What problems can arise after a penis enlargement operation?

In penile enlargement and thickening surgery, complications are very infrequent and usually minor. However, it is a delicate surgery, which is performed in a complex anatomical area in which there are numerous high capacity blood vessels and in which surgical bleeding, although infrequent, can be important.

The most frequent complication is, without a doubt, hematoma. When we perform penile enlargement and thickening surgery, we mobilize the skin to make a skin flap and provide new skin to the penis. The mobilization of the skin always involves the risk of small bruises or lamellar hematomas. The same happens when performing liposuction of the abdomen to extract the stem cells that we use for thickening, being frequent the appearance of bruised areas in the abdomen and pubis.

The treatment of hematoma, when it occurs, involves the application of ointments such as Trombocid, as well as soft massages in the area by the patient himself. Its duration depends mainly on the genetic component of the patient and the amount of fat to be removed, since liposuction is its main cause.

The second most frequent complication is the appearance of inflammation of the penis. For its prevention, the main measure is the realization by the patient of circular massages around the penis. To do so, the penis should be squeezed with both hands and the hands should be moved in a circular motion as indicated in the postoperative period. Another important element is to pull out the glans frequently, in case of difficulty due to inflammation of the foreskin, the foreskin should be stretched and squeezed between the first two fingers of the hand for five minutes with incremental force.

Complicaciones en la cirugía de alargamiento de pene

As other complications, due to their seriousness, we must highlight bleeding in the prepubic area. Although infrequent, these bleedings are usually due to the arteries located inside the suspensory ligament of the penis. The main difficulty with these arteries is that they originate below the bone behind the penis. This means that they can retract towards the posterior part of the bone in such a way that access to them can be complex in this delicate anatomical area, even requiring widening access to the area to find the causative artery and treat it, sometimes requiring blood transfusion.

Although infrequently and usually due to internal hematomas, difficulties in urination may occur due to pressure on the urethra of these hematomas, which may require catheterization to empty the bladder for a few minutes or for a few hours or days while the overpressure is resolved. In severe cases, catheterization through the abdomen may be required if penile catheterization is not allowed.

Lateralization of the penis in erection is very rare, but can occur. This is especially during the first months and secondary to inflation and fibrosis. For its prevention and treatment, daily traction of the penis is recommended. This is done by following the postoperative instructions given, tractioning the glans with two fingers for five minutes several times a day for the first month.

Another complication that can occur in penile enlargement and thickening surgery is the appearance of nodules or bulging regions in the penis. This is generally due to the inflammation of the deep structures when the stem cells are placed. To avoid its definitive appearance, we do not infiltrate fat directly and we do it deeply between the fascial planes of the penis, so its persistence is very infrequent. For its prevention and reduction it is important the correct circular massage of the penis after surgery.

As other complications, although they are testimonial, suture dehiscence, stitch intolerance, surgical wound infection, wound opening, etc., may occur.

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