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The following questions are of concern to the majority of men, at least once in their lifetime. Is my penis big enough, can I be satisfied, how can I enlarge it? What is the actual norm?
Wessels and Lue (1996) reported that the average length of the penis in the quiescent position was between 8, 8, and 9, 7 cm, while in the pulled position (as an alternative to an erection) it was 12, 4 cm. see. Ponchietti and his colleagues also died in 2001. After examining 3300 young men in, they came to a similar conclusion, i.e., 10cm to 12cm. Anthropometric studies were also performed in all studies and a weak correlation was observed.
Men who consult a doctor with the intention of enlarging the penis are usually the size of the norm. This condition is what experts call a men's locker room complex. Men seem smaller because they look at their genitals from above, but when viewed from the side, they are equal to everyone else. It should also be noted that with a small appearance in the quiescent state, it enlarges without following any proportions when transitioning to an erect state.
A penis is considered small only if it is smaller than 9 cm during an erection. Some experts say 5, 7cm. The measurement takes into account the distance from the penopubical angle to the end of the head at a 5 ° angle to the abdominal wall on the dorsal side.
Penis enlargement is divided into two: non-surgical va surgical.
Non-surgical methods include vacuum and traction methods. The vacuum method uses a device that creates a special negative pressure. It is said that the blood flow to the penis increases due to the formation of negative pressure, as if it leads to elongation of the tissues. They will have to do it every day for at least 12 months to get results. However, there is no information in the literature that a reliable result has been achieved, as a result of prolonged use, skin lesions and hematomas occur.
Another non-surgical method, the traction (stretching) method, is more effective than the above. At the heart of the penis lies a long stretch of force, gravity. Extenders for this (Andro-Penis, etc.). used. This device controls the power supplied. And it is recommended to gain strength slowly. They must be transported for at least six months to achieve the desired result. Up to eight hours a day. Those who use the extender say that it extends to 2, 5–3 cm, but there are no articles that record the long-term results of this method. The disadvantages are that daily transport is detrimental to daily life. Stretching can cause pain, hematoma (bleeding), penile curvature, and peyrone disease.
The use of the above methods after surgery is possible, according to some experts, to prevent side effects of surgery.
In addition, non-surgical methods include:
Various magnetic and electrical devices seem to stimulate penis growth - absolutely useless?
Biodiversity leads to the growth of "all-encompassing grasses in the world" and, as a result, "without controversy" - absolutely useless?
Hormonal drugs - The result is up to a certain age and in cases of hypogonadism.
Medical instructions are given in case of dissatisfaction with length as a result of the following diseases: Peyronie's disease, cavernous fibrosis, hypospadias, epispadias, traumatic or surgical amputations, etc. Functional instructions: buried penis, thin penis, elderly penis. Aesthetic cases in penile dysmorphophobia are dissatisfaction with the appearance, size and shape of their penis. These patients should be examined in conjunction with a psychologist or psychiatrist.
Surgical methods:
penis lengthening?
thickening of the penis?
penis enlargement.
A combination of the above methods.
Penis lengthening
As the most common method cutting the ligaments that hold the penis in place - called ligamentotomy. In this case, the cavernous bodies are released to the entrance of the deep arteries, resulting in an elongation of up to 3 cm. The good side is simple to perform and minimally traumatic. The disadvantage is that if the joints are short, they are less effective and appear to hang down, become hypermobile, and increase the erection angle (due to hanging down). To make the results of the operation more visible, experts recommend the use of extensions in the postoperative period.
Another obvious of the surgical methods is the removal of this layer of fat from the scalp. This method should definitely be combined with a ligamentotomy.
One of the almost unused methods is separation surgery (Perovic) which is not used because it is highly traumatic and rich in complications. In the middle, separating the cavernous bodies from the spongy body, the patient was placed on a rib cage but not used because it did not give sufficient results.
When combined with organic erectile dysfunction, the most optimal method was grafting (placing a patch) between the cavernous bodies during implantation of plastic prostheses. This method was quite convincing, but due to the extrusion (perforation) of the prostheses, it was also not used. Prosthetics are available in erectile dysfunction.
Penis thickening
The simplest way to thicken is to place the autologue under the skin of the penis. Liposuction of adipose tissue in the superficial area of the pelvis is performed in the direction of the axis of the penis. The advantage is that if it is too simple, the result of the defect will temporarily melt 50% in a year, and the appearance will also be spoiled, because the subcutaneous fat does not disappear evenly. Complications increase in proportion to the amount of fat that is clogged.
Besides:
Microsurgical autotransplantation of the fascia-muscle or fascial-adipose tissue nourishing leg, perikaverno dermal allograph (Alloderm) use of from polyacrylamide gels The methods of use are available and are not used due to complications.
The most effective method is longitudinal is a method of replacement with corporotomy and autovena (Austoni), the risk of developing erectile dysfunction is high.
Enlargement of the head of the penis
It is only recommended when the penis is disproportionate to the body, but no fully convincing methodology has been developed.
No ideal product has been found due to the unique structure of the penis head, hyaluronic acid is used but the result is that it loses its properties within a year.
Thus, there is no ideal methodology that meets all the requirements, and therefore it is important to note that the length and thickness of the penis does not make sex quality, but rather rigidity and longevity in this rigid position.
I would like to underline to my patients that if it were important, today's medicine would definitely have found a solution, because hardness and quick release are important.
Zarifjon Murodov, urologist-andrologist
Source: andrology.uz