Aesthetic Urology — Jakub Kłącz, MD, PhD, Answers Patients’ Most Frequently Asked Questions

Series: Questions for a urologist · Editorial preparation: Wyspa Medycyny Przyjaznej editorial team · Medical co-author: Jakub Klacz, MD, PhD, urology specialist, FEBU · Medical authorization: Jakub Klacz, MD, PhD — to be confirmed before publication · Publication: to be completed · Updated: 10.07.2026

This article is educational and does not replace a urology or andrology consultation. Aesthetic urology procedures require examination, qualification, and discussion of contraindications, risks, possible outcomes, recovery, and alternatives.

Key Points in Brief

• Aesthetic urology may concern the appearance of the penis, glans, foreskin, frenulum, scars, superficial lesions, visible length, or girth.
• The first step should be a urology consultation, not choosing a specific procedure.
• Not every patient dissatisfied with the appearance of the genital organs is a candidate for an aesthetic procedure.
• Many methods mainly improve girth, proportions, or visible exposure of the penis, rather than permanently increasing the length of the corpora cavernosa.
• Procedures using hyaluronic acid, poly-L-lactic acid, autologous fat, or regenerative methods have different indications, limitations, and risks.
• Penile skin changes such as papules, spots, warts, ulcers, or discoloration first require a diagnosis; they should not be removed "blindly".
• If the problem is erection, pain, penile curvature, decreased libido, or ejaculation disorders, urological/andrological diagnostics are needed, not only an aesthetic procedure.
• An honest consultation also includes a discussion of what cannot be achieved with a given method.

Learn more about the specialist

This material from the "Questions for a urologist" series was prepared with the participation of the doctor answering patients' questions. Before publication, it should receive final medical authorization from a urology specialist involved in diagnostics of urinary and genital diseases, andrology, functional surgery, and qualification for selected aesthetic urology procedures.

Meet Jakub Klacz, MD, PhD

Does the "questions for a urologist" format make sense for SEO?

Yes. Patients search not only for procedure names, but also for answers to questions: "what is aesthetic urology", "how to improve the appearance of the penis", "is penis enlargement safe", "can the glans be enlarged", "can pearly penile papules be removed", "can a short penis be treated", "aesthetic urology Gdansk". The Q&A format responds to these intentions and can support visibility in search engines and AI-generated answers.

In this topic, E-E-A-T is especially important: a doctor as medical co-author, editorial preparation, authorization, update date, sources, clear limitations, and no promises. Aesthetic urology concerns an intimate sphere, so the text should combine discretion with reliable medical information.

What exactly does aesthetic urology mean?

Aesthetic urology is an area of urology in which appearance, proportions, comfort, and selected functional problems related to the genital organs are discussed. In practice, a patient may come with very different questions: about penile girth, the appearance of the glans, the result after circumcision, a short frenulum, the foreskin, a scar, papules, spots, asymmetry, visible penile length, or a general feeling of discomfort.

However, this is not "on-demand" medicine detached from anatomy and safety. The doctor should first determine whether the problem is aesthetic, functional, dermatological, andrological, psychosexual, or oncological. Only after such assessment is it possible to discuss possible treatment methods or appearance improvement.

Is aesthetic urology only for men?

This article focuses primarily on male aesthetic urology, meaning problems related to the penis, glans, foreskin, frenulum, scrotum, appearance of the intimate area, and sexual function. In practice, many patient questions concern penile girth, skin changes, phimosis, a short frenulum, or the result after a previous procedure.

Female intimate problems also require specialist care, but depending on symptoms, the appropriate pathway may be gynecology, urogynecology, dermatology, venereology, or urology. The most important thing is not to assign the patient to "aesthetics", but to determine what problem truly needs solving.

What problems can be discussed during an aesthetic urology consultation?

During the consultation, you can discuss, among other things:

• penile girth — if the patient is considering volumizing methods such as hyaluronic acid, poly-L-lactic acid, or autologous fat,
• visible penile length — especially when the problem is a partially hidden penis, suprapubic fat tissue, or proportions,
• the glans — its volume, proportions, appearance, or asymmetry,
• the foreskin — phimosis, excess skin, scars, the result after circumcision, or recurrent inflammation,
• the frenulum — pain, tearing, bleeding, pulling during erection, or discomfort during intercourse,
• superficial lesions — pearly penile papules, Fordyce spots, warts, discoloration, nodules, ulcers, or other changes requiring diagnostics,
• scars and irregularities after previous procedures, injuries, or inflammation,
• sexual function — if the patient reports erectile dysfunction, ejaculation disorders, libido decrease, pain, or penile curvature.

Each of these problems may require a different approach. Not everything is solved with a filler, not everything requires surgery, and not everything should be qualified as an aesthetic procedure.

Which procedures are most often associated with aesthetic urology?

The scope of procedures depends on qualification, the patient's anatomy, and the current offer of the facility. In aesthetic urology, the following are most often discussed:

• increasing penile girth with hyaluronic acid — a temporary method that mainly affects girth, not penile length,
• penile enlargement with poly-L-lactic acid — a biostimulating method whose effect builds gradually and requires qualification,
• penile lipofilling — use of the patient's own fat tissue, with a risk of partial absorption and irregularities,
• glans enlargement — a procedure concerning only the glans, not the whole penis,
• release of the suspensory ligaments — a procedure affecting visible length in selected patients and requiring especially careful qualification,
• treatment of phimosis and foreskin corrections — functional procedures, sometimes with an important aesthetic aspect,
• frenuloplasty — when the problem is pain, tearing, or tension of the frenulum,
• removal of superficial lesions — for example pearly penile papules or Fordyce spots after confirming the diagnosis,
• selected regenerative procedures — discussed individually, without promising enlargement or improved erection for every patient.

The most important thing is to match the method to the problem. A patient who wants to increase girth needs a different discussion than a patient with a short frenulum, phimosis, a skin lesion, or erectile dysfunction.

Does an aesthetic procedure mean major surgery?

Not always. Some procedures are injectable or outpatient, some are minor surgical procedures, and some require more complex qualification and longer healing. However, all procedures should not be reduced to the slogan "quick and problem-free". Every medical procedure involves risk.

Possible adverse effects depend on the method, but may include pain, swelling, bruising, bleeding, infection, lumps, irregularities, asymmetry, scarring, changes in sensation, an unsatisfactory result, migration of material, or the need for correction. Therefore, the patient should learn not only the possible benefits, but also the limitations and risks.

What does a consultation before an aesthetic urology procedure look like?

The consultation should begin with a calm conversation. The doctor asks what the patient wants to change, how long the problem has lasted, and whether it concerns the flaccid state, erection, intercourse, hygiene, pain, appearance, or sexual function. Previous procedures, chronic diseases, medications, allergies, tendency to scar, infections, and expectations are also important.

Depending on the problem, the consultation may include:

1. Medical history — symptoms, previous treatment, diseases, medications, and the patient's expectations.
2. Urological examination — assessment of anatomy, skin, glans, foreskin, frenulum, scars, or superficial lesions.
3. Differentiating the problem — whether it concerns aesthetics, function, skin, infection, anatomy, erection, ejaculation, or psychosexual expectations.
4. Discussion of methods — what can be considered, what cannot be achieved, and what a given procedure will not improve.
5. Discussion of risks — adverse effects, contraindications, healing time, follow-up, and possible corrections.
6. Informed consent — only after the plan, limitations, and alternatives have been understood.

Not every patient should have a procedure performed on the same day. Sometimes diagnostics, treatment of a functional problem, an andrology, dermatology, or venereology consultation, or time to think is more reasonable.

Does aesthetic urology make sense only for appearance?

Not always. Some patients come for aesthetic reasons, but for many people appearance is linked with function: pain during intercourse, frenulum tearing, phimosis, scarring, hypersensitivity, discomfort after circumcision, difficulty with hygiene, or embarrassment in intimate situations.

However, it must not be promised that an aesthetic procedure will automatically improve confidence, a relationship, erection, or sexual satisfaction. In some patients, improving appearance may reduce embarrassment, but if the problem concerns mental health, relationships, anxiety, comparisons with pornography, or unrealistic expectations, the procedure alone may not be the right solution.

When is diagnostics needed first, rather than an aesthetic procedure?

There are situations in which an aesthetic procedure should not be the first step. First, a diagnosis must be established and medical problems excluded.

• erectile dysfunction or sudden worsening of erection quality,
• penile pain, pain during erection, or pain during intercourse,
• penile curvature, thickening, or suspected Peyronie's disease,
• recurrent infections, inflammation, discharge, or unpleasant odor,
• a skin lesion that grows, bleeds, hurts, ulcerates, or changes color,
• phimosis, paraphimosis, or cracking foreskin,
• a short frenulum with pain or bleeding,
• strong dissatisfaction with appearance despite normal anatomy,
• expecting a specific number of centimeters or a full guarantee of effect.

Does aesthetic urology have preventive indications?

The term "aesthetic urology" itself does not mean prevention in the medical sense. Preventive value comes primarily from regular urological check-ups, assessment of concerning symptoms, hygiene, diagnostics of skin lesions, and treatment of infections, phimosis, or a short frenulum if they cause symptoms.

It is worth seeing a urologist if a new penile lesion, pain, skin cracking, foreskin problems, erection difficulties, penile curvature, blood in the urine, urinary problems, or recurrent infections appear. One should not wait only because the problem concerns an intimate area.

What are the most common mistakes patients make before consultation?

The most common mistakes usually result from shame, pressure, and a lack of reliable information. It is worth avoiding them, because they can make treatment harder or increase the risk of complications.

• choosing a procedure based on an advertisement, forum, or online video,
• expecting a guaranteed increase in length or girth,
• comparing oneself with pornography or edited photos,
• hiding previous procedures, complications, or self-injections,
• removing skin lesions without diagnosis,
• treating erectile dysfunction with "aesthetics" without diagnostics,
• ignoring pain, curvature, phimosis, or infection,
• making a decision under pressure from a partner or an important event.

Are you considering aesthetic urology?

Start with a consultation: determine whether the problem concerns appearance, function, skin, foreskin, frenulum, glans, girth, visible length, or the patient's expectations.

Aesthetic urology at Wyspa Medycyny Przyjaznej in Gdansk

On the WMP website, Jakub Klacz, MD, PhD is described as a urology specialist, FEBU, a doctor experienced in the diagnosis and treatment of urinary and genital diseases, uro-oncology, andrology, and reconstructive and functional surgery. WMP also lists him as a doctor consulting problems related to improving the appearance of the penis and aesthetic urology.

Depending on the problem, the patient may require a urology consultation, examination, andrological diagnostics, assessment of skin lesions, treatment of phimosis, frenuloplasty, a volumizing procedure, or a completely different approach. The current scope of procedures, prices, doctor availability, and recommendations should be confirmed during registration or consultation.

Learn more about the specialist HA penis enlargement Glans enlargement Frenuloplasty

What should you ask the urologist before a procedure?

• Does my problem concern appearance, function, skin, foreskin, frenulum, glans, or erection?
• Do I need an aesthetic procedure, urological treatment, or diagnostics?
• What method does the doctor recommend and why?
• What effect can I realistically expect?
• What effect cannot be achieved with this method?
• Does the effect concern girth, visible length, the glans, or another problem?
• Will the procedure affect erection, sensation, or intercourse?
• What are the most common complications?
• How long should intercourse, sport, sauna, or swimming pool be avoided?
• Can the material be corrected or removed if the result is unsatisfactory?
• When should I seek urgent care after the procedure?
• In my case, would it be better to wait, perform diagnostics, or resign from the procedure?

FAQ: aesthetic urology and improving the appearance of the penis

Does aesthetic urology mean only penis enlargement?

No. It may concern girth, visible length, the glans, foreskin, frenulum, scarring, pearly penile papules, Fordyce spots, superficial lesions, or functional problems.

Can penile length be permanently increased?

Many methods mainly affect girth or visible exposure of the penis, not permanent lengthening of the corpora cavernosa. Procedures concerning visible length require especially careful qualification.

Does hyaluronic acid enlarge the penis?

In selected patients, hyaluronic acid may increase penile girth. It does not change penile length. The effect is temporary and depends on the product, anatomy, metabolism, and healing.

Can the appearance of the glans be improved?

In selected patients, procedures involving the glans, for example with hyaluronic acid, can be discussed. The procedure concerns the glans, not the length or girth of the penile shaft.

Can pearly penile papules and Fordyce spots be removed?

Some benign lesions may be considered for treatment after the diagnosis is confirmed. Penile lesions should not be removed without prior diagnostics, especially if they grow, bleed, hurt, or change appearance.

Does aesthetic urology improve erection?

It should not be presented this way. If erection is the problem, urological or andrological diagnostics are needed. An aesthetic procedure may not solve erection problems.

Are aesthetic urology procedures painful?

Sensations depend on the procedure, area, and anesthesia. A prick, pressure, stretching, burning, swelling, tenderness, or discomfort after the procedure may occur. Before the procedure, the doctor should discuss anesthesia and post-procedure recommendations.

Is the effect guaranteed?

No. The effect depends on anatomy, method, product, healing, tissue quality, expectations, and following recommendations. Honest qualification should also include a discussion of limitations.

Who consults aesthetic urology at WMP?

The WMP website states that consultations regarding improvement of penile appearance are provided by Jakub Krukowski, MD, PhD and Jakub Klacz, MD, PhD. The current scope of procedures should be confirmed during registration.

Sources for medical and editorial verification

• Wyspa Medycyny Przyjaznej, Jakub Klacz, MD, PhD: https://www.wyspamedycynyprzyjaznej.pl/pl/jakub-klacz-urolog-gdansk
• Wyspa Medycyny Przyjaznej, improving the appearance of the penis: https://www.wyspamedycynyprzyjaznej.pl/pl/poprawa-wygladu-pracia
• Wyspa Medycyny Przyjaznej, penile enlargement with hyaluronic acid: https://www.wyspamedycynyprzyjaznej.pl/pl/powiekszanie-pracia-gdansk
• Wyspa Medycyny Przyjaznej, glans enlargement with hyaluronic acid: https://www.wyspamedycynyprzyjaznej.pl/pl/powiekszanie-zoledzi-kwasem-hialuronowym-gdansk
• Wyspa Medycyny Przyjaznej, surgical penile frenulum release: https://www.wyspamedycynyprzyjaznej.pl/pl/chirurgiczne-podciecie-wedzidelka-pracia-gdansk
• Wyspa Medycyny Przyjaznej, circumcision: https://www.wyspamedycynyprzyjaznej.pl/pl/obrzezanie
• Wyspa Medycyny Przyjaznej, micropenis — diagnostics and enlargement options: https://www.wyspamedycynyprzyjaznej.pl/pl/mikropenis
• Wyspa Medycyny Przyjaznej, suspensory ligament release of the penis — blog: https://www.wyspamedycynyprzyjaznej.pl/pl/podciecie-wiezadel-wieszadlowych-blog
• Penile Volume Augmentation With Hyaluronic Acid Fillers, PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC12674163/
• Efficacy and complications of hyaluronic acid and polylactic acid filler injection for penile augmentation, PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC10473315/
• Complications and management of penile enhancement procedures, PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC12603848/
• European Association of Urology, Sexual and Reproductive Health Guidelines: https://uroweb.org/guidelines/sexual-and-reproductive-health
• Google Search Central, Creating helpful, reliable, people-first content: https://developers.google.com/search/docs/fundamentals/creating-helpful-content
• Google Search Central, Article structured data: https://developers.google.com/search/docs/appearance/structured-data/article
• Google Search Quality Rater Guidelines: https://guidelines.raterhub.com/searchqualityevaluatorguidelines.pdf