The inability to achieve and maintain an erection sufficient for sexual activity is the defining mark of erectile dysfunction. Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Sometimes a combination of physical and psychological issues causes erectile dysfunction.
Treatment of Male Erectile Dysfunction
1. Penile Lengthening Surgery
The most common technique to lengthen the penis is to cut its suspensory ligament and then perform plastic surgery to provide additional skin to cover its new length.
Penis lengthening surgery increases the non-erect length of the penis and, to a lesser extent. About ½ of the penis is located inside the body and is attached to the pubic bone by the suspensory ligament.
The surgery is done under general anaesthetic. Release of the internal part of your penis is done by dividing a ligament holding it in place. This cause the penis to curve along the pubic bone and its release allows the penis to be brought outward in a straighter path thereby increasing the external length of the penis.
No incision is made on the penis itself. With the combination of surgery and post-operative stretching, gains of up to 2.5 inches in length have been achieved but varies from person to person. It’s not possible to know how much actual length one will gain after the surgery. The gain varies on various factors and the amount of post-operative stretching performed. In some cases, cosmetic procedures are used to reduce the pubic fat pad with liposuction.
2. Girth Enlargement
Increasing penile girth (thickness): Penile Girth Enhancement done as a day care surgery under general anaesthesia. The fat is injected through one or more tiny incisions under the foreskin, just below the head of the penis
There are two techniques which are commonly used:
Fat Graft: It is done by injection of liposuctioned fat, from the abdominal wall or thighs, into the skin of the penile shaft. This is not reliable for long term basis, as the fat may dissolve.
Skin Graft: It is done by placing a layer of tissue from under the skin surface that is well supplied with blood vessels and fat from the groin or buttock area within the penile shaft. Skin grafts are more reliable when compared with fat grafts.
3.Penile Prosthesis
A penile prosthesis (implant) is another treatment option for men with erectile dysfunction. Penile implants are typically recommended after other treatments for erectile dysfunction fail. These devices are either bendable or inflatable. The placement of penile implants requires surgery. The simplest type of prosthesis consists of a pair of bendable rods surgically implanted within the erection chambers of the penis
There are two main types of penile implants:
Today most men choose a hydraulic inflatable prosthesis, which allows a man to have an erection whenever he chooses and is much easier to conceal. It is also more natural.
Associated Risks and Complications
Advantages of Laparoscopic Varicocele Surgery over other techniques include:
- Risk of infection and bleeding may occur.
- The skin has a poor blood supply and therefore dies, leaving a deep, ulcerated area.
- After fat injection, loss of girth due to fat reabsorption..
- If the implanted fat does not disappear uniformly. The penis can be left with with irregular fatty lumps all over it.
- Tissue around the implant may break down
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