Penile Implant with Length and/or Girth Enhancement
ARES-XL
Anatomic factors that limit penile length and girth are dictated by the tunica albugenia, neurovascular bundles and the urethra. The erectile bodies are covered by a strong non-elastic wrapping (tunica albuginea) that limits their expansion. Additionally, there are nerves located on the back layer of the penile shaft (neurovascular bundle). The channel you void through (the urethra) is a third and separate body on the underside of the penis that can limit your penis’s ability to stretch.
Inflatable penile implants, particularly the Coloplast Titan implants, not only have a standard girth, but also have the ability to expand an additional 5-6mm per cylinder (remember, you will have two cylinders).
Here is a chart of the expandability of the COLOPLAST TITAN cylinders:
| Cylinder Length | Girth | Max Girth |
|---|---|---|
| 16 cm | 14.8 mm | 19.3 mm |
| 18 cm | 15.8 mm | 20.6 mm |
| 20 cm | 15.8 mm | 20.6 mm |
| 22 cm | 16.9 mm | 22 mm |
| 24 cm | 17 mm | 22.1 mm |
| 26 cm | 17 mm | 22.1 mm |
| 28 cm | 17 mm | 22.1 mm |
The ARES-XL procedures for penile enhancement involves creation of strategically placed slits within the tunica albuginea, creating a “mesh like” expansion that can be expanded when sizing the penile implant. This will allow your surgeon to place a longer (and girthier) implant, sized up to the limitation of the neurovascular bundle and the urethra. For length expansion, the neurovascular bundle is carefully micro-dissected off the underlying tunical layer and freed, allowing additional slits to be placed under it.
The mesh like expansion also allows the implant to continue to stretch horizontally, up to the maximum girth of the penile implant placed.