What are the signs of penis enlargement?
Men have genitals of various sizes. Most of them are satisfied with the size of their own penis, others tend to assume that the symbol of their male prowess is too small.
About 80% of men experience inferiority complexes about their limbs simply because of a lack of information about the size of the male genitalia.
If the length of the penis is less than 2 cm long, then this condition is called micropenis and implies that the length of an erect penis will not be sufficient for normal sexual function.
If a man has a penis length in an erect or erect state from 2 to 9. 5 cm, then he has no micropenis, but a small penis. In this case, a value of 9. 5 cm should be considered as the lower limit of the average penis size.
Based on the general literature data, it can be concluded that an adult male who has an erect penis of 9. 5 cm or longer can be absolutely sure that he has a penis with a statistical average size. Penis less than 9. 5 cm long should be called small penis. The term micropenis means the length of a stretched penis does not exceed 2 cm.
What are the social aspects of a small penis?
At the end of the 20th century, the open attitude of public awareness to family problems, men’s health and, of course, to sexual problems, contributed to the fact that many paramedic, sexually oriented advertising media popularized the idea of increasing size. male genitals, including through surgery. Currently, both in the specialized and popular medical literature, more and more information is emerging about the possibility of increasing penis size in a variety of ways, including surgery. Many medical and popular Internet websites have been formed, entire sections devoted to surgical interventions on the penis are published. They describe in detail the advantages of this technique and the complications associated with surgical penis enlargement.
Often, for most men who want to enlarge the penis, this organ is functional and anatomically completely normal. At the same time, in some men, dissatisfaction with the appearance and size of their own penis can lead to feelings of inferiority or even depression. This condition prompts a man to find ways to increase his normal size, in terms of anatomical parameters, of the penis. And if a person has convinced himself that his sexual organs are too small, then no medical guarantee otherwise will bring results. In this man’s mind, feelings of inferiority and inferiority predominate, which sometimes necessitate the need for treatment by a psychotherapist. However, it does not always provide the desired emotional boost.
You can draw an analogy of penis enlargement with the effect of increasing a woman’s breast size. Scientists have proven that women after breast augmentation significantly increase their self -esteem and they get rid of long -term psychological disorders and depression. In this case, if a woman, for aesthetic reasons, undergoes breast prosthesis implantation or liposuction to increase her own interest and the admiration of others, then why should a man, for the same reason, not decide to undergo penis enlargement surgery?
In addition, it is known that more than 70% of women, when answering an anonymous question: "Out of several men who are similar and externally equally attractive, but with different genitals of different lengths, who do they prefer? ", Would choose men withbig cock.
What is the method of penis enlargement?
All methods used to increase penis size can be conditionally divided into three groups - vacuum, traction and surgery. The first two groups are non -surgical methods and consist in long -term "training" of organ tissue for stretching.
Vacuum device (VU)- consists of two main components: a cylinder with one end open, in which the penis is inserted and a vacuum pump. WU works on the principle of a pressure gradient - air is removed from the cylinder by a pump, a vacuum is created in the cylinder, as a result of which blood from the body flows to the penis and its size increases.
External stretching deviceis a variety of extensions for permanent stretching of the length of the penis. For 4-6 months of regular daily exercise, it is possible to increase the length of the penis from 1. 5 to 3 cm (without surgery). However, it is highly recommended to use this device after penis lengthening surgery. In this case, the effect will be even greater.
Surgical intervention. The possibility of lengthening the penis with the help of surgical intervention lies in the peculiarity of fixing the cavernous body of the penis with supporting ligaments to the genital joint. The supporting ligament is the main object of intervention in penis enlargement surgery. The triangular sail of this fibrous tissue is connected to the fascia in the Open. The ligament extends from the linea alba and the upper part of the symphysis along the midline to the center of the penis. Further, the ligaments diverge like a fan to the side, bend around the edges and, as it were, cover the base of the penis in its proximal part at the stage of transition of the cavernous body to the hanging part of the penis.
All methods of penis enlargement surgery have several goals: lengthening the penis, thickening the penis, a combination of lengthening and thickening the penis, correction of erectile defects with correction of penis size, correction of erectile dysfunction with penis enlargement.
Are there any signs for surgical penis enlargement?
Yes I have. Medical indications include: micropenis, epispadia, hypospadia, Peyronie's disease, cavernous fibrosis, as a result of penile injury. "Aesthetic indications" - hidden penis, excess adipose tissue in the genital area.
Penis elongation through surgery is not a new topic, as it has previously been an additional goal in the treatment of various penile diseases. However, recently penis lengthening has been performed as an aesthetic procedure for an anatomically correct and functional penis.
In most cases, men want to increase penis size for the following reasons: to increase external attractiveness, to improve the quality of sexual intercourse, to increase self-esteem, due to "dressing room syndrome", when a man is ashamed to be naked in a regular bathroom, sauna, etc. for believing that he had a small penis.
Medical and functional indications for enlargement are clear. But it should be emphasized that the latter group (aesthetic indicators) is the most numerous and at the same time the most controversial. In this group, the patient’s aesthetic desire became an indication for surgery.
In 1986, scientists believed that "The ability to settle hypochondriacal consuming all on one’s genitals is the exclusive right of men, and in no way a characteristic of women. " This condition can be interpreted as penile dysmorphophobia. In other words, penile dysmorphophobia is a man’s dissatisfaction with the look, shape and size of his penis.
However, penile dysmorphophobia, as an indication for surgical treatment, does not contradict the principles of aesthetic surgery, whose purpose is to improve the shape of normal organs. A man’s desire to enlarge his penis size is one of the main indications for surgery.
How does a Penis Grow?
Penis lengthening surgery methods:
Penile suspensory ligament surgery- ligamentotomy (old operation). In 1990, a Chinese surgeon developed a penis lengthening surgery, ligamentotomy, which is the primary and most versatile method of lengthening the penis. The principle of the method is based on the removal of physiological curvature of the penis by crossing the supporting ligament and releasing the corpora cavernosa to the level of entry into it of the deep artery and subsequent fixation of the corpora cavernosa in a new position at the level of the severed supporting ligament. This technique allows to achieve an elongation of the penis up to 3-5 cm.
Prosthesis implantation with simultaneous transverse incisions of albuginea.It should be emphasized that isolated implantation of the prosthesis in the body of the penis cave does not lead to an increase in penis length. Prostheses are designed to provide organ rigidity for successful introjection in men with erectile dysfunction. The principle of the elongation method with simultaneous implantation consists of placing a clearly longer prosthesis in the intracavernous space and performing transverse corporotomies to lengthen the organ.
Implantation + elongation with mobilization of the entire penis leg.The effect is achieved due to the maximum removal of the proximal part of the cavernous body due to their complete mobilization, moving forward and settling in the area of the genital joints. Such a significant displacement of the penis implies the intersection of the deep arteries and the actual closure of the hemodynamic mechanism of erection. The blood supply of the cavernous body is carried out by the dorsal vascular bundles and the urethral sponge body.
It should be emphasized that complete mobilization of the corpora cavernosa leads to erectile dysfunction, due to the inevitable damage to the pudendal nerve and the deep cavernous artery. Therefore, this method is only suitable for men with erectile dysfunction.
Coupling release operation (Perovic operation).The authors of this technique recommend performing a complete separation of the organ into components - separation of the cavernous body as much as possible along the entire hanging part of the penis from the body and head of the sponge, with complete dorsal mobilization. neurovascular bundles. Between the ends of the cavernous body and the head, pieces of the patient’s costal cartilage or synthetic implants are then implanted, taking into account the free distances obtained and measured previously. The elongation effect is achieved due to the natural elasticity and ability to stretch the body of the urethral sponge and the elements of the neurovascular bundle. Penis elongation can be achieved up to 3-5 cm.
Methods of penis thickening surgery:
Microsurgical tissue autotransplantation, autofat -free subcutaneous injection, use of skin fat flaps in free epidermis, corporotomy with autotransplant replacement and allotransplantation, use of rotated pedicle flaps, use of synthetic implants
Microsurgical tissue autotransplantation. The method of microsurgical autotransplantation of fascio-muscle or fascio-fat flaps on the lactating vascular pedicle consists of subcutaneous packing of the penis with selected fragments of dorsal latissimus muscle, followed by its revascularization (using vascular anastomosis to maintain blood supply in graft).
Autofat free subcutaneous injection.Often, adipose tissue for implantation is obtained during liposuction from the suprapubic area. After a special preparation of the emptied fat, it is gradually introduced through a syringe along the entire part of the penis shaft through an incision in the subcoronary zone. In this case, it is necessary to perform manual modeling - straightening adipose tissue evenly along the organ.
The use of skin fat flaps in the epidermis is free.Cut one or two grafts in the donor area. Usually these are gluteal folds or, less commonly, inguinal folds. Depending on the size of the penis, each grafting should be approximately 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 the entire length of the shaft.
Longitudinal corporotomy with replacement autotransplantation (Austoni surgery).The principle of operation is to perform a longitudinal incision of the albuginea on the bilateral surface of the cavernous body of the penis, followed by replacement of the defect with an insertion of autovein or other material.
The use of rotated legged flaps. The widespread use of autologous tissue for penile thickening limits the lack of blood supply to the transplanted tissue. Free vascularized flaps are not always and everywhere can be used, due to the technical characteristics of the operation. In this case, to thicken the penis, it seems very promising to isolate the autograph with preserved blood flow, without the need to perform a microsurgical vascular anastomosis.
Used to thicken organstechniques for isolating fragments of the rectus abdominis muscle. The principle of operation is to isolate the rotated muscle flap from the anterior abdominal wall on the lactating leg, with the base at the root of the penis. The autograph -free end of the vascular pedicle is run under the skin of the penis and attached to the coronal sulcus.
Another operating principle is to isolate two (Dabees operation) or one rotated fascial fat flap from the subcutaneous tissue of the anterior abdominal wall.
Use of synthetic implants. The new direction of penis thickening is considered very promising, which consists of implanting specially designed synthetic implants under the skin of the organ. The principle of operation and the materials used are similar to those used for breast augmentation in women. A solid hydrogel shell or implant is used to thicken the penis. These operations are distinguished by programmed thickening results, short stationary periods, the absence of additional slices for grafting sampling, and the absence of virtual complications.
In addition, a thickening method based on a self -"growing" tissue transfer technique on a dissolved biopolymer carrier (matrix) has now been developed. This method is completely new and still lacks enough clinical observations.
What are the results of penis enlargement?
Results of penis enlargement surgery. The degree of elongation is not a unified criterion, because the reasons leading to penis reduction are fundamentally different from each other. The standard result and the success of the operation should be considered as an elongation of the organ 2. 5-3 cm or more.
There are no standard criteria for assessing the effects of penis thickening, as much depends on the patient’s wishes and the possibility of surgical techniques. Uniform thickening of the penis shaft, without contour defects and grafting bulges, is considered satisfactory and the result is good.
Are there any complications of penis enlargement surgery?
As with any surgical intervention can be accompanied by a variety of negative consequences, so surgery on the penis is not without the risk of developing certain complications.
It is known that aesthetic surgery has two equivalent goals: good anatomical and functional outcomes 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 operation. The frequency of complications in aesthetic surgery of the penis depends on many factors, the following determining factors: the formation of a realistic attitude in the patient towards the possibility of surgical intervention; the experience and skills of the surgeon; use of standard methods; compliance by the patient after surgery of all prescribed recommendations.
At the same time, the highly unfavorable prognostic outcome of surgery is the discrepancy between the patient’s preoperative expectations of the "miracle" of the surgeon’s scalpel and the actual results achieved during this operation. This may be due to unrealistic expectations or a deliberate negative assessment by the patient of any possible outcome. At the same time, from a surgical point of view, postoperative results can be considered excellent.
In conclusion, it should be emphasized that the penis is a unique organ that performs 3 main functions: copulative (ensuring sexual intercourse), reproductive (ensuring childbirth) and providing urination. For men, he is naturally specialized in the singular and therefore, paraphrases the famous phrase, ". . . Live with those who need it so that it will not be very painful later on. . . ". And if in the future men will be able, if necessary, to correct the size of their reproductive organs independently, as we now correct ugly teeth, then there will be fewer frustrated, hurt, and unhappy people in the future, because a harmonious intimate life is one of the organizing factors of a healthy and active social person.