Penis enlargement surgeries have been gaining popularity lately. According to world statistics, between 80% and 85% of the strong half of humanity have certain problems associated with a small penis size.
To take such a risky step, a man must know in advance everything about all the advantages and disadvantages of methods of correcting the genital organ and be patient before the operation.
Indications for penis enlargement operations
The problem is psychological in nature, and the doctor will first try 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 out |
|---|---|
| Doctor | micropenis, hypospadias (abnormality in the development of the penis), sequelae of trauma, congenital malformation of the urethra, thickening of the tissues of the organs, 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 and appearance of the penis). |
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 survey;
- diabetes;
- sexually transmitted diseases;
- visible open wounds on the genitals;
- tumor neoplasms;
- mental disorders.
Penis enlargement correction methods.
Before the operation, it is necessary for the surgeon to study the structural features of the organ and, if all the indicators are normal, then proceed to further manipulation. In the evening, the day before the operation, a cleansing enema is performed. In the morning, before the next correction, you need to stop eating and drinking.
Increase operations 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 operations by any of the methods, it is necessary to refrain from sexual intercourse, physical activity, going to the sauna, giving up drinking alcohol and smoking. One of the corrections for penis enlargement is the ligamentotomy. The goal of this operation is to cut the ligament that anchors the inside of the penis to the pelvic bones. Ligamentotomy is necessary to improve the results of organ enlargement after using 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 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 access. The ligament is then incised and the penis extracted, giving it the desired length and fixing it in the correct position. There is an improved method of surgery that uses 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 the operation, the use of an extender is mandatory. The use of the device should start from 2 hours a day, gradually increasing the time of use to 6 hours, within 3 to 6 months.
Particular attention should be paid to wearing underwear while wearing the extender. Briefs and pants must be loose. Sexual rest is required for the first week after surgery.
Volume increase
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 the patient's fat under the skin of the penis;
- Microsurgical muscle transplantation: transplantation of the patient's tissue into the subcutaneous space of the penis;
- fallaprosthetics - the use of special prostheses to restore the erectile function of the organ.
Lipofilling
In such an operation, the adipose tissue is pumped out 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, the 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 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 an incision in the organ in a circle and pulls it down like a sock. Then preliminarily cut small areas of skin removed from the abdominal region. A flap of skin is wrapped around a penis, the foreskin is put in place, and stitches are applied. 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 need to monitor your general well-being.
prosthesis failure
It is performed strictly according to medical indications and is used in situations where a man has an injury to the penis or is unable to have sexual contact. And the operative method is also used when changing sex. The operation is performed under general anesthesia. The extraction 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 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 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 surgery or if the man did not follow the recommendations adequately 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;
- curvature of the penis;
- violation of the angle of erection;
- uneven reabsorption of fat mass.
Pros and cons of operations.
Each of the surgical penis enlargement methods has both positive and negative aspects.
Advantages of ligamentotomy:
- nothing is implanted in the skin compared to prosthetic failures;
- during the rehabilitation period, you need to wear an extender, which will not cause discomfort to a man;
- 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 adipose tissue from the person;
- small percentage of rejection of the 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 reabsorption of fat cells compared to lipofilling;
- fast 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 for the first 2-3 weeks.
The advantages of prosthetic failure are:
- the ability to restore the sexual function of the organ;
- the ability to lead an active sex life.
Cons:
- it is a great detriment to the life of the patient;
- inability to perform surgery if chronic diseases are present;
- a significant increase in the negative result with vascular operations previously performed on the penis.
When performing surgical interventions to increase the penis, first of all, you need to choose the appropriate clinic, a highly qualified specialist and familiarize yourself with the necessary information on the chosen method.