What are the signs of penis enlargement?
Men have genitals of different sizes. Most are happy with the size of their own penis, others tend to think that the symbol of male courage is too small.
About 80% of men suffer from a minority complex related to their member simply because of a 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 and means that the length of the penis in an erection will not be enough for normal sexual function.
If a man's penis is stretched or has an erection of 2-9, 5 cm, it does not have a micropenis but is small. In this case, a value of 9. 5 cm should be considered the lower limit of the average size of the penis.
Based on generalized literature data, it can be concluded that an adult male who has an erection of 9. 5 cm or more can be absolutely sure that he has a statistically average penis size. A penis shorter than 9. 5 cm should be called a small penis. The term micropenis means that the length of the tensioned penis does not exceed 2 cm.
What are the social implications of a small penis?
At the end of the 20th century, the open attitude of the public towards family problems, men’s health, and, of course, sexual problems, helped many paramedical, sexually oriented advertising media promote the idea of scaling up. male genitals, including surgery. Currently, there is more and more information in both the medical and popular literature about the possibility of increasing penis size in a number of ways, including surgery. A lot of medical and popular websites have been created, with full sections on penile surgery published. The benefits of these techniques and the complications associated with surgical penis enlargement are described in detail.
Often for many men who want to enlarge their penis, this organ is functionally and anatomically completely normal. However, in some men, dissatisfaction with the appearance and size of their own penis can cause feelings of inferiority or even depression. This circumstance forces the man to look for a way to increase the size of his penis, which is completely normal in terms of anatomical parameters. And if someone has convinced themselves that their genitals are too small, the opposite medical assurances will not work. Awareness of this person is dominated by feelings of inferiority and low self-esteem, which sometimes requires the treatment of a psychotherapist. However, this does not always bring the desired emotional improvement.
You can draw the analogy of penis enlargement by increasing the size of a woman’s breast. Scientists have shown that women have significantly increased their self-esteem and got rid of long-term psychiatric disorders and depression after breast augmentation. In this case, if a woman undergoes breast implant implantation or liposuction for aesthetic reasons to increase her own importance and admiration for others, why shouldn’t a man opt for penis enlargement for the same reasons.?
In addition, it is known that more than 70% of women, answering an anonymous question: "Which of several men with similar and equally attractive but different lengths of genitals would you choose? ", she would choose a man with a big penis.
What are the ways to enlarge your penis?
All methods used to increase penis size can be divided into three groups - vacuum, traction, and surgery. The first two groups are inherently non-surgical methods and consist of long-term "training" of organ tissues for stretching.
Vacuum devices (VU)- it consists of two main components: an open-ended cylinder into which the penis is placed and a vacuum pump. The WU works on the principle of a pressure gradient - air is removed from the cylinder by a pump, creating a vacuum in the cylinder that causes blood to flow from the body into the penis and increase in size.
External stretching devicesVarious extensions for long lasting stretching of the penis. With regular daily exercise for 4-6 months, the length of the penis can be increased from 1. 5 to 3 cm (without surgery). However, it is highly recommended to use these devices after surgical penis extension. In this case, the effect will be much greater.
Surgical intervention. The possibility of extending the penis by surgery lies in the peculiarities of attaching the cavernous bodies of the penis to the pubic joint with a support band. The ligament is the main subject of intervention for penis enlargement surgeries. This triangular fibrous fabric sail joins the deep fascia of Buka. The ligament extends from the top of the linea and symphysis along the midline to the middle of the penis. In addition, the ligament separates laterally in a fan-like manner, bends around the edges, and approximately covers the base of the penis at its proximal portion, at the level of the transition of the cavernous bodies to the hanging portion of the penis.
All penis enlargement surgeries have several purposes: penis enlargement, penis thickening, a combination of penis extension and thickening, correction of erectile deformity by correction of penis size, correction of erectile dysfunction by penis enlargement.
Are there any indications for surgical enlargement of the penis?
Yes there is. Medical indications include: micropenis, epispadies, hypospadias, Peyronie's disease, cavernous fibrosis, consequences of penile injury. "Aesthetic indications" - hidden penis, excessive adipose tissue in the pubic body.
Prolongation of the penis with surgery is not a new topic, as it has previously been an additional goal in the treatment of various diseases of the penis. However, penis extension has only recently been performed as an aesthetic procedure for an anatomically correct and functioning penis.
In most cases, men want to increase the size of their penis for the following reasons: to increase external attraction, to improve the quality of sexual intercourse, to increase self-esteem because of the "dressing syndrome" when a man is ashamed to be naked in a shared shower, sauna, etc. he thinks his penis is small.
The medical and functional indications for augmentation are clear. But it should be emphasized that the last group (aesthetic indications) is the most and at the same time the most controversial. In this group, patients ’aesthetic desires become indications for surgery.
In 1986, scientists believed that "The ability to have overwhelming hypochondrial fixation on the genitals is the exclusive property of men and is not at all 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 dysmorphobia, as an indication for surgical treatment, does not contradict the principles of aesthetic surgery aimed at improving the shape of a normal organ. A man’s desire to increase the size of his penis is one of the main signs of surgery.
How does the penis enlarge?
Methods of penile surgery extension:
Dissection of the suspension tape of the penis- ligamentotomy (long surgery). 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 by crossing the ligament and releasing the corpora cavernosa to the level of entry into the deep arteries, and then fixing the corpora cavernosa in a new position at the level of the torn ligament. The technique allows the penis to be extended by 3-5 cm.
Implantation of prostheses with simultaneous transverse incision of albugine.It should be emphasized that the implantation of prostheses in the cavernous body of the penis does not lead to an increase in the length of the penis. The prostheses are designed to provide rigidity for successful introjection in men with erectile dysfunction. The principle of extension by concomitant implantation is that prostheses of obviously longer length are placed in the intracavernal space and transverse corporotomies are performed to extend the organ.
Implantation + extension with full mobilization of the penis legs.The effect is achieved by maximal removal of the proximal part of the cavernous bodies due to their complete mobilization, anterior movement and fixation in the pubic area. Such a significant displacement of the penis means the intersection of the deep arteries and the actual cessation of the hemodynamic mechanism of the erection. The blood supply to the cavernous bodies is provided by the dorsal vascular bundle and the spongy body of the urethra.
It should be emphasized that full mobilization of the corpora cavernosa leads to 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 suggests performing a complete separation of the organ into parts - separating the cavernous bodies as far as possible along the entire length of the hanging part of the penis from the spongy body and the head, with full mobilization of the back. neurovascular bundle. Pieces of the patient's ribs or a synthetic implant are then implanted between the ends of the cavernous bodies and the head, taking into account the distance obtained and previously measured. The stretching effect is due to the natural elasticity and stretching ability of the spongy body of the urethra and the elements of the neurovascular bundle. Penis extension is available up to 3-5 cm.
Methods of surgical thickening of the penis:
Microsurgical tissue auto-transplantation, subcutaneous injection of free autofat, use of free deep-epidermal sebaceous lobe, corporotomy with replacement autotransplantation and allotransplantation, use of rotated leg flaps, use of synthetic implant
Microsurgical tissue auto-transplantation. The method of microsurgical autotransplantation of fascio-muscular or fascio-fat lobes on the nursing vascular leg consists of subcutaneous wrapping of the penis with a selected fragment of the dorsal muscle of the latissimus and then revascularization (use of vascular anastomoses to maintain blood supply). vaccination).
Subcutaneous injection of free auto fat.Most commonly, adipose tissue for implantation is obtained from the suprapubic region during liposuction. After special preparation of the defatted fat, it is gradually introduced through a syringe along the entire stem of the penis, through an incision in the subcoronary zone. In this case, manual modeling should be performed - even straightening of adipose tissue along the organ.
Free use of deep-epidermal sebum.Cut out one or two grafts in the donor area. These are usually the gluteal or, less commonly, the inguinal folds. Depending on the size of the penis, each graft should be about 12 to 15 inches long and 5 to 12 inches wide, depending on whether one or two wings are used. These wings are then implanted under the skin of the penis along the entire handle.
Longitudinal corporotomies with surrogate autotransplantation (Auston surgery).The principle of the operation is the longitudinal incision of the albuginea on the bilateral surfaces of the cavernous bodies of the penis, followed by the replacement of defects with inserts made of auto vein or other material.
Application of rotated pedunculate wings. The widespread use of autologous tissues to thicken the penis limits the lack of blood supply to the transplanted tissue. Free vascularized wings cannot always and everywhere be used due to the technical nature of the operations. In this regard, in order to thicken the penis, it seems very promising to isolate a preserved blood flow autograft without the need for microsurgical vascular anastomosis.
It is used to thicken an organtechnique for isolating a fragment of a straight abdominal muscle. The principle of the operation is to isolate an inverted muscle lobe from the anterior abdominal wall of the feeding foot, which is located at the root of the penis. The free end of the autograft is performed on the vascular stalk under the skin of the penis and attached to the coronal sulcus.
Another principle of surgery is to isolate two (Dabees surgery) or one rotated fascial fat flap from the subcutaneous tissue of the anterior abdominal wall.
Use of synthetic implants. The new direction of penile thickening, which involves the implantation of a specially designed synthetic implant under the skin of an organ, is very promising. The principle of the operation and the materials used are similar to female breast augmentation. A shell or solid hydrogel implant is used to thicken the penis. Surgery is characterized by a programmed outcome of thickening, a short inpatient period, no additional incision required for graft sampling, and virtually no complications.
In addition, a thickening method based on the transplantation of "grown" native tissues onto a soluble biopolymer support (matrix) has been developed. The method is completely new and there is not enough clinical observation yet.
What are the consequences of penis enlargement?
Results of surgical enlargement of the penis. The degree of elongation is not a uniform criterion, as the causes of penile shedding are fundamentally different. An organ extension of 2, 5 to 3 cm or more should be considered the standard and successful outcome of surgery.
There are no standard criteria for evaluating the effect of penile thickening, as much depends on the patient’s desire and the possibility of surgical technique. Even thickening of the penis stem without distortion of the contours and bulge of the graft can be considered satisfactory and a good result.
Are There Any Complications From Penis Enlargement Surgery?
Like all surgeries, there can be various negative consequences, so penis surgery is not without the risk of developing certain complications.
It is well known that aesthetic surgery has two equivalent goals: good anatomical and functional outcomes, and patient satisfaction with surgery. The main obstacles to this are the development of various complications and the patient's negative assessment of the outcome of the operation. The frequency of complications in aesthetic surgery of the penis depends on a number of factors, the most important of which are: the development of a realistic attitude in the patient regarding the possibilities of surgical intervention; the experience and expertise of the surgeon; application of standard methods; adherence to the patient after performing all prescribed recommendations.
However, the very unfavorable prognostic outcome of surgery is the discrepancy between the patient waiting for a "miracle" against the surgeon's scalpel before surgery and the result actually achieved during surgery. This may be due to an unrealistic expectation or an intentionally negative assessment of the patient of possible outcomes. However, from a surgical point of view, the postoperative result is 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 a man, nature highlights in some numbers, respectively. therefore, rewording the well-known sentence: ". . . to live together, they need it not to be unbearably painful later. . . And if in the future men are free to adjust the size of their reproductive organs if necessary, just as we are now correcting ugly teeth, there will be far fewer frustrated, bitter and simply unhappy men in the future, as a harmonious intimate life is one of healthy and socially active people. component.