Penis enlargement is one of the most popular male surgeries that can be performed both for cosmetic purposes and for medical reasons.
In the latter case, we are talking about the following infringements:
- cavernous fibrosis, in which the tissue of the penis is partially replaced by cartilage;
- underdevelopment of the penis;
- erectile dysfunction, the causes of which are dysfunction of the vessel of the penis or Peyronie's disease;
- endocrine impotence that developed on the background of diabetes mellitus;
- a history of failed operations on the penis;
- the need to remove 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 sores and ulcers on the penis.
- violation of blood clots;
- the patient has mental disorders.
Surgical lengthening of the penis
Surgical enlargement of the penis can be performed in several ways. So an operation called "ligamentotomy" allows you to increase the hanging (free) section of the penis by reducing its perineal (hidden) section. In this case, the elements of the ligament apparatus that hold the penis in the perineal area are corrected. In fact, the original size of the penis in this case remains unchanged, as there is only a redistribution of the length.
An alternative variant of penis extension is implantation in the inner space of an endoprosthesis organ, which is of course long. Such endoprosthetics may be accompanied by total mobilization of the legs of the penis, but it must be borne in mind that this step leads to inevitable damage to the deep cavity arteries and genital nerves. As a result, the development of erectile dysfunction is possible, therefore, such surgery to enlarge the penis is not recommended for absolutely healthy men without concomitant erectile dysfunction.
Thickening of the penis
Currently, the most popular technique is to increase the thickness of the penislipofilling(transplantation of own adipose tissue). This penis enlargement surgery is performed under general anesthesia. In the first stage of the surgical procedure, fat cells are taken through special skin punctures in the donor areas (abdomen, thighs) using a syringe and a hollow needle (needle).
Due to the rounded end of the needle, 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 that is formed when small vessels are damaged. Special treatment of the resulting fat suspension allows you to get "clean" adipose tissue, which is then placed through micro-punctures in thin layers under the skin of the penis.
At the end of the operation, the punctures are sewn and sealed with surgical tape. Lipofilling allows you to increase the diameter of the penis by 0, 5-1, 5 cm, and due to gravity, the erect penis can 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 where axial blood flow is maintained. The flap obtained during the operation is, as said, wrapped around the penis along its entire length. With this approach, the possibility of graft rejection is significantly reduced because the muscles simply unfold on full-fledged feeding vessels. Such an increase in 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 in the anterior abdominal wall).
Enlargement of the penis
This manipulation can be performed both in combination with penis enlargement and as a separate procedure. The most common causes of an increase in the head of the penis in the clinic are:
- discrepancy between the trunk diameters and the penis head;
- the inability to lengthen the penis using an extender due to the insufficient size of the head (it is impossible to repair 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 an upright position and at rest. The main disadvantage of this technique is the high risk of necrosis of the penile tissue, because during the operation the supplying blood vessels are inevitably cut.
A safer method is to inject a gel containing hyaluronic acid into the glans penis. 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 at regular intervals.
Penis enlargement: pros and cons
The list of arguments for "for" penis enlargement surgery includes:
- simplicity and safety of this surgical intervention;
- positive impact on men's sexual and psychological health;
- improving the quality of intimate life;
- maintain the increased length of the penis for life.
Penis enlargement surgery has its opponents,
giving the following arguments:
- the possibilities for surgical intervention are quite limited - the increase in the penis thus 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 a thickening of the penis, the resulting volume remains at best for several years);
- possible complications (bleeding, infection in the wound, pain during erection, suppuration of the postoperative wound).
Operating results
Operational enlargement of the penis, whose reviews can be found on many Internet sites, allows you to increase its length from 1 to 3, 5 cm. Enlargement of the penis using a special stretcher (extender) allows you to add up to 2 cm to this indicator.
It is worth remembering that without an extender, the surgery is ineffective and the length of the penis does not change. In the vast majority of cases, the lack of results after the intervention is due to the stretcher either not being used or being used incorrectly.
The effectiveness of using the extender depends on the following conditions:
- penis original length (the longer it is, the better results can be achieved). Therefore, the most impressive results can be obtained after ligamentotomy;
- the correctness of the penis anatomy (affects the ability to repair the extender);
- age (tissue elasticity and ability to stretch decreases as they age);
- patient persistence (the more often and the longer the device is used, the better the effect can be achieved).