Penis enlargement surgery has become increasingly popular in recent times. According to world statistics, 80-85% of the strong half of men have certain problems related to small penis size.
To take such a risky step, a man must first know everything about all the advantages and disadvantages of the method of correcting the genitals and be patient before surgery.
Indications for penis enlargement surgery
The problem is psychological in nature, and doctors will first and foremost try to prevent a man from interfering like this in any way.
Indicators are divided into 3 groups:
| Indications for surgery | What is the disease done |
|---|---|
| Medicine | micropenis, hypospadia (anomalies in the development of the penis), due to trauma, congenital defects of the urethra, thickening of organ tissue, curvature of the penis due to fibrotic changes (Peyronie's disease) |
| Works | membranous penis, a large amount of subcutaneous fat, hidden penis, buried penis |
| Aesthetics | dysmorphic disorders of the penis (dissatisfaction with the size, shape, appearance of the penis). |
Contraindications
The 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 survey;
- diabetes;
- venereal disease;
- open wounds visible on the genitals;
- tumor neoplasm;
- mental disorder.
The method of correction lengthens the penis
Prior to surgery, the surgeon should study the structural features of the organ, and if all indicators are normal, he proceeds to further manipulation. 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.
The operation to increase is divided into 2 directions:
- surgical intervention to increase penis length;
- steps to increase penis volume.
Increase the length of the penis
After surgery by any method, it is necessary to refrain from sexual intercourse, physical activity, go to the sauna, stop drinking alcohol and smoking. One of the corrections to lengthen the penis is ligamentotomy. The purpose of this operation is to cut the ligaments that bind the inside of the penis by the pelvic bones. Ligamentotomy is needed to improve the results of organ enlargement after wearing an extender - a device that corrects the penis in a specific position and distributes it over length.
Ligamentotomy is an additional manipulation, without using an extender again it loses its meaning.
Operational access can:
- through the scrotum;
- pubis.
Surgeons make incisions in the scrotum or pubis, depending on surgical access. Then the ligaments are sliced and the penis is pulled out, giving it the desired length, and fitted in the correct position. There are better surgical methods using the patient’s adipose tissue. The empty space under the ligament is filled with fat, and the blood supply in the postoperative wound area is improved. This leads to faster healing and recovery of the patient.
After the operation, it is mandatory to use an extender. Wearing the device should be started from 2 hours a day, gradually increasing the time of use to 6 hours, within 3-6 months.
Particular attention must be paid to wearing underwear while using the extender. Shorts and pants must be loose. Sexual rest is required in the first week after surgery.
An increase in the number
The challenge in penis enlargement surgery is to create an extra layer between the skin and the corpora cavernosa. Depending on the material being implanted, the following operations are distinguished:
- lipofilling - the introduction of the patient's fat under the skin of the penis;
- microsurgical muscle transplantation - the transfer of patient tissue into the subcutaneous space of the penis;
- falloprosthetics - the use of special prostheses to restore the erectile function of organs.
Lipofilling
In such operations, adipose tissue is pumped out and treated with a special substance, then injected into the subcutaneous area of the penis. In the process, in the absence of fat cell rejection or other inflammatory changes, new tissue becomes part of the penis. After surgery, the volume of the organ will increase by 2 cm. For a month after going out, it is recommended to exclude sexual intercourse.
Microsurgical Muscle Transplantation
Microsurgical muscle transplantation is an expensive innovation in penis enlargement. The operation was performed under general anesthesia and took about 3 hours. The surgeon makes an incision on the organ in a circle and pulls it down like a sock. Then he first cut a small area of skin taken from the abdominal area. The penis is wrapped with a skin flap, the foreskin is placed in place and sutures are applied. The volume of the enlarged organ after surgery was 4 cm The patient was in the ward for the first 5 days. The painful sensation can persist for another 15 days after surgery, so you need to monitor your general well -being.
Falloprosthetics
It is performed strictly according to medical instructions and is used in situations where a man suffers a penile injury or is unable to have sexual intercourse. And also surgical methods are used when changing gender. The operation was performed under general anesthesia. Cave body removal was performed by bougienage and the introduction of a semi -rigid prosthesis. 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 abdomen and a reservoir is placed behind the pubic bone.
Positive effects after surgery can be obtained by meeting the following requirements:
- strict sleep rest for the first 2 days;
- mandatory oral antibiotics for 5 days;
- inpatient treatment for 4 days, if there are no contraindications, rehabilitation is prescribed at home;
- rejection of sexual intercourse for 7 weeks;
- after resuming sexual intercourse, you should see a doctor for further recommendations.
Postoperative complications
The risk of complications may increase if mistakes are made during surgery or if the man does not properly treat 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 high school.
Second group:
- necrosis of the obtained material;
- changes in erectile function;
- curvature of the penis;
- violation of the angle of erection;
- uneven fat mass absorption.
Pros and cons of operation
Every method of penis enlargement surgery has its positive and negative sides.
Benefits of ligamentotomy:
- nothing is implanted into the skin compared to falloprosthetics;
- during the recovery period, you should wear an extender, which will not cause discomfort to a man;
- in most cases, the result is positive.
Cons: Improper use and use of extensions will lead to negative results during the recovery period.
With lipofilling, the advantages are:
- the use of the person's own adipose tissue;
- a small percentage of rejection of donor material.
Disadvantages:
- 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:
- skin is well rooted;
- slower absorption of fat cells than lipofilling;
- rapid and visible effects after surgery.
Negative factors include:
- due to violation of blood supply, there may be a possibility of rejection of the transplanted tissue;
- sick for the first 2-3 weeks.
The advantages of falloprosthetics are:
- the ability to restore the sexual function of organs;
- the ability to lead an active sex life.
Disadvantages:
- is a major injury to the patient's life;
- inability to perform surgery if there is a chronic illness;
- a significant increase in negative results with previously performed vascular surgery on the penis.
When performing a surgical intervention to enhance the penis, first of all, you should choose the right clinic, highly qualified specialists and familiarize yourself with the necessary information about the chosen method.