THE RISKS OF PENIS ENLARGEMENT

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What are the risks of penis enlargement surgery?

This is one of the most frequently asked questions by patients.. “What are the risks of penis enlargement surgery..?”, “Will I have a problem?”.. When it comes to penis enlargement surgery, these fears of our patients are natural. Therefore, it will be good to answer this question in detail.. First of all, I will give general information about the subject; then I will list the complications that may be encountered.

All the complications I will mention here are for the classic penis enlargement surgery in which the ligature is cut (I keep the perovic surgery, which is very risky, separate from this issue. I do not apply the perovic technique because it is a very risky surgery). The classic penis enlargement surgery that we perform, in which the hanging ligament is cut, is an extremely safe operation. This is because we actually do not touch the penile tissue at all during the operation. The surgery is performed completely around the penis. Extension is provided by cutting the suspensory ligament located behind (the penis tissue that is freed from the pelvis is shifted out); thickening is provided by making an injection of fat into the subcutaneous tissue. The body tissue of the penis, the periphery of the penis, the spongy tissue of the penis are not touched at all. That’s why it’s an extremely safe surgery, but is there no risk of complications at all? Of course there are. Then let me list these possible complications and tell you what we are doing against them, what measures we are taking.

FAT MELTING: The diet in our country depends on vegetable oils in general; olive oil, corn oil, sunflower oil.. For this reason, the adipose tissue taken for penis thickening becomes loose and melts somewhat over time (feeding with animal fat, especially lard, makes the adipose tissue more resistant and permanent). We can predict how long the melting will be, according to the structure of the fat, when taking the oil in surgery. If the adipose tissue is dry (like mashed potatoes), it does not melt for a very long time. The longest-term case I saw was a patient who came for a check-up 7 years after surgery, and there was no melting in the fat we injected. Adipose tissue is edematous in people who are fed vegetable oil. When we filter the oil, some of it flows away. When we inject the filtered oil, we see that some of it melts within 6 months, 1 year. 6 In these cases. after the month, we do another fat injection. This means that the second fat injection usually stays better, the effect lasts longer. Usually 2. patients will not come back soon after the injection. The number of patients who have undergone fat injection 3 times is quite limited. For example, I have been doing these surgeries since 2004, but the patient I have given fat injections to 3 times, I think, is only around 8-10 people.. You see, there is some loss of fat in patients in our country, and the remedy for this is a second fat injection after at least 6 months have passed. The second fat injection does not melt like the first time.

INFECTION: The surgical site is an area that is considered medically unclean. Therefore, it should not be surprising if there is an infection in this area, but in practice we do not see many infections. After the operation, there is a Y-shaped suture at the back and bottom of the penis. There are also a few incisions in the form of one-stitch dots, where we insert the cannula while taking oil. We cover them with dressing and discharge the patient. The patient should not open this dressing for 3 days. I have only seen infections in 2 patients so far; when they returned home after the operation, they were curious about the result and opened the dressing immediately. The reason we say do not open the dressing for 3 days is that the seams boil too much to get germs. Patient 3. in the evening of the day, they can open the dressing and take a shower. If the dressing is opened early, there may be an infection. They usually recover in a short time with antibiotics.

OPENING THE STITCHES: In this operation, an inverted Y-shaped stitch is made at the bottom of the penis (where the hanging ligament is cut). The most difficult place for this seam to heal is right in the middle, the point where the three arms meet. There may be small openings at this point. It should be considered almost natural to do this. Usually, this opened suture will heal on its own. I just recommend applying batikon once a day. It is rarely necessary to make a dressing.

INVISIBLE RING PROBLEM: This is an interesting problem that I have encountered in 4-5 patients so far. It is usually not noticed at all during the examination (I noticed this problem during the examination before the operation in only one of these patients). There is no apparent problem when the penis is soft. When you make a fat injection during the thickening operation, a knuckle forms somewhere in the penis, as if there is an invisible ring. No matter how much fat you inject, this knuckle does not improve. I think this is due to the retardation of the development of a part of the skin. It may even be a deformity due to a congenital anomaly called an “amniotic band” in medicine.. Usually, the situation improves when 6 months pass Decently and another fat injection is made.

ERECTION DIFFICULTY: When an excessive amount of fat is injected around the penis, this makes it difficult to get an erection. Sometimes the patient also has an erection problem before the operation. If excess fat is injected around the penis during surgery (70-80 cc. more than) the problem of erectile dysfunction becomes obvious in these patients. The reason for this is that the blood flowing into the spongy tissue of the penis does not have enough pressure. Excess adipose tissue injected around the penis prevents blood with low pressure from filling into the penile tissue. The safe amount is 60 cc. Is. In this surgery, 60 cc. if the border is not crossed, there will be no erection problems. However, I do not recommend people with erectile dysfunction to have this surgery. First of all, I suggest that the hardening problem be eliminated.

I want to make a note right away. As you can see, there are no complications related to the cutting of the much-feared hanging ligament!.. There are no serious complications that cannot be solved either! With this surgery, there is a fall in the penis (deterioration of erectness), loss of sensation, infertility, (the amount of fat injected is 60 cc.as long as it does not exceed yi), complications such as erectile dysfunction will not occur. Unfortunately, these are meaningless rumors spread by surgeons who have never performed this surgery once. A surgeon who performs this operation knows that such complications do not occur.

After all, let me state again that penis enlargement surgery is an extremely safe surgery. There are problems that can be experienced, but these are always problems that can be solved. We can say that it is impossible for you to have a permanent problem that will cause you loss. Are there not the complications I mentioned above? Of course, it can be; but your surgeon has the knowledge to fix these problems. Be comfortable as long as you have surgery with a specialist doctor who knows about surgery. Take your doctor’s mobile phone. If you have the slightest problem, send a photo to your doctor (for example, via whatsapp) and tell him about your problem. We will fix your problem as soon as possible.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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