This intervention is performed in various situations, if there are no positive results from conservative ways to solve the problem.The operation does not provide for a hormonal background intervention, which is important with age -related changes and with many pathologies of the endocrine glands.In the preparatory phase, an ECG is performed, a general analysis of morning urine.It is also necessary to give blood for clinical and biochemical analyzes, HIV infection, hepatitis, syphilis.
The urologist and anesthesiologist leads a deep exam.If necessary, they require a consultation of related specialists: cardiologist, hematologist, therapist, pulmonologist and others.A few hours before the appointed operation, the inguinal region must be selected thoroughly.Depending on the selected anesthesia method, you can show a cleaning enema.
Indications for management
In which cases do they resort to surgery?The indications for surgery are divided into 3 large groups: doctor, aesthetic, functional.
The medical indications include:
- Peyoni's disease, which is characterized by the pathological growth of the fibrous tissue;
- Hipredia and/or episode;
- Micropenis;
- Congenital or acquired vici of the urethra;
- genital injuries;
- Excess fat in the area of the pubic joint of the bones;
- Cavernous fibrosis.
Aesthetic testimony includes problems with the low self -esteem of the patient, criminal dysmorphobia.
The indications of the functional group: Faisle member, hidden, buried.
Important!If the doctor has diagnosed only aesthetic indications for the increase in the surgical penis, the psychologist works with the patient.
Contraindications
The contraindications to surgical intervention are serious disorders of cardiovascular systems (not controlled hypertension), insufficiency in the work of lungs, kidneys, liver.
They also include contraindications:
- diabetes mellitus;
- The patient's age is less than 18 years;
- the presence of sexual transmission infections;
- Oncoprocess of any location;
- wounds, burns, foul scars;
- mental illness;
- Severe blood coagulation disorders.
Before the operation, all the outbreaks of chronic infection are sanitized.If the patient has a serious form of diabetes mellitus in the patient, he refuses the procedure.If the blood sugar level is well provided to correction, the endocrinologist consultation, which will prescribe insulin therapy for the entire period before and after surgery, is required before the intervention.
What to do if you are contraindicated in plastic
The surgical increase of a member is far from the only way that increases the card for children.If the size of the phallus is within the physiological standard, then a psychotherapist and a sexopathologist will help to help the difficulties.Many male fears are invented and stereotypes are imposed, so you should clearly separate the myth from reality.
The ability to communicate with a woman and 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 the prolonged preliminary caresses, the correctly selected poses and the technical techniques for conducting sexual relations will be able to level the "missing" centimeters of the penis.
In order to improve sex life, look at the intimate goods store.Vibrators, fouls, anal traffic and dozens of other types of sexual toys will help to satisfy a woman without natural sexual relations.Do not belong to the problem too seriously, the self -self will not allow you to fully enjoy the litter.
If a man is strongly configured to increase the size of the penis and plastic is contraindicated, extensors, pumps and drugs for local and systemic use will come to the rescue that cause fabrics of the fertile organ.The genital massage, special exercises, injection techniques for thickening and elongation of the foul will help to save the situation.
Increase in the member surgically: methods of conducting operations
An increase in a small surgically member can occur using various techniques.The operation is technically complex, because the surgeon must completely separate the cavernous thala and place the patient's cartilage tissue between them.
Less commonly, special gels are used instead of cartilage.The real "increase" of the length of the pregnancy body can be up to 7 cm.In modern surgical practice, lipofilling, muscle tissue from the abdomen, ligientotomy, prostheses and other methods are also used to increase the size of the foul.
Lipofilling
Penis lipofilling is called non -invasive intervention, which does not include skin cuts and seams.The technique consists in introducing the adipose tissue of a man in the subcutaneous layer of the foul.
The biomaterial fence for the procedure is performed in places of its accumulation:
- Pube;
- flanks;
- stomach;
- Bureau -driving region.
Lipofilling is practically not suitable for lengthening birth.The operation is saving, patients tolerate him well, the side effects are very rare.The hospitalization period does not exceed 24 hours, the outpatient observation is conducted for about 30 days.For 4 or 5 weeks, depending on the course of the recovery period, a man is forbidden to enter the intimacy with a sexual partner.But for a normal lifestyle in society, the patient returns in a few days.
Important!The effect of lipofilling is unstable, evident in the first two years.But the possibility of repeated injections remains.The cost of the procedure is different and floats depending on the reputation of the clinic and the ability of the surgeon-urologist.
Muscle tissue transplant from the abdomen
The operation allows not only to increase the circumference of the penis, but also its length.Its essence is as follows: a fragment of the abdominal muscle of the rectum, together with the nutritious artery, the vein and the vascular shirt, is attached under the skin in the form of a coupling to the penis fabrics, as if it enveloped the organ in pieces.Survivors seams are applied.This operation rarely proceeds with the development of necrosis, but for the next 6 months physical activity is prohibited, due to the high risk of hernia.For pain relief, general anesthesia is used.
After this surgery, the patient will find a long and painful recovery period after this surgery.For the first 4 days, rigorous bed rest is prescribed.According to the indications, painkillers are administered.In rigorous aseptic conditions, they lead a postoperative wound, making a normal dress.To exclude the occurrence of inflammatory and purulent processes, antibiotic therapy is prescribed.Antibacterial drugs choose a broad spectrum of action.A man should be ready for the fact that an erection will disappear for a maximum of six months, therefore, a complete sexual intercourse with penetration at this moment will have to be forgotten.
Ligationetomy
The increase in the member surgically through Ligientotomy is the most optimal solution for patients who have decided to radically change the length of their foul.Arranged anatomically so that part of the male children's organ is in the perineal region.In this position, it is held by the support ligament (Lig. Suspensorium Penis), attached to one end of the pelvis bones.After its partial intersection, the interior of the penis falls, which allows the organ to extend up to 7 cm.
The stability of the foul in an erect state is guaranteed by a deeply falling ligament ligament (Peni di Lig. Fundforma), therefore the anatomical structure of the reproductive system undergoes minimal changes.Surgical intervention requires general anesthesia.In the scrotum area, the surgeon makes a small dissection of fabric, which opens access to ligaments.They are crossed with a surgical tool or with the help of a modern laser.
The postoperative period provides for the mandatory use of an extension: a small device to lengthen the tissues of a deoritarian organ.This can bring some discomfort, especially for men with a stressful work program and during a business trip.The extension is consumed up to 6 hours a day.Although it has a fairly modest size, it can be evident under clothes.How to use the device will tell the doctor in detail.
Ligientotomy is often combined with vy plastic (an increase in the length of the skin in the foundation of the foul) or with a single or double Z plastic, which allows to eliminate an excess of tissues in the scrotum.If plastic has not been carried out, the man will have abstinence from sexual intercourse within 21-30 days.
Penis thickening with the help of surgery
An inspection of the foul can take place using subcutaneous injections of hyaluronic acid.This drug almost never causes allergies and waste, as it is well biocompatible with the cells of the human body.For injection, use a syringe with a needle.The puncture is performed more often in the field of the foundation of the foul.
A dense gel is distributed evenly in the subcutaneous layer of the child body.The maximum increase in a volume of 1.5 cm.The manipulation does not last more than half an hour, but is carried out under mild general anesthesia.The postoperative course is low with a short recovery period.
Important!Due to the high risk of an allergic reaction, it is forbidden to enter Vaseline!
Prosthesis
The Falloplastese comes to the aid of a man if not one of the conservative and surgical techniques has brought the desired result or the patient has a diagnosis of "micropenis".The essence of the operation is to install prostheses in cavernous bodies.Previously, hard prostheses were used, but this led to great inconveniences and prevented him from being in society, because the body of children was always in an "erect" state.
The hard systems have been replaced by plastic ones with the effect of memory.This made it possible to simplify and facilitate their use.Two prostheses allow not only to give the foul the necessary form, but also to conduct full sexual relations.Today, urologists suggest increasing the penis through inflatable structures.A pear, to pump air into hermetic chambers, is lowered in the scrotum, which makes it completely invisible.Since there is no constant pressure on the fabric, the undervalutors do not develop: a common postoperative complication.
An increase in a surgically member is a crucial step that requires temporary and cash costs.Operations for the most part are expensive, the exams and remain in the clinic can only add money expenses.But every man should remember that plastic surgery will be able to solve many problems in his intimate life.Only before choosing the surgery method, is it necessary to evaluate the pros and cons, consult the competent doctors and try to circumvent all the pitfalls of the scalpel methods.