Penis enlargement is one of the most popular male operations, which can be performed for both cosmetic and medical purposes.
In the latter case, these are 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 dysfunction of the vessels of the penis or Peyronie's disease;
- endocrine impotence, which developed against the background of diabetes mellitus;
- a history of failed penis operations;
- the need to eliminate the consequences of operations on the prostate, bladder, rectum.
Penis enlargement has a number of contraindications:
- severe diabetes mellitus;
- oncology;
- Venereal illnesses;
- exacerbation of chronic diseases of the genitourinary system (prostatitis, urethritis, cystitis);
- genital herpes;
- the presence of ulcers and wounds on the penis.
- violation of blood clotting;
- the patient has mental disorders.
Surgical enlargement of the penis
Surgical penis enlargement can be done in several ways. Thus, an operation called a "ligamentotomy" increases the hanging (free) section of the penis by reducing its perineal (hidden) section. In this case, the elements of the ligamentous apparatus, which holds the penis in the perineal area, are corrected. In fact, in this case, the original size of the penis remains unchanged, since there is only a redistribution of the length.
An alternative variant of penis enlargement is the implantation in the internal space of an endoprosthetic organ, which is obviously long. Such endoprostheses can be accompanied by 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, so such an operation to enlarge the penis is not recommended for absolutely healthy men without concomitant erectile dysfunction.
Thickening of the penis
Currently, the most popular technique for increasing penis thickness islipofilling(transplantation of one's own adipose tissue). This penis enlargement operation is performed under general anesthesia. In the first stage of the surgery, 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 great vessels and nerves are not damaged when the needle moves under the skin. Only the fat cells are absorbed into the plastic syringe, as well as a small amount of blood that forms when the small vessels are damaged. The special processing of the resulting fat suspension allows to obtain "clean" adipose tissue, which is then placed through micro-perforations in thin layers under the skin of the penis.
After the end of the operation, the punctures are sutured 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 can increase by 1-2 cm in the future.
Another technique for penis thickening involves the transfer of 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, as it were, wrapped around the penis along its entire length. With this approach, the chance of graft rejection is significantly reduced, because the muscles simply open onto the full-fledged feeding vessels. Such an increase in the penis in the clinic implies the patient's refusal from 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 done both in combination with penis enlargement and as a separate procedure. The most common reasons for an increase in the head of the penis in the clinic are:
- mismatch of the diameters of the trunk and head of the penis;
- the impossibility of lengthening the penis using an extender due to insufficient size of the head (it is impossible to fix 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 the introduction of a special matrix between it and the corpora cavernosa, which increases the diameter of the head in both the erect and resting state. The main disadvantage of this technique is the high risk of necrosis of the tissues of the penis, because during the operation, the supply 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 state, which is an important point when extending the penis with an extender. Unfortunately, after 1-1, 5 years, the gel gradually dissolves, so this procedure must be repeated periodically.
Penis enlargement: pros and cons
The list of "for" penis enlargement surgery topics includes:
- simplicity and safety of this surgery;
- positive impact on men's sexual and psychological health;
- improve the quality of intimate life;
- maintaining the increased length of the penis throughout life.
Penis enlargement surgery has its opponents,
which give the following arguments:
- the possibilities of surgical intervention are rather limited - the increase of the penis therefore does not exceed 5 cm in length and 6 cm in width;
- traces of the operation 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, postoperative wound suppuration).
Results of the operation
Operational penis enlargement, reviews of which can be found on many Internet sites, allows you to increase its length from 1 to 3. 5 cm. The extension of the penis using a special stretcher (extender) allows you to add up to 2 cm for this indicator.
It is worth remembering that without an extender, the operation is ineffective and the length of the penis does not change. In the vast majority of cases, the lack of results after surgery is due to the fact that the stretcher has not been used or has been 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 the results). That is why the most impressive results can be obtained after ligamentotomy;
- the correctness of the anatomy of the penis (affects the ability to fix the extender);
- age (the elasticity and stretching capacity of tissues decreases as they age);
- patient persistence (the more often and longer the device is used, the better the effect is obtained).