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 Penile enhancement surgery involves two procedures. Penile lengthening can be achieved by a small incision placed above the base of the penis. Ligaments anchoring the penile shaft to the pubic bone above are divided. The internal aspect of the penis is thus externalized. The skin is advanced as well producing an increase in length between 1 and 2 inches. Surgery lasting less than two hours is performed under sedation with local or full anesthesia. This procedure must be accompanied by the use of an external traction device to prevent scar tissue from retracting the externalized shaft. Men may return to work in as little as 2 days Researchers at the University of California in Irvine followed the cases of 11 men who had complications after penis enlargement surgery, also known as Penoplasty. Common complication noticed included: deformity, infection, gangrene, chronic ulceration, and a 'buried penis'.