Penile enlargement surgeries have been gaining popularity lately. According to world statistics, 80-85% of the strong half of humanity have certain problems associated with a small penis.
To take such a risky step, a man must know in advance everything about all the advantages and disadvantages of methods of correction of the genital organ and be patient before the operation.
Indications for penis enlargement operations
The problem is psychological in nature, and the doctor will try, in the first place, to dissuade a man from this type of intervention in any way.
The indications are divided into 3 groups:
| Indications for surgery | What diseases are carried |
|---|---|
| Doctor | micropenis, hypospadias (penis developmental anomaly), consequences of trauma, congenital malformation of the urethra, thickening of organ tissues, penile curvature due to fibrotic changes (Peyronie's disease) |
| Functional | membranous penis, large amount of subcutaneous fat, hidden penis, buried penis |
| aesthetics | penile dysmorphic disorder (dissatisfaction with the size, shape, appearance of the penis). |
contraindications
Reasons why the operation is contraindicated:
- inflammatory diseases of the genitourinary system;
- under 18;
- poor blood clotting;
- the presence of diseases identified after the survey;
- diabetes;
- sexually transmitted diseases;
- visible open sores on the genitals;
- tumor neoplasms;
- Mental Disorders, Mental Disorder.
Penis lengthening correction methods
Before the operation, it is necessary for the surgeon to study the structural features of the organ, and if all indicators are normal, he proceeds with further manipulations. In the evening, the day before the operation, a cleansing enema is performed. In the morning, before the next correction, you should stop eating and drinking.
The operations to increase are subdivided in 2 directions:
- surgical interventions to increase the length of the penis;
- measures to increase the volume of the penis.
Increasing the length of the penis
After operations by any of the methods, it is necessary to refrain from sexual intercourse, physical activity, go to the sauna, stop drinking alcohol and smoking. One of the fixes for lengthening the penis is a ligamentotomy. The purpose of this operation is to cut the ligament that anchors the inside of the penis through the pelvic bones. Ligamentotomy is necessary to improve organ enlargement results after using an extender - a device that fixes the penis in a certain position and distributes it in length.
Ligamentotomy is an auxiliary manipulation, without further use of the extensor it loses its meaning.
Operational access can be:
- through the scrotum;
- pubis.
The surgeon makes an incision in the scrotum or pubis, depending on the operative approach. Then the ligament is incised and the penis is pulled out to the desired length and fixed in position. There is an improved method of surgery using the patient's fatty tissue. The free space under the ligament is filled with fat and the blood supply to the postoperative wound area is improved. This leads to faster healing and patient recovery.
After the operation, the use of an extender is mandatory. Device usage should start from 2 hours a day, gradually increasing usage time to 6 hours, within 3-6 months.
Special attention should be paid to wearing underwear while using the extender. Briefs and pants must be loose. Sexual rest is required during the first week after surgery.
Increase of volume
The challenge in penile enlargement surgery is to create an additional layer between the skin and the corpora cavernosa. Depending on the implanted material, the following operations are distinguished:
- lipofilling - the introduction of the patient's fat under the skin of the penis;
- microsurgical muscle transplantation - transplantation of tissue from the patient into the subcutaneous space of the penis;
- phalloprostheses - the use of special prostheses to restore the erectile function of the organ.
lipofilling
In such an operation, fatty tissue is pumped and treated with special substances, 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 a month after discharge, it is recommended to exclude sexual intercourse.
Microsurgical muscle transplant
Microsurgical muscle transplantation is an expensive innovation in penile 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 preliminarily cuts small areas of skin taken from the abdominal region. A penis is wrapped with a skin flap, the foreskin is placed in place, and sutures are applied. The volume of the organ increased after the operation is 4 cm. The patient stays in the ward for the first 5 days. Painful sensations may persist for another 15 days after surgery, so you need to monitor your general well-being.
falloprostheses
It is performed strictly as per medical indications and is used in situations where a man has a penile injury or is unable to have sexual contact. And also the operative method is used when changing sex. The operation is performed under general anesthesia. The removal of the corpora cavernosa is carried out by means of bougienage and the introduction of semi-rigid prostheses. For 2- or 3-piece prostheses, an incision is made in the scrotum and a pump is inserted. When installing an inflatable implant, an incision is made in the lower abdominal region and the reservoir is placed behind the pubic bone.
The positive effect after surgery can be obtained by fulfilling the following requirements:
- absolute rest in the first 2 days;
- mandatory oral antibiotics for 5 days;
- hospital 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 risks of possible complications may increase if mistakes were made during the surgery or if the man did not adequately address the recommendations during the recovery and rehabilitation period.
There are 2 groups of complications: nonspecific and specific.
First group:
- intestinal paresis with transperitoneal access;
- pulmonary embolism;
- complications after anesthesia - headache in SMA.
Second group:
- necrosis of the material obtained;
- changes in erectile function;
- penile curvature;
- violation of the erection angle;
- uneven resorption of fat mass.
Pros and cons of operations
Each of the surgical penis enlargement methods has positive and negative sides.
Pros of Ligamentotomy:
- nothing is implanted in the skin compared to fallopian prostheses;
- during the rehabilitation period, you need to wear an extender, which will not cause a man discomfort;
- in most cases, the result is positive.
Cons: Incorrect use and application of the extender will lead to negative results during the rehabilitation period.
With lipofilling, the advantages are:
- the use of the person's own adipose tissue;
- small percentage of rejection of donor material.
Disadvantages:
- in the process, fat cells are absorbed, the procedure must 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 fat cell resorption compared to lipofilling;
- quick and visible effect after surgery.
Negative factors include:
- due to a violation of the blood supply, there may be a possibility of rejection of the transplanted tissue;
- pain in the first 2-3 weeks.
The advantages of phalloprosthesis are:
- the ability to restore the sexual function of the organ;
- the ability to lead an active sex life.
Disadvantages:
- it is a great detriment to the patient's life;
- inability to perform surgery in the presence of chronic diseases;
- a significant increase in the negative result with vascular operations performed previously on the penis.
When carrying out surgical interventions to enlarge the penis, first of all, you must choose the right clinic, a highly qualified specialist and familiarize yourself with the necessary information about the chosen method.