Recently, penis enlargement surgeries have become increasingly popular. The effect of male enhancement is made possible by an outpatient procedure that lasts no longer than one and a half hours and is carried out under local anesthesia. The patient can go home immediately after the operation. He still needs to consult his doctor for another month. For many men, surgery is often not necessary at all. Patients suffering from micropenis syndrome or penile dysmorphophobia only need psychotherapy. Sometimes men just think they have a small penis.
To solve a delicate problem, various organ enlargement drugs recommended by a doctor are quite suitable. They can easily be purchased online or in the pharmacy. However, there are cases when the member still needs to be increased:
- medical problem (hypospadias, epispadias, cavernous fibrosis, micropenis, sequelae of injury, Peyronie's disease);
- functional problem (the penis has lost elasticity, the subcutaneous fat layer has increased, the penis is hidden or has webbed feet).
To understand the nature of these disorders, you can look at photos in medical sources.
Surgical penis enlargement: all the pros and cons
To understand the principle of an operation to enlarge the male penis, you should find out about the anatomical structure of this organ. The penis is therefore supported by the pelvic region and is connected to it by a special band called the ligament. The purpose of the operation is to change the size of this ligament, which allows you to enlarge the penis.
It seems that this technique allows us to solve several problems that arise due to man's small size (physical and psychological). However, some risk factors for such manipulation should be taken into account:
- The possibility of injury to the patient or infection of his body during surgery.
- If the band is too short, the procedure will not have the expected effect.
- A penis that is not supported by a ligament is hypermobile. Additionally, the suppression of the ligament causes the penis to point downward during an erection, rather than forward or upward as it normally does.
- A specialist is not able to fully predict the results of the 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 strict and categorical indications for its implementation. However, in some cases it is simply 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 phallus is observed, reducing its size.
Penis structure
Aesthetic indications:
- A man's desire to increase his 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 of the size of the male reproductive organ is 12 cm (including erection). A smaller value can be considered a reason for a ligamentotomy.
species
Urologists-surgeons quietly rub their hands and perform a whole range of plastic operations on the phallus.
Circumcision of the foreskin
This group includes reconstructive trimming of the frenulum (frenulotomy) and the circumcision itself (circumcision). The operations are carried out on an outpatient basis and there are no particular technical difficulties. 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, the problem can only be solved surgically with the help of autografts. In the second case, the doctor acts either surgically (a transplant is not required) or conservatively (vacuum pumps, extenders).
Such plastic surgery is in demand for micropenis and the man's own dissatisfaction.
Shape correction
The process is carried out using modern techniques for straightening the phallus. This is a plastic surgery that helps poor people with Peyronie's disease, local fibrosis and congenital deformity. In case of serious anomalies, the surgeon decides to use synthetic prostheses.
Reconstructive reconstruction of the penis (phalloplasty)
The most complex and delicate microsurgical procedures. Artificial structures or autografts are implanted onto the phallus. Reconstruction is about restoring the urethra, its aesthetics and functionality. Reconstruction is part of gender reassignment procedures and is an option for men who have lost a penis following surgery, illness or injury.
Penile prosthetics
A necessary step to achieve a stable artificial erection. The surgeon removes structures - plastic prostheses - and inserts them into the torso. They differ in the way the phallus is brought into a relaxed and aroused state. We talked about procedures, the classification of which is very conditional. In practice, they are often combined and performed one after the other on the same operating table.
Contraindications
There are several contraindications to genital enlargement, including:
- mental illness;
- diabetes mellitus;
- impaired blood clotting.
The symptoms of these pathologies may worsen after surgery to enlarge the male penis. For more information about how much penis enlargement surgery costs in clinics in our country, see our material.
Progress of the operation
There are two types of penis enlargement surgeries. One of them is characterized by the classic implementation, the other involves the addition of elements of adipose tissue. However, according to experts' opinions, lengthening of the second type is performed significantly less often than the first. Often the blood flow to the tissue is slow, which leads to various infectious complications.
In addition, ligamentotomy is divided according to the type of access. In this regard, it is much easier for a plastic surgeon to excise the ligament above the pubic bone. However, an operation via the scrotum is considered to be much less painful and less dangerous. Penis enlargement surgery using this approach can take longer, requires a much larger incision, and leaves a noticeable scar in the pubic area. Such an intervention also damages tissue and fatty tissue and makes it difficult to continue wearing the aid. The cost of surgery through the scrotum is higher, but the risk of complications is minimal, as is 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 procedures until the patient awakens from anesthesia is 40-50 minutes. A bandage is applied to the site where the incision was made. It is believed that the elimination of the ligament that fixes the hidden internal part of the penis does not directly lead to enlargement of the reproductive organ itself. The penis remains in place, and the severed ligament is necessary only for subsequent improvement of the result with the help of a special device - an extender. The ligamentotomy is therefore exclusively auxiliary and requires the indispensable use of an extender in the future. It should also be borne in mind that the result depends on the immediate initial length of the penis. In other words, the ligamentotomy helps to enlarge the phallus, which is adjusted by the extender so that it can act on the inside of the penis.
Which doctor should I contact?
If such a decision as penis enlargement through surgery is conscious and hard-won and there is no turning back, the patient turns to a plastic surgery clinic.
Large clinics have a department for aesthetic surgery or intimate plastic surgery. First you need to meet with your doctor.
If the doctor considers your arguments convincing, he will refer you for an examination and tests, for which, by the way, you will have to pay. Tests that need to be taken (there are a lot of them, so take some time to complete them all):
- general blood analysis;
- blood clotting test;
- general urinalysis;
- blood group and Rh factor analysis;
- Examination for HIV infection, hepatitis B and C;
- blood test for RW;
- ECG.
In addition to the surgeon, you need to consult a urologist and andrologist. After receiving the results of the examination, the plastic surgeon makes a conclusion about the absence or presence of contraindications. And only then will plastic penis enlargement be carried out or not.
rehabilitation
The next day after the ligamentotomy, a special device, a so-called stretcher, is placed on the operated organ. Unlike the extender, it is used continuously until the stitches are completely removed after 12-14 days. In 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 weight - this method does not allow the penis to return to its original position.
- After scarring (after about 1-2 months), the stretching of the phallus continues with the help of an extender and lasts up to six months.
The lifespan of the extender increases gradually. The first noticeable and visually traceable results can be observed six months after the operation.
Recommendations for using the extender
After the ligamentotomy, the extender is attached to the penis to prevent pain and discomfort. An additional function of this device is to provide the necessary tension to the muscles and ligaments of the penis. New areas of connective tissue form in place of the severed ligament. Your future size largely depends on compliance with the recommendations for the postoperative period, including the systematic wearing of an extender. In order for the device to function properly and achieve the maximum effect, you should follow a few tips for its use:
- The extender is only attached to the penis during the day and must be removed at night.
- The device is initially 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 severed ligament. This 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 to wear.
Penis enlargement techniques
There are various ways to increase male performance. Each of them uses different implants, which are a material made of erectile tissue. It is attached to the base of the penis using special erectile tissue rods that:
- during an erection they fill with blood;
- will increase the size of the organ.
Another technique is to enlarge the penis by "winding" skin tissue taken from other places, for example the buttocks. Such operations are quite simple and the likelihood of them being unsuccessful afterwards is negligible. The skin, which covers the penis, is unique by nature. Unlike all integuments, this piece of skin is not connected to the body of the genital organ by nerve endings at all. Thanks to this, surgeons have mastered this technique perfectly. By the way, the reviews after a ligamentotomy are very good and the patientsnotice an enlargement of the penis. It happens that the doctor transplants tissue along with bundles of blood vessels and then:
- they merge with native vessels;
- additional penis enlargement occurs.
This type of operation allows the organ to be enlarged by up to 1 cm. If a man wants to achieve better results, he resorts 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 helps to achieve a relatively large size of the phallus, but at the same time the likelihood of complications after the operation increases.
Possible complications
A qualified specialist who has performed a penis enlargement operation, through his professional actions, eliminates all risks of possible problems after a ligamentotomy. In extremely rare individual cases, the following complications are observed after such an intervention:
- bleeding;
- deformation of the penis (it may also become erect at an atypical angle or partially enlarged);
- suppuration of the seam after surgery;
- infection of the testicles;
- formation of scars and adhesions;
- unstable erection;
- reduced 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, it is noted that no possible problems arise both during the operation and during the rehabilitation period.
Benefits of penile correction surgery
The main benefits of penis enlargement surgery include:
- Long lasting effect.
- Relatively quick rehabilitation.
- The ability to increase the penis not only in length but also in thickness.
- The possibility of simultaneously eliminating pathologies or defects of the penis (both acquired and congenital).
- No negative effects on reproductive function and the quality of male potency.
- Short operation time.
Plastic surgery of the glans without and with sutures
Glans plastic surgery is the most popular surgical procedure in the male genital area. These include:
- Circumcision is the removal of a narrowing of the foreskin through circumcision. With this simple manipulation you can prevent a variety of problems associated with phimosis. Depending on the clinical indication, full or partial circumcision is chosen. In many countries around the world, this procedure is carried out for hygienic or religious reasons. Plastic surgery of the penis without sutures for phimosis is necessary to ensure complete cleaning of the tip of the penis in a natural way. When the foreskin is narrowed, smegma accumulates under it, which is an excellent breeding ground for pathogenic microflora. A premature solution to the problem leads to constant inflammation and scarring not only on the surface of the penis, but also in the urethra.
- Another common problem that can be solved with simple surgery is a 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 making transverse notches in the frenulum, stretching it to normal size, and applying cosmetic sutures. The full recovery process takes 2 weeks.
Features of penile stretching surgery
A more complex procedure is penis straightening. There are three different techniques you can use to correct penile deviation. They all begin by removing the foreskin and cutting the skin along the coronal groove, about 5mm from the glans. Some doctors do not resort to circumcision. This is necessary to be able to release the tunica albuginea of the penile shaft to its base.
After that, they begin using one of the methods to straighten the phallus.
- Shortening of the tunica albuginea of the penis on the side opposite the curvature with subsequent fixation. This technique has several variants. If straightening of the penis by 30-45° is required, folds are created using non-absorbable sutures. If the deviation is more than 45, an elliptical excision is used. Since the procedure leads to a reduction in the size of the organ by 0. 5-2 cm, this type of operation is only suitable for men with a relatively large penis.
- Extension of the tunica albuginea of the erectile tissue on the curvature side with biological material (the patient's own skin or vein). This method in most cases allows you to maintain the original size of the phallus, and sometimes increase its size.
- Penis straightening by inserting a prosthesis. This method is more often used in men with untreatable erectile dysfunction, which allows you to get rid of two problems at once.
Having decided to correct the deformation of your masculinity or change its appearance, you need to find out what options modern surgery offers to solve the problem, study reviews of a particular clinic and make sure that the asked price is reasonable.
When can the result of the operation be assessed?
The result of the procedure can be assessed only after the tissue has completely healed, the sutures have been removed (if artificial threads were used) and the edema has subsided:
- After the introduction of hyaluronic acid, the enlargement effect is visible after 4 days, when the characteristic swelling disappears on its own.
- Lipofilling is a procedure that aims to achieve a quick effect (given that it is an invasive procedure). The result is visible within 2 weeks.
- The success of the ligamentotomy can only be assessed after 2 months (this is the average period).
- Microsurgical muscle transplantation requires a recovery period of 3 weeks. Only after this period can you determine how successfully the procedure was completed.
- After penile prosthetics, you can only assess the effect after 2-3 weeks.
Only average recovery times are shown. In general, regeneration after an operation depends on the individual characteristics of the skin and the condition of the body.
Preparation for plastic surgery
The first step consists of getting to know the surgeon personally, taking an anamnesis and an obligatory interview. All the interesting facts related to mental and physical health will be brought out of you. In addition, 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 solve them yourself or with a doctor. However, intervention still occurs in 99. 9% of cases. This will happen on day X:
- You are not allowed to drink - the liquid that splashes into the stomach can cause complications during anesthesia. We advise you to adhere to this rule and endure your thirst until the end;
- The nurse shaves his pubic area without shyness;
- To check, the blood is examined for sugar and hemoglobin.
- an anesthesiologist and a surgeon will come for a kind word and final farewell words;
- The doctor will make a mark on the thigh showing the length of the phallus before surgery. Then you can check how many centimeters your best friend has gained.
Postoperative period
We want to warn you that the operation is just the beginning. After the procedure, utmost courage is required to go through the recovery phase. The process takes about six months, but readiness for sex will be achieved in two weeks.
To secure the result, you must:
- Regularly perform bandages, disinfect the penis and lubricate it with ointments.
- Put on an extender - the device will be used for at least 8 hours a day. It is worn immediately after surgery. This avoids excessive scarring and the possibility of curvature.
Rehabilitation phase
The recovery period after a surgical intervention depends on the individual characteristics, the chosen method, the traumatic nature of the intervention and the initial parameters of the organ. Reviews of surgical penis enlargement by injections indicate a quick recovery period of several days, a rare occurrence of hematomas and injuries, and the absence of discomfort.
During tissue regeneration after radical procedures, the patient must regularly change the dressing in the treatment room to maintain personal hygiene. At this time, abstaining from sexual contact and limiting physical activity are necessary. Depending on the doctor's recommendation, it is essential to use loose cotton or special compression clothing.
In the first days after visiting the clinic, the patient should take antibiotics as prescribed by a doctor to prevent inflammatory processes, avoid purulent abscesses and other life-threatening complications.
When should genital surgery be performed?
Our genital surgeons explained that size correction is considered plastic surgery. This means that it cannot be recommended, prescribed or indicated. Firstly, it is carried out to those who want it!
Iron indications for surgery:
- Microphaly
– congenital underdevelopment. Such a penis is no larger than 10 cm when erect. This fact evokes only sympathy from doctors. From a medical point of view, the man is healthy, he can urinate and his penis has no influence on his life expectancy. In fact, the reason for the event always remains the desire of the owner himself; - Reduction due to damage and injuries
- Anything can happen in life, even a Kamaz member who has moved.
Possible risks and complications
The most common side effects include the following:
- The appearance of hematomas and bruises on the skin and mucous membrane (small bruises also occur with injections; as a rule, they disappear on their own after a few days).
- Injuries to the erectile tissue, damage to blood vessels, which can lead to unstable erections and complete impotence.
- Painful urination and erection in the first few weeks.
- Impaired sensitivity of the head, leading to weak sensations during orgasm.
- Premature ejaculation.
- In rare cases, there is a violation of the normal anatomical shape of the penis (due to unqualified actions of the surgeon).
Attention: To avoid most of these complications, responsible selection of a specialist is required. Entrust your health only to well-known doctors who regularly improve their qualifications and receive positive reviews from other patients.