Erection problems are common in men. All men at sometime or other have trouble getting or keeping an erection. Mostly the problem goes away with little or no treatment unless there are significant medical reasons when it becomes an ongoing problem and should be reviewed by a specialist.
The size, particularly the length of penis is a major cause of concern among many men and also a common topic discussion on online forums. Many men feel insecure about the size and seek penile lengthening surgery. It is a purely cosmetic procedure.
Penis enlargement surgery, also known as phalloplasty, is a procedure to enlarge the penis permanently. Men seek penile enlargement for both physical and psychological concerns such as performance anxiety or impotence that have stemmed from insecurities about their penis size.
The flaccid penis varies considerably in size, ranging from less than 2 inches (5.1cms) to over 5 inches (12.7cms). The size of the flaccid penis does not determine the size of the erect penis.
Masters and Johnson (1966) found that the size of the erect penis ranges from 12.5 to 17.5cm (4.9 to 6.9 inches).
No widely accepted definition of what is an abnormally small penis exists, but guidelines for selection of men for penis enlargement (penile augmentation surgery) recommend that only those with a flaccid length of less than 1.6 inches (4.1cms) ) or an erect length of less than 3 inches (7.6cms) should be considered for surgery.
Penile-lengthening surgery procedures are being offered for more than last 30 years to men with severe shortening due to :-
1. Penile Lengthening
As part of complete penis enlargement surgery, the penile lengthening procedure essentially exteriorises the part of the penis that is hidden inside the body, which makes for about one third of the total penis length. Penile lengthening is done by cutting the ligaments (suspensory ligaments) at the base of the penis via a low abdominal incision. These ligaments act as the “guy ropes of the tent” and, once severed, allow the penis to lengthen naturally. Tissue is then placed between the pubic bone and the lengthened penis. The drawback of this surgery is that the penis generally faces upwards during erection and the position is supported by these ligaments. Once the ligaments are cut the erect penis may face downwards.
2. Girth Enlargement
To widen the penis during penis enlargement surgery, dermal fat grafts taken from the stomach or buttocks to widen the erectile cylinders of the penis underneath the skin. This ensures the increase in diameter is even all along the shaft and back inside the tissues deep within the intra-pubic region. Some surgeries involved injecting fat under the skin covering the penis. This is not reliable on long term basis, as the fat may dissolve unevenly leaving a misshapen (cobble shaped penis). Skin grafts are more reliable than fat grafts.
Associated Risks and Postoperative care
For Like any medical procedure this surgery too has some associated risks and requires post operative care 48 to 72 hours after the penis enlargement surgery. The surgeon will counsel you on these issues and obtain your consent before the surgery.
“Good day, I was attendant to your patient Mr. Ibrahim Aliyu , i just want to give a little feedback on the care we received.I must say we have been overwhelmed by the level of care for details from your hospital!
The moment we stepped out of the airport terminal, the hospital pickup car and protocol officer was waiting for us. We were checked in almost immediately when we got to the hospital seeing as we were weary from the long-haul travel to get to India. You guys had everything on tap!
Organising for us to get a local sim card so we could communicate with home immediately, having very adequately accommodated me the attendant as well…boarding, feeding et al!
I was able to be right there with the patient through it all comfortably. Plus the cafes and eateries downstairs…brilliant touch!We also had hospital recommended and organised, discounted hotel accommodation upon discharge.We thank God his surgery went very well. The team work between specialists to make sure everything before they would go on with scheduled surgery.All in all IndiaCarez by my standards tops…and i would recommend it in a heartbeat!”
Samson Abeje, Kenya
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