Permanent Penis Enlargement - Penile Augmentation Part 8
Post date: 2009-02-21 12:37:13 Viewed: 164
Penile augmentation surgery runs about $4500. Any form of surgery
is prone to possible infections regardless of the type of surgery. Also
keep in mind there is usually temporary swelling, potential bleeding,
and bruising. That is less than what it costs for a breast
implant. Surgical methods include injection ( fat
transfer), dermal graft augmentation, ligament cutting,
inflatable implants, beading,transplantation and Alloderm graft
procedures. Different surgical procedures are for lengthing and
widening girth.
Is it worth the risk to my personal phallic appendage?
Before getting into the details on
the most expensive option, penile augmentation surgery or penile
enhancement phalloplasty, if you are really considering the option,
please spend time rethinking it. Surgery I believe should
only be considered for those that truly have ED, the micro-penis and
impotence issues. I know I am not male and cannot feel the
emotions of any man who feels his penis is smaller than average.
First of all talk to your physician about it. Secondly, if that
doesn't work and other methods are not your cup of tea, go see a
psychologist or sex therapist. You may in fact have a "normal"
size penis and just need some affirmation or their might be other
underlying issues. At the vary least try a PPA first, if not some
of the following information may also assist you in reevaluating this
alternative.
Do I have a Micro-Penis?Make my penis wider - girth augmentation options:
Injection started around 1991 whereby liposuction is done in
fatty tissue areas of the body and injected into the penis jut below
the surface of skin. This method of cosmetic surgery only
increases girth. The penis normally had very little or no fat and
the method can result in an unnatural appearance and feel. E.
Douglas Whitehead, MD, a Phalloplasty specialist finds this procedure
unpredictable and often results in penile irregularity.
Additionally the augmentation always decreases in time and during an
erection the injected fat will be softer than engorged tissue that
hardens the penis. He also notes that men who have little body
fat (lean) are poor candidates for this surgery and require several
injections over time.
Another related method involves injection of liquid silicon into the
penis and scrotum. The technique can cause enormous increases in
girth of the penis, but is effectively irreversible and may have
several side effects including loss of sensation, ED, scarring and
deformation. No only that, but the medical industry should know
better, look what leakage of silicone breast implants over the years
has done to women's health. Although human beings have small
amounts of silicon naturally produced in their joints, it causes serous
health problems in larger quantities in the human body. Other
substances used include collagen,mineral oil and eve KY jelly and
potentially have similar effects, but also can cause extreme scarring
and permanent disfigurement.
In the research I have found on this issue, many phallostphy surgeons
are no longer doing this form of cosmetic surgery due to the risks and
dissatisfaction of patients. If this is offered as an option by a
phllasotphy surgen, please get a second opinion. My personal
opinion don't do this type of surgery the risks are to high in
relationship to your penis. You've only got one penis!
Dermal Graft Augmention is also used to increase girth. It is
a fairy new technique that has produced successful results according
to, The Barron Centers. Dermal grafts are foreing tissue implants
by grafting subcutaneous tissue form another part of the body to the
penis. The most common are of tissue used is from the
buttocks. Another option is to use cadaver skin instead of having
to places on your own body that require healing.
Alloderm - Graft Augmentation is donated dermis made from thin
sheets of freeze dried cadaver skin. However recent changes skin
culture techniques called C3 skin tissue allows for a sample of
ephidermal from a patient mixed with emzyens to cultivate thin sheets
skin grafts from the patients own DNA. The new technology is
currently used for burn victims, but can easily be applied to the
phalloplasty augmentation as well and would be better for the patient
because it is their own DNA and unlike dermal graft techniques, there
is only a very small patch of skin removal that could heal while new
skin grafts are being grown. C3 skin tissue cultures take a
couple of weeks to grow.
The actual procedure for grafting is done by applying the think layers
of skin strips inside the fascia tissue walls. Dermal Graft
Agumenttion also include the fat on the skin. In both procedures
the skin grafts surround the entire shaft, which eliminates
viable ridges and causes minimal scarring. The grafting
procedures add approximately 30% to 50% in circumference.
Stretching devices are used after surgery to maintain the new girth level until the body has adapted.
Glanular Enhancement is also a relatively new technique.
It is a small incision in the head of the penis where the gland is
located and Allograft dermal matrix graft. According to reported
information from Blackwell Synergy and on Dr. Whitehead's site, if the
procedure is done correctly, a 15 -20% increase in the flare of the
glans is reasonably expected. If this is also done during
penile widening no additional incision Is required, and no stretching
device is necessary after the procedure.
Making the Penis Longer -
Penis Lengthening involves surgically releasing
(cutting/snipping) the suspensory ligament that it attaches just under
the public bone. One-quarter to one-third of the penis resides
inside the body and this type of surgery lengthens the penis by
allowing it to protrude further out on a straighter path, thus giving
it approximately an additional inch in length. Length gain is
usually in the flaccid state. According to Dr. Gusteing,
consulting surgen for The Plastic Surgery Centers, stated in an
ariticle "There is no reliable way to know how much additional length
you can expect to gain until the incision is made. What
determines the amount of gain is the nature of the ligament (with
tighter ligaments one can generally expect better gains), how much of the
penis is within the body (this influences how much can be extracted),
and also of great important is the degree of diligence in
post-operative care, especially the use of weights for traction." Upon
completion of lengthening penile augmentation, a stretching device with
weights is also used to prevent an initial shortening. The device
is worn for a short period after surgery to prevent scar tissue buildup
and pulling the penis back into the body. Results of the surgery
vary depending on the individual subjects and results beome apparent
within three months after surgery and may show additional improvement
up to eighteen months.
Flaps - the use of pubic hair-bearing skin instead of buttock
tissue in dermafat grafts, whereby the tissue retains blood supply at
its base and is tunneld und the shaft skin and anchored near the rim of
the penis head. Flap surgery is a fairly new technique.
Currently there isn't a tremendous amount of data on patient
satisfaction after it is performed.
Penile Implants are one of several options for impotence
treatment and should only be considered after all other options have
failed including natural supplements that address erectile dysfunction
(ED) or Viagra.
There are two types of penile implants on the market, semi-rigid and
inflatable. The semi-rigid bendable prosthesis are silicone
covered rods that are placed in the corpus cavernosum of the penis and
are physically bent to be erect or flaccid (down). The inflatable
implants are available in two styles, one device comes with two
cylinders placed in the penis and a combination pump/reservoir placed
in the scrotal sac. The other inflatable penile implant contains
two cylinders, a reservoir and a separate pump. The reservoir is
placed behind the abdominal wall, the pump inside the scrotum sac and
the rods in the corpus cavernosum. Surgery prices range from $10K
- 20K.
The semi-rigid penile prosthesis is fairly straightforward. It is
a simple construction, has the smallest risk of malfunction and simple
to place. Operation is manually pointing the penis up for an
erect position and down for flaccid. However the disadvantage
with this type of prosthesis is the continual semi-permanent erection,
which may feel uncomfortable and difficult to conceal. Semi-rigid
devices according to Cornell Phsyicians, Department of Urology should
be avoided in patients at high risk for urethral erosion, for example
patients with spinal cord injuries, diabeties and penile irradation.
Inflatable devices consists of the AMS 2-piece device Ambicor whereby
the cylinders are pre-connected to the ball-shaped pump.
Compression of the pump results in transfer of fluid from the back part
of the cylinders into the middle portion creating rigidity.
Deflation involves bending the penis in mid-shaft, thus moving the
fluid backing into the former position in the cylinders. The
three-piece devices manufactured by perform the same function, however
the AMS Ultrex device cylinder design provides for both girth and
length expansion. Mentor, another manufacturer developed the
Alpha I narrow base device, which is useful form implantation in men
with scarred penises, and recently introduced a lock-out value on their
reservoirs to circumvent the annoying post-operative complication of
auto-inflation. Both companies are working on devices that are
coasted with anit-microbial protectant to reduce potential infection.

The advantages of inflatable devices create a more natural form of
erection and total erection control. Disadvantages include a
potential increase of failure due to more moving parts, it is the most
expensive and could create an undesired erection. Other
disadvantages included an inflated penis my feel less full or firmer
with a 2-piece device rather than a 3-piece device. Risks for
penile implantation are infection, tissue erosion around the device,
migration of the device, pain and malfunction.
Various articles range stated from 80 - 95% patient satisfaction rates
in relationship to implants. However, I could not find any statistical
data regarding complication rates, infection rates nor malfunction
rates penile implant products including on the manufacturers' websites.
In
my opinion, Augmentation surgery should be the ultimate last
resort. For men who have normal size penile it is apparent
that cosmetic surgery of this nature is really an ethical dilema
among plastic surgeons, urologists, and andologists. If it's not
broken don't fix it should be a policy. However, there are cases
of micro-penis and ED that potentially should be addressed with surgery
also as a last option.
Sexyscifi
References:
Wright, Chris, Why penis enlargemet is posed to become the next big thing, the Boston Phoenix
AS, Cosmetic Procedures, Phalloplasty, Mar. 2006, Remedyfind
Sheer,
Osama, MD and Shaeer, Kamal, MD, (Jan. 2006) Case Reports, Penile Girth
Augmentation Using Flaps "Shaeer's Augmentation Phalloplasy": A Case
Report , Journal of Sexual Medicine, VOl. 3 Pg. 164, doi: 10.1111/j.
1743-6109.2005.00104.x
Solomon, Mark, P, MD, FACS, Surgery for Men, Penis Enhancement, Lawinformation Inc.
Biever, Celeset, Lenght-boosting surgery for "micro-penises", Dec.04, Neew Scientiest.com
Sexual Medicine Program/Erectile Dysfunction, Penile IMplants, Cornell Physicians, Cornell Universy, Department of Urology
Lowry, William E, PHD, Stem Cells in the Skin, International Society of Stem Cell Research
AMS Solutions for LIfe, Erectile Dysfunction Treatement, American Medical Solutions
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