Penis enlargement surgeries have become popular lately. According to world statistics, 80-85% of the strong half of humanity has some problems related to the small size of the penis.
To take such a dangerous step, a man must know in advance everything about all the advantages and disadvantages of genital correction methods and be patient before surgery.
Indications for penis enlargement surgeries
The problem is of a psychological nature and the doctor will first of all try to prevent a man from this kind of intervention in any way.
The indications are divided into 3 groups:
| Indications for surgery | What diseases are performed |
|---|---|
| Medical | micropenis, hypospadias (abnormality in the development of the penis), consequences of trauma, congenital dysplasia of the urethra, thickening of organ tissues, curvature of the penis due to fibrotic changes (Peyronie's disease) |
| Operating | membranous penis, large amount of subcutaneous fat, hidden penis, buried penis |
| Aesthetic | deformity of the penis (dissatisfaction with the size, shape, appearance of the penis). |
Contraindications
Reasons why the operation is contraindicated:
- inflammatory diseases of the urogenital system.
- age under 18?
- poor blood clotting;
- the presence of diseases identified after the investigation;
- Diabetes;
- sexually transmitted diseases;
- visible open sores on the genitals.
- tumor neoplasms;
- mental disorders.
Penis lengthening correction methods
Before the operation, it is necessary for the surgeon to study the structural characteristics of the instrument and if all the indicators are normal, he proceeds with further manipulations. In the evening, one day before the operation, a cleansing enema is made. In the morning, before the upcoming correction, you should stop eating and drinking.
Transactions to increase are subdivided into 2 directions:
- surgeries to increase penis length.
- measures to increase penile volume.
Increase the length of the penis
After surgery with any of the methods, it is necessary to abstain from sexual intercourse, physical activity, go to the sauna, stop drinking alcohol and smoking. One of the corrections for penis lengthening is ligament resection. The purpose of this operation is to cut the ligament that anchors the inside of the penis from the pelvic bones. The ligation is necessary to improve the effects of organ augmentation after using an extension - a device that secures the penis to a specific position and distributes it lengthwise.
The ligature is an auxiliary manipulation, without further use of the extension it loses its meaning.
Functional access can be:
- through the scrotum;
- pubic.
The surgeon makes an incision in the scrotum or genital tract, depending on the surgical approach. The ligament is then cut and the penis is pulled out, giving it the desired length and fastened in the correct position. There is an improved method of surgery using the patient's adipose tissue. The free space under the ligament is filled with fat and the blood supply to the area of the postoperative wound is improved. This leads to faster healing and recovery of the patient.
The use of an extension is mandatory after the operation. The use of the device should start from 2 hours a day, gradually increasing the time of use to 6 hours, within 3-6 months.
Particular attention should be paid to the use of underwear when using the extension. Briefs and pants should be wide. Sexual rest is required in the first week after surgery.
Volume increase
The challenge in penis enlargement surgery is to create an extra layer between the skin and the corpora cavernosa. Depending on the implanted material, the following operations are distinguished:
- lipofilling - the introduction of patient fat under the skin of the penis.
- microsurgical muscle transplantation - transplantation of the patient's tissue into the subcutaneous space of the penis.
- phalloprosthesis - the use of special prostheses to restore the erectile function of the organ.
Lipofilling
In such an operation, adipose tissue is pumped and treated with special substances and then injected into the subcutaneous area of the penis. In the process, if there is no rejection of fat cells or other inflammatory changes, new tissue becomes part of the penis. After the operation, the volume of the organ will increase by 2 cm. For one month after leaving, it is recommended to exclude sexual intercourse.
Microsurgical Muscle Transplant
Microsurgical muscle transplantation is a costly innovation in penis enlargement. The operation is performed under general anesthesia and lasts about 3 hours. The surgeon makes an incision in the organ in a circle and lowers it like a sock. It then pre-cuts small areas of skin taken from the abdominal area. A penis is wrapped with a leather flap, the foreskin is placed in place and sutures are applied. The volume of the enlarged organ after the operation is 4 cm. The patient is in the ward for the first 5 days. Painful sensations may persist for another 15 days after surgery, so you should monitor your general well-being.
Phalloprosthetics
It is performed strictly according to medical indications and is used in cases where a man has a penile injury or can not have sexual intercourse. And also the surgical method is used during gender reassignment. The operation is performed under general anesthesia. The removal of the cavernous bodies is done by bougienage and the introduction of semi-flexible prostheses. For 2 or 3 piece prostheses, an incision is made in the scrotum and a pump is inserted. When an inflatable implant is placed, an incision is made in the lower abdomen and the reservoir is placed behind the pubic bone.
The positive result after the operation can be achieved by fulfilling the following requirements:
- strict bed rest for the first 2 days.
- mandatory oral antibiotics for 5 days.
- Inpatient treatment for 4 days, in the absence of contraindications, rehabilitation is prescribed at home.
- refusal of sexual intercourse for 7 weeks.
- After resuming sexual intercourse, you should consult a doctor for further recommendations.
Postoperative complications
The risks of possible complications may increase if mistakes were made during the operation or if the man did not respond properly to the recommendations during the recovery and rehabilitation period.
There are 2 groups of complications: non-specific and specific.
First group:
- intestinal paralysis with peritoneal access.
- pulmonary embolism?
- complications after anesthesia - headache in SMA.
Second group:
- necrosis of the material obtained.
- changes in erectile function.
- curvature of the penis;
- violation of the erection angle.
- uneven absorption of fat mass.
Advantages and disadvantages of the functions
Each of the penis enlargement surgical methods has both positive and negative sides.
Advantages of ligation:
- nothing is implanted in the skin compared to the trumpet prosthesis.
- During the recovery period, you should wear an extension, which will not bother a man.
- in most cases, the result is positive.
Disadvantages: Improper use and application of the extension will lead to negative results during the recovery period.
With lipofilling, the advantages are:
- the use of the adipose tissue of the individual himself.
- small percentage of donor material rejection.
Disadvantages:
- during the procedure, the fat cells are absorbed, the procedure must be repeated 3-4 times every six months.
- the use of synthetic ingredients that can lead to inflammatory processes.
The advantages of microsurgical muscle transplantation are:
- the skin is well rooted.
- slower absorption of fat cells compared to lipofilling.
- fast and visible result after surgery.
Negative factors include:
- due to a violation of the blood supply, there may be a possibility of rejection of the transplanted tissue.
- pain for the first 2-3 weeks.
The advantages of trumpet prosthesis are:
- the ability to restore the sexual function of the organ.
- the ability to lead an active sex life.
Disadvantages:
- is a major injury in the patient's life.
- impossibility of surgery if there are chronic diseases.
- significant increase in the negative result with previous vascular surgeries on the penis.
When performing penis enlargement surgeries, first of all, you should choose the right clinic, a specialized specialist and get acquainted with the necessary information about the chosen method.