Penis enlargement is one of the most popular male surgeries that can be reported both for cosmetic purposes and for medical reasons.
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 penile vascular dysfunction or Peyronie’s disease;
- endocrine impotence, which developed in the background of diabetes mellitus;
- history of failed penile surgery;
- the need to eliminate the consequences 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 disorders;
- the patient has a mental disorder.
Surgical lengthening of the penis
Surgical penis enlargement can be reported 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 holds the penis in the perineal area are corrected. In fact, in this case the original size of the penis remains unchanged because there is only a redistribution of length.
An alternative variant of penis extension is implantation into the internal space of the endoprosthesis organ, which is obviously long. Such endoprosthetics may be accompanied by complete 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, so such penis enlargement surgery is not recommended for absolutely healthy men without concomitant erectile dysfunction.
Penis thickening
It is currently the most popular technique for increasing the thickness of the penislipofilling(transplantation of own adipose tissue). This penis enlargement surgery is performed under general anesthesia. In the first phase of surgical intervention, fat cells are taken 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 veins and nerves are not damaged when the needle is moved under the skin. Only fat cells are absorbed into the plastic syringe, as well as the small amount of blood that results from damage to small blood vessels. The special treatment of the resulting fatty suspension allows you to get "pure" adipose tissue, which is then placed through micro-punctures in 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 gravity, a penis that is not erect may increase by 1-2 cm in the future.
Another penis thickening technique 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 almost wrapped around the penis along its entire length. This approach significantly reduces the possibility of graft rejection, because the muscles simply run on full-blooded blood 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 can lead to the development of a postoperative hernia of the anterior abdominal wall).
Penis enlargement
This manipulation can be reported in combination with penis enlargement and as a separate procedure. The most common reasons for penis enlargement in the clinic are:
- mismatch of diameter of torso and head of penis;
- inability to lengthen the penis with an extension due to insufficient head size (it is impossible to properly repair the device);
- the need to maintain the correct proportions of the enlarged penis.
One of the popular ways to enlarge the head is to introduce a special matrix between it and the corpora cavernosa, which increases the diameter of the head both in an upright and at rest position. The main disadvantage of this technique is the high risk of necrosis of the tissue of the penis, because during the operation the supplying blood vessels are inevitably cut.
A safer method is to inject a gel that contains hyaluronic acid into the glans penis. This approach allows you to achieve the required volume in a state that is not erect, which is an important point when extending the penis with an extension. Unfortunately, after 1-1, 5 years, the gel gradually dissolves, so this procedure needs to be repeated from time to time.
Penis enlargement: advantages and disadvantages
The list of arguments "for" penis enlargement surgery includes:
- the simplicity and safety of this surgical intervention;
- positive impact on men's sexual and mental health;
- improving the quality of intimate life;
- maintaining increased penis length for life.
Penis enlargement surgery has its opponents,
which give the following arguments:
- the possibilities of surgical intervention are quite limited - the enlargement of the penis does not exceed 5 cm in length and 6 cm in width;
- traces of surgery may remain on the operated organ;
- 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, postoperative wound suppuration).
Results of work
Surgical penis enlargement, whose reviews can be found on many websites, allows you to add a length of 1 to 3, 5 cm. Penis extension using a special stretcher (extender) allows you to add up to 2 cm to this indicator.
It is worth remembering that without an extension cord 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 fact that the stretcher was not used or was used incorrectly.
The effectiveness of using the extension depends on the following conditions:
- original penis length (the longer, the better results can be achieved). Therefore, the most impressive results can be achieved after ligamentotomy;
- correct anatomy of the penis (affects the ability to fix the extender);
- age (elasticity and ability to stretch tissues decline as they age);
- patient persistence (the more often and longer the device is used, the better the effect can be achieved).