations in the penis during intercourse or any other form of sex. In some cases it was painful. In most cases when it happens it can create what would look line Peyronies which is an abnormal penile curvature.
One of the details that some MD's leave out and in all honesty they do so because they have no way to predict them is the potential for ED caused by these procedures. Now the worst of it is that most of us have a chance of developing ED to some level as we age. The BEST treatment for ED and the cheapest is intracavernosal injections. No man who has had PE surgery can have IC injections because there is a chance of breaking the needle off inside the penis. This limits men who have had PE to the drug "muse" which is a trans-urethral pellet. Muse is a really expensive method costing a great deal more than the IC injections. In this system a small pellet about the size of a grain of rice is placed with a small too up the urethra near the base of the penis where it is broken or the coating dissolves. When this happens the drug is disbursed creating the erection. Muse other than being expensive also is prone to creating a great deal of irritation of the urinary tract and particularly the urethra in the area that is repeatedly exposed in some men.
To this day, in spite of the number of procedures being performed the United States the FDA has never given it's approval to PE surgery. Any MD who says that their procedure is FDA approved is lying.
The next problem is that when it is compared with other cosmetic procedures the failure rate and incidence of problems and or regret/dissatisfaction five to seven years after the procedure was performed is far above the statistics of other procedures.
There has never been a case where Insurance Companies don't rule the roost. Curtently the malpractice premiums for any MD performing PE exceed $10,000 - $12,000 per month in the United States. This in and of itself is beginning to cause many MD's to give it up simply because the only one's making money are the malpractice carriers. This is also why the costs of the procedures themselves have skyrocketed.
Most of the best of the men who did the great work are now retired, retiring or dead. Doug Whitehead retired because he himself developed cancer. Gary Rheinschild retired also and in October of 2010 suffered a subdural hematoma which led to multiple brain surgeries. When these were done the surgeries themselves did damage and he is not doing well.
Right now there are many things on the VERY near horizon in this area. Medical research has found other ways to do this which may be with us within 5 years using stem cells. The procedures would be far more simple and far more safe than the surgical procedures we have now.
I am in the process of closing down the Surgical Enlargement Forum because I feel that it is now just as obsolete as the procedures it was supposed to in the beginning help and make better for everyone. I can personally discuss a number of men who have had horrific damage from these procedures.
When it comes to accurate information on them the net is full of people working on commission and with a financial interest in them. Some of these people have made up numerous false identities and used those false identities to spread smear information about the MD that is the competition while praising the MD that pays them. This is illegal, but it has been a hallmark of the procedures in general.
I am sorry to sound like a wet blanket, but the procedures have a great number of problems. I in all honesty wish that they had worked well. For years, because of the forum I have maintained many connections with many MD's. The scalpel and the penis are coming to an end.
If you absolutely must have this procedure the ONLY way to have any reasonable chance of success is to totally not even begin to consider any form of girth enhancement. Next to gain substantial length you have to be willing to accept change. What must be done is to completely sever the suspensory and fundiform ligaments. Then a complete remodeling of the penile web must be done. What has to be done varies from patient to patient. Then the surgeon must construct a flap of tissue which will prevent the suspensory and fundiform from re-attaching themselves. If they do you get a monumental retraction of the penis as healing takes place. Now, done right and with it done this way the post-operative stretching of the tissues is relatively easy and most will see a very obvious increase in length after about 3-5 months doing it. The main issue now is that there will be changes in the way that one erects. The penis gets hard and rigid as it always did, but it will no longer point up, it will instead point downward and it will require a hand to guide it to target. It is not better or worse, it is just different.
In men who were born extremely large by nature, low to non existent erection angles are common. This is what you would have with the procedure done right. If you hear of large length gains, this was the procedure that was done.
Because of legalities I can not talk about who does what. What I can tell you is that if any of these tissues are re-attached to try and maintain an erection angle, the final result will be on erection about 1-2 inches maximum (with 3/4 to 1 being the most common) and you will have paid an incredible sum of money for something that rarely looks better than partial wood which you could have gotten from a few herbal compounds or a constant low dosage of Cialis.
I have been at this and worked with Gary M. Griffin up until his death in 1996. I am not mincing words here because I have seen the good and the bad in this one. The worst of the past has been the lack of consistency. One MD can crank out 5 good procedures and then #6 has major problems and nobody can explain why. There are many MD's who have been buried in legal hassles for the 10 that went bad when they have over a more than ten year period operated on more than 1,000 patients each.
You have used great common sense and tried to do your homework. The sad part is that as time has gone on the information on these procedures has gotten worse instead of better and many with commercial gain have corrupted the whole thing looking at it with "Rose Colored Glasses". There was a time I could have had the whole thing for NOTHING. I consulted with my significant other at the time and that person said that what I had was just fine. I still have my original equipment and while just like you I would also like to have one that would make a pornstar cry with envy, I plan on waiting until I know for a fact that: I am not going to create more problems than I solve, and that I am going to get very significant gains from the procedure that I can depend on.
Phalloplasty was brought to the United States from Asia by Dr. Ricardo Samitier who had his practice in Florida many years ago. At that time what he was doing was only the lengthening procedure and he did not do girth enhancement which has proven to be the worst areas for problems. Samitier in the beginning did a relatively good job and he did that job cheaply. The problem was that he became greedy and as a result he became sloppy violating sterile procedure and a host of other atrocities. Florida has some of the worst laws to protect people against Surgeons in the United States and as a result he got away with it for a very long time. He raked in the bucks doing barely acceptable work towards the end when a South American Entertainer showed up on a plane. That man was taken by commercial jetliner, got off and was whisked to the good doctor's office where he was operated on and was back on a plane heading home the same day. There was no follow up. The man developed a massive infection and died. Because of his popularity in his home country it now became a matter for two governments. The FEDS forced a raid on the practice and found horrific conditions. Samitier last I knew was still in prison and was convicted of manslaughter I believe based on his treatment or lack of it of that patient.
When the only procedures being done were lengthening the results were mixed but people were not going through absolute hell for the most part. The pioneers for this in the early years of PE surgery were Doug Whitehead in New York and Gary Rheinschild in California. All went well in relative terms until girth enhancement entered the picture. It was girth enhancement that has overall been more problems short and long term than anything else.
Doug Whitehead was not blessed with the best of "bedside manner" and if a guy showed up with over 7" he would get blown out Doug's door as an idiot. Rheinschild in the early years turned down patients right and left based on pre-existing medical conditions particularly those relating to blood flow and immune problems. This was not because of discrimination in any way, it was to assure the safety of the patient. Later he would do the procedures if the T-cells were in nearly normal ranges and the Specialist treating the Immune disorder be it transplant drugs or HIV gave him an all clear.
When the girth enhancement procedures became the rage the real problems started. Lipo Transfer simply took body-fat from another location and injected it under the skin of the penis. Because the fat did not develop a blood supply, eventually it would re-absorbn into the body. On some but not all occasions it would leave behind small hard nodules which had to be removed surgically. The next procedure was dermal graft. Dermal Grafts did have some successes, but, they still did not develop blood supplies very often and when they did not, the fat of the graft would like the injected fat be destroyed and re-absorbed by the body. The grafts also had problems because of the best locations for the harvest sites. The grafts were usually harvested from under the buttocks in the fold between the buttocks and the ham string area of the rear of the leg. These did not heal well or quickly and in a percentage of men particularly those with darker skin scarring was far worse than what had been expected. Infections were common as well.
The next and worst disaster was the use of the implantation of foreign bodies into the penile tissues. There have been several, but, popular for a while was Alloderm. This is a substance designed for severe burn patients where there is not enough available graft tissue. It is used in skin grafting. It did not receive FDA approval for implantation inside the body. Though it is supposed to be biologically inert, it is basically made from the tissue of cadavers who have donated their bodies for medical science. This tissue is irradiated and treated in such a manner that it is not always recognized as a foreign body. In a burn victim some risk taking is in order, in a PE patient the problem became what is called "encapsulation". This is an immune reaction where the body cannot get rid of something so it builds a layer of tough fibrous tissue around it. The "encapsulation" can take years to happen. If it does happen the surgical procedures to get this stuff out are mind boggling. Basically the surgeon has to make incisions along the length of the penis and peel it back like one would peel a banana. The surgeon then in a very long procedure or sometimes several procedures must then "dig out" this tissue and do everything possible not to damage nerves in the process. It is risky and the chances for nerve damage are very high. This would create loss of sensation or abnormal sensations in the penis during intercourse or any other form of sex. In some cases it was painful. In most cases when it happens it can create what would look line Peyronies which is an abnormal penile curvature.
One of the details that some MD's leave out and in all honesty they do so because they have no way to predict them is the potential for ED caused by these procedures. Now the worst of it is that most of us have a chance of developing ED to some level as we age. The BEST treatment for ED and the cheapest is intracavernosal injections. No man who has had PE surgery can have IC injections because there is a chance of breaking the needle off inside the penis. This limits men who have had PE to the drug "muse" which is a trans-urethral pellet. Muse is a really expensive method costing a great deal more than the IC injections. In this system a small pellet about the size of a grain of rice is placed with a small too up the urethra near the base of the penis where it is broken or the coating dissolves. When this happens the drug is disbursed creating the erection. Muse other than being expensive also is prone to creating a great deal of irritation of the urinary tract and particularly the urethra in the area that is repeatedly exposed in some men.
To this day, in spite of the number of procedures being performed the United States the FDA has never given it's approval to PE surgery. Any MD who says that their procedure is FDA approved is lying.
The next problem is that when it is compared with other cosmetic procedures the failure rate and incidence of problems and or regret/dissatisfaction five to seven years after the procedure was performed is far above the statistics of other procedures.
There has never been a case where Insurance Companies don't rule the roost. Curtently the malpractice premiums for any MD performing PE exceed $10,000 - $12,000 per month in the United States. This in and of itself is beginning to cause many MD's to give it up simply because the only one's making money are the malpractice carriers. This is also why the costs of the procedures themselves have skyrocketed.
Most of the best of the men who did the great work are now retired, retiring or dead. Doug Whitehead retired because he himself developed cancer. Gary Rheinschild retired also and in October of 2010 suffered a subdural hematoma which led to multiple brain surgeries. When these were done the surgeries themselves did damage and he is not doing well.
Right now there are many things on the VERY near horizon in this area. Medical research has found other ways to do this which may be with us within 5 years using stem cells. The procedures would be far more simple and far more safe than the surgical procedures we have now.
I am in the process of closing down the Surgical Enlargement Forum because I feel that it is now just as obsolete as the procedures it was supposed to in the beginning help and make better for everyone. I can personally discuss a number of men who have had horrific damage from these procedures.
When it comes to accurate information on them the net is full of people working on commission and with a financial interest in them. Some of these people have made up numerous false identities and used those false identities to spread smear information about the MD that is the competition while praising the MD that pays them. This is illegal, but it has been a hallmark of the procedures in general.
I am sorry to sound like a wet blanket, but the procedures have a great number of problems. I in all honesty wish that they had worked well. For years, because of the forum I have maintained many connections with many MD's. The scalpel and the penis are coming to an end.
If you absolutely must have this procedure the ONLY way to have any reasonable chance of success is to totally not even begin to consider any form of girth enhancement. Next to gain substantial length you have to be willing to accept change. What must be done is to completely sever the suspensory and fundiform ligaments. Then a complete remodeling of the penile web must be done. What has to be done varies from patient to patient. Then the surgeon must construct a flap of tissue which will prevent the suspensory and fundiform from re-attaching themselves. If they do you get a monumental retraction of the penis as healing takes place. Now, done right and with it done this way the post-operative stretching of the tissues is relatively easy and most will see a very obvious increase in length after about 3-5 months doing it. The main issue now is that there will be changes in the way that one erects. The penis gets hard and rigid as it always did, but it will no longer point up, it will instead point downward and it will require a hand to guide it to target. It is not better or worse, it is just different.
In men who were born extremely large by nature, low to non existent erection angles are common. This is what you would have with the procedure done right. If you hear of large length gains, this was the procedure that was done.
Because of legalities I can not talk about who does what. What I can tell you is that if any of these tissues are re-attached to try and maintain an erection angle, the final result will be on erection about 1-2 inches maximum (with 3/4 to 1 being the most common) and you will have paid an incredible sum of money for something that rarely looks better than partial wood which you could have gotten from a few herbal compounds or a constant low dosage of Cialis.
I have been at this and worked with Gary M. Griffin up until his death in 1996. I am not mincing words here because I have seen the good and the bad in this one. The worst of the past has been the lack of consistency. One MD can crank out 5 good procedures and then #6 has major problems and nobody can explain why. There are many MD's who have been buried in legal hassles for the 10 that went bad when they have over a more than ten year period operated on more than 1,000 patients each.
You have used great common sense and tried to do your homework. The sad part is that as time has gone on the information on these procedures has gotten worse instead of better and many with commercial gain have corrupted the whole thing looking at it with "Rose Colored Glasses". There was a time I could have had the whole thing for NOTHING. I consulted with my significant other at the time and that person said that what I had was just fine. I still have my original equipment and while just like you I would also like to have one that would make a pornstar cry with envy, I plan on waiting until I know for a fact that: I am not going to create more problems than I solve, and that I am going to get very significant gains from the procedure that I can depend on.
Hi... sorry, i forgot to reply back to this.
Thanks for clearing that up... at least i can see now you had your heart in the right place, so i appreciate it!
Yeah, i'm fine with it.... i suppose is a case of human curiousity (or maybe greed, lol). You could be happy enough driving around in a Porsche.... but then what when you find out it's possible to upgrade to a Ferrari?
After reading all this in this thread, i won't let a scalpel near it!
I think you've just said it all right there mate!!... That's human nature for you!
Man-thango
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Dino, I think you'd have better luck with a traction device instead. But if you chop off any part of it can you send it to me? I wouldn't mind more length.
hairyversmuscle
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Hey Bud, I don't think you are asking this for attention and ego stroking. Although i don't think I am as big as you are, I have the exact same thoughts. "If I could just get one more inch..."
You are probably like me a bit too where its a total mental self esteem thing. I was by most accounts a really ugly, scrawnly, zitty kid, who was incredibly shy, hid in the gym showers in school so really had no idea that I had a big dick. It wasn't until I was in my early 20s when I started seeing guys and how small some of them were... and how big some were too. At any rate... soon after the internet got invented and I would have a lot better idea of what other guys were hung like.
So now, I am happy with myself but I do the PE exercise with hope for that extra inch. I will say this, PE works great for flacid length and girth, but the gains are small and slow for erect size. Whether it gets the results you want, its really not a bother because all it is, is playing with your cock which is something all of us guys enjoy doing anyway! I know I read enough to NOT consider surgery!
You are probably like me a bit too where its a total mental self esteem thing. I was by most accounts a really ugly, scrawnly, zitty kid, who was incredibly shy, hid in the gym showers in school so really had no idea that I had a big dick. It wasn't until I was in my early 20s when I started seeing guys and how small some of them were... and how big some were too. At any rate... soon after the internet got invented and I would have a lot better idea of what other guys were hung like.
So now, I am happy with myself but I do the PE exercise with hope for that extra inch. I will say this, PE works great for flacid length and girth, but the gains are small and slow for erect size. Whether it gets the results you want, its really not a bother because all it is, is playing with your cock which is something all of us guys enjoy doing anyway! I know I read enough to NOT consider surgery!
Hey thanks for your input, i appreciate it bud... and all very informative!
I might try some PE exercises someday, any input on good recommendable equipment would be appreciated.
Hi Dino Rod,
I had surgery done twice in Harley Street by one of the so called leading
surgeons in this field. The only thing that gets bigger is the doctors bank
balance. Save your money because you will be very disappointed with the
results. If you don't believe me look up this type of surgery/results on the internet. The vast majority of men who have had this type of surgery
were very disappointed with the results.However we all have our dreams and it's not my place to spoil yours. This reply is meant to be a friendly
piece of advice. Doctors will tell you that expected increase in length is
between one to two inches. However this is usually far from the true and at best in the majority of cases the increase is half an inch.
regards.
Lob
I had surgery done twice in Harley Street by one of the so called leading
surgeons in this field. The only thing that gets bigger is the doctors bank
balance. Save your money because you will be very disappointed with the
results. If you don't believe me look up this type of surgery/results on the internet. The vast majority of men who have had this type of surgery
were very disappointed with the results.However we all have our dreams and it's not my place to spoil yours. This reply is meant to be a friendly
piece of advice. Doctors will tell you that expected increase in length is
between one to two inches. However this is usually far from the true and at best in the majority of cases the increase is half an inch.
regards.
Lob
In my humble opinion, the greatest improvemenet in phalloplasty has been in the area of girth enhancement. While those new procedures take very long to be approved in the USA, elsewhere they have been pioneering its use. The one who probably did the most in this area was Sava Perovic in Belgrade, Serbia, who passed away last year. There is a Foundation who continues doing this surgery and offering this procedure in Belgrade, for those who want to travel that far. If you Google the Sava perovic Foundation you will learn about this newe procedure. 'New' is a mistatement, indeed. He applied it for a decade or so before his passing.
They call it "penile girth enhancement surgery using tissue engineering and scaffolds ."
They call it "penile girth enhancement surgery using tissue engineering and scaffolds ."
Last edited:
MASSIVEPKGO_CHUCK
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A few before and after pics from respective galleries;
http://www.drgiunta.com/phalloplasty_gallery.htmll
http://www.thebarroncenters.com
http://www.drgiunta.com/phalloplasty_gallery.htmll
http://www.thebarroncenters.com
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ANY Doctor who claims that you need to be circumcised in order to have phalloplasty done is lying to you, and to make money. Yes, under private healthcare, doctors sometimes lie to drive up profits artificially. Surprising, I know.
Circumcision is pointless, serves no inherent purpose and reduces male sexual sensation.
You know why the US health sector has such a morbid obsession with circumcising everyone?
1. Pointless religious "tradition" (don't even get me started on that)
And
2.foreskins can be used to create artificial skin for burn victims. The foreskin trade is a multi-billion dollar industry. I kid you not.
Lastly, something insane like 80% of men who have phalloplasties, when interviewed post-op by independent sources, admit regretting having had the procedure. It makes your penis hang in an odd fashion, and reduces the structural integrity of your genitals when aroused (fun fact, breaking your dick is unbelievably painful, and is more likely to occur during rough sex after a phalloplasty).
Anything that is in or on your body naturally serves some purpose, even the humble appendix (despite what everyone says about it being useless). It's fine as it is, don't mess with it.
Circumcision is pointless, serves no inherent purpose and reduces male sexual sensation.
You know why the US health sector has such a morbid obsession with circumcising everyone?
1. Pointless religious "tradition" (don't even get me started on that)
And
2.foreskins can be used to create artificial skin for burn victims. The foreskin trade is a multi-billion dollar industry. I kid you not.
Lastly, something insane like 80% of men who have phalloplasties, when interviewed post-op by independent sources, admit regretting having had the procedure. It makes your penis hang in an odd fashion, and reduces the structural integrity of your genitals when aroused (fun fact, breaking your dick is unbelievably painful, and is more likely to occur during rough sex after a phalloplasty).
Anything that is in or on your body naturally serves some purpose, even the humble appendix (despite what everyone says about it being useless). It's fine as it is, don't mess with it.
Honestly, that is probably one of the smallest penises I have ever seen.
Why you have not already gone for a phalloplasty I do not know.
Why you have not already gone for a phalloplasty I do not know.
Rikter8
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Since your so big, where's your photos? Where's your claim to fame Big Talker.
Quit putting your garbage in this forum. It's not welcome, nor needed.
His dick is beautiful. Its Fucking HUGE. Much larger than YOURS.
To the OP.
DO NOT touch that cock. It's massive, and having some doctor that's "Cut Happy" will only screw it up!
Cutting the ligament will allow you to hang longer, but it also has the side effect of not standing to attention.
You can stretch the ligament out, for FREE, using the techniques in this forum.
I have gained permanent length increases, and also created a Hanger naturally.
But honestly...why? Its huge man!
Last edited:
D_Shermie Shtoinkle
Experimental Member
You don't need to change anything look at that piece between your legs its huge and beautiful..
r
r
mattsrod7
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This statement is incorrect as it is written. Though I am opposed to these surgeries because of the inconsistent results, if they are done properly there is no effect on the ability to obtain or sustain an erection, have sex in any manner or the ability to penetrate.
What you are referring to is NOT the ability go get an erection at all but the angle of erection. You simply get just as hard but it does not point up. Depending on the surgical technique used the angle will be either lower or the full erection may point straight down. This does not change function other than the way one uses their penis during sex.
Many men who are large by genetics do NOT have a steep erection angle and many must use a hand to position the head of the penis before penetration. The surgery (again if done correctly) basically creates not only the additional length but one of the disadvantages of being large as well which is the inconvenience of having to deal with a very hard penis, but one that must be positioned by had in order to penetrate.
Not necessarily bad, just different.
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