How does penis enlargement work?

Penile amputation without orchiectomy is believed to cause sexual frustration, since all lust comes from the testicles and lack of a penis, the man will feel helpless because there is no way to satisfy. Therefore, penile fusion surgery is performed both to reshape the penis and help men perform their characteristic activities after being severed.

If a man can find his penis soon after it has been severed, penile fusion surgery is entirely possible, even feasibly easier to reattach than other types of penis enlargement. other body parts.
Indeed, the internal anatomy of the penis is composed of arteries, veins, nerves, and the urethra. Accordingly, compared with finger jointing, penis enlargement surgery is much more basic. During this procedure, the surgeon will reconnect one or two arteries, some veins to drain blood, erectile tissue called the cavernous body, and the urethra so the man can urinate.
Besides, the possibility of penis enlargement surgery depends on how it was severed. If the cut is clean, it will be easier to reattach the penis. Meanwhile, severe penile injuries, such as biting or crushing, tend to be much more difficult to treat, because of the potential for bacterial infection as well as greatly deformed anatomical structures. . At the same time, another factor also contributes to the success of penis enlargement surgery. Accordingly, after the penis is severed, instead of wanting to seek immediate medical attention, according to doctors, it is important to keep the penis clean and cold, it is best to apply ice to no necrosis, limited infection, subsequent surgical steps will be more favorable.
On the other hand, if the permanently amputated part is lost, the penis enlargement surgery will be more difficult, requiring a complete artificial reconstruction. From the requirements of the birth of sex confirmation surgery brought many scientific advances, penile surgery and transplants have matured through many stages. If in the early days, surgeons could create a new penis using skin from an autologous arm, now a new penis can be obtained after a prosthetic or a penis transplant. an item from a deceased donor.

This is an operation that is considered completely free of contraindications and can be done immediately if the patient's condition allows. Use prophylactic antibiotics when needed.
After general anesthesia and mechanical ventilation through the endotracheal tube, the patient is arranged to lie on his back and expose the surgical field. Penile fusion surgery requires microsurgical techniques to reconnect the severed urethral canal, blood vessels, and penile nerve, which should take place over a period of 8 to 12 hours.
There are two surgical teams performing the same operation in parallel:
Ekip 1 prepares the graft by cleaning the severed part of the penis, then dissects it to reveal the blood vessels and urethral nerves. Team 2 prepares the graft site by preserving as much as possible and cleaning the remaining stump, which can be filtered if crushed, severely traumatized or necrotic; then also perform a search for the corresponding anatomical structures. Finally, both teams performed the resumption of the respective anatomical structures under the microscope such as urethral anastomosis, vascular anastomosis and nerve junction.
Assess the success of penile fusion surgery by observing that the graft returns to its pink color with perfusion or Doppler ultrasound the flow of the penile artery, the patient has urine through the duct and finally is to feel again after awakening.

In the postoperative period, post-operative care after penile fusion includes wound cleaning and structural stabilization and re-establishment of penile function. Patients are encouraged to drink a lot of water to increase urine output, remove the urinary catheter soon and prevent scarring complications that cause urethral stricture.
As for the reproductive function, because the two testicles are still intact and the spermatic ducts have been connected, a man after penis enlargement surgery can completely have children like a normal person. However, the restoration of the ability to achieve pleasure depends on the restoration of nerve re-engagement. This ultimately often depends on the location of the injury. The further the wound is from the dorsal nerve (a nerve in the pelvis that carries sensation from the genitals), the more likely the patient will be to recover sexual function. However, if a man is still able to get an erection without reaching orgasm, sex therapy exercises may need to be consulted to find alternative ways of achieving satisfaction.
In addition, the patient should also note to limit local activities that may be encountered in daily life, such as cycling in particular or other jobs that put excessive pressure on the crotch area in general. This should be avoided so that the conditioned anatomical structures soon stabilize their position and preserve function, avoiding minimal trauma to severe deformities requiring repeated surgical correction.
In summary, whether the amputated penis can be reattached depends on many factors for a man to feel satisfied with his genitals as before. Although it is difficult to suture the nerves, the surgeon can still reattach the penile tissue, which contains most of the blood for an erection, and also the urethra for urination. Accordingly, because sexual dysfunction is frequently encountered after penile fusion surgery, the patient should receive appropriate conservative treatment to achieve the required satisfaction.
When encountering injuries to the penis, patients need to quickly go to medical centers for examination and treatment, limiting possible dangerous complications. Vinmec International General Hospital is the address of many leading specialists and modern facilities that will bring the best treatment results to customers.