Penis enlargement is one of the most popular male operations, which can be performed for both cosmetic and medical reasons.
In the latter case, we are talking about the following violations:
- cavernous fibrosis, in which penile tissues are partially replaced by cartilage;
- underdevelopment of the penis;
- erectile dysfunction, the causes of which are penile vessel dysfunction or Peyronie's disease;
- endocrine impotence, which developed in the context of diabetes mellitus;
- a history of unsuccessful operations on the penis;
- 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 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 Penis Lengthening
Surgical penis enlargement can be performed in a number of ways. Therefore, an operation called "ligamentotomy" allows you to increase the penile's pendant (free) section, reducing its perineal (hidden) section. In this case, the elements of the ligament apparatus, which hold the penis in the perineal region, are corrected. In fact, in this case, the original size of the penis remains the same as there is only a redistribution of length.
An alternative variant of penile elongation is the implantation into the internal space of an organ of endoprosthesis, which is obviously long. This endoprosthesis can be accompanied by full mobilization of the legs of the penis, but it should be borne in mind that this step leads to unavoidable damage to the deep cavernous arteries and the 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 to increase penis thickness islipofilling(transplantation of the adipose tissue itself). This penis enlargement operation is performed under general anesthesia. In the first stage of surgical intervention, fat cells are removed 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, large vessels and nerves are not damaged when the needle moves under the skin. Only fat cells are absorbed by the plastic syringe, as is a small amount of blood, which is formed when small vessels are damaged. The special processing of the resulting fat suspension allows for "clean" adipose tissue to be obtained, which is then placed by micro-punctures in thin layers under the skin of the penis.
After the end of the operation, the punctures are sutured and sealed with tape. Lipofilling makes it possible 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 enlarge 1-2 cm in the future.
Another technique for thickening the penis involves transferring an area of the rectus abdominis under the skin of the penis, where axial blood flow is maintained. The flap obtained during the operation is, as it were, wrapped its entire length around the penis. With this approach, the possibility of graft rejection is significantly reduced because the muscles simply unfold into complete feeding vessels. This penis enlargement in the clinic implies the patient's refusal to physical activity 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 performed in combination with penis enlargement and as a separate procedure. The most common reasons for penis enlargement at the clinic are:
- incompatibility of the diameters of the trunk and head of the penis;
- impossibility of penile lengthening with an extender due to insufficient head size (impossibility of correct fixation of the device);
- the need to maintain the correct proportions of the enlarged penis.
One of the popular ways of enlarging the head is to introduce a special matrix between the head and the corpora cavernosa, which increases the diameter of the head in both an erect and resting state. The main disadvantage of this technique is the high risk of necrosis of the penile tissues, because during the operation, the blood vessels that supply it 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 necessary volume in a non-erect state, which is an important point when stretching the penis with an extender. Unfortunately, after 1-1, 5 years, the gel gradually dissolves, so this procedure needs to be repeated periodically.
Penile enlargement: 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;
- improve the intimate quality of life;
- maintaining increased penis length for life.
Penis enlargement surgery has its opponents,
which provide the following arguments:
- the possibilities for surgical intervention are quite limited - penis enlargement, therefore, does not exceed 5 cm in length and 6 cm in width;
- traces of the operation may remain in the operated organ;
- the short duration of the operation results (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).
Operation results
The operational enlargement of the penis, whose reviews can be found on many Internet sites, allows to increase its length from 1 to 3. 5 cm. Penis extension using a special stretcher (extender) allows you to add up to 2 cm to this indicator.
Remember that without an extender the operation is ineffective and the length of the penis does not change. In most cases, the lack of results after the intervention is due to the fact that the stretcher was 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, the better results can be achieved). That's why the most impressive results can be obtained after ligamentotomy;
- correction of the anatomy of the penis (affects the ability to fix the extensor);
- age (the elasticity and ability of tissues to stretch decrease as they get older);
- patient persistence (the more often and longer the device is used, the better the effect can be achieved).