RU2163094C2 - Method for making the penis thickness larger - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves making incision along the scrotum suture. Cavernous bodies and urethra are separated from skin on the hanging penis segment to the spongious body of the glans penis. Musculo-fascial microsurgical autograft on the vascular pedicle is taken. The cavernous bodies are wrapped with the autograft to the ureteral part. The autograft is revascularized using recipient area blood vessels. EFFECT: reduced surgical risk; improved functional and esthetic results. 3 dwg

Description

 The invention relates to the field of plastic surgery, in particular to a method for thickening the penis. It can be used in specialized departments of plastic and reconstructive microsurgery.

 In plastic surgery, a method for thickening the penis is known, when adipose tissue is injected into the skin of the penis (1).

However, the known method has significant disadvantages:
1. A high probability of developing infection against the background of non-revascularized material, significantly increasing with an increase in the volume of the implant.

 2. Resorption of non-revascularized tissue.

 3. The formation of the so-called "nodes", consisting of implanted tissue surrounded by a connective tissue capsule, often painful.

 The aim of the proposed method is to reduce surgical risk and improve functional and aesthetic results.

 In the method of penis thickening, including the transplantation of autotissues under the skin of the penis, the goal is achieved by making an incision along the scrotum suture, emitting cavernous bodies and the urethra from the skin over the hanging part of the penis to the spongy body of the glans penis, and then the microsurgical fascial is removed -muscular autograft on the vascular pedicle and wrap cavernous bodies around them to the urethral part, after which the flap is revascularized through the vessels of the recipient region.

 The proposed method and features that distinguish it from the known, in the medical and patent literature are not found, which allows us to conclude that its criterion of "novelty."

 The essence of the invention lies in the fact that they make an incision along the scrotum suture, emit cavernous bodies and the urethra from the skin over the hanging part of the penis to the spongy body of the glans penis, then take the microsurgical fascial-muscle autograft on the vascular pedicle and wrap cavernous bodies around it the urethral part, after which the flap is revascularized through the vessels of the recipient area. It is the use of a well-circulated flap that reduces the risk of infection, resorption and fragmentation in the form of "nodes". The use of flaps to thicken the penis with the inclusion of fascia is due to the well-known property of fascial grafts not to impede tissue displacement. At the same time, the use of a fascial-muscle flap on the vascular pedicle makes it possible to adjust the desired thickness of the flap to be taken, which is possible by using fascia with a split muscle component within the required limits - all this allows to improve functional and aesthetic results.

 Thus, the totality of all the distinguishing features allows you to achieve your goal and get a positive result.

 The implementation of the method is illustrated by drawings.

 FIG. 1. View before surgery.

 FIG. 2. Cavernous bodies are wrapped with a fascial-muscle flap to the urethral part. Vascular leg of the flap on the holder.

 FIG. 3. The result of the operation.

 The method is as follows: an incision is made along the seam of the scrotum, cavernous bodies and the urethra are secreted from the skin over the hanging part of the penis to the spongy body of the glans penis, then the microsurgical fascial-muscle autograft is taken on the vascular pedicle and the cavernous bodies are wrapped around it to the urethral part, after which the flap is revascularized through the vessels of the recipient area.

The proposed method is implemented in the department of plastic and reconstructive microsurgery of the SCC RAMS. Clinical example:
Patient Klyuchnikov VA, 48 years old, and / b N 378135. I turned to our department with complaints of insufficient thickness of the penis. December 4, 1997, the operation was performed: thickening of the penis with a revascularized fascial-muscle autograft in the form of the anterior dentate muscle with fascia, i.e. according to our method, through the incision along the scrotum suture, cavernous bodies with the urethra were selected and mobilized from the skin over the hanging part of the penis to the spongy body of the glans penis, a microsurgical fascial-muscle autograft on the vascular pedicle in the form of the anterior dentate muscle with fascia was taken, cavernous bodies up to the urethral part they are wrapped with a fascial-muscular flap, the flap is fixed with interrupted sutures from the absorbed material to the white membrane of the cavernous bodies and the suspension ligament o penis and revascularized through the lower epigastric vessels. The flap has taken root. Primary healing. Re-examination in the department after 1 month. When measuring: the diameter of the hanging part of the penis increased by 1.2 cm.

Using the proposed method of thickening of the penis allows
1. Reduce surgical risk.

 2. Improve functional and aesthetic results.

Sourse of information:
1. Trockman BA, Berman CJ, Sendelbach K., Canning JR Complication of penile injection of autologous fat. J - Urol. 1994, Feb; 151 (2): 429-430.

Claims (1)

 A method for thickening the penis, including autotissue transplantation under the skin of the penis, characterized in that an incision is made along the scrotum, secrete cavernous bodies and the urethra from the skin over the hanging part of the penis to the spongy body of the glans penis, then a microsurgical fascial-muscle autograft is taken on the vascular pedicle and cover them with cavernous bodies to the urethral part, after which the flap is revascularized through the vessels of the recipient region.

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