Penis enlargement is one of the most popular male surgeries, which can be performed for both cosmetic and medical purposes.
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;
- penile underdevelopment;
- erectile dysfunction, the causes of which are dysfunction of the penile vessels or Peyronie's disease;
- endocrine impotence, which developed against the background of diabetes mellitus;
- a history of unsuccessful penile surgeries;
- the need to eliminate the consequences of surgeries on the prostate, bladder, 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 coagulation;
- the patient has mental disorders.
Surgical lengthening of the penis
Surgical penis enlargement can be performed in several ways. So, an operation called "ligamentotomy" allows you to increase the hanging (free) part of the penis by reducing its perineal (hidden) section. In this case, the elements of the ligament apparatus are corrected, which holds the penis in the perineal area. In fact, in this case, the original size of the penis remains unchanged, as there is only one redistribution of length.
An alternative variant of penis lengthening is implantation into the internal space of an endoprosthetic organ, which is obviously long. Such endoprosthetics may be associated with total 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, therefore, such an operation to enlarge the penis is not recommended for absolutely healthy men without concomitant erectile dysfunction.
Penis thickening
Currently, the most popular technique for increasing penis thickness isliposuction(transplantation of its own adipose tissue). This penis enlargement surgery is performed under general anesthesia. In the first stage of the surgical intervention, fat cells are obtained through special skin piercings in the donor areas (abdomen, thighs) using a syringe and an empty needle (cannula).
Due to the rounded edge of the cannula, the vessels and large nerves are not damaged when the needle moves under the skin. Only fat cells are absorbed into the plastic syringe, as well as a small amount of blood that forms when small vessels are damaged. The special processing of the resulting fat suspension allows you to get "clean" fatty tissue, which is then placed through micro-drillings in thin layers under the skin of the penis.
Upon completion of the operation, the drills are closed and sealed with a surgical tape. Lipofilling allows you to increase the diameter of the penis by 0. 5-1. 5 cm, and due to the force of gravity, the non-erect penis may grow by 1-2 cm in the future.
Another technique for penile thickening involves transferring an area of the rectus abdominis muscle under the skin of the penis, in which the axial blood circulation is maintained. The varnish obtained during the operation is, as it were, wrapped around the penis along its entire length. With this approach, the possibility of transplant rejection is significantly reduced because the muscles simply unfold in full nutritional vessels. Such an increase in the penis in the clinic means the refusal of the patient from physical activity for six months (violation of this recommendation may lead to the development of postoperative hernia of the anterior abdominal wall).
Penis enlargement
This manipulation can be performed both in combination with penis enlargement as well as a special procedure. The most common reasons for penis enlargement in the clinic are:
- mismatch of the diameters of the trunk and head of the penis;
- inability to extend the penis using an extender due to insufficient head size (it is impossible to adjust the device correctly);
- the need to maintain the correct proportions of the enlarged penis.
One of the most popular ways to enlarge the head is to insert a special matrix between it and the corpus cavernosa, which increases the diameter of the head both in the raised position and at rest. The main disadvantage of this technique is the high risk of necrosis of penile tissue, because during surgery, the supplying blood vessels are inevitably cut.
A safer method is to inject a gel containing hyaluronic acid into the glans penis. This approach allows you to achieve the required volume in a non-erect position, which is an important point when lengthening the penis with an extender. Unfortunately, after 1-1. 5 years, the gel gradually dissolves, so this procedure should be repeated periodically.
Penis enlargement: the pros and cons
The list of arguments "for" penis enlargement surgery includes:
- simplicity and safety of this surgical intervention;
- positive impact on men's sexual and psychological 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 - so the growth of the penis does not exceed 5 cm in length and 6 cm in width;
- traces of surgery may remain on the operated organ;
- the short duration of the results of the operation (with a thickening of the penis, the resulting volume remains, at best, for several years);
- possible complications (bleeding, wound infection, pain during erection, swallowing postoperative wound).
Results of the operation
The operative enlargement of the penis, reviews of which can be found on many websites, allows you to add to its length from 1 to 3. 5 cm. Penis lengthening using a special stretcher (extension) allows you to add up to 2 cm to this indicator.
It is worth remembering that without an extender, the 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 either not used or was 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 achieved). This is why the most impressive results can be obtained after ligamentotomy;
- correctness of the anatomy of the penis (affects the ability to adjust the extender);
- age (elasticity and ability of tissues to stretch decreases as they grow);
- patient persistence (the more often and longer the device is used, the better the effect can be achieved).