How and why is performed phalloplasty?

How and why is performed phalloplasty? - Home Treatment

Falloplastіka - a complicated surgery to penile correction. There is a full plastic, in which surgeons create a new body, and partial, in which there are defects corrected.

During surgery, the skin may be used Autograft. They can be taken from different parts of the body. The most complicated procedure during such operations is the creation of a new normal operating urethra.

To restore the penis using radiation or Thoracodorsal shreds. Used a technique of prosthetic neophallus.

The emergence of new microsurgical techniques allows you to quickly and maximize meet the challenges associated with the restoration of the male sexual organ, as evidenced by the numerous positive reviews.

In some cases, a phalloplasty?

This surgery may be performed for a number of indications. Before starting the operation, the doctor and patient should jointly consider all the advantages and possible disadvantages in the specific case, to assess the potential consequences of such intervention. Falloplastіka carried out in the following cases:

• in the presence of penile disorders, such as hypospadias;
• in the presence of malignancy requiring removal;
• to increase the volume and / or length of the penis;
• after traumatic injuries or surgical removal of the member;
• in the case of gender reassignment.

Most often phalloplasty carried out for health reasons, except in cases of artificial change of sex. The main goal of surgery is to restore the functions of urination and the possibility of a return for sex.

The operation is very complicated. Its effects are largely dependent on the skill and experience of the surgeon. It is carried out in several stages. First the movement of the corpora cavernosa to where they should be in a healthy man. The skin defect during this procedure closing flap region of the beam or the scrotum. The flap may be taken from different places.

Falloplastіka using thoracodorsal flap

During such an operation is performed with the fence side flap back. In the area of ​​the widest back muscle markings applied, according to which will be the flap fence during surgery. Thereafter, a part of vascular surgeons legs include Thoracodorsal motor nerve, thereby providing latissimus innervation.

A cut a flap into a tube and shaping the future of the sexual organ. In most cases, the sizes of grafts taken up 110h180 140h220 mm. Thereafter, the donor site is sutured using a special rotary skin plate.

Before proceeding to the next step, performed site preparation, wherein new attachment is carried out of the penis. Commit neofallossa muscles.

If phalloplasty performed to shift the floor, to the base can be moved neophallus clitoris patient.

If the floor changes the man, in the area of ​​the pubic bone can be moved to the head of his penis, which will keep the erotic sensitivity.

After neophallus be properly recorded, surgeons start to the formation of vascular mіkroanastomozi. They are applied in the space between the vein and artery of the new phallus and the lower portion of the epigastric artery. The connection is thoracodorsal nerve and motor nerve thigh muscle.

After the anastomosis will be formed and included in the neophallus bloodstream Ushіvka wounds performed on the anterior wall of the abdomen and hip. Recovery after surgery usually takes six months. After that, the following rehabilitation activities can be carried out at the request of:

• formation of the urethra;
• implantation of prostheses that mimic natural erection;
• forming head.

In general, responses and positive outlook. However, very much depends on the surgeon's professionalism and attitude of the patient.

Falloplastіka using radial flap

During the execution of such operation is carried out from intake flap forearm area. The peculiarity of this flap allows you to simultaneously conduct phalloplasty and form neouretru that gives an opportunity to significantly reduce the staged surgical patient's recovery.

During the operation works 2 surgical team. Structured flap taken from the area of ​​radial vascular bundle on his left forearm. This flap consists of 2 parts of the skin which are separated dіepіdermіzіrovannoy skin. Between the two parts there is a portion that corresponds to the future urethra. Outer flap portion is used to form a new head.

Thereafter, movement of the graft in retsipієntnuyu zone. Connect the urethra and held neouretri. Connect the radial nerve and spinal nerve graft member.

Along the perimeter of the wound superimposed skin sutures. Vienna artery and a new member joined to the inferior epigastric vessels.

For shelter used autoderma donor site, which is removed from the surface of the patient's femur using a dermatome.

Reviews of such an operation is very good. If the surgeon is done correctly, then after a short recovery period the new member will have an aesthetically attractive appearance.

Operation at the same time solves the problems associated with the restoration of penis and urethra, in some cases it It allows you to return a certain erogenous sensitivity, which promotes sexual and social rehabilitation person.

Features and procedure prosthetics neophallus

The operation is performed in several stages. The first - in 3 months after the Falloplastіka. This step creates an imitation of the corpora cavernosa. To do this, neophallus implantable vascular stents. In neophallus created channels.

If thoracodorsal flap was used, the implantation of vascular prostheses is performed in the thickness of the muscle. In the case of the use of a radial flap they are implanted under the skin. The proximal portion is fixed prostheses using prolene filament to the pubic bone periosteum.

The distal portion of the blind sewed. Prostheses grow in 2 months.

The next stage - a complete surgical rehabilitation. The incision area neophallus base. It carried out an autopsy vascular prostheses. Implantation is performed semi penile prostheses.

There are different ways of prosthetics neophallus. The result after the operation can also vary. The main problem with such an operation is associated with poor vascularization and innervation of the distal portion of a new body. This may lead to skin erosion, through many surgeons do not recommend hold implantation support material.

With metodudvoetapnogo prosthesis can be in the first place to minimize possible complications after surgery, avoid erosions and infections of the skin, through which the graft can become inflamed and torn away by the body patient.

This technique allows you to get the best aesthetic results. This is achieved primarily through the good fixation falloprotezov found in vascular prostheses, which prevent their migration.

The technique provides higher functional prosthesis. If implanted inflatable prostheses, vascular function as the protein shell that allows you to simulate the natural rigidity of the member during erection. Due to vascular prostheses is limited to over-inflation of the cylinders, thus avoiding squeezing neophallus tissues.

Methods of two-stage prosthesis provides the best aesthetic and functional results, reduces money for rehabilitation costs and eliminates the need for repeated operations reprotezіrovanіyu.

possible complications

Falloplastіka may be accompanied by a number of complications. Among the major complications release:

Cicatrization process, which leads to a narrowing of the urethra.

The appearance of a fistula between the penis and the urinary canal.

Rejection of the body member (immune system produces antibodies and cytotoxic cells, under the influence of which the implant is rejected).

All sorts of infectious and inflammatory processes in the body, the development of which contributes to the activation pathogenic microflora and the patient's rejection of the reception of recommended doctor antiseptics and aseptic technique.

Erection problems, which can cause a variety of reactions.

In some situations, the size of the penis may be reduced. This is especially observed in strong scar processes in the body.

However, modern surgical techniques, the use of antibiotics that cover virtually all pathogenic effects germs, correct behavior of the patient in the recovery period after the operation to minimize the likelihood of complications.

How is the recovery after surgery?

In the period after surgery is necessary to strictly adhere to the doctor's recommendations. During the first period of rehabilitation the patient is in the hospital under medical supervision, and in the second - at home, but occasionally come for a visit. During the recovery period the male body is fully adapted or reject the new organ. At the hospital, usually have to spend 1.5-2 weeks.

During the recovery period prohibited any exercise. Urination is carried out exclusively through an indwelling catheter. How to behave after discharge, tell a doctor. Start having sex can be no earlier than 6 weeks. During this time, the sexual organ, as a rule, fully formed.

Thus, by the operation Falloplastіka can return the normal anatomy of the penis, and in some cases - to fully restore the body.

This operation will enable a man to feel complete again, lead a normal sex life and get rid of problems with urination.

However, it is quite a complex operation, the success of which is almost entirely dependent on the skill and experience of the surgeons involved.

A source: http://ok-doctor.xyz/kak-i-zachem-provoditsia-falloplastika/

Phalloplasty: indications, contraindications, holding, complications, reviews, price

Phalloplasty - surgery, which resulted in the restoration becomes the sexual organ functions, that is, the patient will later be able to have intercourse and urination in a standing position. The procedure can also wear purely aesthetic nature, for example, increase, the length of the penis.

What is phalloplasty

Phalloplasty - surgery, allowing to restore the form and function of the penis of a man or to create a body from scratch. Procedure may be performed in several ways, the use of which will depend on the specific situation.

What is phalloplasty, tell this video clip:

notion

Phalloplasty surgery, which aims - to change the shape of the penis men in terms of aesthetics, restoration of its functionality and elimination of disorders associated with defects or diseases migrated injuries.

Kinds

The following types of phalloplasty:

• Total, ie the creation of the penis from the ground due to previous myocardial injury, the disease that led to the removal of this part, or because transsexualism.
• With the prosthesis, then there is the implantation of the prosthesis in the body member, which will normally carry out its functions;
• Plastic using Thoracodorsal or radial flap, when the tissue is taken from a specific area for the reconstruction of the neo-phallus;
• Correction aesthetic defects which are eliminated;
• Plastic head of the penis;
• Circumcision - the name of circumcision. It can be performed for aesthetic, religious and medical reasons.

As can be seen from the above list, many types of phalloplasty, and therefore produce a complete organ transplantation, or only a small correction is possible without problems.

With proper implementation and quality of rehabilitation functional departments are usually reduced in most cases.

Indications for use are:

• Dissatisfaction thickness and size of the body;
• Abnormal development - epispadias, hypospadias, ectopic and so on;
• Injuries - tears, fractures, burns;
• Strong deformation, which developed due to diseases;
• Removal of an organ due to gangrene or other medical conditions;
• Malignancies necessitating complete or partial resection of the penis;
• transsexualism;
• Erectile dysfunction type, mechanical obstruction urination.

Contraindications

Contraindications generally standard for this type of operation:

• Severe abnormalities or abnormalities in the organs and systems;
• Diabetes and other systemic diseases such as severe;
• A complex for somatic pathologies;
• Mental illness, including epilepsy;
• Inflammatory and infectious processes in the urogenital system;
• Autoimmune disease;
• STDs - gonorrhea, herpes, chlamydia, HIV and so on;
• Bleeding disorders;
• Anticoagulation;
• Pathology pustular manifestations in the groin area.

Comparison with similar procedures

There are non-surgical methods for changing the shape and eliminate defects organ, e.g., injection. But these kinds of manipulations do not usually carry a positive long-term effect, and therefore can be used as a "test" analogue phallus sculpture.

If we talk about the creation of the neo-phallus, there is simply no unique procedure, as this unique operation will take you back to the man's sexual organ, creating it from scratch. In this case, usually without plastics is difficult to manage.

conduct

Conduct requires serious preparation for surgery. Transsexuals will have its own list of preparation for surgery, as in this case, you need a long period of cooperation with relevant experts and hormone therapy.

Necessary tests and activities

In the case of ordinary men will be enough to pass a number of specialists such as sexologist, andrologist, urologist, plastic surgeon, as well as pass a number of tests before admission for surgery in the absence of contraindications It is given to the patient:

Shortly before the operation is carried out consultation with the anesthesiologist. Doctor to report the presence of allergies to drugs, foods, or chemistry, as well as taking medication of any type - from anticoagulation and to vitamins.

Produced quitting smoking and medications except those that are essential. It is also necessary to conduct a sparing diet for a few months before and after surgery.

Abstinence from alcohol for a month before the event is mandatory - it increases the risk of bleeding and other complications.

Before the surgery, shaved hair in the pubic area, and 8 hours is necessary to refuse from food and drink.

In this video, such issues as the operation of its conduct and for the new urethral tube:

Algorithm

In each case the process will be different depending on the objectives pursued.

• When increasing the plastic manufactured through the penis enlargement dissection followed by displacement ligament responsible for maintaining the penis. Visually, it helps to increase the length of a few centimeters. Also, this procedure may be effected using a silicone for imparting thickness.
• Prosthesis carried out in several steps starting from creation of the clipped skin flap neo-phallus and ending implantation of the prosthesis, which will allow for urination while standing, as well as penetrating power during sexual contact.

The possibility of combining with other types of plastics

Correction can be combined with plastic injection method using a cocktail of hyaluronic acid or lipofilinga when implanted subcutaneously own fat.

In the case of transsexuals may also require removal of the breast with subsequent correction, deletion female genital organs and liposuction with implantation of silicone inserts in the required fields to create a male silhouette.

Rehabilitation

Rehabilitation will depend on the type and complexity of plastic surgery. When a simple correction is usually tissue healing takes place quickly and without complications, but when you create a new penis and other parts of the male sexual organ without any side effects and problems on the part of health usually do not succeed. The rehabilitation period is required:

• Hospitalization with medical supervision in a hospital;
• Receiving a certain spectrum of drugs;
• Decrease in physical activities or reduce them to a minimum in the postoperative period;
• Refusal of sexual relations until they are healed;
• Regular visits to the doctor after discharge;
• Avoiding alcohol, smoking after surgery;
• Failure at the time of the pools, saunas, solariums and other similar events.

Possible complications

Complications may occur in the form of:

• Suppuration tissues;
• scarring;
• Erectile dysfunction, and the sensitivity of the penis;
• bleeding;
• Rejection of the implant;
• Deformation of the penis.

Reviews of this procedure

Men are not so often turn to such a procedure. But with the right approach to the selection of clinics and specialist reviews such operation received generally positive. As a rule, complications are not common, and the results themselves more than pleased patients.

In the case of transgender passage phalloplasty largely depended on the psycho-emotional state of a person. Some subsequently regretted sex change, which led to a number of complications.

If we talk about the positive response, after transitioning men received satisfaction with their appearance and condition, but in most cases, rehabilitation took place very hard and long.

average prices

The cost varies depending on what kind of procedure will be carried out. Phalloplasty carried out in private clinics of plastic surgery. Price is about 4 thousands simple correction and 45-150 thousand for more complex operations. Held in Switzerland, Israel, Russia, Thailand. The cost will depend on the institution and the country.

About his experience of such an operation in this video tells the young man:

A source: http://gidmed.com/plasticheskaya-hirurgiya/vidy/esteticheskaya/intimnaya/falloplastika.html

Phalloplasty photos before and after the men reviews

Many men are dissatisfied with their penis size, have resorted to the help of doctors. This operation has already ceased to be exotic, it is increasingly carried out in urban clinics of aesthetic surgery.

Phalloplasty can be used as an operation helps men gain confidence, it can help restore the penis after the injury, eliminate congenital anomalies.

Why do I need surgery?

Let's try to understand phalloplasty - what is it? So called operation used in andrology, for correction of the penis. It is total or partial.

Doctors can change individual function member or recreate it in its entirety, using skin grafts. Purpose of any type of intervention:

• phallus restoration functionality;
• imparting an aesthetically attractive shape;
• removal of defects after diseases, developmental abnormalities, trauma.

The choice of technique depends on the intervention of indications for which it is held. Thanks to the development of plastic surgery techniques now have the opportunity to create on the basis of the penis male neo-phallus, which is not only more, but also fully functional.

This shows the plastic?

The main indications for surgery:

• violation of sexual life due to dissatisfaction with the dimensions;
• the presence of developmental abnormalities - ectopia, hypospadias, epispadias;
• posttraumatic recovery;
• strain became consequence diseases;
• removal of a member of the medical condition;
• excision in oncology;
• dysfunction;
• difficulty urinating;
• change gender.

Depending on indications, doctors selects technique - which may be of plastic or total restoration of the penis, a change in its shape or size.

Doctors may suggest a patient who wants only to increase the term first try non-surgical techniques - injection.

This decision was due to the fact that the surgical changes shape have contraindications, and recovery time is very difficult.

Contraindications

Before the appointment date of the intervention the surgeon collects the patient's medical history. In the intervention will be refused if:

• failure operation of the main organosistem;
• sexually transmitted diseases;
• somatic pathologies with difficult passage;
• diabetes, endocrine disorders;
• psychiatric disorders, epilepsy;
• inflammation, infections of the genitourinary system;
• bleeding disorders;
• autoimmune pathologies;
• purulent rashes in the groin.

If the disease that caused the failure is curable, then the man should undergo therapy. Only after it you can start preparing for the operation.

Combination with other types of plastics

If you have planned several activities for reconstructive change in body aesthetics, you need to know what kinds of interventions are not contraindicated for phalloplasty:

• injections of hyaluronic acid with it and lipofilinga cocktails;
• plastic chest trans (correction / deletion);
• removing the female genitalia;
• liposuction;
• silicone implantation.

The larger the amount of improvement you will spend in a short period of time, the more difficult it will be the process of rehabilitation. Increasing the number of chances of complications after plastic.

complications

Often the negative reaction to the intervention manifests itself in the form of:

• suppuration tissues;
• deformation;
• tissue scarring;
• reduce the penis sensitivity, lack of erection;
• rejection imposed implants;
• bleeding.

To reduce side reactions can be using careful inspection before intervention. It is important to carefully look after prizhivlyaemymi tissues throughout the rehabilitation period. Timely exposure technique also reduces the risk.

Kinds

Doctors carry out several types of phalloplasty

1. Full plastic - a body created from scratch. This allows you to recreate a member with a sex change, oncology or after removal because of other diseases.
2. Prosthetics - in the part of the penis is placed implant which helps to restore function.
3. Using Thoracodorsal or radial flap body is created from scratch. Usually taken from the back skin.
4. Correction to correct aesthetic defects.
5. Circumcision - circumcision. Performed for aesthetic / religious reasons.
6. Plastic head of the penis.

Doctors have developed some techniques to hold the plastic penis or its complete restoration was real. It is important to find an experienced surgeon, on account of which many successful operations on the correction member.

Preparation: tests, inspections

Before plastic member men need to get advice from the experts:

• andrologist-urologist;
• sexologist;
• plastic surgeon.

During the test, you need to get tested:

• chest X-rays;
• common tests: urine, blood;
• determining the biochemical composition of the blood;
• coagulation;
• tests for sexually transmitted diseases: HIV, syphilis, hepatitis;
• ECG:
• urethral smear for detecting inflammations or infections.

If found no contraindications, the patient is discharged on the direction of the operation, set the date. To consult with the anaesthesiologist, who must be informed about existing allergies or prieeme any medication.

In just a few months you need to stop smoking for 4 weeks from alcohol. At the preparatory stage it is necessary to adhere to a sparing diet, accept only those medicines which are necessary for health reasons. 8 hours before the procedure, shaved pubic hair, the patient must be completely refuse to eat and drink.

conduct

In phalloplasty mixed reviews. Most patients are satisfied of the treatment and silicone implants. The method used in the formation of an aesthetic body increases its thickness. The healing period is relatively small.

Option used to change the length of the penis - the offset bundles responsible for maintaining it. After this kind of intervention the man needed a relatively easy rehabilitation. The length can be increased by several centimeters.

total phalloplasty

Total re-creation often do with a sex change or recover from a serious operation. For him, it is necessary to take a flap of skin and part of the nerve.

This will create the penis, with the same features as the body without undergoing surgery. The total recovery stages, it goes like this:

1. In the back from left to select a place for taking a thoracodorsal flap. The doctor chooses the place, where the latissimus dorsi. If you select the method of radial flap, then take the skin from the forearm.
2. It takes nerve, which provide body movement.
3. According to the pattern formed penis. Its size will depend on the patient's wishes.
4. Pubic selected point for its fastening. Sutured the muscle.
5. After fixation of the phallus, doctors began working with the veins and arteries.
6. Prepared by microsurgical nerve connected to the thigh muscles.
7. Finalized suturing wounds, checking the work of the nerve and circulatory system.

If the patient is a woman who wants to change sex, then during operation the surgeon performs the movement to the head of the clitoris or penis to its base. It is necessary that after the treatment the patient was able to have an orgasm.

Total operation allows you to get the phallus, which is not distinguished from the nature of this, it is even seen in the photo. The restoration of six months out after surgery. During this time formed the head, starts the process of urination, there is rigidity.

rehabilitation period

When a simple plastic to avoid complications is possible if the body recreated anew, then without them you can not. General recommendations after completion of the operation are as follows:

• hospitalization for several days in the hospital (medical supervision required);
• refusal to attend saunas; reception of special preparations (Course made individually) for zazhivlyaemosti tissues;
• abandonment of physical exertion;
• abstaining from sex;
• regular consultation of the attending physician;
• avoiding alcohol, smoking.

In a hospital patient would be required from 10 to 14 days. Then begins rehabilitation. Expose yourself to exercise, keep the sexual life of a man can not be in 6-8 weeks. At this time the body formation. After heavy plastic doctor may increase this period.

conclusion

If considered made after phalloplasty before and after photos, we can see that this operation significantly improves the anatomy of the penis. Doctors recommend intervention in violation of the structure of the body and other similar problems.

They are opposed to the use of medicine for aesthetic purposes. Phalloplasty can spend in different clinics around the world, the price of it will depend on the volume of the operations from 4 to 150 thousand rubles.

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A source: https://AnnaHelp.ru/uvelichenie-chlena/falloplastika.html

Phalloplasty men: evidence, preparation and carrying out steps

In life the stronger sex sometimes there are situations when you need to restore the functionality of the penis or even create it from scratch. This helps phalloplasty. The operation is more difficult and can cause serious health consequences.

What?

Phalloplasty helps to restore the functionality of the penis or even create it from scratch

Phalloplasty is surgery, which is reduced when the shape of the penis and its functionality or create from scratch penis. Surgery is performed in different ways, the particular method chosen physician individually.

There are several types of phalloplasty:

1. Total. In this case, the penis is created from scratch. This need appears after injuries, certain pathologies that lead to amputation of the penis, as well as transsexualism.
2. With the prosthesis. Make installation of the prosthesis in the body of the penis that helps in improving the functioning of the body.
3. Using Thoracodorsal or radial flap. When such an operation to restore the fabric member taken from any area of ​​the body man.
4. Correction of aesthetic defects.
5. Plastic surgery glans.

There is also a phalloplasty include circumcision, which removes the foreskin. Most often, this method is assigned for religious reasons or medical reasons.

Phalloplasty price is quite high. It varies depending on what kind of operation you need to perform and in what clinic it is carried out. The cost varies between 80-250 thousand.

Indications and contraindications for surgery

Fallopastika appoints doctor after a thorough examination

Phalloplasty is used in the presence of specific indications. These include the following:

• Dissatisfaction with penis size.
• Congenital malformations of the penis development.
• Trauma and organ damage.
• Severe deformation member which has arisen as a result of the transfer of diseases.
• Amputation of the penis for medical reasons.
• Transsexualism.
• Erectile dysfunction, urinary process.

There have surgery and a number of contraindications for. These include the following:

1. Serious illness in the body which involve dangerous disorders of the internal organs.
2. Diabetes, severe systemic disease.
3. Somatic disorders.
4. Violation of mental status.
5. Pathology of inflammatory and infectious nature in the urinary organs.
6. Autoimmune diseases.
7. Disease, sexually transmitted diseases.
8. Deterioration of blood clotting.
9. Anticoagulation.
10. Purulent processes in the groin area.

Attention! Fallopastika appointed doctor only after a thorough examination. Intervention with contraindications could result in adverse consequences.

Preparation for surgery

Before embarking on a phalloplasty, men need training. First, the patient visited several specialists for consultation: sexologist, urologist, surgeon. Plastic surgeon examines a man defines intervention tactics, the date of treatment and further rehabilitation period.

In addition to the consultations required to pass a complex of diagnostic measures, to assess the overall condition of the body, to identify contraindications to surgery, problems in the genitourinary system. The list of survey techniques include:

1. Laboratory examination of the blood.
2. Analysis of the presence of sexually transmitted diseases.
3. Smear from the urethra.
4. Fluorography.
5. Electrocardiogram.

Surgery is performed only on an empty stomach. Before the procedure need to take a bath or go to the shower.

stages phalloplasty

Thanks to carrying out the operation in two stages avoids serious complications

Phalloplasty is a laborious operation, which is performed in two stages. In the first stage of a cavernous body in the place where they should be in a normal state. If the penis create from scratch, use a flap that is extracted from any area of ​​the body.

When transplanting flap doctor is very important pertain suitable flap, to ensure its sensitivity. Otherwise, the man can not lead a rich sex life.

In the second stage member is attached to the periosteum. Also at this stage of the operation vascular anastomoses connect to prevent death of body tissue and simulated urethra.

Thanks to carrying out the operation in two stages avoids the serious complications of skin erosion, infection control, causing inflammation and rejection of the implant.

Phalloplasty using thoracodorsal flap

Surgical intervention is different in that the flap to correct the defect taking sides back. At the location of the wide dorsal muscle markings do to help perform tissue sampling. The doctor then provides innervation by the inclusion of the pedicle thoracodorsal nerve.

From the resulting flap is formed penis and place the fence crosslinked tissue. The plot is joining the new body is prepared, and then fix the muscle tissue neofallossa. After that, the doctors can only provide circulation and sensitivity in the body. For rehabilitation after such an operation takes a long time - about 6 months.

Phalloplasty using the radial flap

After phalloplasty need rehabilitation

With this type of flap phalloplasty not taken from the back, and on the forearm. The intervention is carried out more quickly, since the use of radiation fabric allows you to create just penis and urethra. The flap is made up of two parts of the skin that leads to the urethra. The upper zone is converted into a tissue of the penis head.

The new body is fixed in its location by sewing muscles. Available neouretroy urethra is connected to, bonded nerves to ensure sensitivity and receptacles for full blood flow. To eliminate the defect in the donor tissue sampling site, autodermu used. Its fence is made from the femur of the man's body.

Patients positive about this type of surgery. It is important that the doctor was a highly skilled and chalk experience in carrying out such operations. After phalloplasty need rehabilitation, which allows the penis to give an aesthetically attractive appearance.

possible complications

Phalloplasty can cause some complications, which become a serious problem for men's health. Behavior surgery can cause the following consequences:

• Narrowing urinary canal.
• Occurrence fistula, located between the urethra and penis.
• Graft rejection by the immune system.
• Loss of sensitivity of the penis.
• Development of pathology of infectious and inflammatory nature.
• Problems with erectile function.

Reduce the likelihood of complications after phalloplasty helps advanced equipment, the use of antibiotics for the prevention of infection. Also plays an important rehabilitation period, during which the patient must strictly comply with all the requirements of a doctor.

The postoperative period

After treatment, the man has every chance to lead a full and eventful sex life

The rehabilitation period is divided into two stages. The first is to restore the body to a hospital, and the second - at home. During this time, the person should completely get used to their new or revised penis.

The hospital usually spend only 1.5 weeks. During this period is prohibited physically loaded, emptying the bladder is possible only through a special catheter. After discharge from the hospital such prescriptions men perform in the future. Intimacy allowed 1.5 months. Otherwise, the patient runs the risk of serious complications earn.

Phalloplasty - operation, helping to fully restore the shape of the penis, and even recreate it. After treatment, the man has every chance to lead a full and eventful sex life, as well as to prevent voiding process.

A source: https://potenciya.guru/obshhaya-informatsiya/falloplastika/

phalloplasty

Called phalloplasty surgery, which is carried out in order to correct the penis. Such surgery may be complete when surgeons form new penis, or partial, whereby correct some organ defects.

Note that the plastic manhood sometimes the only effective way to save sex life the stronger sex. How to carry out this surgery? How heavy is the recovery period? Indications and contraindications for phalloplasty.

All this and much more can be found in today's article.

To show phalloplasty?

Such surgery is performed at different abnormalities of the penis, and in the case of malignant tumors, traumatic body injuries. Cases where phalloplasty performed to increase the length and volume of the penis, and in the case of artificial floor shift.

The purpose of this operation is as follows: normalization of urination and the restoration of full sexual life of the man. During surgery the skin autotransplantanty used, which is taken from various areas of the human body. The greatest difficulty is, this operation in terms of formation of the new urethra.

stages phalloplasty

Note that this is quite a complex operation, for which you need several surgical team. In the first stage, doctors moved the cavernous body in the place where they should be fine. Existing skin defect cover flap from the scrotum or from the lateral part of the back.

At this stage it is important to connect the selected skin tissue with a component nerve to the vascular pedicle, which is responsible for the power of the flap. In the following it is formed from a tube of defined dimensions, which will mimic the shape of the penis. After fixation, the surgeon holds formed penis to the periosteum, and the compound of vascular anastomoses.

This makes it possible to prevent the development of necrosis of the newly formed body.

At the second stage, the correction of defects, as well as modeling of the urethra opening. Sometimes, in this stage of the implanted prostheses special, creating the impression of an erection. By such an operation start 6 weeks after the first stage phalloplasty.

As for complications, the narrowing of the urethra may occur in recovery period due formed scarring and fistulas in the art.

In rare cases we observed conditions such as transplant rejection, various infectious processes, erectile dysfunction, decrease in size of the penis.

However, the use of modern techniques, antibiotics, and compliance with the rules of the postoperative period to minimize the risk of certain complications.

Recovery after surgery

To conduct phalloplasty man has to go to the hospital for two weeks. At this time, it not allowed to physically load himself but to walk on the "small" is possible only through a permanent urinary catheter.

After surgery, these recommendations should be carried out for another two weeks. Sexual activity can be resumed only after 1.5 months after phalloplasty, when the male sexual organ is fully formed. If the operation is carried out with the purpose of sex change, then six months later the patient is recommended to make a second phalloplasty for the correction of the penis head.

Thus, the subject surgery allows you to fully restore the damaged penis anatomy or shape it.

Finally share an interesting fact: the first phalloplasty method applied in practice NA surgeon Bogoras in 1936. He was able to fully restore the male sexual organ through transplant rib cartilage, as well as applying the skin Filatov stem. The operation was successful, so for the next two years the surgeon has spent 16 phalloplasty with good results.

A source: https://menportal.info/story/falloplastika