What are the tips for penis enlargement?
Men have genitals of different sizes. Most of them are satisfied with the size of their penis, while others think that the symbol of male courage is too small.
About 80% of men suffer from infertility complex only due to lack of information about the size of the male genitals.
If the length of the penis is less than 2 cm, this condition is called micropenis, which means that the length of the penis in an upright position will not be enough for normal sexual activity.
If a man's penis is stretched or erect, between 2 and 9. 5 cm long, then he has a small penis, not a micropenis. In this case, the value of 9. 5 cm should be taken as the lower limit of the average size of the penis.
Based on the generalized literature, it can be concluded that an adult male with a vertical penis 9. 5 cm or more in length can be statistically convinced that he has a medium-sized penis. A penis less than 9. 5 cm in length should be called a small penis. The term micropenis means that the length of the extending genitals should not exceed 2 cm.
What are the social aspects of the small penis?
In the late 20th century, the public's open approach to family problems, men's health, and, of course, sexual problems, helped popularize the idea of increasing the size of many medical, sex-oriented advertising media. male genitals, including surgery. Nowadays, in both the specialized medical and popular literature, there is more and more information about the possibility of increasing the size of the penis in different ways, including surgery. Many medical and popular Internet sites have been created, and entire sections on penile surgery have been published. They describe in detail the advantages of these methods and the complications associated with surgical enlargement of the genitals.
For many men who often want to enlarge their penis, this organ is functionally and anatomically completely normal. At the same time, in some men, dissatisfaction with the appearance and size of their genitals can lead to feelings of inferiority or even depression. This situation motivates a man to look for ways to increase the size of the penis, which is perfectly normal in terms of anatomical parameters. If a person convinces himself that his genitals are too small, no medical evidence to the contrary will work. This person's brain is dominated by a sense of humility and low self-esteem, which sometimes requires treatment by a psychotherapist. However, it does not always provide the desired emotional development.
You can draw an analogy of penis enlargement with the effect of increasing female breast size. Researchers have shown that after breast augmentation surgery, women's self-esteem increases significantly and they recover from long-term psychological disorders and depression. In this case, if a woman undergoes breast implant implantation or liposuction to increase her importance and admiration for aesthetic reasons, then why can't a man decide to have a genital augmentation surgery for the same reasons?
In addition, it is known that more than 70% of women will prefer a man when answering the anonymous question: "Which of the several similar and seemingly equally attractive, but different lengths of the penis men prefer? "large penis.
What are penis enlargement methods?
All the methods used to increase the size of the penis can be divided into three groups - vacuum, traction and surgery. The first two groups are essentially non-surgical methods and consist of long-term "training" to stretch the tissues of the body.
Vacuum devices (VU)- consists of two main components: an open-ended cylinder inserted into the penis and a vacuum pump. WU works on the principle of pressure gradient - air is pumped out of the cylinder, a vacuum is created in the cylinder, as a result of which blood flows from the body to the penis and increases in size.
External tensioning devicesare different expanders for permanent elongation of the penis in length. It is possible to increase the length of the genitals from 1. 5 to 3 cm (without surgery) during 4-6 months of regular daily exercise. However, the use of these devices is highly recommended after surgical extension of the genitals. In this case, the impact will be greater.
Surgical intervention. The possibility of penis elongation with the help of surgery is characterized by the fact that the cavernous bodies of the penis are attached to the pubic joint with a supportive ligament. The supportive ligament is the main object of intervention in penis enlargement surgery. This triangular sail of fibrous fabric is attached to the deep fascia of the Bull. The garden line extends from the top of the alba and symphysis along the midline to the center of the penis. In addition, the ligament separates laterally like a fan, bends around the edges and, as such, covers the base of the penis in the proximal part at the level of the transition of the cavernous organs to the hanging part of the penis.
All surgical methods of penis enlargement have several purposes: penis lengthening, genital thickening, a combination of penis elongation and thickening, correction of erectile deformity with correction of penis size, correction of erectile dysfunction with penis enlargement.
Are there any tips for surgical penis enlargement?
Yes, I have. Medical indications include: micropenis, epispadias, hypospadias, Peyronie's disease, cavernous fibrosis, consequences of penile damage. "Aesthetic indicators" - an excess of adipose tissue in the pubic area, hidden penis.
Surgical penis lengthening is not a new topic, as it was previously an additional goal in the treatment of various diseases of the genital organ. Recently, however, penis lengthening has been performed as an anatomically correct and aesthetic procedure for a functioning penis.
In most cases, men want to increase the size of the penis for the following reasons: to increase external attractiveness, to improve the quality of sexual intercourse, to increase self-esteem due to "dressing room syndrome". believing that the genitals are small in the common shower, sauna, etc. also ashamed to be naked.
The medical and functional indicators of the increase are clear. But it should be noted that the latter group (aesthetic indicators) is the most and at the same time the most controversial group. In this group, the aesthetic desires of patients become an indication for surgery.
In 1986, scientists considered that "the ability of comprehensive hypochondriac fixation in the genitals is the exclusive property of men and is not entirely characteristic of women. "This condition 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 aesthetic surgery, which aims to improve the shape of the normal organ. A man's desire to enlarge his genitals is one of the main indicators of the operation.
How is the penis enlarged?
Surgical penis extension methods:
Rupture of the penis- ligamentotomy (long operation). In 1990, a Chinese surgeon developed a penis lengthening operation, ligamentotomy, which is the main and most versatile method of penis lengthening. The principle of the method is based on the elimination of the physiological curvature of the penis through the support ligament and the release of the cavernous body to the level of penetration of the deep arteries, and then fixation of the cavernosa in a new position. the level of the cut supporting bond. The technique allows the penis to stretch up to 3-5 cm.
Simultaneous implantation of prostheses with transverse incisions of Albuginea.It should be noted that the isolated 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 introjection in men with erectile dysfunction. The principle of the method of extension with synchronous implantation is the placement of prostheses of obvious length in the intracavernous space and the implementation of transverse corporatomies to lengthen the body.
Implantation + extension of the penis with full mobilization of the legs.The effect is achieved due to the complete mobilization of the proximal part of the cave objects, their forward movement and maximum removal due to the stabilization of the pubic joint in the region. Such a significant displacement of the penis implies the crossing of deep arteries and the actual closure of the hemodynamic mechanism of erection. The blood supply to the cavernous bodies is carried out by the dorsal vascular bundle and the sponge body of the urethra.
It should be noted that the full mobilization of the cavernosa body causes erectile dysfunction due to the inevitable damage to the pudendal nerves and deep cavernous arteries. Therefore, this method is only suitable for men with erectile dysfunction.
Separation operation (Perovic operation).The author of this technique recommends the complete separation of the body into components - with the full mobilization of the dorsal, to separate as much of the cave bodies as possible from the sponge body and the entire length of the hanging part of the penis. set of nerves. Pieces of the patient's rib cartilage or synthetic implant are implanted between the ends of the cavernous bodies and the head, taking into account the free distance taken and previously measured. The elongation effect is achieved due to the natural elasticity and the ability of the urethra to stretch the sponge body and the elements of the neurovascular group. Penis elongation can be achieved up to 3-5 cm.
Methods of surgical penis thickening:
Microsurgical tissue autotransplantation, subcutaneous injection of free autophagy, use of free deep epidermal skin-oil cap, corporatomy with replacement autotransplantation and allotransplantation, use of rotating pedicle caps, use of synthetic implants
Microsurgical tissue autotransplantation. Microsurgical autotransplantation of a fascio-muscle or fascio-fat flap into a fed vascular pedicle involves subcutaneous wrapping of the penis with a selected fragment of the latissimus dorsi muscle, followed by its revascularization (application of vascular anastomoses to maintain blood supply). transplant).
Subcutaneous injection of free autophagy.Often, adipose tissue for implantation is obtained from the suprapubic region during liposuction. Once the released fat is specially prepared, it is injected gradually through a syringe across the entire body of the penis through an incision in the subcoronary zone. In this case, it is necessary to conduct manual modeling - to smooth the adipose tissue evenly throughout the body.
Use of free deep epidermal skin-oil cap.Cut one or two grafts in the donor area. These are usually gluteal or less common inguinal folds. Depending on the size of the penis, each graft should be about 12-15 cm long and 5-12 cm wide, depending on the use of one or two wings. These caps are then implanted under the skin along the entire shaft of the penis.
Longitudinal corporatomies with replacement autotransplantation (Austoni operation).The principle of the operation is to make longitudinal incisions of the albugina on the bilateral surfaces of the cavernous bodies of the penis, and then to replace the defects with additions of autovena or other materials.
Application of rotating pedicle caps. The widespread use of autologous tissue for penile thickening limits the lack of blood supply to the transplanted tissue. Free vascular caps are not always and everywhere available for use due to the technical nature of the operation. In this regard, it seems very promising to isolate an autograft with protected blood flow, without the need for microsurgical vascular anastomoses to thicken the penis.
Used to thicken a bodya technique to isolate a part of the rectus abdominis muscle. The principle of the operation is to isolate the rotating muscle flap from the anterior wall of the abdomen at the feeding leg, the base is located at the root of the penis. The free end of the autograft in the vascular pedicle is held under the skin of the penis and fixed in the coronal sulcus.
The principle of another operation is to isolate two (Dabees operation) or a rotating fascial fat flap from the subcutaneous tissue of the anterior abdominal wall.
Use of synthetic implants. A new aspect of penile thickening is considered to be very promising, which is the implantation of a specially designed synthetic implant under the skin of the body. The principle of operation and the materials used are similar to breast augmentation in women. A shell or solid hydrogel implant is used to thicken the penis. The operation is characterized by a programmed result of thickening, a short stationary period, the absence of additional incisions for the graft sample, and the virtual absence of complications.
In addition, a method of thickening based on the technique of transplanting "mature" own tissues on a soluble biopolymer carrier (matrix) has been developed. The method is completely new and there are still not enough clinical observations.
What are the consequences of penis enlargement?
Results of surgical penis enlargement. The degree of elongation is not a single criterion, because the reasons for the reduction of the penis are radically different. The standard and successful outcome of the operation should be considered an extension of the body 2, 5-3 cm or more.
There are no standard criteria for assessing the effect of penile thickening, as much depends on the patient's wishes and the availability of surgical techniques. Uniform thickening of the shaft of the penis without contour deformations and bulge of the graft is considered a satisfactory and good result.
Are there any complications of penis enlargement surgery?
As with any surgical procedure, it can be accompanied by a variety of negative consequences, so operations on the penis are 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 with the operation. The main obstacle to achieving 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 aesthetic surgery of the penis depends on many factors, the determining factors of which are: the formation of a realistic attitude of the patient to the possibilities of surgical intervention; surgeon's experience and skills; application of standard methods; the patient should follow all prescribed recommendations after surgery.
At the same time, a very unfavorable prognostic outcome of the operation is the discrepancy between the patient's expectations of a "miracle" from the surgeon's scalpel before the operation and the result actually obtained during the operation. This may be due to unrealistic expectations or a deliberately negative assessment of any possible outcomes by the patient. At the same time, from a surgical point of view, the postoperative result can be considered excellent.
Finally, it should be noted that the penis is a unique organ that performs three main functions: copulatory (providing sexual intercourse), reproductive (providing childbirth) and urinary excretion. For men, it is naturally solitary and excreted in the urine. therefore, by elaborating on the famous phrase, ". . . live with their needs so that they will not be unbearably painful later. . . ". In the future, if men can freely adjust the size of their reproductive organs, if necessary, and now can fix ugly teeth, in the future there will be fewer frustrated, angry and just unhappy men. Harmonious intimate life is one of the factors of a healthy and socially active person.