The size of the penis directly affects intimate life.Most often, the problem is purely psychological.But from this it does not become less significant.If a man is not satisfied with dimensions, he has complexes, sexual problems begin, up to the complete absence of sex.
In some cases, the size of the penis or erectile dysfunction makes sexual intercourse impossible.Reconstructive intimate plastic will solve a number of problems in this area and raise sexual life to a qualitatively different level.
The decision to go to the “knife” is a serious step that requires a thorough approach and consultations with a surgeon, a urologist.
Normal dimensions of the penis
The size of male dignity worries many men.They measure the penis in three parameters: at rest, at maximum stretching, in an erection.It is properly measured at room temperature, measure on the back of the penis, from the pubis to the edge of the head.
When measureds are pulled in a horizontal position.Normal sizes are considered an penis in a state of erection of more than 9.5 cm in length.Smaller penis is considered small.The term "micropenis" means that its length is less than 2 cm.
Ligamentotomy
An operation to lengthen the penis under general anesthesia.The organ is supported by ligaments that are leaving into the pelvis, attached to the bones.Surgically in the area of the ligaments, the ligaments are dissected, which allows you to literally stretch the inside of the penis, visually increasing its size by 1.5-6 cm.
The recovery period: several months, from sexual life should be refrain for 2-3 weeks.For proper fusion of ligaments, an extender is worn-a special fixing device for 2-8 hours a day.Its regular use for six months allows you to increase the size of the organ by another 2-4 cm.
Advantages: the procedure takes about 40 minutes, the almost imperceptible postoperative seam remains, after surgery there is no discomfort, urethra, cavernous bodies and vascular-fried beam of the penis are not injured.
Indications for the operation:
- Injuries that influenced the size of the penis,
- Insufficient body size during an erection,
- Congenital deformations: Peyroni's disease (body curvature),
- Cavernous fibrosis.
Penis thickening operations
Lipofilling
It is carried out under general anesthesia.It consists in the transplantation of own fat cells (lipocytes), which, under general anesthesia, are administered along the trunk of the genitals.The fence of lipocytes is carried out from parts of the body with excess fat deposits (buttocks, hips, stomach).
In the recovery period about a month, sexual rest is required.
Advantages: the procedure itself takes about 1 hour, since its own cells are transplanted, there is no risk of an allergic reaction and the body rejection of a foreign body.
Indications
- Internal complexes due to the small size of the penis, leading to erectile dysfunction.
- Pathologically thin member, or its deformation, asymmetry.
The small size of the penis can lead to psychological problems that become causal erectile dysfunction, and, therefore, lead to problems in the intimate sphere or completely the lack of relations with the opposite sex.
Sometimes the patient has no reason to complain about dimensions, but he is forced to handle minimally invasive plastic surgery to correct the pronounced deformation or asymmetry of the organ.
Contraindications
- Immune disorders
- Inflammatory processes in the pelvis
- Sexually transmitted diseases and sexually transmitted infections
- Diabetes
- Violation of blood coagulation
- Purulent wounds and ulcers on the body of the penis
- Diseases of the cardiovascular system in the acute stage
Rehabilitation
Within two months after the operation, sports and physical activity are excluded, and sexual rest is also recommended.This is necessary so as not to damage transplanted fat cells.
Microsurgical muscle transplantation
Complex microsurgical manipulation allows you to increase the penis in a diameter of up to 3-4 cm. For transplantation, the tissue of the abdominal wall or fascia or the anterior gear muscle from the side surface of the chest is used.
The cover fabrics of the member are mobilized by the flap is fixed to its protein membrane, the epigastric vessels of the fragment and the organ are interconnected to ensure blood supply.
The operation under general anesthesia lasts about 3 hours, in the postoperative period, active anesthesia is carried out.
Indications
- The consequences of injuries
- Congenital pathology
- Transferred sexual diseases
- Hermaphroditism change
- The presence of "micropenis"
Rehabilitation period 1.5-2 months.
Collagen matrix
Manipulation allows you to increase the diameter of the phallus by an average of 1 cm. The product is made of high -quality synthetic material, and is implanted under the skin of the phallus.The matrix activates the division of the penis cells, due to which the organ increases in volumes.Using this method, the body can increase to 6 mm.
The disadvantage of therapy by the matrix is abstinence from sexual activity for two calendar months.
Technique "Fur"
During the procedure, the penis is, as it were, are divided into components, cavernous bodies are separated from the head, the dorsal-vascular nerve beam is mobilized.Between the head of the penis and cavernous bodies, the elements of the rib cartilating patient are placed or synthetic implants are inserted.This technique is very complex and traumatic, rarely used.
Injections
With the help of gel injection, the penis can become a thicker of a few centimeters.The main possible complication is the formation of scars that reduce skin mobility and can cause pain during an erection.Severe complications can not only reduce the organ, but also lead to erectile dysfunction.
A procedure is carried out under local anesthesia using a cannula or needle is administered hyaluronic acid.Takes about 10 minutes.The effect of the increase lasts up to 1.5 years, then the injection is repeated in smaller doses.
The contraindications are the same as in the case of any other interventions:
- The presence of temperature
- Acute infectious process
- Diabetes
- Serious pathologies of internal organs and systems
Possible complications:
- Narrowing of the urethra
- The likelihood of risks of erectile disruption
- Violations of the innervation of the penis
- Inflammatory process
- Transportant rejection
Instead of increasing size due to an acute adverse reaction of the body, the opposite effect.
Introduction of implants
The procedure consists in maintaining a member under the skin through the side cuts of gel implants.The sensitivity of the organ is completely preserved, the length does not change, does not affect the erectile function.The recovery period is about a month.The disadvantage of the method is the possible sagging of the skin of the organ.
Restoration of erectile function
Phalloplastesion
With the normal functioning of the penis during an erection, the blood supply of cavernous bodies occurs if this does not happen about erectile dysfunction.
In the case when it is not possible to solve the problem with conservative drugs, the only way out to maintain a full -fledged sex life is phalloprosthetics.
But this procedure is a radical disposal of impotence, the result is irreversible, cavernous bodies after the introduction of prostheses in them are not restored.
What are the prostheses
One -component bending prostheses in the form of silicone cylinders with a flexible frame inside are mounted in the body of a member.An erection occurs due to bending up.The easiest prosthesis.
The main drawback of this prosthesis: the organ is constantly in an erect state, circulatory disorders in the tissues, implant loss, complexity during endoscopic procedures of the genitourinary system are possible.
The hydraulic three -component prosthesis is hollow cylinders that are mounted in cavernous bodies.When you press the pump button, the cavity scrotes hidden inside the folds are filled, a full -fledged erection occurs, which saves the required time, then the liquid returns to the reservoir.Advantages: sexual intercourse is as natural as possible, the penis in a calm state is relaxed.
Indications for surgical intervention
- Erectile dysfunction as a result of small pelvis operations
- Unsuccessful operations on the penis
- The consequences of injuries
- Uncontrolled impotence
Contraindications:
- Sexually transmitted infections
- Opesters and sores on a dick
- Inflammatory diseases of the genitourinary system
- Oncology
- Exacerbation of chronic diseases, including cardiovascular and respiratory systems
- Recent heart attack or stroke
- Immunity disorders
Possible complications:
- Soft tissue fibrosis around the prosthesis
- Bleeding from the urethra
- Disorders in the work of the prosthesis
- Implant rejection
Complications can provoke infectious urogenital diseases, alcohol abuse, diabetes mellitus, obesity, taking certain drugs, endoscopic procedures on the organs of the small pelvis.
Rehabilitation
The hardest thing in the first days after the procedure, a pronounced discomfort intensifying when walking in the penis and scrotum.
Immediately after the end of the operation, the surgeon activates the prosthesis, it is blown away on the first dressing, remove drainage from the scrotum, a rather painful procedure.Gradually, the pain decreases, the seams are removed by 10-12 days.
What clinics offer services
Phalloplastration is a complex procedure that requires special training, high -tech equipment.In the industry market in the field of intimate plastic, a huge number of clinics from inexpensive to prestigious elite ones.The price of the implant depends on its characteristics.