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Maximizing Size with Penile Implants
It's very hard to gauge the size of your own penis -- looking down, you've got a bad angle. Psychology plays a role, too. Some average-sized guys become obsessed with the idea that they're too small. There's even a psychiatric diagnosis: It's similar to the perceptual distortion of anorexics who think they're fat no matter how thin they get.
According to one study, the majority of men who get penis enlargement surgery have this condition. They're also the least satisfied with the results. Losing weight will reveal more of that hidden shaft that's buried beneath belly fat. It doesn't actually increase your size, but it will look that way. For guys who would rather have a surgical procedure than eat less, liposuction of the fat pad around the penis can work. Still, the effects aren't permanent -- if you don't change your eating habits, your penis will once again sink into your belly, like a pier at high tide.
The American Urologic Association states that these procedures have not been shown to be safe or effective for increasing the thickness or length of the penis in an adult. One newer -- and possibly lower-risk -- procedure may work for certain men. In some cases, the scrotum attaches high up on the shaft of the penis. Partially disconnecting the scrotum can reveal more of the shaft, making the penis look longer.
The surgery takes 20 minutes and can be done on an outpatient basis, O'Leary says. Before you take out a penile improvement loan and unbuckle your pants, consider the risks of lengthening or widening surgery. There are no well-studied approaches. No major medical organization approves of these surgeries. Some guys opt to travel to other countries for treatments that aren't approved in the U. If that thought has crossed your mind, slow down -- it's time to have a frank talk with your doctor about the risks you'd be taking.
The side effects of lengthening surgeries are numerous and include infections, nerve damage , reduced sensitivity, and difficulty getting an erection. Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial.
Side effects can be unsightly -- a lumpy, bumpy, uneven penis. The few studies that have been done aren't encouraging. Half went on to get more surgery. Transplants can also have a psychological impact, especially with an organ as intimate as the penis. In , a Chinese man was the first to receive a donor penis ; two weeks after the hour operation, surgeons removed the transplanted organ on the request of both the patient and his partner.
Peruvian-born Atala, a urological surgeon and professor of regenerative medicine, heads a strong team at the institute. As we live longer and thus our organs fail more the shortage of organs for donation will only get worse. In , Atala and his team announced the first successful bioengineered organ transplant , a bladder, which had been implanted into seven patients in Earlier this year he announced the successful follow-up of four women given bioengineered vaginas in Despite these successes, he says, the penis is proving trickier.
Organs increase in architectural complexity as they go from flat structures such as skin, cylindrical structures such as the vagina, to hollow non-tubular organs such as the bladder. As a solid organ, the penis tops this list in both density of cells and structural complexity. It consists of a spongy erectile tissue unique to it.
During an erection, signals from the nerves trigger blood vessels to dilate, filling this spongy tissue with blood and causing the penis to lengthen and stiffen.
We had no idea how to make this structure, let alone make it so it would perform like the natural organ. Using a technique pioneered for biological skin dressings, he would take a donor penis and soak it in a mild detergent of enzymes for a couple of weeks to wash away the donor cells. Then you replace the tenants with new ones.
Smooth muscle cells, which relax during an erection to allow the vessels to dilate and the penis to fill with blood, are first, followed by endothelial cells which line the interior surface of blood and lymphatic vessels.
When ready, the bioengineered penis is ready to be transplanted to the recipient. So why, six years on from successfully engineering a penis for rabbits, have they not yet done the same for humans? Atala explains that, as is often the case with these things, scaling up is proving difficult. Atala has engineered half a dozen human penises.
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