What are the signs of penis enlargement?
Men's genitals are of different sizes. Most of them are satisfied with the size of their penis, others feel too small to symbolize their male prowess.
About 80% of men suffer from an inferiority complex about their member simply because of the lack of information about the size of the male genital organs.
If the length of the penis is less than 2 cm, this condition is called micropenis and means that the length of the erect penis will not be sufficient for normal sexual function.
If a man's penis is 2 to 9. 5 cm in length when protruding or erect, he does not have a micropenis, but a small penis. In this case, a value of 9. 5 cm is taken as the average of the penis. The lower limit of size should be considered.
Based on data from the generalized literature, it can be concluded that an adult man whose erect penis is 9. 5 cm or more long can be absolutely sure that his penis is of statistically average size. 9. A penis less than 5 cm long should be called a small penis. The term micropenis means that the length of the protruding penis is not more than 2 cm.
What are the social aspects of a small penis?
In the late 20th century, the open attitude of the public consciousness to family problems, men's health and, of course, sexual problems contributed to the fact that many paramedical, sexually oriented advertising media popularized the idea of sizing up. of the male genital organs, including surgery. At present, more and more information appears about the possibility of increasing the size of the penis by various methods, including surgery, both in specialized medical and popular literature. A lot of medical and popular Internet sites have been created. Entire sections devoted to surgical interventions on the penis have been published. They describe in detail the benefits of these techniques and the complications associated with surgical penis enlargement.
Often, for many men who want to enlarge the penis, this organ is functionally and physically completely normal. However, in some men, dissatisfaction with the size and shape of their penis can lead to an inferiority complex or even depression. This circumstance prompts a man to look for ways to increase his absolutely normal size in terms of physical parameters, penis. And if a man has convinced himself that his sex organ is too small, then itsNo medical assurance on the contrary will bring results. This man is dominated by a feeling of inferiority and low self-esteem, which sometimes requires treatment from a psychiatrist. However, this does not always give the desired emotional improvement.
You can make an analogy of penis enlargement with the effect of increasing the size of a woman's breast. Scientists have proved that after breast augmentation women's sense of self-esteem increases significantly and they get rid of long-term psychological disorders and depression. In this case, if a woman undergoes implantation of breast prosthesis or liposuction for aesthetic reasons, to enhance her own importance and the appreciation of others, why can't a man decide for penis enlargement operation for the same reason?
In addition, it is known that more than 70% of women, when answering an anonymous question: "Among many similar and outwardly equally attractive men, but with genitals of different lengths, which one would they prefer?? " A big penis.
What are the remedies for penis enlargement?
All methods used to increase the size of the penis can be conditionally divided into three groups - vacuum, traction and surgical. The first two groups are inherently non-surgical methods and for stretching organ tissueslong-term "training".
Vacuum Device (VU)- Consists of two main components: a cylinder with an open end into 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, into the cylinderA vacuum is created, as a result of which blood from the body moves towards the penis and it increases in size.
external pullerThere are various extenders for permanent stretch in penis length. It is possible to increase penis length by 1. 5 to 3 cm (without surgery) by regular daily training of 4-6 months. However, after surgical penis lengthening these devicesIt is highly recommended to use. In this case, the effect will be much higher.
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 the supporting ligament to the pubic joint. The supporting ligament is the main object of intervention in penile enlargement surgery. This triangulation of fibrous tissueThe pall attaches to the deep fascia of the buca. The ligament extends from the top of the linea alba and the symphysis to the center of the penis along the midline. Furthermore, the ligament laterally separates like a fan, bending around the edgesand, as it were, covers the base of the penis in its proximal part at the level of the transition of the cavernous body to the hanging part of the penis.
All penis enlargement surgical methods have several goals: penis lengthening, penis thickening, penis lengthening and thickening, correction of erectile dysfunction with improvement in penis size, correction of erectile dysfunction with penis enlargement.
Are there any indications of surgical penis enlargement?
Ho I have. Medical signs include: micropenis, epispadias, hypospadias, Peyronie's disease, cavernous fibrosis, consequences of penile injury. "Aesthetic signs" - a hidden penis, excess of adipose tissue in the pubic area.
Penis lengthening by surgery is not a new topic, as it has previously been an additional goal in the treatment of various diseases of the penis. However, recently penis lengthening is an aesthetic procedure for an anatomically correct and functioning penis. as has been displayed.
In most cases, men want to increase penis size for the following reasons: to increase external attractiveness, to improve the quality of sexual relationships, to increase self-esteem, due to "locker room syndrome", when a man isBeing embarrassed to be naked in a normal bath room, sauna, etc. Assuming that his penis is small.
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, the aesthetic desires of patients indicate indications for surgerybecome.
In 1986, scientists believed that "the ability to have an all-consuming hypochondriacal fixation on one's genitals is an exclusive property of males, and is not characteristic of females. " This is the condition that can be interpreted as penile dysmorphophobia. In other words, penile dysmorphophobia is a man's dissatisfaction with the form, shape and size of his penis.
However, penile dysmorphophobia, as an indication for surgical treatment, does not contradict the principles of aesthetic surgery, aimed at improving the size of a normal organ. The desire of a man to increase the size of the penis is one of the main features of surgery. One of the signs.
How does the penis get bigger?
Surgical penis enlargement methods:
amputation of the suspensory ligament of the penis- Ligamentotomy (prolonging operation). In 1990, a Chinese surgeon developed the penis lengthening operation, the ligamentotomy, which is the main and most versatile method of penis lengthening. Principle of the method The physiological curvature of the penis by crossing the supporting ligamentBased on the termination and release of the corpora cavernosa to the level of penetration into the deep arteries and subsequent fixation of the corpora cavernosa in a new position. The level of the cut supporting ligament. The technique allows you to lengthen the penis by 3-5 cm.
Implantation of prostheses with simultaneous transverse incisions of the albuginea.It should be emphasized that the isolated implantation of the prosthesis into the cavernous body of the penis does not lead to an increase in penis length. The prosthesis is designed to provide limb rigidity for successful injection in men with erectile dysfunctionThe principle of the lengthening method with simultaneous implantation apparently involves placing a longer prosthesis into the intracavernous space and performing a transverse corporatomy to lengthen the limb.
Lengthening with implantation + total mobility of the legs of the penis.The effect is achieved due to their complete mobilization maximum removal of the proximal part of the cavernous, protruding anteriorly and fixing in the region of the pubic joint. Such a significant displacement of the penis means the intersection of deep arteries and the hemodynamic of the erection. Actual closure of the apparatus. The blood supply of the cavernous bodies is carried out by the dorsal vascular bundle and the spongy body of the urethra.
It should be emphasized that due to the inevitable damage to the pudendal veins and deep cavernous arteries, complete mobility of the corpora cavernosa leads to erectile dysfunction. Therefore, this method is suitable only for men with erectile dysfunction.
Uncoupling operation (Perovich operation).The author of this technique recommends the complete separation of the organ into components - the separation of cavernous bodies as much as possible along the entire length of the penile part of the penis from the dorsal body and head, with complete mobility of the dorsal neurovascularbundle. Between the ends of the cavernous body and the head, fragments of the patient's costal cartilage or a synthetic implant are implanted taking into account the obtained and previously measured free distance. The elongation effect is the natural elasticity and spongy body of the urethra andReceived due to the ability of the elements of the neurovascular bundle to protrude. Lengthening of the penis can be achieved by 3-5 cm.
Methods of surgical thickening of the penis:
microsurgical tissue autotransplantation, Subcutaneous injection of free autofat, Use of a free deep-epidermal skin-fat flap, Corporotomy with replacement autotransplantation and allocation, Use of rotated pedicle flap, Use of synthetic implants
microsurgical tissue autotransplantation, The method of microsurgical autotransplantation of fasio-muscular or fasio-fat flaps on the feeding vascular pedicle consists of subcutaneous wrapping of the penis with a selected piece of latissimus dorsi muscle, followed by its revascularization (the vascular anastomoses to maintain blood supply). to apply). bribe).
Subcutaneous injection of free autofat.Most often, adipose tissue for implantation is obtained during liposuction from the suprapubic region. After special preparation of empty fat, it is slowly injected through a syringe through an incision in the subcoronary region along the entire stem part of the penis. In this case, it is necessary to do manual modeling - to straighten the adipose tissue evenly along the limb.
The use of a free deep-epidermal skin-fat flap.Cut one or two grafts into the donor area. Usually these are the gluteal or less commonly the 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 whetherDepending on whether one or two flaps are used, these flaps are then implanted under the skin of the penis along its entire shaft.
Longitudinal corporotomy with replacement autotransplantation (osteony operation).The principle of operation is to make longitudinal incisions of the albuginea on the bilateral surfaces of the cavernous bodies of the penis, followed by replacement of the defects with inserts from Autoven or other material.
Application of rotated pedicle flap, The widespread use of autologous tissues for penile thickening limits the lack of blood supply to the transplanted tissue. Due to the technical characteristics of the operation, free vascular flaps are not always and everywhere possible for use. In the U. S. , isolating an autograft with preserved blood flow, without the need to perform microsurgical vascular anastomoses, for penis enlargement, seems very promising.
used to thicken an organTechnique for isolating a piece of the rectus abdominis muscle, The principle of operation is to detach a rotated muscle flap from the anterior abdominal wall on a feeding leg, with a base at the root of the penis. The free end of the autograft is performed under the skin of the penis on the vascular pedicle and over the coronal sulcusis determined.
The principle of another operation is the separation of two (Dabij's operation) or a rotated facial fat flap from the subcutaneous tissue of the anterior abdominal wall.
The use of synthetic implants. A new direction of penis enlargement is considered very promising, which involves the implantation of a specially designed synthetic implant under the skin of an organ. Principles of operation and materials usedSimilar to breast augmentation in women. Shell or solid hydrogel implants are used to thicken the penis. The operation is characterized by thickening, a shorter stable period, the absence of additional incisions for graft sampling, and the virtual absence of complications. is separated from the programmed result.
In addition, a thickening method based on the technique of implanting "grown" own tissues onto a soluble biopolymer carrier (matrix) has now been developed. The method is completely new and does not yet have sufficient clinical observations.
What are the results of penis enlargement?
Results of surgical penis enlargement. The degree of elongation is not a unifying criterion, since the causes of penis reduction are fundamentally different from each other. The standard and successful outcome of the operation is considered to be a limb length of 2. 5-3 cm or moreshould go.
There are no standard criteria for evaluating the effect of penile thickening, as much depends on the patient's willingness and the possibility of surgical techniques. Uniform thickening of the shaft of the penis, deformity of the contours and bulging of the graftWithout, satisfactory and considered a good result.
Are there any complications of penis enlargement surgery?
Just as with any surgical intervention there can be various negative consequences, so operations on the penis are not without the risk of developing specific complications.
It is known that aesthetic surgery has two similar 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 results of the operation. Aesthetics of the penisThe frequency of complications in surgery depends on many factors, the determining factors of which are the following: the formation of a realistic attitude in the patient to the possibilities of surgical intervention; surgeon's experience and skills; application of standard methods; Compliance by the patient after the operation of all prescribed recommendations.
Also, a very unfavorable predictive outcome of the operation is the discrepancy between the patient's pre-operative expectation of a "miracle" from the surgeon's scalpel and the result actually obtained during this operation. This is an unrealistic expectation or any possible outcomes by the patient. May be due to intentional negative evaluation. Wherein, from a surgical point of view, the postoperative outcome can be considered excellent.
Lastly, it should be emphasized that the penis is a unique organ that performs 3 main functions: copulatory (ensure intercourse), reproductive (ensure delivery) and providing urination. For a man, he differs by nature in the singular and therefore, explaining the well-known idiom, ". . . be with them, they need it so that later it would not be excruciatingly painful . . . ". And if in the future, if necessary, men will be able to independently correct the shape of their reproductive organs, as we fix ugly teeth now, then in the future there will be far less frustrated, bitter and unhappy menBecause a harmonious intimate life is one of the constituent factors of a healthy and socially active person.