Recently, penis enlargement surgery has become increasingly popular. The penis enlargement effect becomes possible thanks to the outpatient procedure, which lasts no more than an hour and a half and is carried out under local anesthesia. Patients can go home immediately after surgery. He needs to consult his doctor for another month. Often, many men do not need surgery at all. Patients suffering from micropenis syndrome or penile dysmorphophobia require only psychotherapy. Men sometimes just think they have a small penis.
To overcome complicated problems, various organ enlargement drugs recommended by doctors are quite suitable. They can be purchased without problems on the Internet or in pharmacies. But there are times when members still need to be enlarged:
- medical problems (hypospadias, epispadias, cavernous fibrosis, micropenis, due to injury, Peyronie's disease);
- functional problems (the penis loses its elasticity, the subcutaneous fat layer increases, the penis is hidden or webbed).
To understand the nature of the disorder, you can look at photos in medical resources.
Penis enlargement surgery: all the pros and cons
To understand the principles of male penis enlargement surgery, you should read information about the anatomical structure of this organ. Thus, the penis is supported by the pelvic region and attached to it by special ligaments called ligaments. The goal of surgery is to change the size of these ligaments, so that you can increase the size of your penis.
It seems that this technique allows us to solve various problems that arise due to the small size of the manhood (physical and psychological). However, several risk factors for such manipulation should be considered:
- Possible injury to the patient or infection of his body during surgery.
- If the ligaments are too short, the intervention will not have the expected effect.
- A penis that is not supported by ligaments is hypermobile. In addition, stress on the ligaments leads to the fact that during an erection the penis will be directed downwards, and not forward or upward, as is usually the case.
- A specialist cannot fully predict the result of manipulation, since much depends on the patient's body and his compliance with the rules of the rehabilitation period.
Indications for ligamentotomy
Since penis enlargement surgery is a plastic procedure, there are no firm and categorical indications for its implementation. However, in some cases, genital enlargement is simply necessary, and the indications can be divided into two subgroups: medical and aesthetic.
Medical indications:
- Micropenis (the so-called hidden penis).
- Cavernous fibrosis.
- Peyronie's disease. With this pathology, deformation of the phallus is observed, a decrease in its size.
Penis structure
Aesthetic indications:
- A man's desire to increase self-esteem.
- The desire to increase one's own attractiveness.
- Penile dysmorphophobia. This condition consists of dissatisfaction with one's appearance, including the penis.
The lower limit for the size of the male reproductive organ is 12 cm (including erection). Smaller values may be considered a reason for ligamentotomy.
Type
Silently rubbing their hands, urological surgeons perform various kinds of plastic surgery on the phallus.
Circumcision of the foreskin
This group includes reconstructive cutting of the frenulum (frenulotomy) and circumcision itself (circumcision). The operation is performed on an outpatient basis, there are no special difficulties in terms of technique. The process takes about 30 minutes. Recovery is quick and quite painful.
Size correction
Here you can work in two directions - increase thickness and length. In the first case, the problem can only be solved surgically with the help of an autograft. In the second, doctors act either surgically (transplantation is not required) or conservatively (vacuum pump, extender).
Such plastic surgery is in demand due to micropenis and dissatisfaction with men themselves.
Shape correction
The process is carried out using modern techniques to straighten the phallus. This is a plastic surgery that helps poor people with Peyronie's disease, local fibrosis, and congenital curvature. In case of serious anomalies, the surgeon decides to install a synthetic prosthesis.
Penile reconstructive restoration (phalloplasty)
The most complex and delicate microsurgical operation. An artificial structure or autograft is implanted on the phallus. Reconstruction involves restoration of the urethra, aesthetics, and functionality. Reconstruction is part of the gender reassignment procedure, an option for men who have lost their penis after surgery, illness, or injury.
Penile prosthetics
An important step to obtain a stable artificial erection. The surgeon takes the structure - a synthetic prosthesis - and puts it in the trunk. They differ in the way the phallus is moved to a relaxed and excited state. We are talking about procedures, the classification of which is very conditional. In practice, the two are often combined with each other and performed sequentially on the same operation table.
Contraindications
There are several contraindications to genital enlargement procedures, including:
- mental illness;
- diabetes;
- blood clotting disorders.
Symptoms of this pathology may worsen after male penis enlargement surgery. More information about how much penis enlargement surgery costs in clinics in our country can be found in our material.
Operation progress
There are two types of penis enlargement surgery. One of them is characterized by classical implementation, the other involves the addition of adipose tissue elements. However, according to expert reviews, the second type of lengthening is performed much less frequently than the first. Often the blood flow in the tissues is slow, which causes various infectious complications.
In addition, ligamentotomies are divided according to the type of access. In this case, it is easier for the plastic surgeon to cut the ligament above the pubic bone. However, interventions performed through the scrotum are considered much less painful and less dangerous. Penis enlargement surgery with this approach can take longer, involve much larger incisions, and leave visible scars in the pubic area. In addition, such interventions injure tissue and fatty tissue and make it difficult to use the aids. The cost of surgery performed through the scrotum is higher, but the risk of complications is minimal, as is the occurrence of post-operative scars. A surgeon and urologist talk about the nuances of penis enlargement surgery and the postoperative period.
Ligamentotomy is performed under anesthesia (general or epidural). The total time from the start of the surgeon's manipulations until the patient comes out of anesthesia is 40-50 minutes. A bandage is applied to the area where the incision was made. Removal of the ligaments that hold the hidden inner part of the penis is not believed to directly cause enlargement of the reproductive organ itself. The penis remains in place, and the cut ligaments are only necessary for subsequent improvement of the result with the help of a special device - an extender. Therefore, ligamentotomy is only auxiliary and requires the indispensable use of extenders in the future. It is also worth considering that the result depends on the initial length of the penis. In other words, ligamentotomy helps to increase the size of the phallus, which is adapted to the extender, thereby allowing it to work on the inside of the penis.
Which doctor should I contact?
If a decision such as enlarging the penis through surgery is deliberate, hard-won, and there is no turning back, the patient will turn to a plastic surgery clinic.
Large clinics have aesthetic surgery or intimate plastic surgery departments. First, you need to meet with your doctor.
If the doctor finds your arguments convincing, he will refer you for examination and tests, for which, by the way, you will have to pay. Tests that need to be done (there are quite a lot, so set aside free time to do them all:
- general blood test;
- blood clotting test;
- general urine analysis;
- blood group and Rh factor analysis;
- examination for HIV infection, hepatitis B and C;
- blood test for RW;
- EKG.
Apart from the surgeon, you need to consult a specialist in urology and andrology. After receiving the results of the examination, the plastic surgeon makes a conclusion about the presence or absence of contraindications. Only then do they do plastic penis enlargement or not.
Rehabilitation
The next day after ligamentotomy, a special device called a stretcher is attached to the operated organ. Unlike the extender, it is used continuously until the stitches are completely removed after 12-14 days. For the first three weeks after penis enlargement surgery, a man should follow the following recommendations:
- Refusal of sex, sports and intense physical activity.
- Always wear a stretcher or special weights - this method does not allow the penis to return to its original position.
- After the scar has formed (after about 1-2 months), stretching of the phallus is continued with the help of an extender and lasts up to six months.
The duration of use of the extender increases gradually. The first tangible and visually traceable results can be observed six months after surgery.
Recommendation for using an extender
After ligamentotomy, an extender is placed on the penis to avoid pain and discomfort. An additional function of this device is to provide the necessary tension to the muscles and ligaments of the penis. At the site of the cut ligament, a new area consisting of connective tissue forms. Its future size largely depends on compliance with the recommendations for the postoperative period, including the systematic wearing of extenders. In order for the device to function correctly and provide maximum effect, you should take into account several tips for its use:
- The extender is placed on the penis only during the day; must be removed at night.
- At first, the device was worn for 1. 5-2 hours a day. Gradually the time increases to 5-6 hours.
- The extender is worn until a new ligament forms and replaces the cut ligament. Typically, this takes 3 to 7 months.
Modern extenders are made from latex or hypoallergenic plastic. Therefore, they are comfortable, practical and almost invisible when worn.
Penis enlargement techniques
There are several ways to increase virility. Each of them involves the use of a different implant, which is a material consisting of cavernous tissue. It is attached to the base of the penis using a special large rod, which:
- during erection they will be filled with blood;
- will increase the size of the organ.
Another technique is to enlarge the penis by "wrapping" skin tissue taken from other places, such as the buttocks. Such an operation is quite simple and the probability of an unsuccessful outcome is negligible. The skin covering the penis has unique properties. In contrast to other integuments, this part of the skin is not connected by nerve endings to the body of the genitals. Thanks to this, surgeons have mastered this technique to perfection. By the way, the reviews after ligamentotomy are very good, and patients note an increase in the penis. It happens that doctors transplant tissue together with a collection of blood vessels, and then:
- they blend into the original ship;
- there is an additional addition to the penis.
This type of operation will help enlarge the organ by 1 cm. When a man wants better results, they resort to microsurgery. This type of intervention is very similar to the technology described above. However, in this case, not only skin is transplanted, but also muscle tissue.
This technique will help to achieve a relatively large phallus size, but at the same time the likelihood of complications after surgery increases.
Possible complications
A qualified specialist who has performed penis enlargement surgery, through his professional actions, eliminates all risks of possible problems after ligamentotomy. In very rare isolated cases, the following complications were observed after such interventions:
- bloody;
- deformation of the penis (it can also be straightened at an unusual angle or partially raised);
- suppuration of the sutures placed after surgery;
- infection of the testicles;
- development of scars and adhesions;
- unstable erection;
- impaired sensitivity of the scrotum or penis.
Most specialists in the field of urology consider ligamentotomy to be a completely safe procedure. At the same time, there is no possibility of problems both during surgery and during the rehabilitation period.
Benefits of penile correction surgery
The main advantages of penis enlargement surgery include:
- Long term effects.
- Relatively fast rehabilitation.
- The possibility of enlarging the penis is not only in length, but also in girth.
- The possibility of simultaneously eliminating pathologies or defects of the penis (both acquired and congenital).
- There is no negative impact on reproductive function and the quality of male potency.
- Short duration of operation.
Plastic surgery of the glans penis without and with stitches
Plastic surgery of the glans penis is the most popular surgical intervention in the male genital area. These include:
- Circumcision is removing the narrowing of the foreskin by means of circumcision. This simple manipulation can prevent a large number of problems associated with phimosis. Depending on clinical indications, a complete or partial form of circumcision is chosen. In many countries around the world, this procedure is performed for hygienic or religious purposes. Sutureless penile plastic surgery for phimosis is necessary to ensure thorough cleaning of the head of the penis naturally. If the foreskin is narrowed, then smegma accumulates under it, which is an excellent breeding ground for pathogenic microflora. Untimely resolution of the problem leads to persistent inflammation and scarring not only on the surface of the penis, but also inside the urethra.
- Another common problem that can be resolved with simple surgery is the frenulum. This feature of the organ not only causes pain and discomfort, but can also cause dangerous bleeding due to rupture of the organ. The frenulum lengthening operation is performed under local anesthesia and takes approximately 20 minutes. The procedure involves applying transverse notches to the frenulum, stretching it to normal size, and applying cosmetic sutures. The complete recovery process takes 2 weeks.
Features of penis straightening surgery
A more complicated procedure is penis straightening surgery. There are three different techniques that allow you to correct penile irregularities. It all starts by removing the foreskin and cutting the skin along the coronal sulcus, approximately 5 mm from the head of the penis. Some doctors do not perform circumcisions. This is necessary to be able to release the tunica albuginea of the penis shaft down to the base.
After that, they begin to straighten the phallus using one of the methods.
- Shortening of the tunica albuginea of the penis on the side opposite to the curvature, followed by its fixation. This technique has several variations. If the penis needs to be straightened 30-45°, the fold is applied using non-absorbable sutures. If the deviation is more than 45, then elliptical excision is used. Since this procedure causes a reduction in the organ by 0. 5-2 cm, this type of surgery is only suitable for men with a fairly large penis.
- Lengthening of the tunica albuginea of the cavernous body on the side of the curvature using biological materials (the patient's own skin or veins). This method in most cases allows you to maintain the original size of the phallus, and sometimes increase its size.
- Straightening of the penis by inserting a prosthesis. This method is more often used in men with untreatable erectile dysfunction, making it possible to eliminate two problems at once.
Having decided to correct the deformation of your manhood or change its appearance, you need to find out what problem solving options modern surgery offers, study the reviews of a particular clinic and make sure that the asking price is adequate.
When can the results of surgery be assessed?
The results of the intervention can only be assessed after complete healing of the tissues, removal of the sutures (if artificial threads were used), and reduction of edema:
- After administration of hyaluronic acid, the enlargement effect is visible after 4 days, when the characteristic swelling disappears on its own.
- Lipofilling is an intervention that involves obtaining a quick effect (from the point of view of the fact that it is an invasive procedure). Results are visible in 2 weeks.
- The success of the ligamentotomy can only be assessed after 2 months (this is the average period).
- Microsurgical muscle transplantation involves a 3-week recovery period. It is after this period that you can determine how successfully the procedure was completed.
- After penile prosthetics, you can evaluate the effect only after 2-3 weeks.
Only the average recovery period is shown. In general, regeneration after surgery depends on the individual properties of the skin and the condition of the body.
Preparation for plastic surgery
The first stage is a personal acquaintance with the surgeon, collection of anamnesis and a mandatory interview. All interesting facts related to mental and physical health will be revealed to you. Simultaneously, you will have to undergo a series of consultations with an endocrinologist, andrologist - urologist, therapist, cardiologist.
When does a good doctor refuse surgery? - only if there are problems of a psychogenic nature. You can handle it yourself or with a doctor. However, intervention is still carried out in 99. 9% of cases. This will happen on day X:
- You will not be allowed to drink - liquid splashing into the stomach can cause complications when immersed in anesthesia. We advise you to adhere to this rule and endure thirst to the end;
- without shame, the nurse will shave his pubic area;
- for control, they will screen for sugar and hemoglobin in the blood;
- an anesthesiologist and surgeon will come to say kind words and final parting words;
- the doctor will make a mark on the thigh - this will show the length of the phallus before surgery. Then you can check how many centimeters your best friend has gained.
Postoperative period
We would like to warn you that this operation is only the beginning. After the intervention, maximum courage is needed to go through the recovery phase. The process takes about six months, but readiness for sex will occur in two weeks.
To secure the result, you must:
- regularly carry out dressings, disinfection, smear the penis with ointment;
- wear the extender - the device is used at least 8 hours a day. This will be worn immediately after surgery. This will remove excess scar tissue and possible curvature.
Rehabilitation period
The recovery period after surgical intervention depends on individual characteristics, the chosen method, the traumatic nature of the procedure, and the initial parameters of the organ. Reviews of penis enlargement surgery by injection indicate a quick recovery period of several days, rare occurrence of hematomas and injuries, and the absence of discomfort.
During the tissue regeneration process after a radical approach, patients must regularly change dressings in the treatment room to maintain personal hygiene. At this time, abstinence from sexual contact is necessary, as well as limitation of physical activity. It is important to use loose cotton material or special compression garments, depending on the doctor's recommendation.
In the first few days after visiting the clinic, the patient should take antibiotics as prescribed by the doctor, this will help prevent the inflammatory process, avoid purulent abscesses and other life-threatening complications.
When should you undergo genital surgery?
Our genital surgeon explains that size correction surgery is considered plastic surgery. This means that this drug cannot be recommended, prescribed, or indicated. First of all, this is done to those who want it!
Iron indications for surgery:
- microphallia
– congenital underdevelopment. Such a penis does not exceed 10 cm in an erect state. This fact only causes sympathy among doctors. From a medical perspective, the man is healthy, can urinate, and his penis does not affect his life expectancy. In fact, the reason the event occurred was always because of the owner's own wishes; - reduction due to damage and injury
- anything can happen in life, even Kamaz members who have moved.
Possible risks and complications
The most common adverse reactions are as follows:
- The occurrence of hematomas and bruising of the skin and mucous membranes (minor bruising occurs even with injections; usually disappears on its own after a few days).
- Injury to the cavernous body, damage to blood vessels, which can lead to unstable erection and complete impotence.
- Painful urination and erection in the first few weeks.
- Head sensitivity disorder, which causes weak sensation during orgasm.
- Premature ejaculation.
- In rare cases, violation of the normal anatomical shape of the penis (due to the actions of an unqualified surgeon).
Attention: to prevent most of these complications, it is necessary to take a responsible approach to choosing a specialist. Trust your health only to well-known doctors who regularly improve their qualifications and have positive reviews from other patients.