Penis enlargement surgery has grown in popularity recently. According to world statistics, 80-85% of the strong half have some problem related to small penis.
In order to take such a risky step, a man must understand in advance the pros and cons of all genital correction methods and be patient before surgery.
Indications for penis enlargement surgery
The problem is of a psychological nature and doctors will first try to dissuade men from this intervention in any way.
Indications are divided into 3 groups:
| Indications for surgery | what disease to perform |
|---|---|
| medical | Micropenis, hypospadias (dysplasia of the penis), posttraumatic sequelae, congenital urethral malformations, thickening of organs and tissues, curvature of the penis due to fibrotic changes (Peyronie's disease) |
| Feature | Penile membrane, subcutaneous fat, penis concealment, penis concealment |
| aesthetic | Penile dysmorphic disorder (dissatisfaction with the size, shape, and appearance of the penis). |
Contraindications
Reasons for contraindication to surgery:
- Inflammatory diseases of the urogenital system;
- under the age of 18;
- poor blood clotting;
- Diseases discovered after investigation;
- diabetes;
- sexually transmitted diseases;
- visible open wounds on the genitals;
- tumor tumor;
- Insanity.
penis lengthening correction
Before surgery, the surgeon needs to study the structural characteristics of the organ, and if the indicators are normal, further surgery is performed. The night before surgery, give a cleansing enema. In the morning, before the upcoming correction, you should stop eating and drinking.
The added operations are subdivided into 2 directions:
- surgical intervention to increase penis length;
- Measures to increase penis volume.
increase penis length
After surgery with either method, it is imperative to avoid sexual intercourse, physical activity, going to the sauna, and stop drinking and smoking. One of the correction methods for penis lengthening is ligamentotomy. The purpose of this procedure is to cut through the ligaments that hold the inside of the penis through the pelvic bone. Ligatotomy is necessary to improve the outcome of organ enlargement after wearing an extender - a device that fixes the penis in a specific location and distributes it over its length.
Ligatotomy is an adjunctive procedure, and it is meaningless without further use of an extender.
Operational access can be:
- through the scrotum;
- pubic.
The surgeon makes an incision in the scrotum or pubic bone depending on the surgical access. The ligaments are then cut and the penis pulled out to the desired length and secured in the correct position. There is an improved surgical approach that uses the patient's adipose tissue. The free space under the ligament is filled with fat and improves the blood supply to the postoperative wound area. This results in faster healing and recovery for the patient.
After surgery, an expander must be used. Wearing the device should start with 2 hours a day and gradually increase the usage time to 6 hours over 3-6 months.
Special care must be taken to wear underwear when using the extender. Panties and trousers must be loose. Sexual rest is required for the first week after surgery.
volume increase
The challenge of penis enlargement surgery is to add a layer between the skin and the corpus cavernosum. Depending on the implanted material, the following operations can be distinguished:
- Fat filler - 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;
- Tubal prosthesis - uses special prostheses to restore erectile function to the organ.
fat filler
In such a procedure, fatty tissue is extracted and treated with a special substance, which is then injected into the subcutaneous area of the penis. During this process, without the rejection of fat cells or other inflammatory changes, the new tissue becomes part of the penis. After surgery, the organ volume will increase by 2 cm. One month after discharge, it is recommended to exclude sexual intercourse.
microscopic muscle transplantation
Microsurgical muscle grafting is an expensive innovation for penis enlargement. The surgery is performed under general anesthesia and takes about 3 hours. The surgeon makes a circular incision in the organ and pulls it down like a sock. He then preliminarily removed small pieces of skin taken from the abdominal area. The penis is wrapped with a flap, and the foreskin is placed in its place and sutured. The enlarged organ volume after surgery was 4 cm, and the patient was in the ward for the first 5 days. Pain can last up to 15 days after surgery, so you will need to monitor your overall health.
Prosthesis
It is performed strictly as medically indicated and is used in cases where a man's penis is injured or sexual contact is not possible. And also surgical methods are used when changing gender. Surgery is performed under general anesthesia. Removal of the corpus cavernosum is performed by probing and introduction of a semi-rigid prosthesis. For 2- or 3-piece implants, 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 post-surgery results can be achieved if:
- Strict bed rest for the first 2 days;
- Compulsory oral antibiotics for 5 days;
- Hospitalization for 4 days, in the absence of contraindications, rehabilitation at home;
- refusing sexual intercourse for 7 weeks;
- After resuming sexual intercourse, you should consult your doctor for further advice.
Postoperative complications
The risk of possible complications may increase if mistakes are made during the procedure, or if the man does not properly handle the advice during recovery and recovery.
There are 2 groups of complications: nonspecific and specific.
First group:
- Intestinal paralysis through the peritoneum;
- pulmonary embolism;
- Complications after anaesthesia - headache from SMA.
Second Group:
- The material obtained is necrotic;
- changes in erectile function;
- curvature of the penis;
- Violation of the installation angle;
- Cellulite is not absorbed evenly.
The pros and cons of operating
There are positives and negatives to every surgical penis enlargement method.
Advantages of ligamentotomy:
- Nothing can be implanted into the skin compared to a tubal prosthesis;
- It is necessary to wear an extender during recovery, which will not cause discomfort to men;
- In most cases, the results were positive.
Disadvantages: Improper wearing and use of extenders will lead to negative outcomes during rehabilitation.
The advantages of using fat fillers are:
- using a person's own adipose tissue;
- Small percentage of donor material rejection.
shortcoming:
- During this process, fat cells are absorbed, this process should be repeated 3-4 times every six months;
- Use synthetic ingredients that can lead to inflammatory processes.
The advantages of microsurgical muscle grafting are:
- skin takes root;
- Absorption by fat cells is slower compared to lipofilling;
- Post-operative results are quick and obvious.
Negative factors include:
- Rejection of the transplanted tissue due to disruption of the blood supply;
- Pain for the first 2-3 weeks.
The advantages of tubal prosthesis are:
- The ability to restore organ sexual function;
- The ability to live an active sex life.
shortcoming:
- It is a great harm to the life of the patient;
- Surgery cannot be performed if chronic disease is present;
- There was a significant increase in negative results from previous vascular surgery on the penis.
When performing a surgical intervention to enlarge the penis, first of all, you should choose the right clinic, a highly qualified specialist and familiarize yourself with the necessary information about the chosen method.