Such an intervention is performed in different situations if there are no positive results from conservative ways of solving the problem.The operation does not allow for an intervention in the hormonal background, which is important with age -related changes and with many pathologies in the endocrine glands.At the preparatory stage, an ECG is performed, a general analysis of the morning urine.It is also necessary to donate blood to clinical and biochemical analysis, HIV infection, hepatitis, syphilis.
The urologist and the anesthetist conducts a depth of -depth.If necessary, they request a consultation of related specialists: a cardiologist, hematologist, therapist, pulmonologist and others.A few hours before the designated operation, the inguinal region must be thoroughly chosen.Depending on the chosen method of anesthesia, a cleansing cluster may appear.
Indications of execution
In what cases do they go for surgery?Indications for surgery are divided into 3 large groups: medical, aesthetic, functional.
Medical indications include:
- Peyroni -Se disease, which is characterized by the pathological growth of fibrous tissue;
- hypospadias and/or epispady;
- micropenis;
- congenital or acquired loads of the urethra;
- Gender damage;
- Excess fat in the area with pub -bound bones;
- Kavernø Fibrosis.
Aesthetic testimony includes problems with the patient's low confidence, penalty dysmorphophobia.
The indications on the functional group: membranous, hidden, buried Fallus.
Important!If the doctor only diagnosed aesthetic indications of the surgical increase in penis, the psychologist works with the patient.
Contraindications
Contraindications to surgical intervention are serious disorders of the cardiovascular systems (uncontrolled hypertension), insufficiency in the work of lungs, kidneys, liver.
They also include contraindications:
- Diabetes Mellitus;
- The patient's age is less than 18 years;
- the presence of sexually transmitted infections;
- oncoprocess of any location;
- wounds, burns, scars in the fall;
- Mental illness;
- Serious blood coagulation disorders.
Before surgery, all foci of chronic infection are disinfected.If the patient has a severe form of diabetes mellitus in the patient, they deny the procedure.If the blood sugar level is well suited for correction, the endocrinology consultation is requested that will prescribe insulin therapy throughout the period before and after surgery before surgery.
What to do if you are contraindicated in plastic
The surgical increase in a member is far from the only way to increase the Children's Works.If the size of the phallus is within the physiological norm, a psychotherapist and sexopathologist will help help tackle difficulties.Many male fears have been 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 sexual partners closer to the subconscious level.And long -term preliminary caresses, properly selected positions and technical techniques to conduct intercourse will be able to level the "missing" centimeters of the penis.
To improve sexual life, look at the store with intimate goods.Vibrators, Fallimitators, Anal Traffic Samples and Dozens of other types of sex toys will help satisfy a woman without natural intercourse.Does not belong to the problem too seriously, confidence will not allow you to fully enjoy litter.
If a man is heavily configured to increase the size of the penis and plastic is contraindicated, ex -pumps, pumps and drugs for local and systemic use will come to rescue that causes tissue in the childbearing organ.Massage of genitals, special exercises, injection techniques for thickening and extension of Fallus will help save the situation.
Increase in Member Surgical: Methods of Execution of Operations
An increase in a small member surgically can occur using different techniques.The operation is technically complex because the surgeon has to completely separate the cavernous tala and place the patient's cartilage between them.
Less commonly used special gels instead of cartilage.The real "increase" of the length of the childbearing organ can be up to 7 cm.In modern surgical practice, lipofilling, muscle tissue from the stomach, league, prosthetics and other methods of increasing the size of the phallus are also used.
Lipofilling
Lipofilling of the penis is not called -invasiv intervention, which does not allow for cuts of the skin and seams.The technique consists of introducing a man's own adipose tissue in the subcutaneous layer of phallus.
The biomaterial fence for the procedure is performed in places with its accumulation:
- Pubis;
- hips;
- stomach;
- Bureau -Driving Region.
Lipofilling is practically not suitable for prolonging birth.The operation is saved, patients tolerate it well, side effects are very rare.The hospitalization period does not exceed 24 hours, outpatient observation is conducted for about 30 days.For 4 or 5 weeks, depending on the course of the recovery period, a man is forbidden to go into intimacy with a sexual partner.But to a normal lifestyle in the community, the patient returns in a few days.
Important!The effect of lipofilling is unstable, noticeable in the first two years.But the possibility of repeated injections is back.The cost of the procedure is different and fluctuates depending on the clinic's reputation and the surgeon's proficiency.
Muscle tissue transplantation from the stomach
The operation not only provides the opportunity to increase the penis's perimeter, but also its length.Its essence is as follows: A fragment of the rectus abdominal muscle along with the nourishing artery, vein, vascular net, is attached under the skin in the form of a coupling to the substance of the substance, as if wrapping the food -owned organ.Survived seams are applied.This operation rarely continues with the development of necrosis, but in the next 6 months physical activity is prohibited due to the high risk of hernia.For pain relief, general anesthesia is used.
After such surgery, the patient finds a long and painful period of improvement after such surgery.For the first 4 days, strict bed rest is prescribed.According to the indications, painkillers are administered.Under strict aseptic conditions, they make a postoperative wound and create a regular dress.To exclude the occurrence of inflammatory and purulent processes, antibiotic treatment is prescribed.Antibacterial drugs choose a broad spectrum of effect.A man must be ready for the fact that an erection disappears for up to six months, therefore a full intercourse with penetration at this time must be forgotten.
Ligamentotomy
The increase in the member surgically by means of league -orientotomy is the most optimal solution for patients who decided to radically change the length of their fall.Anatomically arranged so that part of the male children's organ is located in the Perineal region.In this position, it is held by the supporting ligament (corpse. Suspensorium penis) attached to one end to the bones of the hangers.After its partial intersection, the inside of the penis falls, which allows the organ to extend up to 7 cm.
The stability of the phallus in an upright state is ensured by a deeply decreased sling ligament (corpse. Fundiform penis), therefore undergoing the anatomical structure of the reproductive system minimal changes.Surgical intervention requires general anesthesia.In the area of the scrotum, the surgeon manufactures a small tissue dissection in size that opens access to ligaments.They are either crossed with a surgical tool or using a modern laser.
The post -operative period allows for mandatory wear of an extender - a small unit for stretching of tissues from a detoritarian organ.This can cause some inconvenience, especially for men with a stressful work plan and during a business trip.The expansion is worn up to 6 hours a day.Although it has a fairly modest size, it can be seen under clothing.How to use the device, the doctor tells the doctor in detail.
Often, Ligientotomy is combined with Vy-Plast (an increase in the length of the skin in the foundation of the Fallus) or with a single or double z-plastic, allowing an excess of tissue to be removed in the scrotum.If the plastic was not performed, the man will have abstinence from intercourse within 21 to 30 days.
Thickening the penis using the operation
A thickening of Fallus can take place by means of subcutaneous injections of hyaluronic acid.This drug almost never causes allergies and rejection as it is well biocompatible with the cells of the human body.For injection, use a syringe with a needle.The puncture is performed more often within the founding of Fallus.
A dense gel is evenly distributed in the subcutaneous layer of the children's home.The maximum increase in a volume of 1.5 cm.The manipulation does not last more than half an hour, but it is performed under mild general anesthesia.The postoperative course is low with a short recovery period.
Important!Due to the high risk of an allergic reaction, it is forbidden to enter Vaseline!
Protetics
Falloplastes come to the aid of a man in the case when one of the conservative and surgical techniques has not brought the desired result or the patient has a diagnosis of "micropenis".The essence of the operation is to install dentures in cavernous bodies.Previously, hard dentures were used, but this led to major disadvantages and prevented him from being in society because the children's body was always in a "erected" state.
Hard implants were replaced by plastic with the effect of memory.This made it possible to simplify and facilitate their use.Two prostheses not only allow the Fallus the necessary form, but also to carry out fully coherent intercourse.Today, urologists suggest increasing the penis through inflatable structures.A pear for pumping air into hermetic chambers is lowered into the scrotum, making it completely invisible.Since there is no constant pressure on the drug, the underpatient does not develop - a regular post -operative complication.
An increase in a member surgically is a crucial step that requires temporary and cash costs.Operations are mostly expensive, investigations and stays in the clinic can only add money expenses.But every man must remember that plastic surgery will be able to solve many problems in his intimate life.Only before the choice of the method of surgical intervention, do you need to weigh advantages and disadvantages, consult with competent doctors and try to get around all pitfalls in scalpell methods.