Such an intervention is carried out in various situations, if there are no positive results in conservative ways to solve the problem.The operation does not provide for intervention in the hormonal context, which is important with age -related changes and with many pathologies of the endocrine glands.At the preparatory stage, an ECG is finished, a general analysis of morning urine.It is also necessary to give blood for clinical and biochemical analysis, HIV infection, hepatitis, syphilis.
The urologist and anesthesiologist performs an in -depth examination.If necessary, they request a consultation of related specialists: cardiologist, hematologist, therapist, pulmonologist and others.A few hours before the fixed operation, the inguinal region must be carefully selected.Depending on the selected method of anesthesia, a cleaning washing can be shown.
Indications for driving
In what cases they resort to surgery?The indications of surgery are divided into 3 large groups: medical, aesthetic, functional.
Medical indications include:
- Peyroni's disease, which is characterized by the pathological growth of fibrous tissue;
- Hypospadias and / or epispady;
- Micropenis;
- congenital or acquired vices of the urethra;
- genital injuries;
- Excess fat in the area of the pubic joint of bones;
- Cavernous fibrosis.
The aesthetic testimony includes problems with the low self -esteem of the patient, criminal dysmorphophobia.
The indications of the functional group: membranty phallus, hidden and buried.
Important!If the doctor has only diagnosed aesthetic indications for the surgical increase in the penis, the psychologist works with the patient.
Contraindication
Contraindications to surgical intervention are serious disorders of cardiovascular systems (uncontrolled hypertension), insufficient lungs, kidneys, liver.
They also include contraindications:
- diabetes mellitus;
- The age of the patient is less than 18 years old;
- the presence of sexually transmitted infections;
- oncoproids of any location;
- injuries, burns, phallus scars;
- mental illness;
- Serious blood coagulation disorders.
Before the operation, all chronic infection households are disinfected.If the patient has a severe form of diabetes mellitus in the patient, then he refuses the procedure.If blood sugar is well lends itself to correction, then the consultation of the endocrinologist, who will prescribe insulin therapy for the whole period before and after surgery, is requested before surgery.
What to do if you are contraindicated in plastic
The surgical increase in a member is far from the only way that increases the children's card.If the size of the phallus is in the physiological standard, then a psychotherapist and a sexopathologist will help to deal with difficulties.Many male fears are invented and stereotypes are imposed, so you must clearly separate the myth from reality.
The ability to communicate with a woman and force her to believe in sincerity, adequate humor and a successful intimate situation will be able to bring the sexual partners closer to the subconscious.And prolonged preliminary caresses, properly selected technical poses and technical techniques to conduct sex can level the "missing" centimeters of the penis.
In order to improve sex life, look at the intimate product store.Vibrators, phalmitters, anal traffic jams and dozens of other types of sex toys will help satisfy a woman without natural sex.Do not belong to the problem too seriously, the self-dish will not allow you to fully enjoy the bedding.
If a man is strongly configured to increase the size of the penis and plastic is contraindicated, extensors, pumps and drugs for local and systemic use will come to the rescue which causes tissues of the procreation organ.Massage of genitals, special exercises, injection techniques to thicken and lengthen the phallus will help save the situation.
Surgically increased limb: operations conduct methods
An increase in a small member can occur surgically using various techniques.The operation is technically complex, because the surgeon must completely separate the cavernous tala and place the cartilage tissue of the patient himself.
Less often, special gels are used instead of cartilage.The real "increase" of the length of the procreation organ can reach 7 cm.In modern surgical practice, lipofilling, muscle tissue of the abdomen, ligientotomy, prostheses and other methods are also used to increase the size of the phallus.
Lipofilling
The penis lipofilling is called non -invasive intervention, which does not provide for skin and seam cuts.The technique consists in introducing an adipose tissue of a man into the subcutaneous layer of the phallus.
The biomaterial fence for the procedure is carried out in places of its accumulation:
- pubis;
- hips;
- stomach;
- Bureau region.
Lipofilling is hardly suitable for lengthening delivery.The operation is spared, patients tolerate it well, the side effects are very rare.The hospital period does not exceed 24 hours, the ambulatory observation is carried out for about 30 days.For 4 or 5 weeks, depending on the course of the recovery period, a man is prohibited from concluding privacy with a sexual partner.But for a normal lifestyle in society, the patient returns in just a few days.
Important!The effect of lipofilling is unstable, notable in the first two years.But the possibility of rehearsals remains.The cost of the procedure is different and fluctuates according to the reputation of the clinic and the competence of the surgeon-herologist.
Transplantation of the muscle tissues of the abdomen
The operation not only increases the circumference of the penis, but also by its length.Its essence is as follows: a fragment of the rectus abdominal muscle, as well as the nourishing artery, the vein, the vascular mesh, is attached in the skin in the form of a coupling to the tissues of the penis, as if it were wrapped the procreation organ.Survival seams are applied.This operation rarely continues the development of necrosis, but for the next 6 months, physical activity is prohibited, due to the high risk of hernia.To relieve pain, general anesthesia is used.
After such surgery, the patient will find a long and painful recovery period after such surgery.During the first 4 days, strict rest is prescribed.According to the indications, pain relievers are administered.In strict aseptic conditions, they lead a postoperative injury, making an ordinary dress.To exclude the occurrence of inflammatory and purulent processes, antibiotic therapy is prescribed.Antibacterial drugs choose a wide range of action.A man should be ready for the fact that an erection will disappear up to six months, therefore, a complete sexual intercourse with penetration at this time should be forgotten.
Ligamentotomy
The increase in the member surgically by means of ligientotomy is the most optimal solution for patients who have decided to radically change the length of their phallus.Anatomically distorted so that part of the organ of male children is located in the perineal region.In this position, he is held by the support ligament (Lig. Pinis suspenseur), attached to one end to the bones of the basin.After its partial intersection, the interior of the penis falls, which allows the organ to extend up to 7 cm.
The stability of the phallus in an erect state is ensured by a deeply fallen ligament (lig. Funforme penis), therefore the anatomical structure of the reproductive system undergoes a minimum of changes.Surgical intervention requires general anesthesia.In the field of scrotum, the surgeon makes a small size of fabric, which opens access to the ligaments.They are crossed either with a surgical tool or using a modern laser.
The postoperative period provides for the compulsory wearing of an extensor - a small device to stretch the tissues with a detailed organ.This can bring drawbacks, especially for men with a stressful work schedule and during a business trip.The extensor is worn up to 6 hours a day.Although it has a fairly modest size, it can be noticeable under the clothes.How to use the device will indicate in detail to the doctor.
Often, the Ligientotomy is combined with VY plastics (an increase in the length of the skin in the background of phallus) or with a single or double z plastic, which eliminates an excess of tissues in the scrotum.If the plastic has not been carried out, then the man will have the abstinence of sex within 21 to 30 days.
Thickening of the penis with the help of surgery
Thickness of the phallus can take place using subcutaneous injections of hyaluronic acid.This medication almost never causes allergies and rejection, because it is well biocompatible with cells of the human body.For injection, use a syringe with a needle.The puncture is more often carried out in the field of the Phallus Foundation.
A dense gel is uniformly distributed in the subcutaneous layer of the child.The maximum increase of a volume of 1.5 cm.Manipulation does not last more than half an hour, but it is carried out under a slight general anesthesia.The postoperative course is low with a short period of recovery.
Important!Due to the high risk of an allergic reaction, it is forbidden to enter the petroleum jelly!
Prosthesis
The phalloplasteion comes using a man in the event that none of the conservative and surgical techniques brought the desired result, or that the patient has a diagnosis of "micropénis".The essence of the operation is to install prostheses in cavernous bodies.Previously, difficult prostheses have been used, but this led to great drawbacks and prevented it from being in society, because the body of children was still in an "erected" state.
The hard implants have been replaced by plastic by the effect of memory.This made it possible to simplify and facilitate their use.Two prostheses not only give the phallus the necessary form, but also to conduct full -fledged sex.Today, urologists suggest increasing the penis through inflatable structures.A pear, to pump the air in hermetic rooms, is lowered into the scrotum, which makes it completely invisible.Since there is no constant pressure on the fabric, the sub -feeds do not develop - a common postoperative complication.
An increase in a surgically member is a crucial step that requires temporary and cash costs.The operations are expensive, the exams and the stay at the clinic can only add money expenses.But, each man must remember that plastic surgery will be able to solve many problems in his intimate life.It is only before the choice of the surgical intervention method, you must weigh the advantages and disadvantages, consult competent doctors and try to bypass all the traps of the scalpel methods.