Penis enlargement is one of the most popular male surgeries, which can be performed for both cosmetic and medical reasons.
In the second 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, developed against the background of diabetes mellitus;
- history of unsuccessful penile operations;
- the need to eliminate the effects of operations on the prostate, bladder, rectum.
Penis enlargement has a number of contraindications:
- severe diabetes mellitus;
- oncology;
- sexually transmitted diseases;
- exacerbation of chronic diseases of the genitourinary system (prostatitis, urethritis, cystitis);
- genital herpes;
- the presence of ulcers and wounds on the penis.
- blood clotting disorder;
- the patient has a mental disorder.
Surgical lengthening of the penis
Surgical penis enlargement can be performed in several ways. Thus, an operation called a "ligamentotomy" allows you to enlarge the hanging (free) part of the penis by reducing its perineal (hidden) part. In this case, the elements of the ligament apparatus that hold the penis in the perineal area are corrected. In fact, in this case, the original size of the penis remains unchanged, as there is only a redistribution of length.
An alternative to penis enlargement is the implantation of an endoprosthetic organ into the internal space, which is obviously long. Such endoprosthesis may be accompanied by total mobilization of the legs of the penis, but it should be borne in mind that this step leads to inevitable damage to the deep cavernous arteries and genital nerves. As a result, the development of erectile dysfunction is possible, which is why such an operation to enlarge the penis is not recommended for absolutely healthy men without concomitant erectile dysfunction.
Thickening of the penis
Currently, the most popular technique for increasing the thickness of the penis islipofilling(transplantation of own adipose tissue). This penis enlargement surgery is performed under general anesthesia. In the first stage of surgery, fat cells are taken by 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, large vessels and nerves are not damaged when the needle moves under the skin. Only fat cells are absorbed in the plastic syringe, as well as a small amount of blood, which is formed when small vessels are damaged. The special treatment of the resulting fat suspension allows you to get "pure" adipose tissue, which is then placed by micro-punctures of thin layers under the skin of the penis.
After 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 that maintains axial blood flow. The flap obtained during the operation is wrapped around the penis along its entire length. With this approach, the possibility of graft rejection is significantly reduced, as the muscles simply develop on full-fledged feeding vessels. Such an enlargement of the penis in the clinic implies the patient's refusal of physical activity for six months (violation of this recommendation may lead to the development of postoperative hernia of the anterior abdominal wall).
Penis enlargement
This manipulation can be performed both in combination with penis enlargement and as a separate procedure. The most common reasons for enlargement of the head of the penis in the clinic are:
- mismatch of the diameters of the trunk and the head of the penis;
- the inability to lengthen the penis with an extender due to the insufficient size of the head (it is impossible to fix the device properly);
- the need to maintain the correct proportions of the enlarged penis.
One of the popular ways to enlarge the head is the introduction of a special matrix between it and the corpora cavernosa, which increases the diameter of the head both in the upright and at rest state. The main disadvantage of this technique is the high risk of necrosis of the tissues of the penis, because during the operation the supply blood vessels are inevitably cut.
A safer method is to inject a gel containing hyaluronic acid into the penis on the head. This approach allows you to achieve the required volume in a non-erect state, which is an important point when extending the penis with an extender. Unfortunately, after 1-1, 5 years the gel gradually dissolves, so this procedure must be repeated periodically.
Penis enlargement: pros and cons
The list of arguments "for" penis enlargement surgery includes:
- the simplicity and safety of this surgery;
- positive impact on men's sexual and psychological health;
- improving the quality of intimate life;
- maintaining the increased length of the penis for life.
Penis enlargement surgery has its opponents,
which give the following arguments:
- the possibilities for surgical intervention are quite limited - the enlargement of the penis in this way 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 several years);
- possible complications (bleeding, wound infection, pain during erection, suppuration of the postoperative wound).
Results of the operation
Surgical penis enlargement, the reviews of which can be found on many Internet sites, allows you to increase its length from 1 to 3, 5 cm. Penis lengthening with a special stretcher (extender) allows you to add up to 2 cm to thisindicator.
It is worth remembering that without an extension cord the operation is ineffective and the length of the penis does not change. In most cases, the lack of results after the intervention is due to the fact that the stretcher was either not used or was used incorrectly.
The effectiveness of using the extension cord depends on the following conditions:
- the original length of the penis (the longer it is, the better results can be achieved). Therefore, the most impressive results can be obtained after a ligamentotomy;
- the correctness of the anatomy of the penis (affects the ability to fix the extender);
- age (elasticity and the ability of tissues to stretch decreases with age);
- patient persistence (the more often and for longer the device is used, the better effect can be achieved).