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The penis enlargement surgery is the procedure aimed to enlarge the length of the penis. In the last years, the penis enlargement has become a frequent request. Some men associate the size of their virile member with their masculinity, power, relationships, and sexual performance. There is a common social concept about the men penis´ size, and their confidence and social acceptance. There is common concern about the size of the virile member which is often related to self-esteem problems.
The small size condition of the penis seems to be related to a deficiency of the gonadotropic hormone and hypogonadism.
The consensus is that the average size of an adult small penis is less than 5.5 cm in the flaccid state, and less than 8 cm during erection. According to statistics, most patients who demand penis enlargement are divorced.
The procedure
In the treatment to enlarge the penis, the surgeon may perform different surgical techniques. One of them involves the administration of a vasodilating agent as the tolazolina to induce the erection. Subsequently, the surgeon makes a crosswise incision in the dorsal face of the penis to expose the suspensory ligament of the penis. Through this method, the penis may be enlarged up to 2 cm. If desired, the surgeon may remove the deep suspensory ligament for more elongation.
The autologous fat transfer is a different method to enlarge the penis. Through this treatment, the penis may be enlarged up to 2-3 cm. If the patient requires a higher effect of extension, the surgeon may perform a dissection of the fundiform ligament, both superficial and deeply, which is located below the pubic symphysis. Then the surgeon attaches the tunica albuginea to the periosteum through s retraction of the corpus cavernosum. In order to increase the skin elasticity, the surgeon performs a Z-plasty, V-plasty, or Y-plasty on the back and the base of the penis. Through these two procedures, the penis may increase from 3-5 cm in size.
Another technique for increasing the size of the penis is the lipoinjection. Previously, it is necessary to perform a liposuction in the inner side of the thigh in order to obtain approximately 50-70 cc of fat. Incisions are made on the base of the prepuce. The fat is injected between the superficial fascia and the deep fascia, approximately 15 cc. Once the procedure is done, it is necessary to move and massage the area. Main complications are related to the natural fat reabsorption and the microcalcification formation. Most urologists consider this technique is not functionally effective in all patients. Preputioplasty
The Preputioplasty is the procedure aimed to correct the phimosis. The phimosis is a condition in men where the prepuce cannot be fully retracted from the head of the penis. It is very frequent pathology in children which was described by Keyes in 1919.
Causes of phimosis
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