Recently, penis enlargement surgery has become increasingly popular. The male enhancement effect becomes possible thanks to the outpatient procedure, which lasts no more than an hour and a half and is performed 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 any surgery at all. Patients suffering from micropenis syndrome or penile dysmorphophobia only need a course of psychotherapy. Men sometimes just think they have small penises.
To solve complicated problems, various drugs for organ enlargement recommended by doctors are quite suitable. They can be bought without any problems on the Internet or at a pharmacy. However, there are cases when members still need to be enlarged:
- medical problems (hypospadia, epispadias, cavernous fibrosis, micropenis, due to injury, Peyronie's disease);
- functional problems (the penis has lost elasticity, the subcutaneous fat layer has increased, the penis is hidden or webbed).
To understand the nature of this disorder, you can look at photos in medical sources.
Surgical penis enlargement: all the pros and cons
To understand the principles of surgery to enlarge the male penis, you should refer to 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 purpose of surgery is to change the size of this ligament, which allows you to increase the size of the penis.
It seems that this technique allows us to solve various problems that arise due to the small size of manhood (physical and psychological). However, some risk factors for such manipulation should be taken into account:
- Possible injury to the patient or infection in his body during surgery.
- If the ligament is too short, the intervention will not bring the expected effect.
- A penis that is not supported by ligaments is hypermobile. In addition, ligament suppression leads to the fact that during erection the penis will be directed downward, and not forward or upward, as is usually the case.
- Specialists cannot fully predict the results of the manipulation, as much depends on the patient's body and his compliance with the rules of the recovery period.
Indications for ligamentotomy
Since penis enlargement surgery is a plastic procedure, there are no strict and categorical indications for its implementation. However, in some cases it is only necessary to perform genital enlargement, 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 penis is observed, reducing its size.
Structure of the penis
Aesthetic cues:
- A man's desire to increase his self-esteem.
- Desire to increase self-attractiveness.
- Penile dysmorphophobia. This condition consists of dissatisfaction with one's appearance, including the penis.
The lower limit of the dimensions of the male reproductive organs is 12 cm (including erection). A smaller value can be considered a reason for ligamentotomy.
Type
Silently rubbing their hands, urologists-surgeons perform various types of plastic surgery on the penis.
Circumcision of the foreskin
This group includes reconstructive trimming of the frenulum (frenulotomy) and circumcision itself (circumcision). Surgery is performed on an outpatient basis; no special difficulties in terms of technique. The process takes about 30 minutes. Recovery is quick and moderately painful.
Size correction
Here you can work in two directions - increasing thickness and length. In the first case, this issue can only be solved surgically with the help of autograft. In the second, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pump, extender).
Such plastic surgery is a request for a micropenis and a man's own dissatisfaction.
Shape correction
This process is carried out using modern techniques to straighten the penis. This is a plastic surgery that helps poor people with Peyronie's disease, local fibrosis and congenital curvature. In cases of serious anomalies, surgeons decide to introduce a synthetic prosthesis.
Reconstruction of the penis (phalloplasty)
The most complex and delicate microsurgical operation. An artificial or autograft structure is implanted on the phallus. Reconstruction involves restoration of the urethra, aesthetics, and functionality. Reconstruction is part of a sex reassignment procedure, an option for men who have lost their penis after surgery, illness or injury.
Penile prosthesis
A necessary step to obtain a stable artificial erection. The surgeon takes the structure - a synthetic prosthesis - and introduces it into the trunk. They differ in the way the penis is moved into a relaxed and excited state. We are talking about a procedure, a very conditional classification. In practice, they are often combined with each other and performed sequentially on the same operating table.
Contraindications
There are several contraindications for genital enlargement procedures, including:
- mental illness;
- diabetes;
- blood clotting is impaired.
The symptoms of this pathology can be worse after surgery to enlarge the male penis. More information about how much penis enlargement surgery costs in clinics in our country can be found in our material.
Operational 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 less often than the first. Often, blood flow in the tissues slows down, which leads to various infectious complications.
In addition, ligamentotomy is divided according to the type of access. In this case, it is easier for the plastic surgeon to remove the ligament above the pubic bone. However, interventions performed through the scrotum are considered more painless and less dangerous. Penis enlargement surgery using this approach can take longer, involve larger incisions and leave a significant scar in the pubic area. In addition, such interventions injure tissue and fat tissue and make it difficult to continue wearing the assistive device. The cost of surgery performed through the scrotum is higher, but the risk of complications is minimal, such as the occurrence of postoperative scarring. Surgeons and urologists 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 beginning of the surgeon's manipulation until the patient comes out of anesthesia is 40-50 minutes. A bandage is applied to the area where the incision was made. It is believed that the removal of the ligaments that fix the inside of the hidden penis does not directly lead to an increase in the reproductive organ itself. The penis remains in place, and the cut ligament is only needed to improve the result with the help of a special device - an extender. Therefore, ligamentotomy is exclusively auxiliary and requires the use of extenders which will be necessary in the future. It is also worth considering that the result depends on the initial length of the penis. In other words, ligamentotomy helps increase the size of the penis, which is adjusted by the extender, allowing it to act on the inside of the penis.
Which doctor should I contact?
If a decision such as surgical enlargement of the penis is deliberate, laborious and irreversible, the patient turns to a plastic surgery clinic.
Large clinics have departments of aesthetic surgery or intimate plastic surgery. First you need to see your doctor.
If the doctor considers your argument convincing, he will refer you for examinations and tests, which, by the way, you will have to pay for. Tests to do (there are quite a few of them, so set aside some free time to take them all:
- general blood analysis;
- blood clotting tests;
- general urine analysis;
- blood group and Rh factor analysis;
- screening for HIV infection, hepatitis B and C;
- blood test for RW;
- ECG.
In addition to the surgeon, you should consult a urologist and andrologist. After receiving the results of the examination, the plastic surgeon concludes about the absence or presence of contraindications. And then they do plastic penis enlargement or not.
Restoration
The day after the ligamentotomy, a special device called a stretcher is applied 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 penile enlargement surgery, a man should follow the following recommendations:
- Rejection of sex, sports and intense physical activity.
- Always wear a stretcher or special weight - this method does not allow the penis to return to its original position.
- After the scar is formed (after about 1-2 months), the stretching of the penis continues with the help of an extender and lasts up to six months.
The duration of use of the extender increases gradually. The first noticeable and visually detectable results can be observed six months after the operation.
Recommendation to use an extender
After the ligamentotomy, an extender is placed on the penis to prevent pain and discomfort. An additional function of this device is to ensure the necessary tension of the muscles and ligaments of the penis. At the place of the cut ligament, a new area consisting of connective tissue is formed. Their future size largely depends on compliance with recommendations for the postoperative period, including the systematic use of extenders. In order for the device to work properly and give maximum effect, you should consider some tips for its use:
- The extender is placed on the penis only during the day; it must be removed at night.
- Initially, 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 takes its place to replace the cut ligament. As a rule, this takes from 3 to 7 months.
Modern extenders are made of latex or hypoallergenic plastic. For this reason, they are comfortable, practical and almost invisible to wear.
Penis enlargement techniques
There are several ways to increase male enhancement. Each of them involves the use of a different implant, which is a material made up of cavernous tissue. It is attached to the base of the penis using a special cave rod, which:
- during erection they will fill with blood;
- will increase the size of the organ.
Another technique involves enlarging the penis by "rolling" skin tissue taken from elsewhere, such as the buttocks. Such an operation is quite simple and the possibility that there will be an unsuccessful result after the operation is negligible. The skin that covers the penis is unique in nature. Unlike all integuments, this piece of skin is not at all connected by nerve endings to the body of the genital organ. Thanks to this, surgeons have mastered this technique perfectly. By the way, reviews after ligamentotomy are very good, and patients note an improvement in the penis. It happens that the doctor moves the tissue along with the bundle of blood vessels, and then:
- they merge with native vessels;
- there is an additional increase in the penis.
This type of operation will help enlarge the organ up to 1 cm. When a man wants better results, they use microsurgery. This type of intervention is very similar to the technology described above. However, in this case, not only skin, but also muscle tissue is transplanted.
This technique will help to achieve a relatively large penis size, but at the same time the possibility of complications after surgery increases.
Possible complications
A qualified specialist who has performed penis enlargement surgery, through his professional actions, negates all the risks of problems that may occur after ligamentotomy. In very rare isolated cases, the following complications are observed after such an intervention:
- bleeding;
- deformation of the penis (it can also be straightened at an atypical angle or partially raised);
- suppuration of sutures placed after surgery;
- testicular infection;
- the development of scars and adhesions;
- unstable erection;
- Affected 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, the absence of possible problems is observed during the operation and during the recovery period.
Benefits of penile correction surgery
The main advantages of penile enlargement surgery include:
- Long lasting effect.
- Relatively quick recovery.
- The possibility of increasing the penis not only in length, but also in thickness.
- It is possible to simultaneously eliminate the pathology or deformity of the penis (both acquired and congenital).
- There is no negative effect on reproductive function and the quality of male potency.
- Short operating time.
Plastic surgery of the glans penis without and with sutures
Glans plastic surgery is the most popular surgical intervention in the male genital area. This includes:
- Circumcision is the removal of narrowing of the foreskin by means of circumcision. This simple manipulation allows you to prevent a large number of problems associated with phimosis. Depending on the clinical signs, a full or partial form of circumcision is chosen. In many countries around the world, this procedure is carried out for hygienic or religious purposes. Sutureless penile plastic surgery for phimosis is necessary to ensure complete cleansing of the head of the penis in a natural way. If the foreskin is narrowed, then smegma accumulates under it, which is an excellent breeding ground for pathogenic microflora. An untimely solution 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 solved 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 its rupture. The frenulum lengthening operation is performed under local anesthesia and takes about 20 minutes. This procedure involves using a transverse notch on the frenulum, stretching it to normal size and using cosmetic sutures. The complete recovery process takes 2 weeks.
Features of the penis straightening operation
A more complex procedure is penile straightening surgery. There are three different techniques that allow you to correct penile deviation. It all starts with removing the foreskin and cutting the skin along the coronal sulcus, about 5 mm from the glans. Some doctors do not resort to circumcision. This is necessary to be able to release the tunica albuginea of the penis to its base.
After this, 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 types. If it is necessary to straighten the penis by 30-45°, folds are applied using non-absorbable sutures. If the deviation is more than 45, then elliptical excision is used. Since the procedure leads to a reduction of the organ by 0. 5-2 cm, this type of operation is only suitable for men with relatively large penises.
- Extending the tunica albuginea of the cavernous body on the curvature side using biological material (the patient's own skin or veins). This method in most cases allows you to leave the original size of the penis, and sometimes to increase its size.
- Straightening the penis by inserting a prosthesis. This method is more often used in men with erectile dysfunction that cannot be treated, which makes it possible to eliminate two problems at the same time.
Having decided to correct the deformity of your manhood or change its appearance, you need to know the options for solving the problem offered by modern surgery, study the reviews of certain clinics and make sure that the asking price is adequate.
When can operational results be evaluated?
The result of the intervention can be evaluated only after complete healing of the tissue, removal of sutures (if artificial threads are used), and reduction of edema:
- After the introduction of hyaluronic acid, the effect of enlargement is visible after 4 days, when the characteristic swelling disappears by itself.
- Lipofilling is an intervention that involves getting results quickly (from the point of view of the fact that it is an invasive procedure). The results can be seen within 2 weeks.
- The success of ligamentotomy can be assessed only after 2 months (this is the average period).
- Microsurgical muscle transplantation involves a 3-week recovery period. After this period you can determine how successfully the procedure was completed.
- After penile prosthesis, 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 nature of the skin and the condition of the body.
Preparation for plastic surgery
The first stage is personal contact with the surgeon, collection of anamnesis, and a mandatory interview. All the interesting facts related to mental and physical health will be pulled out of you. Along with this, you need to undergo a series of consultations with endocrinologists, andrologists - urologists, therapists, cardiologists.
When does a good doctor refuse surgery? - only if there is a psychogenic problem. You can solve it yourself or with a doctor. However, intervention is still carried out in 99. 9% of cases. This will happen on X day:
- you will not be allowed to drink - liquid splashed in the stomach can cause complications when immersed in anesthesia. We advise you to follow these rules and hold your thirst until the end;
- shamelessly, nurses will shave the pubic area;
- for control, they will screen blood for sugar and hemoglobin;
- the anesthesiologist and surgeon will come for the last friendly and parting words;
- the doctor will make a mark on the thigh - it will show the length of the penis before surgery. Then you can check how many centimeters your best friend has gained.
Post-operative period
We want to warn you that the operation is just the beginning. After the intervention, maximum courage is required to go through the recovery phase. This process takes about six months, but readiness for sex will occur within two weeks.
To ensure the result, you need to:
- often bandage, disinfect, apply ointment to the penis;
- put the extension - the device is used for at least 8 hours a day. It will be worn immediately after surgery. This will eliminate excess scarring and possible curvature.
Recovery 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 surgical penile enlargement by injection show a quick recovery period of several days, a rare incidence of hematoma and injury, and the absence of discomfort.
During the process of tissue regeneration after a radical approach, the patient must frequently change the dressing in the treatment room to maintain personal hygiene. During this time, abstinence from sexual intercourse is required, as well as limits on physical activity. It is important to use loose cotton 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 it cannot be recommended, prescribed or demonstrated. First of all, it runs to those who want it!
Iron indications for surgery:
- microphallia
- congenital retardation. Such a penis does not exceed 10 cm in an upright position. This fact only evokes sympathy among doctors. From a medical point of view, the man is healthy, he can urinate, and his penis does not affect his life expectancy. In fact, the cause of the event is always the owner's own desire; - reduction of damages and injuries
- anything can happen in life, even Kamaz members who have moved on.
Possible risks and complications
The most common adverse reactions include the following:
- The occurrence of hematomas and bruises on the skin and mucous membranes (small bruises occur even with injections; as a rule, they disappear on their own after a few days).
- Injury to the cavernous body, damage to blood vessels, which can cause unstable erections and complete impotence.
- Painful urination and erection in the first few weeks.
- The sensitivity of the head is affected, which leads to a 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 avoid 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 get positive reviews from other patients.