Penis enlargement is one of the most popular male surgeries that can be performed for both cosmetic and medical reasons.
In the latter case, we are talking about the following violations:
- cavernous fibrosis, in which the tissue of the penis is partially replaced by cartilage;
- Underdevelopment of the penis;
- erectile dysfunction caused by penile vessel dysfunction or Peyronie's disease;
- endocrine impotence, which has developed against the background of diabetes mellitus;
- a history of unsuccessful penile surgeries;
- the need to get rid of the consequences of operations on the prostate, bladder and 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 ulcers and sores on the penis.
- violation of blood clotting;
- the patient has mental disorders.
Surgical lengthening of the penis
Surgical enlargement of the penis can be done in a number of ways. So an operation called a "ligamentotomy" allows you to enlarge the hanging (free) portion of the penis by reducing its perineal (hidden) portion. In this case, the elements of the ligamentous 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 only a redistribution of length takes place.
An alternative variant of penis lengthening is implantation in the interior of an obviously long endoprosthetic organ. Such endoprosthetics can be accompanied by a complete mobilization of the penis bones, although it must be taken into account that this step leads to inevitable damage to the deep cavernous bodies and genital nerves. As a result, the development of erectile dysfunction is possible, therefore such an operation for penis enlargement is not recommended for absolutely healthy men without accompanying erectile dysfunction.
Thickening of the penis
Currently the most popular technique for enlarging the penis isLipofilling(Transplantation of your own adipose tissue). This penis enlargement surgery is performed under general anesthesia. In the first step of the surgical procedure, fat cells are removed through special skin punctures in the donor areas (abdomen, thighs) with a syringe and a hollow needle (cannula).
The rounded end of the cannula means that large vessels and nerves are not damaged when the needle moves under the skin. Only fat cells and a small amount of blood, which is formed when small vessels are damaged, are taken into the plastic syringe. A special processing of the resulting fat suspension results in "clean" fat tissue, which is then placed in thin layers under the skin of the penis by means of micropunctions.
At the end of 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, the non-erect penis may increase by 1-2 cm in the future.
Another technique used to thicken the penis is to transfer 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 wrapped around the penis over its entire length, so to speak. With this approach, the possibility of graft rejection is significantly reduced, as the muscles simply unfold on full-fledged nutritional vessels. Such penis enlargement in the clinic implies the refusal of physical activity of the patient for six months (violation of this recommendation can lead to the development of postoperative hernia of the anterior abdominal wall).
Penis enlargement
This manipulation can be carried out both in combination with penis enlargement and as a separate procedure. The most common reasons for penis tip enlargement in the clinic are:
- Mismatch in the diameters of the trunk and the head of the penis;
- the impossibility of lengthening the penis with an extender, since the head is not large enough (it is impossible to properly attach the device);
- the need to maintain the correct proportions of the enlarged penis.
A popular method of enlarging the head is the introduction of a special matrix between it and the erectile tissue, which increases the diameter of the head both when it is erect and when it is at rest. The main disadvantage of this technique is the high risk of necrosis of the penile tissue, since the supplying blood vessels are inevitably severed during the operation.
A safer method is to inject a gel containing hyaluronic acid into the glans. This approach allows you to get the required volume in the non-erect state, which is an important point when lengthening the penis with an extender. Unfortunately, the gel gradually dissolves after 1-1. 5 years, so this process has to be repeated regularly.
Penis enlargement: pros and cons
The list of arguments "for" penis enlargement surgery includes:
- Simplicity and safety of this surgical procedure;
- positive impact on men's sexual and mental health;
- Improving the quality of intimate life;
- Maintaining the increased length of the penis for life.
The penis enlargement surgery has its opponents,
which provide the following arguments:
- the possibilities of surgical intervention are rather limited - the penis enlargement does not exceed 5 cm in length and 6 cm in width;
- Traces of the operation can remain on the operated organ;
- the short duration of the results of the operation (with a thickening of the penis, the resulting volume, at best, remains for several years);
- possible complications (bleeding, wound infection, pain during erection, suppuration of the postoperative wound).
Operation results
Surgical penis enlargement, reviews of which can be found on many Internet sites, allows you to increase its length from 1 to 3, 5 cm. Lengthening the penis with a special stretcher (extender) allows this indicator to be extended by up to 2 cm.
It is worth remembering that without an extender, the operation will be ineffective and the length of the penis will not change. In the vast majority of cases, the lack of results after the procedure is due to the stretcher not being used or being used incorrectly.
The effectiveness of using the extender depends on the following conditions:
- the original length of the penis (the longer it is, the better results can be obtained). Because of this, the most impressive results can be obtained after ligamentotomy;
- the correctness of the anatomy of the penis (affects the ability to attach the extender);
- Age (the elasticity and stretchability of the tissue decrease with age);
- the endurance of the patient (the more often and longer the device is used, the better the effect can be achieved).