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Watch Dr. Bryan Kansas’ video on Penuma Penile Male Enhancement surgery


Penuma is an FDA cleared penile implant designed specifically for cosmetic enhancement. The implant is manufactured in the United States from soft, natural feeling, medical-grade silicone. It is entirely different in shape and function from medical implants used to treat erectile dysfunction. At Urology Austin, Penuma implant surgery is performed by Dr. Bryan Kansas. Dr. Kansas is the first Urologist in Central Texas and the second in the state of Texas to be trained in the Penuma procedure. In addition, he is one of the first surgeons in the world trained to perform Penuma.

Penuma evaluation and eligibility

The Penuma implant does not treat erectile dysfunction. Instead, it is a cosmetic option for men who are interested in the following:

  • Increasing their penile flaccid length
  • Increasing their penile flaccid and erect girth

It is also a consideration for men who have mild penile curvature or a mild buried penis who also desire the above.

During the consultation, interested patients should expect a physical exam, a discussion about their medical history, why they’re interested in this procedure, current medical conditions and a review of prescription medications. The doctor will also step through a penile rating guide with the patient. This guide includes a series of images in which the patient is asked to identify the following:

  • The image that best represents their flaccid length and girth
  • The image that best represents their erect length and girth
  • The image that best represents their expectation of flaccid length and girth after surgery
  • The image that best represents their expectation of erect length and girth after surgery

The doctor may also request a psychiatric evaluation to rule out dysmorphic disorder. On occasion, some patients may not meet the criteria needed to proceed with the implant.

If the patient is cleared for the procedure, the physician will make their recommendation on which size Penuma should be implanted depending on the patient’s interest and actual physical allowances.

How is the procedure performed?

Penuma is an out-patient procedure performed in a surgery center under general anesthesia. At the beginning of the procedure, the surgeon will make a small incision above the base of the penis. The implant will then be inserted through the incision along the shaft of the penis. At this time, the surgical implant will be contoured to fit the patient’s shape. Once in place, the Penuma is secured by small sutures that are undetectable. Watch the video at the bottom of this page for more detail.

Is Penuma covered by insurance?

Because Penuma is an elective, cosmetic surgery, it is not covered by insurance. Patients interested in this procedure will be paying out-of-pocket. Our billing team will be able to assist patients in determining their cost.

Click here to learn more about CareCredit, a financial option for medical expenses that are not covered by insurance.

Pre-op and post-op instructions

The physician will discuss pre- and post-op instructions with all patients who choose to proceed with the implant. The following instructions will apply:

Before the operation

  • No food or drink after midnight prior to the operation.
  • Shower with Hibiclens liquid skin cleanser the night before and the morning of the procedure. Hibiclens is an antibacterial and antimicrobial cleanser available at most pharmacies.

After the operation

  • A JP drain will be placed during surgery that exits the incision site. This drain is typically removed three days after surgery.
  • Patients should not lift over 25 lbs. for a minimum of two weeks.
  • No sexual intercourse or stimulation for a minimum of six weeks.
  • Do not touch or manipulate the penis – except during urination – for 4 weeks.

Surgical risks

As with any surgical procedure, there can be risks. Men who undergo the Penuma procedure may experience the following:

  • Bleeding
  • Infection
  • Pain
  • Scarring
  • Seroma

Patient Pre- and Post-Op Instructions

Penuma Pre and Post Op Patient Instructions December 2021


If you’re interested in learning more about the Penuma penile implant, contact our office to schedule an appointment with Dr. Bryan Kansas. You can also fill in and submit the Penuma Eligibility Questionnaire prior to your consultation with Dr. Kansas.

Learn more about the Penuma procedure by visiting their website.

Watch Penuma educational videos and much more on their Instagram page.


Before and after photos

Dr. Kansas provided the following before and after photos from recent Penuma implant surgeries that he has performed. These links contain nudity and are meant for adult men who are interested in learning more about this procedure. It should not be viewed by adolescents under the age of 18.

Surgery 1 – March 2, 2021 – Dr. Bryan Kansas, Surgeon

Surgery 2 – March 2, 2021 – Dr. Bryan Kansas, Surgeon

Surgery 3 – March 2021 – Dr. Bryan Kansas, Surgeon

Surgery 4 – March 2021 – Dr. Bryan Kansas, Surgeon

Surgery – May 2021 – Dr. Bryan Kansas, Surgeon

Surgery – June 22, 2021 – Dr. Bryan Kansas, Surgeon

Surgery – August 3, 2021 #1 – Dr. Bryan Kansas, Surgeon

Surgery – August 3, 2021 #2 – Dr. Bryan Kansas, Surgeon

Surgery – Sept 21, 2021 #1 – Dr. Bryan Kansas, Surgeon

Surgery – Sept 21, 2021 #2 – Dr. Bryan Kansas, Surgeon

Surgery – Sept 21, 2021 #3 – Dr. Bryan Kansas, Surgeon

Surgery – October 12, 2021 – Dr. Bryan Kansas, Surgeon

Surgery – December 2021 – Dr. Bryan Kansas, Surgeon

Surgery – December 7 2021 – Dr. Bryan Kansas, Surgeon

Surgery – December 14 2021 – Dr. Bryan Kansas, Surgeon

Surgery – February 15, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – February 22, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – February 22, 2022 #2 – Dr. Bryan Kansas, Surgeon

Surgery – February 22, 2022 #3 – Dr. Bryan Kansas, Surgeon

Surgery – March 1, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – March 1, 2022 #2 – Dr. Bryan Kansas, Surgeon

Surgery – March 8, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – March 15, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – March 15, 2022 #2 – Dr. Bryan Kansas, Surgeon

Surgery – April 5, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – April 26, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – May 3, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – June 6, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – June 7, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – July 12, 2022 – Dr. Bryan Kansas, Surgeon

Surgery – July 19, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – July 19, 2022 #2 – Dr. Bryan Kansas, Surgeon

Surgery – July 20, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – July 20, 2022 #2 – Dr. Bryan Kansas, Surgeon

Surgery – August 9, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – August 9, 2022 #2 – Dr. Bryan Kansas, Surgeon

Surgery – August 9, 2022 #3 – Dr. Bryan Kansas, Surgeon

Surgery – August 16, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – August 16, 2022 #2 – Dr. Bryan Kansas, Surgeon

Surgery – August 17, 2022 #1 – Dr. Bryan Kansas, Surgeon

Surgery – August 17, 2022 #2 – Dr. Kansas, Surgeon

Surgery – August 17, 2022 #3 – Dr. Bryan Kansas, Surgeon

Surgery -September 7, 2022 – Dr. Bryan Kansas, Surgeon

What is buried penis?

Buried penis, also referred to as hidden penis, is a medical condition in which the penis is either partially or completely buried beneath the skin (or subcutaneous fat) of the scrotum and abdomen. Specifically, it is the shaft and glans of the penis that is hidden which is typically a normal length; it is not shortened such as a micropenis (abnormally small penis).

Learn more about this condition and its treatment options.


Additional resources

Penuma implant before and after photos

The link below displays before and after photos of men who have had the Penuma procedure. This link contains nudity and is meant for adult men who are interested in learning more about this procedure. It should not be viewed by adolescents under the age of 18. Photos courtesy of Gesiva Medical, LLC.

Penuma Before and After