One of the most popular male surgeries is penis enlargement, which can be performed for both cosmetic and medical purposes.
In the latter case, we are talking about the following violations:
- cavernous fibrosis, in which the tissues of the penis are partially replaced by cartilage;
- underdevelopment of the penis;
- erectile dysfunction, the causes of which are dysfunction of the vessels of the penis or Peyronie's disease;
- endocrine impotence, which developed against the background of diabetes mellitus;
- a history of unsuccessful operations on the penis;
- the need to eliminate the consequences of operations on the prostate, bladder, rectum.
Penis enlargement has a number of contraindications:
- severe diabetes mellitus;
- oncology;
- venereal diseases;
- exacerbation of chronic diseases of the genitourinary system (prostatitis, urethritis, cystitis);
- genital herpes;
- the presence of ulcers and sores on the penis.
- violation of blood clotting;
- the patient has mental disorders.
Surgical penile lengthening
Surgical penis enlargement can be done in several ways. Thus, an operation called "ligamentotomy" increases the hanging (free) section of the penis by reducing its perineal section (hidden). In this case, the elements of the ligamentous apparatus are corrected, which keeps the penis in the perineal region. In fact, in this case, the original size of the penis remains unchanged, since there is only a redistribution of the length.
An alternative variant of penile lengthening is the implantation in the internal space of a stent organ, which is obviously long. Such stents can be accompanied by full mobilization of the legs of the penis, but it should be borne in mind that this step inevitably leads to damage to the deep cavernous arteries and genital nerves. As a result, the development of erectile dysfunction is possible, therefore, such an operation to enlarge the penis is not recommended for perfectly healthy men without concomitant erectile dysfunction.
Thickening of the penis
Currently, the most popular technique to increase penis thickness islipofilling(clean adipose tissue transplant). This penis enlargement operation is performed under general anesthesia. At the first stage of surgery, fat cells are removed through special skin punctures in the donor areas (abdomen, thigh) using a syringe and a hollow needle (cannula).
Due to the rounded end of the cannula, the large vessels and nerves are not damaged when the needle travels under the skin. Only the fat cells are absorbed into the plastic syringe, along with a small amount of blood that forms when the small vessels are damaged. Special processing of the resulting fat suspension results in "clean" fatty tissue, which is then placed through micro-perforations in thin layers under the skin of the penis.
After the end of the operation, the punctures are sutured and sealed with surgical tape. Lipofilling allows you to increase the diameter of the penis by 0. 5-1. 5 cm, and due to the force of gravity, the non-erect penis may increase by 1-2 cm in the future.
Another technique for thickening the penis involves transferring an area of the rectus abdominis muscle under the skin of the penis, in which axial blood flow is maintained. The flap obtained during the operation is in a way wrapped around the penis along its entire length. With this approach, the possibility of graft rejection is drastically reduced, as the muscles simply expand onto full-fledged nutrient vessels. Such an increase in the penis in the clinic implies the refusal of the patient from any physical activity for six months (violation of this recommendation can lead to the development of a postoperative hernia of the anterior abdominal wall).
Penis enlargement
This manipulation can be done both in combination with penis enlargement and as a separate procedure. The most common reasons for an enlarged penile head in the clinic are:
- shift in the diameters of the trunk and head of the penis;
- the inability to lengthen the penis with the help of an expander due to the insufficient size of the head (it is impossible to properly fix the device);
- the need to maintain the correct proportions of the enlarged penis.
One of the most popular ways to enlarge the head is the introduction of a special matrix between it and the cavernous bodies, which increases the diameter of the head both when erect and at rest. The main disadvantage of this technique is the high risk of necrosis of the tissues of the penis, since during the operation, the feeding blood vessels are inevitably cut.
A safer method is to inject a gel containing hyaluronic acid into the glans of the penis. This approach allows you to achieve the required volume in a non-erect state, which is an important point when lengthening the penis with an extender. Unfortunately, after 1 to 1. 5 years, the gel gradually dissolves, so this procedure must be repeated periodically.
Penis enlargement: advantages and disadvantages
The list of arguments "for" penis enlargement surgery includes:
- simplicity and safety of this surgical intervention;
- positive impact on men's sexual and psychological health;
- improve the quality of intimate life;
- maintain the increased length of the penis for life.
Penis enlargement surgery has its opponents,
which give the following arguments:
- the possibilities of surgical intervention are rather limited - the increase in the penis therefore does not exceed 5 cm in length and 6 cm in width;
- traces of the operation may remain on the operated organ;
- the short duration of the results of the operation (with thickening of the penis, the resulting volume remains, at best, for several years);
- possible complications (bleeding, wound infection, erectile pain, postoperative wound suppuration).
Results of the operation
Operational penis enlargement, reviews of which can be found on many Internet sites, allows you to add to its length from 1 to 3, 5 cm. Extending the penis with the help of a special stretcher (extender) allows you to add up to 2 cm to this indicator.
It should be remembered that without an expander the operation is ineffective and the length of the penis does not change. In the vast majority of cases, the lack of results after the operation is due to the fact that the stretcher was not used or was misused.
The effectiveness of using the extender depends on the following conditions:
- the original length of the penis (the longer it is, the better the results). This is why the most impressive results can be obtained after ligamentotomy;
- the correctness of the anatomy of the penis (affects the ability to attach the extender);
- age (the elasticity and ability of tissues to stretch decrease as they age);
- patient persistence (the more often and longer the device is used, the better the effect).