Recently, penis enlargement surgeries are gaining popularity. 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 dangerous step, a man must know in advance everything about all the advantages and disadvantages of genital correction methods and be patient before surgery.
Indications for penis enlargement surgeries
The problem is of a psychological nature and the doctor will first of all try to remove a man from this kind of intervention in any way.
The indications are divided into 3 groups:
| Indications for surgery | What diseases are committed |
|---|---|
| mEDICAL | micropenis, hypospadias (abnormalities in the development of the penis), consequences of trauma, congenital malformation of the urethra, thickening of organ tissues, curvature of the penis due to fibrotic changes (Peyronie's disease) |
| Functional | membranous penis, large amount of subcutaneous fat, hidden penis, buried penis |
| aesthetic | dysmorphic disorder of the penis (dissatisfaction with the size, shape, appearance of the penis). |
Contraindications
Reasons why surgery is contraindicated:
- inflammatory diseases of the genitourinary system;
- age under 18 years;
- 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.
Methods of correcting penis elongation
Before surgery, it is necessary for the surgeon to study the structural features of the organ and if all the indicators are normal, he proceeds with further manipulations. In the evening, the day before surgery, a cleansing enema is performed. In the morning, before the next correction, you should stop eating and drinking.
Growth operations are divided into 2 directions:
- surgical interventions to increase penis length;
- measures to increase penis volume.
Increase penis length
After surgeries with 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 corrections for penis lengthening is ligamentotomy. The purpose of this operation is to cut the ligament that anchors the inside of the penis from the pelvic bones. Ligamentotomy is needed to improve the results of organ enlargement after wearing an extender - a device that adjusts the penis to a certain position and distributes it lengthwise.
Ligamentotomy is an auxiliary manipulation, without further use of the extender 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 access. Then the ligament is cut and the penis is pulled, giving it the desired length and fixed in the right 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 to the postoperative wound area is improved. This leads to faster healing and recovery of the patient.
After surgery, it is mandatory to use an extender. The use of 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 the wear of underwear when using the extender. Pants and trousers should be loose. Sexual rest is required during 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 implant material, the following operations are distinguished:
- lipofilling - the introduction of patient fat under the skin of the penis;
- microsurgical muscle transplantation - transplantation of the patient's tissue into the subcutaneous space of the penis;
- Faloprosthetics - the use of special prostheses to restore the erectile function of the organ.
Lipofilling
In such an operation, adipose tissue is pumped and treated with special substances, then injected into the subcutaneous area of the penis. In this process, if there is no rejection of fat cells or other inflammatory changes, new tissue becomes part of the penis. After surgery, 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 lasts about 3 hours. The surgeon makes a circular incision in the organ and pulls it down like a sock. He then cuts in advance small areas of skin taken from the abdominal region. A penis is wrapped with a leather flap, the foreskin is placed in its place and sutures are placed. The volume of the enlarged organ after the operation is 4 cm The patient is in the ward for the first 5 days. Painful sensations may persist for another 15 days after surgery, so you should monitor your overall well-being.
Faloprosthetics
It is performed strictly according to medical indications and is used in situations when a man has a penile injury or is unable to have sexual contact. And also the operative method is used during sex change. The operation is performed under general anesthesia. Removal of cavernous bodies is performed by bougainvillea and insertion of semi-rigid prostheses. For 2 or 3 part prostheses, an incision is made in the scrotum and a pump is inserted. When you place an inflated implant, an incision is made in the lower abdomen and the reservoir is placed behind the pubic bone.
Positive effect after surgery can be achieved by meeting the following requirements:
- strict bed rest for 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 resumption of sexual intercourse, you should consult a doctor for further recommendations.
Postoperative complications
The risks of potential complications may increase if mistakes are made during surgery or if the husband has not properly addressed 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 emboli;
- complications after anesthesia - headache in SMA.
Second group:
- necrosis of the obtained material;
- changes in erectile function;
- curvature of the penis;
- violation of the angle of erection;
- uneven resorption of fat mass.
The pros and cons of operations
Each of the methods of surgical penis enlargement has positive and negative sides.
Advantages of ligamentotomy:
- nothing gets into the skin compared to faloprosthetics;
- during the rehabilitation period, you should wear an extender, which will not cause discomfort to a man;
- in most cases, the result is positive.
Cons: Improper wearing and application of the extender will lead to negative results during the rehabilitation period.
With lipofilling, the advantages are:
- use of the person's own adipose tissue;
- small percentage of rejection of donor material.
Minutes:
- during the process, fat cells are absorbed, the procedure should be repeated 3-4 times every six months;
- use of synthetic ingredients 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;
- rapid and noticeable effect after surgery.
Negative factors include:
- due to violation of the blood supply, there may be a possibility of rejection of the transplanted tissue;
- pain for the first 2-3 weeks.
The advantages of faloprosthetics are:
- the ability to restore the sexual function of the organ;
- the ability to lead an active sex life.
Minutes:
- is a major injury to the patient's life;
- inability to perform operations if there is a chronic illness;
- a significant increase in the negative result with vascular surgeries previously performed on the penis.
When performing penis enlargement surgery, 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.