In the case of penis length, approximately 6-7 cm, it is approximately 14-15 cm in erection. In an adult male, the penis is approximately 9 cm, approximately 12 cm. All these dimensions are what you can see by person, race, age and weight.
If the penis sizes are below the accepted lower limits and these sizes cause problems in achieving sexual intercourse, penis lengthening can be considered. The person should be well informed about the results of the surgery and have realistic expectations and be mentally and physically mature.
In some cases, although the penis is of normal length, it may appear thin when it is loose or erect because its diameter or circumference is small. If this situation causes physical and psychological problems, penis enlargement can be planned. In addition to penile lengthening surgeries, penis thickening is also performed. Increasing the thickness of the penis may give more effective and positive results than increasing the length in perceiving the size of the penis. In other words, thickening the penis alone, instead of lengthening it alone, can make a more positive contribution in terms of physical dimensions.
What methods are used in penis enlargement?
Studies and observations made to date have shown that drugs, vacuum systems, penile massage or exercises in penis lengthening either have no effect or cannot meet the desire and expectation. The use of tissue expander apparatus, which is used in Reconstructive Surgery and thought to be effective in penile lengthening, did not give an effective treatment result due to the natural structure of the penis that can extend. For all these reasons, surgical methods have come to the fore in penile lengthening. However, surgical techniques do not have the feature of creating something out of nothing or making what is not possible.
What are the surgical techniques used in penis lengthening?
In increasing the visible length of the penis, the invisible penis; Methods that reveal the part embedded in the root of the penis are frequently used. In this technique, the suspensory ligaments that fix the embedded part of the penis to the part of the pelvis called the pubis are cut, and techniques called Z plasty or V-Y plasty are used to lengthen the skin line on the outer surface. Thus, the length of the penis is increased by joining the buried part of the penis to the visible part on the outside.
What is the contribution of penile tie cutting to penis length? What effects does it have?
Up to 20% can be contributed to the length of the penis by cutting the penile cord and lengthening the skin. In addition to this positive effect of the technique, some side effects are observed: The cut suspensory ligaments keep the penis at an angle of approximately 60 degrees with respect to the long axis of the body in an erect (erect) state, and keep it parallel to the natural axis of the vagina during sexual intercourse. Since cutting this ligament will increase this natural angle, it may require an appropriate angle to the penis during vaginal entry. Since it is worked very close to the veins and nerves of the penis during the surgery, it may cause erection and/or loss of sensation in very rare cases.
What other surgical techniques can be used in penis lengthening?
Removal of adipose tissue located in the root of the penis by open surgery or vacuum liposuction may make a limited contribution to the length of the penis. Especially in overweight people, with excess abdominal fat and sagging skin, the penis can be embedded in the tissue. In these patients, liposuction and skin correcting methods give positive results in penis lengthening.
Extending the skin/subcutaneous connection of the scrotum, which holds the testicles, with the penis, with surgical techniques called Z plasty or V-Y plasty, provides elongation to the penis from its lower surface.
How is penis thickening or enlargement done?
Synthetic fillers or the person's own tissues are used for this process. Hyaluronic acid-based fillers, which are used extensively in aesthetic surgery but dissolve over time and are absorbed by the body, are preferred for penile thickening due to their limited side effects. Permanent, ie non-absorbable, fillers are used less frequently because of their reaction.
The methods in which the person's own tissue is used can be applied with a surgical intervention. However, it is preferred more because of its effectiveness and reliability. In particular, washing and straining the fat tissue taken from the patient and injecting it into the appropriate layer of the penis (lipofilling) contributes positively to thickening. Some of the injected adipose tissue is absorbed by the body over time. In this case, if the volume is insufficient, it may be necessary to repeat the process.
The tissue layer called “Dermis”, which is the subcutaneous layer of the skin, can be taken from the lower fold of the buttock with the adipose tissue or as a single piece of tissue and placed between the inner layers of the penis. Which of all these methods is suitable for the person is determined by mutual interview and examination.