Such an intervention is carried out in different situations if there are no positive results from conservative ways to solve the problem.The operation does not ensure an intervention in the hormonal background, which is important with age -related changes and many pathologies of the endocrine glands.An EKG is carried out in the preparation stage, a general analysis of the morning urine.It is also necessary to donate blood for clinical and biochemical analysis, HIV infection, hepatitis and syphilis.
The urologist and anesthetist conducts an examination in depth.If necessary, request a consultation of related specialists: a cardiologist, hematologist, therapist, pulmonologist and others.The groin area should be selected thoroughly a few hours before the established operation.Depending on the selected method of anesthesia, a cleaning input can be displayed.
Indications for conducting
In which cases do you fall back on an operation?Indications for the operation are divided into 3 large groups: medically, aesthetic, functional.
The medical indications include:
- Peyroni disease characterized by the pathological growth of the fibrous fabric;
- Hypospadia and/or epispady;
- Micropenis;
- Congenital or acquired trucks of the urethra;
- Genitional violations;
- Excess fat in the area of the pubic joint of bones;
- Caves -like fibrosis.
The aesthetic testimony includes problems with the patient's low self -esteem, criminal dysmorphophobia.
The indications of the functional group: membrane, hidden, buried phallus.
Important!If the doctor only diagnosed aesthetic indications for the surgical increase in penis, the psychologist works with the patient.
Contraindications
Contraindications against surgical interventions are serious diseases of cardiovascular systems (uncontrolled high blood pressure), insufficiency in the work of lungs, kidneys, liver.
This also includes contraindications:
- Diabetes mellitus;
- The age of the patient is less than 18 years;
- The presence of sexually transmitted infections;
- Onco process of any localization;
- Wounds, burns, scars of the phallus;
- Mental illness;
- Serious diseases of blood clotting.
All priorities of chronic infections are renovated before operation.If the patient has a severe form of diabetes mellitus in the patient, he refuses the procedure.If the blood sugar level borrowed well for the correction, the consultation of the endocrinologists, which prescribes insulin therapy for the entire period before and after the operation, will be required before the operation.
What to do if you are contraindicated in plastic
The surgical increase of a member is far from increasing the children's card.If the size of the phallus is within the physiological standard, a psychotherapist and sexopathologist helps to deal with difficulties.Many male fears are invented and stereotypes are imposed so that they should clearly separate the myth from reality.
The ability to communicate with a woman and to 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 longer preliminary caresses, correctly selected poses and technical techniques for carrying out sexual intercourse, the "missing" centimeters of the penis can absorb.
To improve sexual life, take a look at the shop of intimate goods.Vibrators, phallimitators, anal jams and dozens of other types of sex toys help to satisfy a woman without natural sexual intercourse.Do not listen too seriously to the problem, even if you are located yourself, you cannot fully take.
If a man is heavily configured to increase the size of the penis and contraindicated plastic, extensions, pumps and medication for local and systemic use for rescue will cause the tissue of the borne organ.Massage of genitals, special exercises, injection techniques to thicken and extend the phallus helps to save the situation.
Increase in the member surgical: Methods for carrying out operations
An increase in a small member can be surgically using various techniques.The operation is technically complex because the surgeon completely separates the cave -like valley and must place the patient's cartilage tissue between himself.
Less often, special gels are used instead of cartilage.The true "increase" of the length of the childbearing organ can be up to 7 cm.In modern surgical practice, lipofilling, muscle tissue from the belly, ligientotomy, prosthetics and other methods are used to increase the size of the phallus.
Lipofilling
Lipofizing the penis is referred to as non -invasive intervention that does not ensure skin and sewing slices.The technology is to insert a man's own fat tissue into the subcutaneous layer of the phallus.
The biomaterial fence for the procedure is carried out in the places of its accumulation:
- Pubis;
- Hips;
- Stomach;
- Bureau final region.
Lipofilling are practically not suitable for extending the birth.The operation is economical, the patients tolerate it well, side effects are very rare.The time of the hospital stay does not exceed 24 hours, and the outpatient observation is carried out for about 30 days.For 4 or 5 weeks it is forbidden to go into intimacy with a sexual partner.But the patient returns to a normal lifestyle in society in a few days.
Important!The effect of lipofieren is unstable and noticeable in the first two years.However, the possibility of repeated injections remains.The costs of the procedure are different and fluctuates, depending on the call of the clinic and the ability of the surgeon urologist.
Muscle tissue transplantation from the gut
The operation not only enables the scope of the penis, but also to increase the length.Its essence is as follows: A fragment of the Rektus Bauch muscle together with the nutritious artery, the Vena, the vascular network is attached to the fabrics of the penis under the skin in the form of a coupling, as if you are wrapping the child's organ.Survival seams are used.This operation rarely continues with the development of necrosis, but physical activity is prohibited for the next 6 months due to the high hernia disicection.General anesthesia is used for pain relief.
After such an operation, the patient finds a long and painful recovery after such an operation.The strict bed rest is prescribed in the first 4 days.According to the information, pain relievers are administered.Under strict aseptic conditions, they carry out a postoperative wound and make a regular dress.In order to rule out the occurrence of inflammatory and purulent processes, antibiotic therapy is prescribed.Antibacterial drugs choose a wide range of effects.A man should be ready that an erection will disappear for up to six months.Therefore, complete sexual intercourse with penetration must be forgotten at this time.
Ligamentotomy
The increase of the member through ligientotomy is the most optimal solution for patients who decided to radically change the length of their phallus.Anatomically arranged so that part of the male child organ is in the perineal region.In this position it is held by the support tape (Lig. Suspensorium penis), which is attached to the bone of the pelvis at one end.According to its partial interface, the interior of the penis falls, which extends the organ up to 7 cm.
The stability of the phallus in an upright state is guaranteed by a deeply fallen loop band (lig. Fundiform penis), which is why the anatomical structure of the reproduction system is subjected to minimal changes.Surgical intervention requires general anesthesia.In the area of the scrotum, the surgeon makes a small tissue section of the size that opens up access to the ribbons.They are either crossed with a surgical tool or with the help of a modern laser.
The postoperative time provides for the mandatory wear of an extender - a small device for stretching a detorine organ.This can bring some inconvenience, especially for men with a stressful work plan and during a business trip.The extender is worn up to 6 hours a day.Although it is quite modest, it can be felt under clothing.The doctor will inform the doctor in detail.
Often the ligientotomy with VY plastic (an increase in skin length in the foundation of the phallus) or with a single or double Z-plastic is combined, which enables it to eliminate a excess of tissues in the scrotum.If the plastic has not been carried out, the man has abstinence from sexual intercourse within 21 to 30 days.
Thickening of the penis with the help of the operation
A thickening of the phallus can take place using subcutaneous injections of hyaluronic acid.This drug almost never causes allergies and rejection, since it is well biocompatible with the cells of the human body.Use a syringe with a needle for the injection.The puncture is carried out more often in the area of the foundation of the phallus.
A dense gel is evenly distributed in the subcutaneous layer of the child body.The maximum increase of a volume of 1.5 cm.The manipulation does not take longer than half an hour, but is carried out under mild general anesthesia.The postoperative course is low with a short recovery phase.
Important!Due to the high risk of an allergic reaction, it is forbidden to enter the Vaseline!
prosthetics
The phalloplastic comes to help to help a man unless one of the conservative and surgical techniques has brought the desired result or the patient has a diagnosis of "micropenis".The essence of the company is to install prostheses in cave -like bodies.Previously, hard prostheses were used, but this led to great inconvenience and prevented him from being in society because the children of the children were always in a "erected" condition.
Hard implants were imposed by plastic with the memory.This made it possible to simplify and facilitate their use.Two prostheses not only allow Phallus to give the necessary form, but also to carry out complete sexual intercourse.Today urologists suggest increasing the penis through inflatable structures.A pear for pumping air into hermetic chambers is lowered into the scrotum, which makes it completely invisible.Since there is no constant pressure on the fabric, the understallers do not develop - a frequent postoperative complication.
An increasing increase in a member is surgically a crucial step that is required and cash costs.The company is mostly expensive, investigations and stays in the clinic can only add money costs.But every man should remember that plastic surgery will be able to solve many problems in his intimate life.Only before choosing the method of surgical interventions do you have to weigh the advantages and disadvantages, contact the responsible doctors and try to avoid all pitfalls of scalpell methods.