penis enlargement

penis enlargement surgery

What are the signs of penis enlargement?

Men have genitals of different sizes. Most of them are satisfied with the size of their own penis, others tend to think that the symbol of their masculine courage is too small.

About 80% of men suffer from an inferiority complex about their member solely due to a lack of information about the size of the male genitals.

If the length of the penis is less than 2 cm in length, then this condition is called penile and means that the length of the erect penis will not be enough for normal sexual function.

If a man has a penis length in a stretched or upright position from 2 to 9, 5 cm, then he does not have a penis, but a small penis. In this case, the value of 9, 5 cm should be considered as the lower limit of the average size of the penis.

Based on the data of the generalized literature, it can be concluded that an adult man who has a penis in an erection of 9. 5 cm or more can be absolutely sure that he has a statistically medium-sized penis. A penis smaller than 9. 5 cm should be called a small penis. The term small penis means that the length of the stretched penis does not exceed 2 cm.

What are the social aspects of the small penis?

At the end of the 20th century, the open attitude of the public consciousness towards family problems, men's health and, of course, sexual problems, contributed to the fact that many paramedical, sexually oriented advertising media spread the idea of increasing size. of the male genitals, including surgery. Currently, in both specialized medicine and folk literature, more and more information is appearing about the possibility of increasing penis size in various ways, including surgery. Many medical and popular sites have been created on the Internet, whole sections dedicated to penile surgeries are published. They describe in detail the advantages of these techniques and the complications associated with penile enlargement surgery.

Often, for many men who want to enlarge their penis, this organ is functionally and anatomically completely normal. At the same time, for some men, dissatisfaction with the appearance and size of their own penis can cause a feeling of inferiority or even depression. This circumstance pushes a man to look for ways to increase the size of his perfectly normal, in terms of anatomical parameters, his penis. And if a person has convinced himself that his sexual organ is too small, then no medical assurance to the contrary will bring results. There is a feeling of inferiority and low self-esteem in this person's mind, which sometimes requires the need for treatment by a psychotherapist. However, it does not always give the desired emotional improvement.

You can draw a ratio of penis enlargement to increase the size of a woman's breast. Scientists have shown that women after breast augmentation significantly increased their sense of self-esteem and got rid of long-term psychological disorders and depression. In this case, if a woman, for aesthetic reasons, undergoes breast prosthesis implantation or liposuction to increase her importance and the admiration of others, then why can not a man, for the same reasons, decide to have augmentation surgerypenis;

In addition, it is known that over 70% of women, when answering an anonymous question: "Of many similar and outwardly equally attractive men, but with genitals of different lengths, who would they prefer? "", He would choose a man with a big penis.

What are the methods of penis enlargement?

All methods used to increase penis size can be conditionally divided into three groups - vacuum, traction and surgery. The first two groups are inherently non-surgical methods and consist of long-term "training" of the organ tissues for dilation.

Vacuum devices (VU)- consists of two main components: a cylinder with an open end, into which the penis is inserted and a vacuum pump. WU works on the principle of pressure gradient - air is removed from the cylinder by a pump, a vacuum is created in the cylinder, as a result of which blood from the body flows to the penis and increases in size.

External tensioning devicesare various expansions for permanent extension of the penis in length. For 4-6 months of regular daily training, it is possible to increase the length of the penis from 1. 5 to 3 cm (without surgery). However, it is highly recommended to use these devices after penis lengthening surgery. In this case, the result will be much greater.

Surgery. The possibility of lengthening the penis with the help of surgery lies in the peculiarities of fixing the tunnel bodies of the penis with a support joint in the pubic joint. The supporting ligament is the main object of intervention in penis enlargement surgery. This triangular fibrous cloth is attached to the deep fascia of the Buka. The ligament extends from the alba line and the tip of the adhesion along the midline to the center of the penis. Further, the ligament deviates like a fan laterally, bends around the edges and, as it were, covers the base of the penis in its proximal part at the level of the passage of the corpora cavernosa to the hanging part of the penis.

All surgical methods of penis enlargement have different purposes: penis lengthening, penis thickening, combination of penis lengthening and thickening, erectile dysfunction correction with penis size correction, correction of erectile dysfunction with penis enlargement.

Are there any indications for penis enlargement surgery?

Yes I have. Medical indications include: penile, epispadias, hypospadias, Peyronie's disease, cavernous fibrosis, consequences of penile injury. "Aesthetic signs" - a hidden penis, an excess of adipose tissue in the pubic area.

Penis lengthening with surgery is not a new issue, as in the past it was an additional goal in the treatment of various penile diseases. However, only recently has penis lengthening been performed as a cosmetic procedure for an anatomically correct and functional penis.

In most cases, men want to increase penis size for the following reasons: to enhance external attractiveness, to improve the quality of sexual intercourse, to increase self-esteem due to the "locker room syndrome", when a man is ashamedto be naked in a shared shower, sauna, etc. believing she has a small penis.

The medical and functional indications for growth are clear. However, it must be emphasized that the last group (aesthetic indications) is the most numerous and at the same time the most controversial. In this group, patients' aesthetic desires become indications for surgery.

In 1986, scientists believed that "the ability to attach the hypochondriac to the genitals is the sole property of men and is not entirely characteristic of women. "It is this condition that can be interpreted as penile dysmorphophobia. In other words, penile dysmorphophobia is a man's dissatisfaction with the appearance, shape and size of his penis.

However, penile dysmorphophobia, as an indication for surgical treatment, does not contradict the principles of cosmetic surgery, the purpose of which is to improve the shape of a normal organ. A man's desire to increase his penis size is one of the main indications for surgery.

How is the penis enlarged?

Penis lengthening methods:

Excision of the suspended ligament of the penis- Connection (Long operation). In 1990, a Chinese surgeon developed a penis lengthening operation, ligament resection, which is the main and most flexible method of penis lengthening. The principle of the method is based on the elimination of the normal curvature of the penis by passing the support ligament and releasing the tunnels at the entrance level to those of the deep arteries and the subsequent fixation of the tunnels at a new position at the level of the severed ligament. The technique allows the penis to be lengthened up to 3-5 cm.

Implantation of prostheses with simultaneous cross-sections of albumin.It should be emphasized that individual implantation of prostheses in the cavernous bodies of the penis does not lead to an increase in the length of the penis. The prostheses are designed to provide organ rigidity for successful insertion in men with erectile dysfunction. The principle of the elongation method with simultaneous implantation consists in the placement of obviously longer prostheses in the intramuscular space and in the execution of transverse somatotomies for the elongation of the organ.

Implantation + elongation with total mobilization of the legs of the penis.The result is achieved due to the maximum removal of the proximal part of the corpora cavernosa due to their full mobilization, forward movement and fixation in the area of the pubic joint. Such a significant displacement of the penis implies the intersection of the deep arteries and the actual cessation of the hemodynamic mechanism of the erection. The blood supply to the cavernous bodies is made by the dorsal vascular bundle and the spongy body of the urethra.

It should be emphasized that complete mobilization of the corpora cavernosa leads to erectile dysfunction, due to the inevitable damage to the pneumogastric nerves and the deep coronary arteries. Therefore, this method is only suitable for men with erectile dysfunction.

Disconnection function (Perovic operation).The author of this technique recommends the complete separation of the organ into components - separation of the corpora cavernosa as much as possible along the entire length of the hanging part of the penis from the spongy body and head, with complete mobilization of the dorsal neurovascular bundle. Between the ends of the corpora cavernosa and the head, pieces of the patient's lateral cartilage or a synthetic implant are then implanted, taking into account the free distance taken and previously measured. The elongation effect is achieved due to the natural elasticity and the ability to stretch the spongy body of the urethra and elements of the neurovascular bundle. Penis elongation can be achieved up to 3-5 cm.

Methods of surgical penis thickening:

Microsurgical tissue autograft, subcutaneous injection of free automatic fat, use of free flap with deep cutaneous fat, somatotomy with replacement autograft and allotransplantation, use of rotating fins with stem, use of synthetic implant

Microsurgical tissue autograft. The method of microsurgical autotransplantation of peritoneal or peritoneal fatty flaps in a supplied vascular stem consists in the subcutaneous wrapping of the penis with a selected part of the broad dorsal muscle, followed by its revascularization (application of vascular anastomosis).

Subcutaneous injection of free automatic fat.Most often, adipose tissue for implantation is obtained during liposuction from the suprapubic region. After special preparation of the emptied fat, it is gradually inserted through a syringe along the entire stem of the penis through an incision in the coronary zone. In this case, it is necessary to perform manual modeling - straightening of adipose tissue evenly along the organ.

The use of a free flap of deep cutaneous-oily skin.Cut one or two cuttings in the donor area. These are usually the glutes or, less commonly, the groin. Depending on the size of the penis, each implant should be about 12-15 cm long and 5-12 cm wide, depending on whether one or two fins are used. These fins are then implanted under the skin of the penis along the entire axis.

Longitudinal somatotomies with replacement autograft (Austoni operation).The principle of the operation is to make longitudinal incisions of the albumin on the bilateral surfaces of the corpora cavernosa of the penis, followed by replacement of the defects with inserts from self-vein or other materials.

Application of rotating blades with stem. Extensive use of autologous tissues to thicken the penis reduces the lack of blood supply to the transplanted tissue. Free vascular fins are not always and everywhere possible for use, due to the technical characteristics of the operations. From this point of view, for penile thickening, the isolation of an autograft with maintained blood flow, without the need for microsurgical vascular anastomoses, seems very promising.

Used to thicken an organtechnique for isolating a fragment of the rectus abdominis muscle. The beginning of the operation is the isolation of a rotating muscle flap from the anterior abdominal wall in a feeding leg, based on the root of the penis. The free end of the implant in the vascular stem is made under the skin of the penis and attached to the coronary groove.

The beginning of another operation is the isolation of two (Dabees operation) or a rotating flap of fascia from the subcutaneous tissue of the anterior abdominal wall.

The use of synthetic implants. A new direction of penis thickening is considered very promising, which consists of implanting a specially designed synthetic implant under the skin of an organ. The principle of surgery and the materials used are similar to those for breast augmentation in women. A shell or solid hydrogel implant is used to thicken the penis. The operation is distinguished by a planned fattening effect, a short static period, the absence of additional incisions for graft sampling and the virtual absence of complications.

In addition, a thickening method has been developed based on the technique of transplanting "developed" own tissues into a soluble biopolymer carrier (matrix). The method is completely new and there are not enough clinical observations yet.

What are the effects of penis enlargement?

The results of penis enlargement surgery. The degree of lengthening is not a single criterion, as the reasons that lead to penile reduction are fundamentally different from each other. The typical and successful result of the operation should be considered organ lengthening 2, 5-3 cm or more.

There are no formal criteria for evaluating the effect of penile thickening, as much depends on the patient's desire and the possibility of surgery. The uniform thickening of the penis axis, without deformations of the contours and swelling of the implant, is considered satisfactory and a good result.

Are there any complications of penis enlargement surgery?

As any surgery can be accompanied by various negative consequences, so penile surgery is not without the risk of developing specific complications.

It is known that cosmetic surgery has two equivalent goals: good anatomical and functional results and patient satisfaction from the operation. The main obstacle to achieve this is the development of various complications and the patient's negative assessment of the final results of the operation. The frequency of complications in cosmetic penile surgery depends on many factors, the determining factors of which are the following: the formation of a realistic attitude to the patient about the possibilities of surgery. the surgeon's experience and ability; application of standard methods; patient compliance after application of all prescription recommendations.

At the same time, a very unfavorable prognostic outcome of the operation is the discrepancy between the patient's preoperative expectations for a "miracle" from the surgeon's scalpel and the result achieved during this operation. This may be due to an unrealistic expectation or a deliberate negative evaluation by the patient of any possible outcomes. At the same time, from a surgical point of view, the postoperative result can be considered excellent.

In conclusion, it should be emphasized that the penis is a unique organ that performs 3 main functions: cooperative (ensuring sexual intercourse), reproductive (ensuring childbearing) and providing urination. thus, paraphrasing the well-known phrase, «. . . live with them they need it so it is not torturously painful later. . . ». And if in the future men will be able, if necessary, to freely adjust the size of their reproductive organs, as we now correct bad teeth, then there will be far fewer frustrated, bitter and simply unhappy men in the future, since the harmonious intimate life isone of the constituents of a healthy and socially active person.