Recently, penis enlargement surgeries have become increasingly popular. The effect of male enhancement is possible thanks to an outpatient procedure that lasts no more than an hour and a half and is performed under local anesthesia. After the operation, the patient can go home. He will need to consult a doctor for another month. Often, many men do not need surgery at all. Patients suffering from micropenis syndrome or penile dysmorphophobia only need a course of psychotherapy. Men sometimes just think they have a small penis.
Various organ enlargement drugs recommended by the doctor are quite suitable for solving this delicate problem. They can be easily purchased online or at a pharmacy. However, there are cases when a member should still grow:
- medical problem (hypospadia, epispadias, cavernous fibrosis, micropenis, consequences of trauma, Peyronie's disease);
- Functional problem (the penis has lost its elasticity, the subcutaneous fat layer has increased, the penis is hidden or webbed).
To understand the nature of these disorders, you can look at the photos in medical sources.
Surgical penis enlargement: all the pros and cons
To understand the principle of male penis enlargement surgery, you need to learn about the anatomical structure of this organ. Thus, the penis is supported by the pelvic region and attached to it by a special ligament called the ligament. The purpose of the operation 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 many problems that arise due to the small size of masculinity (physical and psychological). However, some risk factors of such manipulation should be considered:
- The possibility of injury or infection of the patient's body during the operation.
- If the ligament is too short, the intervention will not bring the expected effect.
- A penis that is not supported by the ligament is hypermobile. In addition, the inhibition of the ligaments leads to the fact that during erection, the penis will be directed downward, and not forward or upward, as it usually happens.
- The specialist cannot fully predict the results of the manipulation, because a lot depends on the patient's body and his adherence to the rules of the rehabilitation 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 simply necessary to enlarge the genitals, 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, reduction in its size is observed.
The structure of the penis
Aesthetic indications:
- A man's desire to increase his self-esteem.
- A desire to increase one's own attractiveness.
- Penile dysmorphophobia. This condition includes dissatisfaction with one's appearance, including the penis.
The lower limit of the dimensions of the male reproductive organ is 12 cm (including the erection). A smaller value can be considered a reason for ligamentotomy.
Faces
Quietly rubbing their hands, urologist-surgeons perform a series of plastic operations on the phallus.
Circumcision
This group includes reconstructive trimming of the frenulum (frenulotomy) and circumcision itself (circumcision). Operations are performed on an outpatient basis, there are no special difficulties from a technical point of view. The process takes about 30 minutes. Recovery is quick and moderately painful.
size correction
Here you can work in two directions - increasing the thickness and length. In the first case, the issue can be resolved only surgically with the help of autografts. In the second, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pumps, extenders).
Such plastic surgery is in demand for a micropenis and a man's own dissatisfaction.
form correction
The procedure is performed using modern phallus straightening techniques. It 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 introduce a synthetic prosthesis.
Reconstructive reconstruction of the penis (phalloplasty)
The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted on the phallus. Reconstruction involves restoration of the urethra, aesthetics and functionality. Reconstruction is part of sex reassignment procedures, an option for men who have lost their penis after surgery, illness or injury.
Prosthesis of the penis
A necessary step to obtain a stable artificial erection. The surgeon takes the structures - synthetic prostheses - and inserts them into the socket. They differ in that the phallus goes into a relaxed and excited state. We talked about the procedures, the classification of which is very conditional. In practice, they are often combined with each other and are performed sequentially on the same operating table.
Contraindications
The genital enlargement procedure has several contraindications, including:
- mental illness;
- diabetes;
- Blood coagulation disorder.
The symptoms of these pathologies may worsen after male penis enlargement surgery. More information about the cost of penis enlargement surgery in clinics in our country can be found in our material.
operation progress
There are two types of penile enlargement surgery. One of them is characterized by a classic implementation, the other involves the addition of adipose tissue elements. However, according to expert reviews, the second type of lengthening occurs much less often than the first. Often, blood circulation in the tissues is slow, which causes various infectious complications.
In addition, ligamentotomy is divided according to the type of access. In this regard, it is much easier for the plastic surgeon to cut the ligament above the pubic bone. However, the intervention performed through the gonad is much less painful and less dangerous. Penis enlargement surgery using this approach can take longer, involve a much larger incision, and leave a noticeable scar in the pubic area. In addition, such interference damages the tissues and fatty tissues and makes it difficult to continue wearing the assistive device. The cost of the operation through the scrotum is higher, but the risk of complications is minimal, as well as the appearance of postoperative scars. A surgeon and urologist talks 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 manipulations to the patient coming out of anesthesia is 40-50 minutes. A bandage is applied to the place where the incision was made. It is believed that the elimination of the ligament that fixes the hidden inner part of the penis does not directly lead to the growth of the reproductive organ itself. The penis remains in place, and the cut ligament is only needed for further improvement of the result with the help of a special device - an extender. Thus, ligamentotomy is exclusively auxiliary and in the future requires the indispensable use of an extender. It should also be taken into account that the result depends on the immediate initial length of the penis. In other words, ligamentotomy helps to increase the size of the phallus, which is regulated by the extender, which allows it to function inside the penis.
Which doctor should I contact?
If such a decision, such as surgical enlargement of the penis, is deliberate, difficult to make, and irreversible, the patient is referred to a plastic surgery clinic.
In large clinics, there is a department of aesthetic surgery or intimate plastic surgery. First of all, you need to see a doctor.
If the doctor considers your arguments convincing, he will send you for examination and analysis, for which, by the way, you will have to pay. Tests that need to be done (there are quite a few, so set aside some free time to do them all:
- general blood analysis;
- blood clotting test;
- general analysis of urine;
- blood group and Rh factor analysis;
- examination for HIV infection, hepatitis B and C;
- blood test for RW;
- EKG
In addition to the surgeon, you will need to consult a urologist and an andrologist. After receiving the results of the examination, the plastic surgeon makes a conclusion about the absence or presence of contraindications. And only after that they do plastic penis enlargement or not.
Rehabilitation
The day after ligamentotomy, a special device called a stretcher is applied to the operated organ. Unlike the extender, it is used continuously until the suture is completely removed after 12-14 days. During the first three weeks after penis enlargement surgery, a man should follow the following recommendations:
- Refusal of sex, sports and intense physical activity.
- Always on a stretcher or carrying a special weight - this method does not allow the penis to return to its original position.
- After the formation of a scar (after about 1-2 months), the stretching of the phallus continues with the help of an extender and lasts up to six months.
The duration of use of the extender gradually increases. The first tangible and visually traceable results can be observed six months after the operation.
Recommendations for using the extender
After the ligamentotomy, an extender is placed over the penis to prevent pain and discomfort. An additional function of this device is to provide the necessary tension of the muscles and ligaments of the penis. In place of the cut ligament, new areas of connective tissue are formed. Their future size largely depends on following the recommendations of the postoperative period, including the systematic wearing of the extender. In order for the device to work properly and bring maximum effect, you should consider a few tips for its use:
- The extender is placed on the penis only during the day, it must be removed at night.
- Initially, the device is worn for 1. 5-2 hours a day. Gradually the time increases to 5-6 hours.
- The extender wears away until a new ligament forms and takes its place to replace the torn ligament. It usually takes 3 to 7 months.
Modern extenders are made of latex or hypoallergenic plastic. For this reason, they are comfortable, practical and almost invisible.
Techniques for penis enlargement
There are several ways to increase male enhancement. Each of them involves the use of different implants, which are a material consisting of cavernous tissue. It is attached to the base of the penis using special cavernous rods, which:
- During an erection, they will be filled with blood;
- increase the size of the organ.
Another technique involves enlarging the penis by "twisting" skin tissue taken from other places, for example, from the buttocks. Such operations are quite simple, and the probability of failure after them is negligible. The skin that covers the penis is unique in nature. Unlike all tissues, this part of the skin is not at allconnected with nerve endings to the body of the genital organ. Thanks to this, surgeons have mastered this technique perfectly. By the way, the reviews after ligamentotomy are very good, and patients note the growth of the penis. It happens that the doctor transplants the tissue together with the bundle of blood vessels and then:
- They merge with the native ships;
- There is additional growth of the penis.
This type of operation will help to enlarge the organ up to 1 cm, when a man wants more results, he turns to 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 size of the phallus, but at the same time, the probability of complications after the operation increases.
Possible complications
A qualified specialist, who has performed a penis enlargement operation, negates all risks of possible problems after ligamentotomy by his professional actions. In extremely 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);
- Suppression of the suture placed after the operation;
- testicular infection;
- development of scars and adhesions;
- unstable erection;
- Decreased sensitivity of the scrotum or penis.
Most specialists in the field of urology consider ligamentotomy to be a completely safe procedure. In addition, the absence of possible problems is noted both during the operation and during the rehabilitation period.
Advantages of penile correction surgery
The main advantages of penile enlargement surgery include:
- long lasting effect.
- Relatively fast rehabilitation.
- The ability to increase not only the length, but also the thickness of the penis.
- The ability to eliminate penile pathologies or defects (both acquired and congenital) at the same time.
- No negative effect on reproductive function and quality of male potency.
- Short duration of operation.
Plastic surgery of the penis without stitches and without stitches
Plastic surgery of the penis is the most popular surgical intervention in the male genital organ. They include:
- Circumcision is the removal of circumcision by circumcision. This simple manipulation allows you to avoid a large number of problems associated with phimosis. Depending on the clinical indication, a full or partial form of circumcision is chosen. In many countries of the world, this procedure is performed for hygienic or religious purposes. Penile plastic surgery for phimosis without stitches is necessary to ensure complete cleansing of the head of the penis in a natural way. If the scrotum is narrowed, then smegma accumulates under it, which is an excellent place for pathogenic microflora. Timely resolution of the problem leads to permanent 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. Frenulum lengthening surgery is performed under local anesthesia and takes about 20 minutes. The procedure involves placing transverse slices on the frenulum, stretching it to its normal size, and applying cosmetic sutures. The full recovery process takes 2 weeks.
Peculiarities of penis straightening surgery
A more difficult procedure is penile straightening surgery. There are three different techniques that allow you to correct penile curvature. They all begin by removing the foreskin and cutting the skin along the coronal sulcus, about 5 mm from the scrotum. Some doctors do not recommend circumcision. This is necessary to be able to release the penis shaft to the base of the tunica albuginea head.
After that, they start straightening the phallus using one of the methods.
- Shortening of the tunica albuginea of the penis on the opposite side of the curve, followed by its fixation. This technique has several types. If it is necessary to straighten the penis by 30-45°, folds are made using non-absorbable sutures. If the deviation is greater than 45, then elliptical incision 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 a fairly large penis.
- Lengthening of the tunica albuginea of the corpora cavernosa on the side of the curve using biological material (the patient's own skin or vein). This method in most cases allows you to leave 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 erectile dysfunction that cannot be treated, which makes it possible to get rid of two problems at the same time.
After you have decided to correct the deformity of your humanity or change its appearance, you should find out what options for solving the problem modern surgery offers, study the reviews of a particular clinic and make sure that the asking price is adequate.
When can the result of the operation be evaluated?
The result of the intervention can be evaluated only after complete healing of the tissues, removal of sutures (if artificial threads were used) and subsidence of swelling:
- After the introduction of hyaluronic acid, the effect of expansion is noticeable after 4 days, when the characteristic swelling disappears by itself.
- Lipofilling is an intervention that implies a quick effect (in the sense that it is an invasive procedure). The result is noticeable in 2 weeks.
- The success of ligamentotomy can be assessed only after 2 months (this is the average period).
- Microsurgical muscle transplantation involves a recovery period of 3 weeks. After this period, you can determine how successful the procedure was.
- After penile prosthesis you can evaluate the effect only after 2-3 weeks.
Only average recovery periods are shown. In general, regeneration after surgery depends on the individual characteristics of the skin and the condition of the body.
Preparation for plastic surgery
The first stage is personal acquaintance with the surgeon, anamnesis collection and a mandatory interview. All interesting facts related to mental and physical health will be extracted from you. Along with this, you will have a series of consultations with an endocrinologist, andrologist - urologist, therapist, cardiologist.
When does a good doctor refuse to operate? - Only if there are psychological problems. You can solve them yourself or with a doctor. However, intervention is carried out in 99. 9% of cases. It will happen on X day:
- You will not be allowed to drink - liquid in the stomach can cause complications during anesthesia. I advise you to follow this rule and endure thirst to the end;
- Without any shame, the nurse shaves her pubic hair;
- For control, they check blood sugar and hemoglobin;
- An anesthesiologist and a surgeon will come for a friendly word and a final parting word;
- The doctor will make a mark on the thigh - this indicates the length of the phallus before the operation. Then you can check how many centimeters your best friend has gained.
postoperative period
We warn you that the operation is just the beginning. After the intervention, maximum courage will be required to go through the recovery phase. The process takes about six months, but you will be ready for sex in two weeks.
To ensure the result, you will have to:
- regularly make dressings, disinfection, rub the penis with ointments;
- Wear the extender - the device is used for at least 8 hours a day. It is carried out immediately after the operation. This eliminates excess scarring and the possibility of 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. A review of surgical penile enlargement by means of injections indicates a quick recovery period of several days, the rare occurrence of hematomas and injuries, and the absence of discomfort.
During the process of tissue regeneration after radical approaches, the patient should regularly change the dressing in the treatment room to protect personal hygiene. At this time, it is necessary to refrain from sexual contact, as well as limit physical activity. It is necessary to use loose cotton or special compression clothes, depending on the doctor's recommendation.
In the first days after the visit to the clinic, the patient should take antibiotics as prescribed by the doctor, which will help prevent inflammatory processes, purulent abscesses and other life-threatening complications.
When should you have genital surgery?
Our genital surgeons have clarified that size correction surgery is considered plastic surgery. This means that it cannot be recommended, prescribed or referred to. First of all, it is held for those who wish!
Iron indications for surgery:
- Microphalia
- Congenital underdevelopment. Such a penis does not exceed 10 cm in the erect state. This fact causes only sympathy among doctors. From a medical point of view, the man is healthy, able to urinate, and the penis does not affect his life expectancy. In fact, the cause of the event always remains the desire of the owner himself; - Reduction due to injury and damage
- Anything can happen in life, even a Kamaz member who moved.
Possible risks and complications
The most common side effects include:
- The appearance of hematomas and bruises on the skin and mucous membrane (small bruises also appear during injections; they usually disappear on their own after a few days).
- Damage to cavernous bodies, damage to blood vessels, which can cause unstable erection and complete impotence.
- Painful urination and erection during the first few weeks.
- A decrease in the sensitivity of the head, which causes weak sensations during orgasm.
- premature ejaculation.
- In rare cases, violation of the normal anatomical shape of the penis (due to unqualified actions of the surgeon).
Attention: to avoid most of these complications, a responsible approach to the choice of a specialist is necessary. Entrust your health only to well-known doctors who regularly improve their qualifications and have positive reviews from other patients.