Imibiko yokuhlola, izifundo kanye nolwazi lodokotela abane-PeniMaster PRO
Umbiko wezokwelapha uProf. Gottfried Lemperle mayelana ne-PeniMaster ® PRO
- Ukusebenzisa i- penis expander ngaphambi nangemuva kokuhlinzwa kwepipi kuyasiza.
- uma kuba nezinkinga, kulungiselelwa ukufakelwa ipipi, uma ujova isigcwalisi se-PMMA ukuze ujiye umthondo
- azikho ezinye izindlela kune-expander
- I-expander kufanele ihlangabezane nemibandela ethile yokuklama ukuze ikhululeke futhi ibe yinde ngokwanele ukuze igqokwe futhi isetshenziswe ngemva kokuhlinzwa
- Igumbi le-vacuum le-expander kufanele libe nokwakheka kwe-anatomically ukuvumela ukunethezeka okuphezulu kanye nezikhathi eziphezulu zokusebenzisa.
Ukusetshenziswa kwe- PeniMaster PRO ekwandiseni nasekukhuliseni imisebenzi yepipi
Ngesikhathi sami njengodokotela ohlinzayo wepulasitiki esibhedlela i-Markus eFrankfurt kusukela ngo-1971 kuya ku-1994, sakha isikhungo se-transgender esinokwakhiwa kwepipi ezigulini ezishintsha ubulili. Phakathi nesikhathi sami esalandela eNyuvesi yaseCalifornia eSan Diego, ngezwa ngezinkinga zokukhulisa umthondo kusetshenziswa i-tubular silicone implant (Elist Penile Implant) eLos Angeles, noma imijovo ngaphansi kwesikhumba somthondo ngomjovo wokunqanda umbimbi waseBrazil. i-ejenti (Metacrill) ngoDkt. Izidumbu eTijuana, zibhekane.
Esimeni sezinkinga ikakhulukazi, ngibheka ukusetshenziswa kwesandisi somthondo , okungukuthi idivayisi yangaphandle lapho induku yeluliwe isikhathi eside, ibe usizo ukuze kuthuthukiswe noma ekugcineni kuvikelwe umphumela wokuhlinza. . Isibonelo, ukwelula ipipi amahora amaningana ngosuku izinyanga ezimbalwa kubangela ukuphumula okuphawulekayo kwezicubu. Ngenxa yalokho, umthondo usebudeni bawo bemvelo obuningi ngesikhathi sokuhlinzwa, okusho ukuthi ukufakelwa okukhulu kwe-silicone okunokwenzeka kungasetshenziswa. Ngokuvamile lokhu kuyisifiso sesiguli.
Imiphumela ezigulini ezingama-400 ezivela kuDkt. Kodwa-ke, u-Elist wabuye wabonisa (bheka isethulo sami esithi “Ukukhulisa umthondo ngokufakwa kwe-silicone ye-Elist noma isigcwalisi se-PMMA esihlala njalo”) ukuthi u-3.4% wamacala abangele ukuvuvukala okuncane ngenxa yokufakelwa kwe-silicone okuthi u-2% wamadoda kwadingeka abe ukufakelwa kukhishwe okungenani amasonto amathathu. Ngalesi sikhathi, ipipi liyancipha kakhulu ngenxa yokusabela kokuphola kwesilonda kanye nokuncipha kwe-capsule futhi kunzima ukunwebeka futhi ngokufakelwa kosayizi ofanayo ngesikhathi sokulungiswa. Ukugqoka i-expander ngalesi sikhathi kuvimbela kakhulu ukuhlehla kwenduku futhi kuvumela umphumela wesibili ocishe ube muhle.
Ngokunjalo, ngemva kokujova isigcwalisi se-PMMA, isinwebezi sivimbela amaqhubu angafuneki kanye nokugudluzwa ngokufaka okuningi ngangokunokwenzeka endaweni enwetshiwe kuze kube yilapho izimila ezincane zigxilile ngokuqinile ku-shaft. Ngokuhambisana nemithi yokuvimbela ukuqhanyelwa ebusuku (clonazepam 1 mg noma i-Proscar 5 mg kusihlwa), i-expander igcina ubude bomthondo esimweni esinwetshiwe futhi iphikisana nale nkinga.
Azikho ezinye izindlela zokusebenzisa i-penis expander ezindaweni zokusebenzisa ezichazwe. Kodwa-ke, ukuze ulungele ukunakekelwa kokuhlinzwa ngaphambi nangemva kokuhlinzwa, kufanele kukhululeke kakhulu ukugqoka ukuze kusetshenziswe isikhathi eside ngokwanele. Izinweba ezidonsa umthondo zisebenzisa izinduku, isistimu yebhande noma izisindo zivame ukumiswa ngeluphu yerabha ngemuva kwe-glans. Umthondo ungakhanywa kabuhlungu futhi igazi lingavinjelwa. Kokubili kudinga ukususwa kwe-expander enjalo ngemva kwesikhathi esifushane sokwelashwa.
Ngemva kokufakwa kwe-silicone ye-Elist efakwe epipini, i-expander ene-loop fixation ayikwazi ukunamathiselwa ngenxa yokuqina kwayo ngaphansi kwe-glans. I-expander okwamanje esisebenzisa i-glans kuphela ukudlulisa amandla okudonsa epipini inensimbi yokuvala efana nekhondomu njengesistimu yokuxhumana esikhundleni seluphu.
Ukuze ube nengcindezi encane engalungile ngangokunokwenzeka esikhumbeni esizwelayo se-glans penis esinezinsimbi ze-glans ezinjalo, ikhondomu ye-glans ekhethekile kufanele iguqulelwe esimweni se- anatomical ye-glans penis ukuze kuzuzwe ukulungiswa okuthambile ngokomzimba, okungeyona into enhle. ngaphandle kokwelula kakhulu noma ukukhubazeka kwe-glans. Ngoba ubuhlungu lapho ugqoke noma imiphumela emibi efana namabhamuza ku-glans iholela ekumisweni kwesikhashana kokwelashwa okunwebekayo.
Hanswjacob , CC BY-SA 4.0 , via Wikimedia Commons
I-Curriculum Vitae UProf. UGottfried Lemperle
UProf. U-Gottfried Lemperle waziwa emhlabeni wonke njengengcweti emkhakheni wokuhlinzwa kwepulasitiki futhi wenze igalelo elibalulekile kwezokwelapha. UProf. Lemperle useshicilele izincwadi zesayensi ezingaphezu kuka-250 futhi ungumbhali ohlanganyela nenqwaba yezincwadi zezokwelapha. Uphinde abe ngumhleli wenqwaba yezincwadi ezikhuluma ngepulasitiki nokuhlinzwa kobuhle. Ngaphezu kwalokho, uProf. Lemperle usebambe izinkulumo zesayensi ezingaphezu kuka-600 futhi waqondisa amafilimu amaningi esayensi mayelana nezindlela ezintsha zokuhlinza ekuhlinzeni ngepulasitiki. Iminyaka engaphezu kwengu-20 enguprofesa eNyuvesi yaseFrankfurt. Kusukela ngo-1998 ube nguprofesa wezempilo ohlonishwayo eNyuvesi yaseCalifornia eSan Diego.
Ngempumelelo yakhe emangalisayo emkhakheni wokuhlinzwa kwepulasitiki, uProf. Lemperle waklonyeliswa ngendondo ye-Dieffenbach yi-German Society of Plastic, Reconstructive and Aesthetic Surgeons ngo-2010.
Phakathi nemisebenzi yakhe yokufundisa eNyuvesi yaseFrankfurt, ngesikhathi esifanayo njengodokotela omkhulu futhi kamuva njengenhloko yomnyango wokuhlinzwa kwepulasitiki esibhedlela saseSt. Markus, uProf Lemperle waba nesandla kulo lonke uhla lwamasu okuhlinza kulo mkhakha. Amasu akhe amasha ahlanganisa amasu okwakha kabusha ibele kanye nokulungiswa kokukhubazeka kobuso njenge-cleft palate, phakathi kwezinye izinto ezintsha zokuhlinzwa kwepulasitiki. Ngenxa yalokhu wavotelwa omunye wochwepheshe best for plastic surgery eJalimane.
Ngo-1979, uProf. Lemperle wasungula inhlangano engenzi nzuzo i- Interplast Germany e. V ., owenza ukuhlinza kwamahhala kokulungisa ezigulini ezikhethiwe ezinokukhubazeka ngokomzimba emazweni asathuthuka. Kusukela ngaleso sikhathi, uDkt. U-Lemperle ngokwakhe wahola imisebenzi engaphezu kuka-30 ye-Interplast emazweni amaningana e-Asia nase-Afrika. Uyilungu elihloniphekile lenhlangano futhi uyaqhubeka nokwenza umsebenzi wakhe ngokuzithandela.
Ngo-1997, uProf. Lemperle waklonyeliswa nge-Federal Cross of Merit, i-1st Class.
UProf. Lemperle ubuye abambe iqhaza emkhakheni we-aesthetic biotechnology esikhundleni sakhe njengeSikhulu Esiphezulu Sezokwelapha se-AscentX Medical, Inc. kanye Nomeluleki Omkhulu Wezokwelapha we-Hafod Bioscience BV. Futhi uyilungu elihloniphekile le-Chinese Plastic Aesthetic Surgery Research Board.
uDkt U-Lemperle uhlala nonkosikazi wakhe e-Frankfurt am Main/Germany.
U-Prof. Gottfired Lemperle ku-PeniMaster PRO
- I-PeniMaster PRO kuphela ehlangabezana nezimfuneko zikaProf. Lemperle zokwandisa umthondo.
- Naphezu kwezindlela zokuzivikela ezakhayo emiphumeleni engemihle ebangelwa ukugcwala ngokweqile, isiguli kufanele sijwayele idivayisi isikhathi eside.
- Okugqamile ukuthi i- glans chamber ye-PeniMaster PRO yakha ifomu elilingana ne-glans futhi ayisuki ipipi ngisho nangezithukuthuku namafutha.
- UProf. Lemperle uncoma i-PeniMaster PRO njengokuphela kwenketho yokusebenzisa ngaphambi nangemuva kokuhlinzwa.
Emikhiqizweni engiyaziyo enikezwa ezingqungqutheleni noma ku-inthanethi, idivayisi eyodwa kuphela efinyelela le mibandela engenhla, i- PeniMaster PRO , ekhiqizwe yi- MSP Concept GmbH & Co. KG e-Berlin/Germany futhi inikezwa njengomkhiqizo wezokwelapha we-Class I. .
Ukulungiswa kwe-glans okumise okwe-anatomically kungasetshenziswa ngenduku noma ngebhande elingagqokwa ngezindlela ezahlukene ukuze welule ipipi. Uma uthi nhlá, isistimu yebhande ibonakala iguquguquka kakhudlwana, kodwa ukuxhumana akuwona neze okunzima ukugqoka njengoba kubonakala. Kodwa-ke, ukuxhuma kungasetshenziswa kuphela emasontweni amabili kuya kwamathathu ngemva kokwelulwa kokuhlinzwa, njengoba iringi ebambayo ingacindezela isibazi esisha esenzeka ngemva kokuba imigqa yomthondo (ijockstrap) inqanyuliwe .
Empeleni, isandisi somthondo sinenzuzo ekusebenzeni okude kangaka ukuze simelane nokufinyezwa kwepipi ngenxa yesibazi esibuyisela emuva. Kulesi simo, ukugqoka i-expander njengebhande lamadolo (ngokuqondile phansi) noma njengebhande lehlombe (diagonally phezulu) kunenzuzo.
I-expander yensimbi ingabangela ukuvuvukala kwejwabu uma idonselwa ku-vacuum chamber, noma amabhamuza noma imihuzuko ku-glans. Njengomthetho, izinkinga ezinjalo ziphakama lapho isiguli sisebenzisa i-vacuum enkulu ngokungadingekile noma amandla okudonsa, okuyinto uhlelo olungahlinzeka ngokuqinisekile ngaphandle kokujwayela. Lokhu kuphikisana nolwelwesi oluguquguqukayo , oluzungeza ngokuzenzakalelayo i-glans lapho lumuncwa egumbini. Noma kunjalo, isiguli kufanele sijwayele kancane kancane ukwelashwa okunwebekayo kanye namandla aphezulu okushuba esikhathini esingamaviki amabili.
Ngohlelo lwe-PeniMaster PRO, kufanele kugcizelelwe ukuthi ulwelwesi olushiwo lwe-glans penis luzishintsha ngendlela eguquguqukayo ngenkathi lugugile futhi alusuki ngenxa yomswakama (isb. umjuluko). Lokhu kukhombisa ukuthi kukhona ukulingana kwefomu futhi hhayi amandla alingana phakathi kwe-glans penis ne-glans chamber. Ngokuphambene nalokho, kuhlelwe ukwethula uwoyela we -silicone we-viscosity ophakathi phakathi kwe-membrane ne-glans penis ukuze uthole ukunethezeka okwengeziwe kanye nomphumela owengeziwe wokunamathela okunamathelayo .
Njengoba imiphumela engemihle nge-PeniMaster PRO ingagwenywa ngokuphatha ngendlela efanele ngokwemiyalo yokusetshenziswa nokuphulukisa ngokushesha lapho uthatha ikhefu, ngibheka isilinganiso sengozi nenzuzo enikezwa ngale divayisi emisha okufanele inikezwe futhi ngiyincomele ngaphambi nangemva kokuthunyelwe. -Ukusetshenziswa okusebenzayo njengokuphela kwenketho engiyaziyo okwamanje.
Ukuqinisekisa:
- U-Nabil N, u-Hosny H, u-Kadah A, u-Shamloul R. Ukuhlolwa komphumela wokuhlinzwa we-penile augmentation kanye nezinqubo zokwandisa. I-Urol Int. 2013;90:465-469
- Shirvanian V, Lemperle G, Araujo Pinto C, Elist JJ. Ukufakwa kwepipi elifushanisiwe ngemuva kokufakwa kwe-penile prosthesis kuphathwe ngokufakelwa kwe-silicone ethambile engaphansi kwesikhumba: umbiko wecala. I-Int J Impot Res 2013;10:100-104
- U-Elist, JJ, Shirvanian V, Lemperle G. Ukwelashwa ngokuhlinzwa kokukhubazeka komthondo ngenxa yokugoba kusetshenziswa i-subcutaneous soft silicone implant: Umbiko wecala. Vula i-J Urol 2014;4:91-97
- I-Casavantes L, i-Lemperle G, i-Morales P. I-Penile Girth Enhancement nge-PMMA-based soft tissue fillers. Yamukelwe Ijenali Yezokwelapha Zocansi
- I-Lemperle G, i-Elist JJ, Ukuphepha kanye Nempumelelo ye-Elist Silicone Implant for Penile Augmentation. Kuthunyelwe kuJournal of Sexual Medicine
UProf. Gottfried Lemperle Plastic Surgeon
I-Frankfurt am Main
