Such an intervention is carried out in various situations, if there are no positive results from conservative ways to solve the problem.The operation does not provide for an intervention in the hormonal background, which is important with age -related changes and with many pathologies of the endocrine glands.At the preparatory stage, an ECG is done, a general analysis of the morning urine.It is also necessary to donate blood for clinical and biochemical analysis, HIV infection, hepatitis, syphilis.
The urologist and anesthetist conducts an in -depth examination.If necessary, they request a consultation of related specialists: a cardiologist, hematologist, therapist, pulmonologist and others.A few hours before the appointed operation, the inguinal region should be thoroughly selected.Depending on the selected method of anesthesia, a cleansing enema may be shown.
Indications for conducting
In what cases do they resort to surgery?Indications for surgery are divided into 3 large groups: medical, aesthetic, functional.
Medical indications include:
- Peyroni disease, which is characterized by the pathological growth of fibrous tissue;
- hypospadias and/or epispady;
- micropenis;
- congenital or acquired vices of the urethra;
- genitals injuries;
- Excess fat in the area of the pubic joint of bones;
- Cavernous fibrosis.
Aesthetic testimony includes problems with the low self -esteem of the patient, penal dysmorphophobia.
The indications of the functional group: membranous, hidden, buried phallus.
Important!If the doctor diagnosed only aesthetic indications for the surgical increase in the penis, then the psychologist works with the patient.
Contraindications
Contraindications to surgical intervention are serious disorders of the cardiovascular systems (uncontrolled hypertension), insufficiency in the work of lungs, kidneys, liver.
They also include contraindications:
- diabetes mellitus;
- the age of the patient is less than 18 years;
- the presence of sexually transmitted infections;
- oncoprocess of any localization;
- wounds, burns, scars of the phallus;
- mental illness;
- Serious blood coagulation disorders.
Before the operation, all foci of chronic infection are sanitized.If the patient has a severe form of diabetes mellitus in the patient, then they refuse the procedure.If the blood sugar level is well lend itself to correction, then the endocrinologist consultation, who will prescribe insulin therapy for the entire period before and after surgery, is requested before surgery.
What to do if you are contraindicated in plastic
The surgical increase in a member is far from the only way that increases the childcard.If the size of the phallus is within the physiological norm, then a psychotherapist and sexopathologist will help to help cope with difficulties.Many male fears are invented, and stereotypes are imposed, so you should clearly separate the myth from reality.
The ability to communicate with a woman and force her to believe in sincerity, adequate humor and a successful intimate situation will be able to bring sexual partners closer to the subconscious level.And prolonged preliminary caresses, correctly selected poses and technical techniques for conducting sexual intercourse will be able to level the “missing” centimeters of the penis.
In order to improve sexual life, look at the store of intimate goods.Vibrators, phallimitators, anal traffic jams and dozens of other types of sex toys will help satisfy a woman without natural sexual intercourse.Do not belong to the problem too seriously, self -doubt will not allow you to fully enjoy bedding.
If a man is strongly configured to increase the size of the penis, and plastic is contraindicated, extensers, pumps, and drugs for local and systemic use will come to the rescue that cause tissues of the childbearing organ.Massage of genitals, special exercises, injection techniques for thickening and lengthening the phallus will help save the situation.
Increase in the member surgically: methods of conducting operations
An increase in a small member surgically can occur using various techniques.The operation is technically complex, because the surgeon has to completely separate the cavernous tala and place the cartilage fabric of the patient himself between them.
Less commonly, special gels are used instead of cartilage.The real “increase” of the length of the childbearing organ can be up to 7 cm. In modern surgical practice, lipofilling, muscle tissue from the abdomen, ligientotomy, prosthetics and other methods are also used to increase the size of the phallus.
Lipofilling
The lipofilling of the penis is called non -invasive intervention, which does not provide for cuts of the skin and seams.The technique consists in introducing a man’s own adipose tissue into the subcutaneous layer of the phallus.
The biomaterial fence for the procedure is carried out in places of its accumulation:
- pubis;
- hips;
- stomach;
- Bureau -driving region.
Lipofilling is practically not suitable for lengthening the childbirth.The operation is sparing, patients tolerate it well, side effects are very rare.The period of hospitalization does not exceed 24 hours, outpatient observation is conducted for about 30 days.For 4 or 5 weeks, depending on the course of the recovery period, a man is forbidden to enter into intimacy with a sexual partner.But to a normal lifestyle in society, the patient returns in just a few days.
Important!The effect of lipofilling is unstable, noticeable over the first two years.But the possibility of repeated injections remains.The cost of the procedure is different and fluctuates depending on the reputation of the clinic and the skill of the surgeon-urologist.
Muscle tissue transplantation from the abdomen
The operation allows not only to increase the girth of the penis, but also its length.Its essence is as follows: a fragment of the rectus abdominal muscle, along with the nourishing artery, vein, vascular mesh, is attached under the skin in the form of a coupling to the fabrics of the penis, as if wrapping the childbearing organ.Survivated seams are applied.This operation rarely proceeds with the development of necrosis, but for the next 6 months, physical activity is prohibited, due to the high risk of hernia.For pain relief, general anesthesia is used.
After such surgery, the patient will find a long and painful period of recovery after such surgery.For the first 4 days, strict bed rest is prescribed.According to the indications, painkillers are administered.In strict aseptic conditions, they conduct a postoperative wound, making a regular dress.To exclude the occurrence of inflammatory and purulent processes, antibiotic therapy is prescribed.Antibacterial drugs choose a wide spectrum of action.A man should be ready for the fact that an erection will disappear for up to six months, therefore, a full sexual intercourse with penetration at this time will have to be forgotten.
Ligamentotomy
The increase in the member surgically by means of ligientotomy is the most optimal solution for patients who decided to radically change the length of their phallus.Anatomically arranged so that part of the male children's organ is located in the perineal region.In this position, it is held by the supporting ligament (Lig. Suspensorium Penis), attached at one end to the bones of the pelvis.After its partial intersection, the inside of the penis falls, which allows the organ to extend up to 7 cm.
The stability of the phallus in an erect state is ensured by a deeply fallen sling ligament (LIG. FundIFORME PENIS), therefore the anatomical structure of the reproductive system undergoes minimal changes.Surgical intervention requires general anesthesia.In the area of the scrotum, the surgeon makes a small tissue dissection in size, which opens access to the ligaments.They are crossed either with a surgical tool, or with the help of a modern laser.
The postoperative period provides for the mandatory wearing of an extender - a small device for stretching tissues of a detoritary organ.This can bring some inconvenience, especially for men with a stressful work schedule and during a business trip.The extender is worn up to 6 hours a day.Although it has a fairly modest size, it can be noticeable under clothes.How to use the device will tell the doctor in detail.
Often, ligientotomy is combined with VY plastics (an increase in the length of the skin in the foundation of the phallus) or with a single or double Z-plastic, which allows to eliminate an excess of tissues in the scrotum.If the plastic was not carried out, then the man will have abstinence from sexual intercourse within 21 to 30 days.
Thickening of the penis with the help of surgery
A thickening of the phallus can take place using subcutaneous injections of hyaluronic acid.This drug almost never causes allergies and rejection, as it is well biocompatible with the cells of the human body.For injection, use a syringe with a needle.The puncture is more often performed in the field of founding of the phallus.
A dense gel is evenly distributed in the subcutaneous layer of the childbody.The maximum increase in a volume of 1.5 cm. The manipulation lasts no more than half an hour, but it is carried out under mild general anesthesia.The postoperative course is low with a short recovery period.
Important!Due to the high risk of an allergic reaction, it is forbidden to enter Vaseline!
Prosthetics
The phalloplastesion comes to the aid of a man in the case when not one of the conservative and surgical techniques has brought the desired result, or the patient has a diagnosis of “micropenis”.The essence of the operation is to install prostheses in cavernous bodies.Previously, hard prostheses were used, but this led to great inconveniences and prevented him from being in society, because the children's body was always in an “erected” state.
Tough implants were replaced by plastic ones with the effect of memory.This made it possible to simplify and facilitate their use.Two prostheses allow not only to give the phallus the necessary form, but also to conduct full -fledged sexual intercourse.Today, urologists suggest increasing the penis through inflatable structures.A pear, for pumping air into hermetic chambers, is lowered into the scrotum, which makes it completely invisible.Since there is no constant pressure on the fabric, the underfallers do not develop - a common postoperative complication.
An increase in a member surgically is a crucial step that requires temporary and cash costs.Operations for the most part are expensive, examinations and stay in the clinic can only add money expenses.But, every man should remember that plastic surgery will be able to solve many problems in his intimate life.Only before the choice of the method of surgical intervention, you need to weigh the pros and cons, consult with competent doctors and try to get around all the pitfalls of scalpel methods.