What are the signs for penis enlargement?
Men have genitals of different sizes. Most of them are satisfied with their own penis size, others tend to think that their male power symbol is too small.
About 80% of men feel guilty about their members simply because of the lack of information about the size of the male genitalia.
If the length of the penis is less than 2 cm, then the condition is called micropenis and implies that the length of the erect penis will not be enough for normal sexual function.
If a man has an elongated or erect penis length of 2 to 9. 5 cm, he does not have a micropenis 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 available literature, it can be concluded that an adult man with an erect penis of 9. 5 cm or more can be absolutely certain that he has a penis of average size. according to statistics. Penis less than 9. 5 cm long should be called small penis. The term micropenis means that the length of the penis extends no more than 2 cm.
What are the social aspects of a small penis?
At the end of the 20th century, the public's conscious openness to family issues, men's health and, of course, to sexual issues contributed to many of the media's advertisements. In medical terms, sexual orientation popularizes the idea of increasing the size of the male genitalia, including by surgery. Currently, both in the medical profession and in the general literature, there is more and more information about the possibility of penis enlargement by various means, including surgery. Many popular medical and Internet websites were formed, and entire sections devoted to surgical interventions on the penis were published. They detail the advantages of these techniques and the complications associated with penile lengthening surgery.
Normally, for many men who want to enlarge the penis, this organ is functionally and anatomically completely normal. At the same time, in some men, dissatisfaction with the appearance and size of their penis can cause feelings of low self-esteem and even depression. This situation forces the man to find a way to increase the size of his completely normal penis, in terms of anatomical parameters, the penis. And if a person convinces himself that his genitalia are too small, there is no medical guarantee to the contrary that will bring about the result. In this man's mind, feelings of inferiority and inferiority prevailed, sometimes requiring the treatment of a psychotherapist. However, it does not always bring the desired emotional improvement.
You can draw an analogy of penis enlargement with the effect of increasing the size of female breasts. Scientists have proven that women after breast augmentation significantly increase their feelings of inferiority and they get rid of psychological disorders and prolonged depression. In this case, if a woman, for cosmetic reasons, has a prosthetic implant or liposuction to enhance her self-importance and the admiration of others, then why should a man, For the same reasons, can't decide on penis enlargement surgery?
In addition, more than 70% of women when answering an anonymous question: "Among a number of men who look alike and are equally attractive, but have different lengths of genitals, they would preferwho more? ", they will choose a man with a large penis.
What are the methods of penis enlargement?
All methods used to increase the size of the penis can be divided into three groups - vacuum, traction and surgery. The first two groups are inherently non-surgical methods and involve the long-term "training" of organ tissues for stretching.
Vacuum Equipment (VU)- consists of two main components: a cylinder with an open end, which inserts the penis and a vacuum pump tube. WU works on the principle of a pressure gradient - air is pumped out of the cylinder, a vacuum is created in the cylinder, whereby blood from the body rushes to the penis and it increases in size.
External stretching deviceare different lengthening agents to permanently lengthen the length of the penis. Regular daily practice from 4-6 months is possible to increase the length of the penis from 1. 5 - 3 cm (without surgery). However, we highly recommend using these devices after penis enlargement surgery. In this case, the effect will be much greater.
Surgical intervention. The possibility of penis lengthening with the help of surgical intervention lies in the peculiarity of fixing the cavernous bodies of the penis with a supporting ligament to the pubic joint. The supporting ligament is the main object of intervention in penile augmentation surgery. This triangular sail of fibrous tissue connects to Buka's deep choroid. The ligament extends from the ligament and the top of the ligament along the midline to the center of the penis. Furthermore, the diverging ligament, like a fan to the side, bends around the edges and as such, covers the base of the penis in its proximal part at the level of transition of the corpus cavernosum to the suspensory part. of the penis.
All penile lengthening surgery methods have several goals: lengthening the penis, thickening the penis, combining lengthening and thickening of the penis, correcting erectile deformities with size correctionpenis, correcting erectile dysfunction with penis elongation.
Is there any indication for penis enlargement surgery?
Yes, I have. Medical indications include: micropenis, foreskin stenosis, foreskin stenosis, Peyronie's disease, cavernous fibrosis, consequences of penile trauma. "Aesthetic indications" - hidden penis, excess fatty tissue in the pubic region.
Surgical penis enlargement is not a new topic, as it has previously been an adjunct in the treatment of various diseases of the penis. However, only recently has penis enlargement been performed as a cosmetic procedure for an anatomically and functionally correct penis.
In most cases, men want to increase penis size for the following reasons: increase external attractiveness, improve sex quality, increase self-esteem, due to "dressing room syndrome". ", when men are ashamed to be naked in shared bathrooms, saunas, . . . because they believe they have small penises.
The medical and functional indications for enhancement are clear. But it should be emphasized that, the last group (aesthetic designation) has the most number and at the same time is the most controversial. In this group, the patient's aesthetic desire becomes an indication for surgery.
In 1986, scientists believed that "The ability to completely fix false nodules on a person's genitals is the exclusive property of men and is not a characteristic of women at all. "It is a state of affairs. This condition can be understood as phallophobia. In other words, agoraphobia is a condition in which a man is dissatisfied with the shape, shape, and size of his penis.
However, claustrophobia, as an indication for surgical treatment, does not conflict with the principles of plastic surgery, whose aim is to improve the shape of a normal organ. A man's desire to increase the size of his penis is one of the main indications for surgery.
How to enlarge penis?
Penile lengthening surgery:
Dissection of the ligaments suspending the penis- Cut the ligament (Long operation). In 1990, a Chinese surgeon developed a method of penis lengthening, laparotomy, which is the main and most versatile method to lengthen the penis. The principle of this method is based on the removal of the physiological curvature of the penis by crossing the supporting ligaments and releasing the cavernous bodies to the point of entering them of the deep arteries and then immobilizing the cavernous bodies in the corpus cavernosum. new position at the level of the severed supporting ligament. This technique allows to lengthen the penis up to 3-5 cm.
Implantation of prostheses with simultaneous transverse incisions of albuginea.It should be emphasized that the individual implantation of prostheses into the cavernous bodies of the penis does not increase the length of the penis. Prostheses are designed to provide organ rigidity for successful insertion in men with erectile dysfunction. The principles of the concurrent implantation stretching approach include placing the prostheses of a larger apparent length in the visceral space and performing a cross-section of the body to lengthen the organ.
Implantation + stretching with mobilization of the entire leg of the penis.The effect is achieved by minimizing the proximal part of the cavernous bodies since they are fully movable, anterior, and fixed in the pubic region. Such a significant displacement of the penis implies an intersection of the deep arteries and the fact that the hemodynamic mechanism of erection has ceased to function. The blood supply to the cavernous bodies is provided by the dorsal vascular bundle and the spongy body of the urethra.
It must be emphasized that complete mobilization of the cavernous body leads to erectile dysfunction, due to the inevitable damage to the dorsal nerves and deep cavernous arteries. Therefore, this method is only suitable for men with erectile dysfunction.
Disconnect operation (Perovic operation).The authors of this technique recommend that a complete dissection of the organ be performed into its components - separating the cavernous bodies as much as possible along the entire length of the penile suspension from the spongi and head, with movement. completely of the back. nerve bundles. Between the corpus cavernosum and the head, the patient's cartilage fragments or the composite implant are then implanted, taking into account the previously obtained and measured free distances. The long-lasting effect is achieved due to the natural elasticity and stretchability of the urethral spongiform and vascular bundle elements. Penis length can reach up to 3-5 cm.
Penile enlargement surgery:
Automated microsurgical tissue transplantation, auto-injection subcutaneously, using a deep-epidermal fat free flap, vitrectomy with auto-alternative and distributed implants, using pedicle-rotating blades, usingsynthetic implants
Automated microsurgical tissue transplantation. Automated microsurgery implantation of fascia or fat flaps on the vascular pedicle consists of subcutaneous wrapping of the penis with a selected segment of the latissimus dorsi muscle, followed by revascularization (applyvascular connections to maintain blood supply in the transplant).
Auto-focusing subcutaneously.Usually, fat tissue for transplantation is obtained during liposuction from the posterior suprapubic region. After a special preparation, the fat is vacuumed, it is gradually introduced through a syringe along the entire body of the penis through an incision in the pelvic region. In this case, it is necessary to perform manual prototyping - straightening the fat tissue evenly along the visceral.
The use of a fat free flap in the deep epidermis.Removal of one or two grafts in the donor area. Usually these are the buttock folds or, less commonly, the groin folds. Depending on the size of the penis, each graft should be about 12-15 cm long and 5-12 cm wide, depending on whether one or two flaps are used. These flaps are then implanted under the skin of the penis along its entire axis.
Vertical uterine cells with autotransplantation (Austonian operation).The principle of operation is to make longitudinal incisions of albuginea on the bilateral surface of the corpus cavernosum of the penis, followed by replacement of defects with inserts from autovein or other materials.
Application of rotary reversing vane. The widespread use of autologous tissues to thicken the penis limits the lack of blood supply to the transplanted tissue. It is not always and everywhere possible to use free vascular flaps, due to the technical features of the manipulation. In this regard, for penile thickening, it seems very promising to isolate an autologous muscle with preserved blood flow, without performing microvascular anastomosis.
Used to thicken the organtechnique of isolating a piece of the rectus abdominis muscle. The principle of operation is to isolate a rotator cuff flap from the anterior abdominal wall on a feeding leg, with a base at the base of the penis. The free end of the free muscle on the pedicle is performed under the skin of the penis and fixed at the foreskin.
The principle of another operation is to isolate two (Dabees surgery) or one circular flap of fat from the subcutaneous tissue of the anterior abdominal wall.
The use of synthetic implants. A new direction of penis enlargement that is considered very promising is the implantation of a specially designed synthetic organ under the skin of an organ. The principle of operation and materials used are similar to those for female breast augmentation. A solid hydrogel shell or implant is used to thicken the penis. This operation is distinguished by the programmed outcome of the thickening process, the short sedentary time, no additional incisions for graft sampling, and no virtual complications.
In addition, a thickening method based on the technique of transplanting one's own tissues "grown up" on a soluble biopolymer (substrate) carrier has now been developed. This method is completely new and has not had enough clinical observations.
What are the results of penis enlargement?
Results of penis enlargement surgery. The degree of lengthening is not a uniform criterion, as the reasons leading to penile reduction are fundamentally different. The standard and successful outcome of surgery should be considered as an organ length of 2. 5-3 cm or more.
There is no standard criterion for evaluating the effectiveness of penile thickening, as it is highly dependent on the patient's wishes and the capabilities of the surgical technique. The penile shaft was uniformly thickened, without contour defects, and the graft bulge was considered satisfactory and a good outcome.
Are there any complications from penis enlargement surgery?
Just as any surgical intervention can be accompanied by various negative consequences, so operations on the penis are not without the risk of developing specific complications.
It is known that plastic surgery has two equivalent goals: good anatomical and functional results and patient satisfaction with the operation. The main obstacles to achieving this are the development of various complications and the patient's negative assessment of the final outcome of the surgery. The frequency of complications in penile plastic surgery depends on many factors, of which the decisive factor is: the formation of a realistic attitude in the patient towards the possibilities of surgical intervention; experience and skill of the surgeon; apply standard methods; patient compliance after operation of all prescribed recommendations.
At the same time, a very unfavorable prognostic outcome of the operation is the difference between the patient's preoperative expectation of a "miracle" from the surgeon's scalpel and the actual outcome achieved during the operation. this. This may be due to unrealistic expectations or to a deliberate negative assessment of any possible outcome by the patient. At the same time, from a surgical point of view, the results after surgery can be considered excellent.
In conclusion, it must be emphasized that the penis is a unique organ that performs three main functions: copulation (ensures intercourse), reproduction (ensures childbearing) and provides fluid. urinal service for a man. thus paraphrasing the famous phrase, ". . . live with what they need so that later on there is no excruciating pain . . . . ". And if in the future, if necessary, men can freely edit the size of their reproductive organs, as we do now with ugly teeth, then in the future less people will be disappointed and bored. depressed and simply unhappy much more, since a harmonious intimate life is one of the elements that constitutes a healthy and active person in society.