Penis enlargement surgeries have been gaining popularity recently. According to world statistics, 80-85% of the strong half of humanity have certain problems related to the small size of the penis.
To take such a risky step, a man must know in advance all the advantages and disadvantages of methods of correcting the genital organ and be patient before surgery.
Indications for penis enlargement surgery
The problem is of a psychological nature and the doctor will first of all try to dissuade the man from this type of intervention in any way.
The readings are divided into 3 groups:
> zxtable border = "1" cellpadding = "0" >Contraindications
Reasons why the operation is contraindicated:
- inflammatory diseases of the genitourinary system;
- age under 18 years;
- poor blood clotting;
- the presence of diseases identified after the study;
- diabetes;
- sexually transmitted diseases;
- visible open wounds on the genitals;
- tumor neoplasms;
- mental disorders.
Methods of correction for penis lengthening
Before the operation it is necessary for the surgeon to study the structural features of the organ and if all the indicators are normal, he proceeds to further manipulations. In the evening, the day before the operation, a cleansing enema is performed. In the morning, before the upcoming correction, you should stop eating and drinking.
The operations for increase are subdivided into 2 directions:
- surgical interventions to increase the length of the penis;
- measures to increase the volume of the penis.
Increase the length of the penis
After surgery by any of the methods it is necessary to abstain from sexual intercourse, physical activity, visit the sauna, stop drinking alcohol and smoking. One of the corrections for penis lengthening is ligamentotomy. The purpose of this operation is to cut the ligament that secures the inside of the penis to the pelvic bones. Ligamentotomy is needed to improve the results of organ enlargement after wearing an extender - a device that fixes the penis in a certain position and distributes it lengthwise.
Ligamentotomy is an auxiliary manipulation, without further use of the extension extends its meaning.
Operational access can be:
- through the scrotum;
- pubis.
The surgeon makes an incision in the scrotum or pubis, depending on the surgical approach. The ligament is then cut and the penis is pulled out, giving it the desired length and fixed in the correct position. There is an improved method of surgery using the patient's adipose tissue. The free space under the ligament is filled with fat and the blood supply in the area of the postoperative wound is improved. This leads to faster recovery and recovery of the patient.
The use of an extension cord is mandatory after the operation. Wearing the device should start from 2 hours a day, gradually increasing the time of use to 6 hours, within 3-6 months.
Particular attention should be paid to wearing underwear while using the extension cord. Briefs and trousers must be loose. Sexual rest is required in the first week after surgery.
Increase the volume
The challenge in penis enlargement surgery is to create an extra layer between the skin and the corpora cavernosa. Depending on the implanted material, the following operations are distinguished:
- lipofilling - the introduction of fat to the patient under the skin of the penis;
- microsurgical muscle transplantation - transplantation of the patient's tissue into the subcutaneous space of the penis;
- phalloprosthesis - the use of special prostheses to restore erectile function of the body.
Lipofilling
In such an operation, adipose tissue is pumped and treated with special substances, and then injected into the subcutaneous area of the penis. In the process, if there is no rejection of fat cells or other inflammatory changes, new tissue becomes part of the penis. After the operation, the volume of the organ will increase by 2 cm. For one month after discharge, it is recommended to exclude sexual intercourse.
Microsurgical muscle transplantation
Microsurgical muscle transplantation is an expensive innovation in penis enlargement. The operation is performed under general anesthesia and takes about 3 hours. The surgeon makes an incision in the organ in a circle and pulls it down like a sock. He then pre-cuts small areas of skin taken from the abdominal area. The penis is wrapped with a flap of skin, the foreskin is put in place and stitches are required. The volume of the enlarged organ after the operation is 4 cm. The patient is in the ward for the first 5 days. The painful sensations may continue for another 15 days after the operation, so you should monitor your general well-being.
Phalloprosthesis
It is performed strictly on medical grounds and is used in situations where the man has an injury to the penis or can not have sexual intercourse. And also the operative method is used for gender reassignment. The operation is performed under general anesthesia. The removal of cavernous bodies is done by boosting and introducing semi-rigid prostheses. For prostheses of 2 or 3 parts, an incision is made in the scrotum and a pump is placed. When installing an inflatable implant, an incision is made in the lower abdomen and the reservoir is placed behind the pubic bone.
The positive effect after the operation can be achieved by observing the following requirements:
- strict bed rest during the first 2 days;
- mandatory oral antibiotics for 5 days;
- inpatient treatment for 4 days, in the absence of contraindications, rehabilitation is prescribed at home;
- refusal of sexual intercourse for 7 weeks;
- after resuming sexual intercourse, you should consult a doctor for further recommendations.
Postoperative complications
The risk of possible complications may increase if mistakes are made during the operation or if the man did not properly treat the recommendations during the period of recovery and rehabilitation.
There are 2 groups of complications: non-specific and specific.
First group:
- intestinal paresis with transperitoneal access;
- pulmonary embolism;
- complications after anesthesia - headache in SMA.
Second group:
- necrosis of the obtained material;
- changes in erectile function;
- curvature of the penis;
- erectile dysfunction;
- uneven absorption of fat mass.
Pros and cons of operations
Each of the methods of surgical penis enlargement has both positive and negative sides.
Pros of ligamentotomy:
- nothing is implanted in the skin compared to phalloplasty;
- during the rehabilitation period you should wear an extension cord that will not cause discomfort to the man;
- in most cases the result is positive.
Disadvantages: Improper wearing and application of the extender will lead to negative results during the rehabilitation period.
In lipofilling the advantages are:
- the use of adipose tissue by the person himself;
- low rejection rate of donor material.
cons:
- in the process fat cells are absorbed, the procedure should be repeated 3-4 times every six months;
- the use of synthetic components that can lead to inflammatory processes.
The advantages of microsurgical muscle transplantation are:
- the skin takes root well;
- slower resorption of fat cells compared to lipofilling;
- fast and visible effect after surgery.
Negative factors include:
- due to impaired blood supply there may be a possibility of rejection of the transplanted tissue;
- soreness in the first 2-3 weeks.
The advantages of phalloprosthetics are:
- the ability to restore sexual function of the organ;
- the ability to lead an active sex life.
cons:
- is a great harm to the patient's life;
- inability to perform surgery in the presence of chronic diseases;
- significant increase in the negative result in previous vascular operations on the penis.
When performing penis enlargement surgeries, first of all, you need to choose the right clinic, a highly qualified specialist and get acquainted with the necessary information about the chosen method.