Vaser laser liposuction on pubic fat, now having erection issues?

Question

I had laser liposuction right on my pubic area to decrease the fat pad, now I am having problems with erections and feel like my testicles are not hanging like they were and feel very tight. It's been 2 months I've had it done and even feel like I have lost some size too. Can any doctors please give me any insight? Thank you

Jed H. Horowitz, MD, FACS · Answer

Hi, you should not be having erectile dysfunction at this stage but some swelling and bruising may persist for up to 8 weeks. It varies greatly between patients. Final #results can usually be seen 2-4 months later as the swelling continues to diminish and contours become more defined, but improvement will continue for 4–6 months as swelling and irregularities resolve. These contours can even improve throughout the year after surgery.
Be sure that you follow your surgeon's instructions as to caring for yourself during #recovery (such as wearing garments or lymphatic massage) to get better results. Continue with your aftercare as prescribed but also follow up and contact your surgeon regarding this. Best of luck! 
  #RealSelf100

W. John Bullis, MD · Answer

Thanks for your question - I must say that is the first time I have heard that one.  I always tell my patients, both male and female, to expect some unusual swelling of the "private parts" after having liposuction to the mons pubis.  This occurs, because when one is standing or sitting, the fluid flows downhill and collects in dependant regions (like testicles and penis in the men, and labia in the women).  This fluid is full of inflammatory mediators, so theoretically, that could translate into some passive inflammation of the nerves, which may explain your symptoms.  That's my best guess as to what is happening with you.  If that is the case, then things should improve with time.  Since it has already been 2 months, some of the swelling will certainly have gone by now, but there will still be some remaining for up to 6 months post-operatively.  Alternatively, it could also be coincidental and have nothing to do with your procedure.  Certainly a decrease in size cannot be explained by liposuction to the mons pubis, however, if the mons pubis is still quite swollen, it can "hide" the base of the penis, making the penis appear to be shorter, even if it is not.  There are many treatments available to help fix your problem, so I would recommend an evaluation by a healthcare provider who has expertise in ED.  Platelet rich plasma is being used for, among many other things, penile injections to improve ED - this may be something you should consider along with getting your testosterone levels checked.  Adding adipose-derived stem cells to the PRP injections may be even more beneficial, but this would require, at minimum, llimited liposuction in the office to obtain some fat, from which the stem cells can be extracted, mixed with PRP, and re-injected into the penis.

Lisa Jenks, MD · Answer

Liposuction in the pubic area should not be effecting erections or the size of your penis two months after the procedure.  For the first few weeks after liposuction, it is very normal to have swelling and bruising in the testicles and penis.  This might lead to some problems with erection.  However, this certainly should have resolved after two months. I would recommend following up with the physician who did the procedure and possibly with a urologist.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Vaser lipo in the suprapubic area should not affect your penis or testicles 2 months post op.

Vaser laser liposuction on pubic fat, now having erection issues?

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