What are the signs of penis enlargement?
Men have genitals of various sizes. Most of them are satisfied with the size of their penis, others tend to think that their masculine power sign is too small.
About 80% of men experience inferiority complexes with their members simply because of a lack of information about the size of male reproductive organs.
If the penis is less than 2 cm in length, the condition is called micropenis, which means that the erect penis is not long enough for normal sexual function.
If a man's penis in an extended or erect state is 2 to 9. 5 cm in length, then he is not a micropenis, but a micropenis. In this case, the value of 9. 5 cm should be considered as the lower limit of the average penis size.
Based on broad literature data, it can be concluded that an adult male with an erection length of 9. 5 cm or more can be absolutely certain that his penis size is statistically average. A penis less than 9. 5 cm in length should be called a micropenis. The term "micropenis" refers to a penis that is stretched no more than 2 cm in length.
What are the social aspects of a small penis?
At the end of the 20th century, the openness of public awareness to family issues, men's health, and of course sexuality, contributed to the idea of scaling up in many paramedical, sex-oriented advertising media. Male reproductive organs, including through surgery. Currently, in the professional medical and popular literature, more and more information appears about the possibility of increasing penis size in various ways, including surgery. Numerous medical and popular Internet sites have been formed that publish entire sections devoted to penile surgical interventions. They detail the advantages of these techniques and the complications associated with surgical penis enlargement.
Typically, for many men who want to enlarge their penis, this organ is completely normal in function and anatomy. Meanwhile, in some men, dissatisfaction with the appearance and size of their penis can lead to feelings of inferiority and even depression. This condition prompts a man to look for ways to increase the size of his perfectly normal penis, in terms of anatomical parameters. If a man convinces himself that his genitals are too small, a medical guarantee to the contrary will not bring results. In this man's mind, feelings of inferiority and inferiority dominate, which sometimes requires treatment by a psychotherapist. However, it doesn't always lead to the desired mood improvement.
You can compare penis enlargement to the effect of increasing the size of a woman's breasts. Scientists have shown that women who have had breast implants have significantly improved their self-esteem, and they have shed long-term psychological barriers and depression. In this case, if a woman has undergone breast implants or liposuction for aesthetic reasons to increase her own importance and the admiration of others, why can't a man decide to have a penis enlargement for the same reasonWhat about major surgery??
In addition, more than 70% of women are known to answer the anonymous question: "Among several men who are similar and equally attractive in appearance, but with different genital lengths, which do they prefer? " A large penis.
What are the methods 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 essentially non-surgical methods that involve long-term "training" of organ tissue for stretching.
Vacuum Unit (VU)- Consists of two main parts: a cylinder with an open end into which the penis is inserted and a vacuum pump. The WU works on the principle of a pressure gradient - air is drawn from the cylinder by means of a pump, creating a vacuum in the cylinder, and as a result blood from the body rushes into the penis and increases its volume.
External stretching deviceare a variety of extenders used to permanently stretch the length of the penis. For 4-6 months of regular daily training, the length of the penis can be increased from 1. 5 cm to 3 cm (without surgery). However, the use of these devices after penis extension surgery is highly recommended. In this case, the effect will be much larger.
operation treatment. The possibility of lengthening the penis with the help of surgical interventions lies in the properties of the corpus cavernosum fixed to the pubic joint with supporting ligaments. Supporting ligament is the main object of penis enlargement surgery intervention. This triangular sail, composed of fibrous tissue, connects to the Buka's deep fascia. The ligaments extend from the linea alba and the top of the symphysis along the midline to the center of the penis. In addition, the ligaments diverge laterally like a fan, curve around the edges, and cover the proximal portion of the base of the penis at the level of the transition from the corpus cavernosum to the penile penis.
All penis enlargement surgery methods have several goals: penis lengthening, penis enlargement, a combination of penis lengthening and thickening, correction of erectile deformity by correction of penis size, correction of erectile dysfunction by penis enlargement.
Are there any indications for penis enlargement surgery?
Yes I have. Medical indications include: micropenis, epispadias, hypospadias, Peyronie's disease, cavernous fibrosis, consequences of penile injury. "Aesthetic indications" - hidden penis, excess fatty tissue in the pubic area.
Surgery to lengthen the penis is not a new topic, as it has previously been another target for treating various penile disorders. However, only recently has penis lengthening 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 enhance external attractiveness, to improve the quality of the sexual relationship, to increase self-esteem, due to "locker room syndrome", when a man is in a public shower, saunaFang et al felt embarrassed to be naked, thinking that his penis was small.
Enhanced medical and functional indications are clear. But it should be emphasized that the last group (aesthetic indications) is the most numerous and at the same time the most controversial. In this group, the patient's aesthetic wishes became the indication for surgery.
In 1986, scientists argued that "the ability to perform a full-scale hypochondriacal fixation on a person's genitals is the exclusive property of men and definitely not a female characteristic. " It is this condition that can be explained as penile phobia. In other words, penile dysmorphophobia is a man's dissatisfaction with the appearance, shape, and size of his penis.
However, phobia of penile dysmorphism as an indication for surgical treatment does not violate the principles of cosmetic surgery, which aims to improve the shape of the normal organ. The desire of men to increase penis size is one of the main indications for surgery.
How does the penis get bigger?
Methods of penis lengthening surgery:
Anatomy of the suspensory ligament of the penis– Ligamentotomy (long-term surgery). In 1990, a Chinese surgeon invented penis lengthening - ligamentotomy, which is the main and most versatile method of penis lengthening. The principle of this method is to remove the physiological curvature of the penis by passing through the supporting ligaments and releasing the corpus cavernosum to the level entering the deep artery, and then fixing the corpus cavernosum in a new position. The level of the severed supporting ligament. This technique can lengthen the penis by 3-5 cm.
The prosthesis is implanted, and the tunica albuginea is incised at the same time.It should be emphasized that implantation of the prosthesis in the corpus cavernosum alone does not result in an increase in penis length. These prostheses are designed to provide organ rigidity for successful internal ejaculation in men with erectile dysfunction. The principle of the lengthening method of simultaneous implantation consists in placing a prosthesis of significantly longer length in the corpus cavernosum and performing a transverse incision to lengthen the organ.
Implantation + extension of the total mobilization of the penis legs.This effect is achieved by maximizing the removal of the proximal portion of the corpus cavernosum due to full mobility of the corpus cavernosum, moving anteriorly and anchoring in the pubic joint area. Such a significant displacement of the penis implies the actual closure of the crossing of the deep arteries and the hemodynamic mechanism of erection. The blood supply to the corpus cavernosum is provided by the dorsal vascular bundle and the corpus cavernosum.
It must be emphasized that full activity of the corpus cavernosum can lead to erectile dysfunction due to the inevitable damage to the pudendal nerve and the deep cavernosal artery. Therefore, this method is only suitable for men with erectile dysfunction.
Decoupled operations (Perovic operations).The authors of the technique recommend complete dissection of the organ into components—separating the corpus cavernosum from the corpus cavernosum and head along the entire length of the penile penis as far as possible, and fully mobilizing the dorsal neurovascular bundle. Taking into account the obtained and previously measured free distances, the patient's costal cartilage sheet or synthetic implant is then implanted between the end of the corpus cavernosum and the head. The elongation effect is achieved due to the natural elasticity and ability to stretch the corpus cavernosum and the elements of the neurovascular bundle. Penis lengthening can reach 3-5 cm.
Penis Thickening Surgery Methods:
Microsurgical tissue autograft, subcutaneous injection of free autologous fat, use of free deep epidermal fat flaps, cadaverotomy to replace autografts and allografts, use of rotating pedunculated skin flaps, use of synthetic implants
Microsurgical tissue autograft. Microsurgical autografting of fascial muscle or fascial fat flaps on the feeding vascular pedicle involves subcutaneous wrapping of the penis with selected segments of the latissimus dorsi followed by revascularization (application of vascular anastomosis to maintain theblood supply). graft).
Subcutaneous injection of free autologous fat.In most cases, adipose tissue for implantation is obtained during liposuction of the suprapubic region. After a special treatment of the expelled fat, it is gradually introduced by means of a syringe along the entire stem of the penis through an incision in the subcoronal area. In this case, manual modeling is necessary - straightening the adipose tissue evenly along the organ.
Free epidermal skin fat flaps are used.One or two grafts are cut out in the donor area. Usually these are the glutes or, less commonly, the groin folds. Depending on the size of the penis, each graft is 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 their entire axis.
Longitudinal necrotomy with alternative autograft (Austoni procedure).The principle of the operation is to make a longitudinal incision of the tunica albuginea on the bilateral surfaces of the corpus cavernosum, and then replace the defect with an insert from a vein or other material.
Application of rotating pedunculated flap. The widespread use of autologous tissue for penile thickening limits the insufficient blood supply of the transplanted tissue. Due to the technical nature of the procedure, free vascularized flaps are not always available everywhere. In this regard, separation of autografts with preserved blood flow for penile thickening without the need for microsurgical vascular anastomosis seems promising.
for thickening organsTechniques for isolating rectus abdominis segmentsThe principle of the operation is to separate the rotating muscle flap from the anterior abdominal wall of the feeding leg, with a base at the base of the penis. The free end of the autograft on the vascular pedicle is performed subcutaneously in the penis and fixed at the coronary sulcus.
The principle of another procedure is to separate two (Dabees procedure) or one rotated fascial fat flaps from the subcutaneous tissue of the anterior abdominal wall.
Use synthetic implants. New directions for penile thickening are considered very promising, and include the placement of specially designed synthetic implants under the skin of the organ. The principle of operation and the materials used are similar to those of female breast augmentation. Shells or solid hydrogel implants are used to thicken the penis. The procedure is characterized by a procedural outcome of thickening, a short rest period, no additional incisions for graft sampling, and few complications.
In addition, a method of thickening has now been developed based on the technique of grafting "growing" autologous tissue onto a soluble biopolymer carrier (matrix). The method is completely new and there are not enough clinical observations yet.
What are the consequences of penis enlargement?
Results of surgical penis enlargement. The degree of elongation is not a uniform standard because the causes of penis shrinkage are fundamentally different from each other. The criteria for surgery and the successful outcome should be considered organ lengthening of 2. 5-3 cm or more.
There are no standard criteria to assess the effect of penile thickening, as much depends on the patient's wishes and the possibility of surgical technique. Uniform thickening of the penis shaft, without contour deformation and bulging of the graft, was considered a satisfactory and good result.
Are there complications from penis enlargement surgery?
Just as any surgical procedure can come with a variety of negative consequences, penile surgery is not without the risks of specific complications.
It is well known that cosmetic surgery has two common goals: good anatomical and functional outcomes and patient satisfaction with the procedure. The main obstacle to achieving this goal is the development of various complications and negative patient evaluation of the final outcome of the surgery. The frequency of complications in cosmetic penile surgery depends on many factors, among which are the following: The development of the patient's realistic attitude towards the possibility of surgical intervention; the surgeon's experience and skills; the application of standard methods; the patient'scompliance.
At the same time, a very unfavorable prognostic outcome of surgery is the discrepancy between a patient's expectation of a surgeon's scalpel "miracle" before surgery and what is actually achieved during surgery. This may be due to unrealistic expectations or the patient's deliberately negative assessment of any possible outcome. At the same time, from a surgical point of view, the postoperative results are also excellent.
In conclusion, it must be emphasized that the penis is a unique organ with three main functions: mating (ensure sexual intercourse), reproduction (ensure fertility) and urination. So, to paraphrase a well-known phrase, ". . . they need it so they don't feel terribly miserable later. . . ". If in the future men are free to correct the size of their genitals when necessary, as we do now for our ugly teeth, there will be far fewer disappointed, miserable and simply unhappy men because of harmonious intimacyLife is one of the components of a healthy and socially active person.