Medical services

Reich's operation

Some men are dissatisfied with the size of their sexual organ. To eliminate psychological complexes and increase self-esteem, operations aimed at increasing penis size are performed. Most often it is a matter of thickening the penis by injecting petroleum jelly or special gels under the skin, less often plastic or metal balls. The advantages of such an operation - the genital organ becomes noticeably thicker and the erectile function does not suffer.

But there is a fairly high probability of complications. The most common adverse reaction from penis enlargement surgery is oleogranuloma. This is a benign neoplasm on the body of the penis, which develops as a result of the introduction of foreign bodies under the skin. A benign tumor should be promptly removed, otherwise there is a risk of its rapid spread to neighboring organs. But the greatest risk lies in the fact that without timely treatment, oleogranuloma may degenerate into a malignant tumor.

There are three stages of the tumor: 1 - the tumor cells begin to grow around the site of injection of vaseline or gel, the total area of ​​the lesion - no more than 1/3 of the entire area of ​​the penis. 2 - the tumor spread almost throughout the organ. 3 - the infection spread not only throughout the penis, but also struck the neighboring organs - the scrotum, pubic area, perineum.

Symptoms of oleogranuloma development

The first symptoms of a subcutaneous infection may occur as early as 10 days after the injection. If a man was introduced to a truly sterile substance in compliance with all sanitary standards, the first warning signs may appear in 5-7 years. If the onset of the development of the infection is not detected in a timely manner, serious consequences can occur - the dying off of the skin cells of the penis, the appearance of ulcers and fistulas, a decrease in the elasticity of the skin and even gangrene.

The danger lies in the fact that at the first stage of oleogranuloma the man practically does not feel pain, external signs of the disease are also absent. At the last stage of the disease, complete impotence occurs. In this case, radical therapy is required, the removal of the penis is not excluded.

Diagnostic features

Examination by an andrologist or urologist reveals a benign tumor at the first treatment. First, the specialist interviews the patient, fixes all his complaints and establishes the fact of the introduction of a certain chemical substance under the skin. This is followed by an external examination of the penis and palpation, during which you can identify all the thickening, deformity, the presence of scars and other pathologies.

To make an accurate diagnosis, it is necessary to assess the state of the cavernous tissues of the genital organ - for their study, the patient is given a referral to an ultrasound.

Additionally, be sure to check the man for the presence of sexually transmitted infections. In the presence of a visible tumor and the patient’s denial of the introduction of foreign bodies under the skin, a biopsy is indicated.

Features of therapy

When a patient complains of pain in the groin area and makes a diagnosis of oleogranuloma, first a medical treatment is carried out aimed at relieving the acute stage of inflammation. This is followed by surgery - removal of a foreign body and the affected areas of the skin of the penis. If the disease is diagnosed in the first stage, the operation occurs in one stage. Then follows a rather short recovery period, and the patient returns to a normal rhythm of life. In most cases, the erectile function is preserved.

If the infection has affected almost the entire area of ​​the penis, Reich's surgery is required - a multi-stage surgical intervention that is performed by a specialist in the field of genital surgery, a urologist or an andrologist.

The preparation of a man for the surgery of the genital organ does not differ much from the measures taken in preparing the patient for other types of surgery under general anesthesia. The patient must pass a general urine and blood test, a detailed blood test for infections, and an ultrasound scan. In the presence of chronic ailments, additional examinations may be needed - ECG, ultrasound of the internal organs and the like.

Before the operation, sanitization of the groin area with mandatory hair removal is shown. If a patient is admitted to a medical facility in serious condition with signs of tissue necrosis or gangrene development, the preparatory measures are reduced to the established minimum.

In this case, there is a direct threat to life and emergency surgery is required. Immediately before transferring to the operating room, the man is dressed in sterile clothing, leaving his lower body completely naked.

Technique of operation Reich

At the time of the Reich operation, the patient is under general anesthesia. At the first stage, the specialist makes several incisions in the skin of the penis and removes granulomatous infiltrates. The complexity of the procedure is the need to leave intact blood vessels and nerve branches. After removal of all skin areas prone to infection, the genital organ is immersed in a tunnel artificially created by the surgeon in the scrotum.

The first stage of surgical treatment is over. This is followed by a rather lengthy rehabilitation - it takes at least 6 weeks to recover. The goal of the second phase of Reich's operation is to separate the penis from the scrotum and restore the integrity of the skin. When conducting plastics, the skin of the scrotum is predominantly used, but if it is not enough, the skin grafts are removed from other parts of the patient's body - the back, forearms, buttocks.

In the case when the infection struck not only the skin, but also the cavernous body, it is possible to restore erectile function only by installing an implant. Genital gangrene is a direct indication for its complete removal. In this case, after the required rehabilitation period, prosthetics are performed.

Features of the postoperative period

During the recovery period, the patient will experience pain and discomfort. There is a risk of poor engraftment of the transplanted tissue and the development of a wound infection. In addition, almost always such an operation is a complex psychological trauma for a man, and without the right psychotherapy, the development of a severe stage of depression is possible.

Despite all the difficulties of the postoperative period, most patients still manage to achieve full recovery of the morphological functions of the penis. Due to the fact that cosmetic skin is used for skin grafts, the scars are almost invisible.

Every man who wants to increase the size of the penis should be aware of the serious consequences of the introduction of foreign bodies under the skin. Modern medicine offers many ways to solve this problem, so you should always contact only graduates.