Recently, penis enlargement operations have become increasingly popular. The effect of male enhancement becomes possible thanks to an outpatient procedure that lasts no more than an hour and a half and is performed under local anesthesia. The patient can go home immediately after the operation. He will have 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 a small penis.
Different drugs for organ enlargement recommended by a doctor are quite suitable for solving a delicate problem. They can be bought without problems on the Internet or in a pharmacy. However, there are cases when the member still needs to be increased:
- medical problem (hypospadia, epispadias, cavernous fibrosis, micropenis, consequences of injury, Peyronie's disease);
- functional problem (the penis has lost its elasticity, the subcutaneous fat layer has increased, the penis is hidden or intertwined).
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 male penis enlargement surgery, you should look at information about the anatomical structure of this organ. Thus, the penis rests on the pelvic region and is attached to it by a special ligament called a 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 manhood (physical and psychological). However, some risk factors for such manipulation should be considered:
- The possibility of injury to the patient or infection in his body during the operation.
- If the ligamentous ligament is too short, the intervention will not bring the expected effect.
- A penis that is not supported by a ligament is hypermobile. In addition, the compression of the ligament leads to the fact that during erection, the penis will be directed downward, and not forward or upward, as is usually the case.
- The specialist is not able to fully predict the results of the manipulation, because a lot depends on the patient's body and its 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 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 is observed, reducing its size.
Structure of the penis
Aesthetic indications:
- A man's desire to increase his self-esteem.
- The desire to increase one's 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 organ is 12 cm (including erection). A lower value may be considered a reason for ligamentotomy.
Species
Silently rubbing their hands, urologists-surgeons perform a whole series of plastic surgeries on the phallus.
Circumcision of the foreskin
This group includes reconstructive trimming of the frenulum (frenulotomy) and circumcision itself (cicumcision). Operations are performed on an outpatient basis, there are no special technical difficulties. The process takes about 30 minutes. Recovery is quick and moderately painful.
Size correction
Here you can work in two directions - increase in thickness and length. In the first case, the problem can only be solved surgically with the help of an autograft. In the second, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pumps, extenders).
Such plastic surgery is sought after for micropenis and male dissatisfaction.
Shape correction
The process is carried out using modern techniques for correcting the phallus. This is 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 synthetic prostheses.
Reconstructive restoration of the penis (phalloplasty)
The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted on the phallus. Reconstruction includes urethral restoration, 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.
Penis prosthetics
A necessary step to achieve a stable artificial erection. The surgeon takes the structures - synthetic prostheses - and inserts them into the trunk. They differ in the way in which the phallus is transferred to a relaxed and excited state. We talked about procedures whose classification is very conditional. In practice, they are often combined with each other and performed consecutively on the same operating table.
Contraindications
There are several contraindications for the genital augmentation procedure, including:
- mental illness;
- diabetes;
- impaired blood clotting.
The symptoms of these pathologies may worsen after surgery to enlarge the male penis. You can find more information about how much penis enlargement surgery costs in clinics in our country in our material.
Operation progress
There are two types of penis enlargement surgery. One of them is characterized by a classic implementation, the other includes the addition of fatty tissue elements. However, according to expert reviews, the extension of the second type is carried out much less often than the first. Often the blood flow in the tissues is slow, which leads to various infectious complications.
Additionally, ligamentotomy is divided according to the type of approach. In this sense, it is much easier for a plastic surgeon to cut the ligament above the pubic bone. However, the intervention performed through the scrotum is considered much more painless 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, this type of intervention injures tissues and fatty tissue and makes it difficult to continue wearing the device. The price of an operation performed 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 surgical manipulations to the patient's exit from anesthesia is 40-50 minutes. A bandage is applied to the place where the incision was made. It is considered that the elimination of the ligament that fixes the hidden inner part of the penis does not directly lead to an increase in the reproductive organ itself. The penis remains in place, and the cut ligament is necessary only for subsequent improvement of the results with the help of a special device - an extender. Thus, ligamentotomy is exclusively auxiliary in nature and requires the indispensable use of extenders in the future. It is also worth considering that the result depends on the immediate initial length of the penis. In other words, the ligamentotomy helps to increase the size of the phallus, which is adjusted by the extender, allowing it to act on the inside of the penis.
Which doctor should I contact?
If such a decision as penis enlargement by surgery is deliberate, hard-won and irreversible, the patient turns to a plastic surgery clinic.
Large clinics have a department of cosmetic surgery or intimate plastic surgery. You must meet with your doctor first.
If the doctor finds your arguments convincing, he will refer you to an examination and tests, for which you will, by the way, have to pay. Tests to do (there are a lot of them, so take some free time to do them all:
- general blood analysis;
- blood clotting test;
- general urinalysis;
- blood group and Rh factor analysis;
- screening for HIV infection, hepatitis B and C;
- blood test for RW;
- EKG.
In addition to the surgeon, you will have 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 then do they do plastic penis enlargement or not.
Rehabilitation
The next day after the ligamentotomy, a special device called a stretcher is placed on 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 adhere to the following recommendations:
- Rejection 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 formation of the scar (after approximately 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 is gradually increased. The first tangible and visually visible results can be seen six months after the operation.
Recommendations for the use of extenders
After the ligamentotomy, the extender is placed on the penis to avoid 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 site of the cut ligament, new areas consisting of connective tissue are formed. Their 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 work properly and achieve maximum performance, 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. The time gradually increases to 5-6 hours.
- The extender is worn until a new ligament forms and takes its place to replace the severed ligament. As a rule, it lasts 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 different implants, which are material consisting of cavernous tissue. It is attached to the base of the penis using special cavernous rods, which:
- during erection it will fill with blood;
- will increase the size of the organ.
Another technique involves enlarging the penis by "rolling" skin tissue taken from other places, such as the buttocks. Such operations are quite simple and the probability of failure after them is negligible. The skin covering the penis is unique in nature. Unlike all integuments, this piece of skin is not connected by nerve endings to the body of the genital organ at all. Thanks to this, surgeons have mastered this technique to perfection. By the way, the reviews after ligamentotomy are very good, and patients notice an increase in the penis. It happens that the doctor transplants tissue together with bundles of bloodcourts, and then:
- merge with domestic courts;
- there is an additional increase in the penis.
This type of surgery will help to enlarge the organ up to 1 cm. When a man wants greater results, he resorts 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 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 with his professional actions. In extremely rare isolated cases, the following complications are observed after such an intervention:
- bleeding;
- deformation of the penis (it can be straightened at an atypical angle or partially raised);
- suppuration of a suture placed after surgery;
- testicular infection;
- development of scars and adhesions;
- unstable erection;
- disturbed 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 an absence of possible problems both during the operation and during the rehabilitation period.
Advantages of penile correction surgery
The main benefits of penis enlargement surgery include:
- Long lasting effect.
- Relatively quick rehabilitation.
- The possibility of increasing the penis not only in length, but also in thickness.
- Possibility of simultaneous removal of pathologies or defects of the penis (both acquired and congenital).
- It has no negative impact on reproductive function and the quality of male potency.
- Short operation duration.
Plastic surgery of the head of the penis without and with stitches
Plastic surgery of the head of the penis is the most popular surgical intervention in the area of male genitalia. This includes:
- Circumcision is the removal of the constriction of the foreskin by circumcision. This simple manipulation allows you to prevent a large number of problems associated with phimosis. Depending on the 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 complete cleansing of the head of the penis in a natural way. If the foreskin is narrowed, smegma accumulates under it, which is an excellent place for the reproduction of pathogenic microflora. Untimely resolution of the problem leads to constant 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 characteristic 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 making transverse incisions on the frenulum, stretching it to normal size and applying cosmetic stitches. The complete recovery process takes 2 weeks.
Characteristics of penile straightening surgery
A more complex procedure is penile straightening surgery. There are three different techniques that allow you to correct penile deviation. All begin by removing the foreskin and cutting the skin along the coronal sulcus, approximately 5 mm from the glans. Some doctors do not resort to circumcision. This is necessary so that the tunica albuginea of the shaft of the penis can be released 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 variants. If it is necessary to straighten the penis by 30-45°, the folds are placed with non-absorbable sutures. If the deviation is greater 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 suitable only for men with a fairly large penis.
- Extension of the tunica albuginea of the corpora cavernosa on the side of curvature with 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 to increase its size.
- Straightening the penis by inserting a prosthesis. This method is more often used in men with incurable erectile dysfunction, which allows solving two problems at the same time.
By deciding to correct the deformation of your manhood or change its appearance, you need to find out what options for solving the problem modern surgery offers, study the reviews of a particular clinic and make sure that the requested price is adequate.
When can the result of the operation be assessed?
The result of the intervention can be assessed only after complete healing of the tissue, removal of sutures (if artificial threads were used) and subsidence of edema:
- After the introduction of hyaluronic acid, the effect of increase is visible after 4 days, when the characteristic swelling disappears by itself.
- Lipofilling is an intervention that implies a quick effect (from the point of view that it is an invasive procedure). The result is visible within 2 weeks.
- The success of ligamentotomy can be evaluated only after 2 months (this is an 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 prosthetics, 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 properties of the skin and the state of the organism.
Preparation for plastic surgery
The first stage is a personal meeting with the surgeon, taking an anamnesis and a mandatory interview. All interesting things related to mental and physical health will be extracted from you. In addition, you will have to go through 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, the intervention is still carried out in 99. 9% of cases. This will happen on day X:
- you won't be allowed to drink - the liquid that splashes into your stomach can cause complications when it sinks into the anaesthetic. We advise you to follow this rule and endure your thirst to the end;
- without any shyness, the nurse will shave his pubic area;
- for control, they will examine the blood for sugar and hemoglobin;
- the anesthesiologist and the surgeon will come for a friendly word and a final farewell;
- the doctor will make a mark on the thigh - this will indicate 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 only the beginning. After the intervention, it will take maximum courage to go through the recovery phase. The process takes about six months, but readiness for sex will occur in two weeks.
To secure a result, you will need to:
- regularly do dressings, disinfection, lubricate the penis with ointments;
- insert the extender - the device is used for at least 8 hours a day. It will be worn immediately after surgery. This will eliminate excessive 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. Reviews of surgical penis enlargement with injections indicate a quick recovery period of several days, a rare occurrence of hematoma and injuries, and the absence of discomfort.
During the process of tissue regeneration after radical approaches, the patient must regularly change dressings in the treatment room to maintain personal hygiene. At this moment, abstinence from sexual contact, as well as limitation of physical activity, is required. It is mandatory to use loose cotton or special compression clothing, depending on the doctor's recommendation.
In the first few days after visiting the clinic, the patient should take antibiotics as recommended by the doctor, which will prevent inflammatory processes, avoid purulent abscesses and other life-threatening complications.
When should you have genital surgery?
Our genital surgeons explained that size correction surgery is considered plastic surgery. This means that it cannot be recommended, prescribed or indicated. First of all, it is spent on those who want it!
Iron indications for surgery:
- microphalia
– congenital underdevelopment. Such a penis does not exceed 10 cm in erection. This fact causes only sympathy among doctors. From a medical point of view, a man is healthy, able to urinate, and his penis does not affect his life expectancy. In fact, the reason for the event always remains the desire of the owner; - reduction due to damage and injury
- anything can happen in life, even a Kamaz that moved.
Possible risks and complications
The most common side effects include the following:
- The appearance of hematomas and bruises on the skin and mucous membranes (small bruises also occur during injections; as a rule, they disappear on their own after a few days).
- Injuries of cavernous bodies, 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 leads to 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 prevent most of these complications, it is necessary to approach the selection of a specialist responsibly. Trust your health only to well-known doctors who regularly improve their qualifications and have positive reviews from other patients.