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Permanent Penis Enlargement - Penile Augmentation Part 8

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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