What is a penis enlargement display?
Men have different sizes of genitals. Most of them are happy with the size of their penis, others think that the symbol of their male strength is too small.
About 80% of men experience an inferiority complex towards their member only due to lack of information about the size of the male genitals.
If the length of the penis is less than 2 cm, then this condition is called micropenis and implies that the length of the erect penis will not be sufficient for normal sexual function.
If a man has a penis length stretched or erect from 2 to 9. 5 cm, then he has not a micropenis but a small penis. In this case a size of 9. 5 cm should be considered as the lower limit of the average size of the penis.
Based on the data from the generalized literature, we can conclude that an adult man who has an erect penis 9. 5 cm or more in length can be absolutely sure that he has a statistically average penis. A penis less than 9. 5 cm long should be called a small penis. The term micropenis means that the length of a stretched penis does not exceed 2 cm.
What are the social aspects of a small penis?
In the late 20th century, open public awareness of family problems, men's health, and, of course, sexual problems contributed to the fact that many paramedical, sexually oriented advertising media outlets spread the idea of increasing size. With male genital mutilation, including surgical intervention. Currently, in both specialized medical and popular literature, more and more information is emerging about the possibility of increasing the size of the penis in various ways, including surgery. Numerous medical and popular internet sites have been created, with entire sections devoted to penile surgery. They describe in detail the advantages of this technique and the complications associated with surgical penis enlargement.
Often for many men who 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 own penis can lead to feelings of inferiority or even depression. This circumstance pushes the man to find ways to increase his completely normal, anatomical parameters, the size of the penis. And if a man has convinced himself that his genitals are too small, then no medical guarantee against it will bring results. There is a feeling of inferiority and low self-esteem in the mind of this man, which sometimes requires treatment by a psychotherapist. However, it does not always provide the desired emotional improvement.
You can draw an analog of penis enlargement with the effect of increasing a woman's breast size. Scientists have proven that women have significantly increased their sense of self-worth after breast augmentation and are relieved of long-term psychological disorder and depression. In this case, if a woman undergoes breast implantation or liposuction for aesthetic reasons to raise her own importance and the admiration of others, then why can not a man do penis enlargement surgery for the same reasons.?
In addition, it is known that more than 70% of women, when answering an anonymous question: "From a few similar and outwardly equally attractive men, but from genitals of different lengths, who do you prefer? ", Will choose a man with a big penis.
What are the methods of penis enlargement?
All methods of penis enlargement can be conventionally divided into three groups - vacuum, traction and surgical. The first two groups are essentially non-surgical methods and include a long "exercise" of stretching the tissues of the body.
Vacuum Devices (VU)- Consists of two main components: a cylinder with one open end in which the penis is inserted and a vacuum pump. WU works on the principle of a pressure gradient - air from a cylinder is pumped out, a vacuum is created in the cylinder, causing blood to flow from the body to the penis, and it increases in size.
Outdoor stretching devicesThere are various expanders for constant stretching of the penis length. For 4-6 months of regular daily exercise it is possible to increase the length of the penis by 1. 5 to 3 cm (without surgery). However, it is recommended to use these devices after surgical penis extension. In this case the effect will be much greater.
surgery. The possibility of penile lengthening with the help of surgery lies in the peculiarities of attaching the cavernous bodies of the penis to the supporting ligament in the pelvic joint. The supporting ligament is the main object of intervention in penis enlargement surgery. These triangular sails of fibrous fabric connect the deep fascia of the bucca. The ligament extends from the linea alba and from the top of the symphysis along the midline to the center of the penis. In addition, the ligament differs laterally like a ventilator, tilting around the edges and, as it were, covering the base of the penis in its proximal part, at the level of transition of the cavernous bodies to the hanging part of the penis.
All surgical methods of penis enlargement have several purposes: penis lengthening, penis thickening, combination of penis lengthening and thickening, correction of erectile deformation by adjusting penis size, correction of erectile dysfunction by penis enlargement.
Are there any indications for surgical enlargement of the penis?
Yes I have. Medical indications are: micropenis, epispadias, hypospadias, Peyronie's disease, cavernous fibrosis, consequences of penile damage. "Aesthetic indications" - hidden penis, an excess of fatty tissue in the area of the pelvis.
Surgical penis enlargement is not a new topic as it was previously an additional goal in the treatment of various diseases of the penis. However, penis lengthening has only recently been implemented as an aesthetic procedure for an anatomically correct and functional penis.
In most cases, men want to increase the size of the penis for the following reasons: enhancing external attractiveness, improving the quality of sexual intercourse, raising self-esteem, due to "dressing syndrome" when men are embarrassed to be naked in a shared shower room, sauna, etc. Sh. Believes he has a small penis.
The medical and functional indications for augmentation are clear. But it should be emphasized that the latter group (aesthetic indications) is the most numerous and at the same time the most controversial. In this group, the aesthetic desires of patients become the display of surgery.
In 1986, scientists believed that "the ability to have a comprehensive hypochondriac fixation on one's own genitals is the exclusive property of men and is absolutely not typical for women. "By size.
However, penile dysmorphophobia as a indication for surgical treatment does not contradict the principles of aesthetic surgery aimed at improving the shape of a normal body. A man’s desire to enlarge his penis is one of the main indications for surgery.
How is the penis enlarged?
Surgical methods for penis extension:
Penile hanging ligament dissection- Ligamentotomy (long operation). In 1990, a Chinese surgeon developed penile lengthening surgery, ligamentotomy, which is the main and most versatile method of penis enlargement. The principle of the method is based on the elimination of the physiological curvature of the penis by crossing the supporting ligament and releasing the cavernous bodies at the level of penetration of the deep arteries into them and subsequently fixing the cavernous bodies in a new position. Torn ligament level. The technique allows you to achieve penis elongation of up to 3-5 cm.
Implantation of prostheses with simultaneous transverse incisions of albumin.It should be emphasized that isolated implantation of prostheses in the cavernous bodies of the penis does not lead to an increase in the length of the penis. Prostheses are designed in men with erectile dysfunction to ensure body firmness for successful introjection. The principle of the elongation method with simultaneous implantation is that obviously longer prostheses are placed in the cavernous space and a transverse corporotomy is performed to lengthen the body.
Implantation + extension with total mobilization of the legs of the penis.The effect is achieved due to the maximum removal of the proximal part of the cavernous bodies due to their complete mobilization, forward movement and fixation in the area of the buccal joint. Such a significant displacement of the penis involves the crossing of deep arteries and the deactivation of the hemodynamic mechanism of erection. The blood supply to the cavernous bodies is provided by the vascular bundle of the spinal cord and the urethral cloud body.
It should be emphasized that complete mobilization of the cavernous bodies 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 (Perovich operation).The author of this technique recommends dividing the body into components - maximal separation of the cavernous bodies along the entire length of the hanging part of the penis from the spongy body and from the head, with full mobilization of the spine. Neurovascular bundle. Between the ends of the cavernous bodies and the head, parts of the patient's rib cartilage or a synthetic implant are implanted taking into account the free distance obtained and previously measured. The elasticity effect is achieved due to its natural elasticity and the ability to stretch the ureteral cloud body and neurovascular bundle elements. Penis lengthening is possible up to 3-5 cm.
Methods of surgical thickening of the penis:
Autotransplantation of microsurgical tissueSubcutaneous injection of free auto-fat, use of free deep epidermal oily flap of the skin, corporotomy with replacement autotransplantation and allotransplantation, use of inverted pedicle flaps, use of synthetic implant.
Autotransplantation of microsurgical tissue. The method of microsurgical autotransplantation of fascio-muscular or fascio-fatty flaps on a nourishing vascular pedicure involves subcutaneous packing of a selected fragment of latissimus dorsi muscle, followed by its revascularization or maintenance of blood vessels.
Subcutaneous injection of free auto fat.Most often, adipose tissue is obtained for implantation from the suprapubic region during liposuction. After special preparation of the evacuated fat, it is gradually injected through the syringe through the incision of the subcoronal zone over the entire stem part of the penis. In this case it is necessary to conduct manual modeling - evenly align the adipose tissue along the body.
Use a free deep epidermal skin oily flap.Remove one or two grafts from the donor area. Usually these are gluteal or, less commonly, uterine folds. Depending on the size of the penis, each graft should be about 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 its entire shaft.
Longitudinal corporotomy with replacement autotransplantation (Austoni surgery).The principle of surgery is to make longitudinal incisions of albumin on the bilateral surfaces of the cavernous bodies of the penis, followed by replacement of the defects with inserts of autovene or other materials.
Use inverted pedicure flaps. Extensive use of autologous tissues to thicken the penis limits the lack of blood supply to the transplanted tissue. The use of free vascular flaps is not always and everywhere possible due to the technical characteristics of the operations. In this regard, penile thickening seems to be very promising to isolate the autograph with maintained blood flow, without microsurgical vascular anastomoses.
Used to thicken the bodyTechnique for separating the rectus abdominis muscle fragment. The principle of surgery is to separate the flap of the rotating muscle from the anterior wall of the abdomen to the feeding leg, with the base at the root of the penis. On a vascular pedicle, the free end of the autograft is held under the skin of the penis and fixed to the coronal stem.
The principle of another operation is to separate two (Dabees operation) or one inverted facial fat flap from the subcutaneous tissue of the anterior abdominal wall.
Use of synthetic implants. A very new direction of penis thickening is considered to be very promising, which involves the implantation of a specially created synthetic implant under the skin of the body. The principle of operation and the materials used are similar for 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 in the transplant specimen, and the virtual absence of complications.
In addition, a thickening method has now been developed based on the technique of "enhanced" own tissue transplantation on a soluble biopolymer train (matrix). The method is completely new and there are not enough clinical observations yet.
What are the consequences of penis enlargement?
Consequences of surgical penis enlargement. The degree of lengthening is not a single criterion, since the causes of penile depletion are fundamentally different from each other. The standard and successful result of the operation should be considered the lengthening of the body by 2, 5-3 cm or more.
There are no standard criteria for evaluating the effect of penile thickening, as much depends on the patient's desire and the availability of surgical techniques. A uniform and good result is considered to be a uniform thickening of the penis shaft, without contour deformation and graft bulging.
Are there any complications with penis enlargement surgery?
As with any surgery, there can be a variety of negative consequences, so penile surgeries are not without the risk of developing specific complications.
It is known that cosmetic surgery has two equivalent goals: good anatomical and functional outcome and patient satisfaction with the operation. The main obstacle to achieving this is the development of various complications and the negative evaluation of the final results of the operation by the patient. The frequency of complications in cosmetic surgery of the penis 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 experience and skills; Use of standard methods; Follow all prescribed recommendations by the patient after surgery.
At the same time, a very unfavorable prognostic outcome of the operation is the discrepancy between the patient's preoperative expectations from the surgeon's scalpel and the result actually achieved during the operation. Be considered excellent.
In conclusion, it should be emphasized that the penis is a unique organ that performs 3 main functions: copulation (to ensure sexual intercourse), reproduction (to ensure childbirth) and urination. For men it is by nature distinguished only by and. Therefore, paraphrase a well-known phrase: „. . . Live with them as they need it so that they do not suffer in the future. . . "And if in the future men are able, if necessary, to freely adjust the size of their reproductive organs, as we now correct ugly teeth, then in the future they will be much less frustrated, embittered, and simply unhappy, for a harmonious intimate life is one of healthy and socially active human beings. .