Since all cultures and always has been a concern of the man by the size of their penis attaching it as a symbol of masculinity, fertility, and llongevitat force. Throughout history and across cultures, man has focused much of their self-esteem, masculinity and honor in their genitals. In ancient Rome, men swore by putting his hand on his testicles (hence the word testify). This may give us an idea of the importance of the size of genital aesthetics has for any man.

When a man feels that his penis is not the appropriate measure, whether or not an actual perception, it creates a feeling of anxiety that can limit their social and intimate life.

Most individuals requesting such surgery are young patients without erectile dysfunction with a complex social size of your penis that prevents them from displaying it normally is called “wardrobe syndrome.

Many of these patients do not have micropenis, ie, a length shorter than 7 or 8 inches, but have a feeling that penis short of self-esteem and creates serious problems of insecurity in themselves.

It is necessary that the patient understands that the purpose of any proceedings shall not achieve a certain size, but the ultimate goal is to increase self-esteem of the patient.

There are many substances that are sold as miracle cures in pill form or oils to achieve a rapid lengthening sentences using misleading advertising generally. These products, which currently are not sufficiently probati, promise to patients extensions of up to 10 cm.

In addition to creams, ointments and pills, there are other mechanical methods such as vacuum systems or traction, used for centuries, based on subjecting the penis to a longitudinal traction maintained and repetitive, so that l ‘ success was based on the number of hours per day that the penis is subjected to traction. Currently these systems are no longer used as a single system because they are uncomfortable and because their results are very variable.

The intervention

The surgical penis lengthening involves lengthening the penis flaccid by sectioning of fundiformes and suspensory ligaments that attach to the pubic, filling space with pubic fat or Gore-Tex. After this procedure, the penis falls forward, being picked up, thus gaining some length to try to ensure by various means.

The operation can be performed with regional or epidural anesthesia and requires an admission to a hospital several hours. The scar tends to be about four inches but is hidden behind the pubic hair.

To make the extension that has been done with surgery not being eroded with the processes and inflammatory changes after surgery is recommended to treatment with some exercises penis traction, either maintained in short session, several minutes during the first few weeks until the start of sexual relations (which are recommended after the sixth postoperative week).

In general, according to the medical, surgical penis enlargement can be considered a success when Agum length ranges between 2 and 3 cm. (measured from the tip of the glans to the base). Expect a higher elongation is unrealistic.

In patients with excess fatty tissue at the base of the penis (pubic) can be performed liposuction of the area to increase the externalization of the penis size and thus appear larger. It is also possible to make a partial or total hair removal of pubic area to highlight visually the penile area. In these cases we recommend laser hair removal or IPL.

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