Nowadays, penis enlargement surgery is gaining more and more popularity. And this is due to the fact that a part of the male population, even in the absence of problems, has complexes about the size of their penis. There are several ways to enlarge the genital organ, however, not all methods offer a long-term effect, in contrast to the surgical one.
Is it possible to enlarge the penis surgically?
Surgical enlargement of the male genital organ is, of course, possible. The desire to undergo surgery is not always due to the fact that the problem really exists. Often, even owners of a fairly normal penis size can acquire such complexes. Most men also believe that success in sexual intercourse and the ability to reproduce directly depends on the value of dignity, however, this is not the case at all.
The normal size of the penis varies from 12cm to 18cm when erect. A small penis is considered, the size of which varies from 9 cm to 12 cm. There are also owners of a micropenis, the length of which is less than 8 cm and can reach 2 cm (in a state of erection).
Penis enlargement surgery should have indications and not be done simply because of man's complexes. In the event that the desire to enlarge the phallus is caused by dissatisfaction with its size, but at the same time its indicators adhere to average values, it is necessary to visit a psychotherapist or sexologist.
Surgical penis enlargement is only necessary in some cases:
- Involution of the penis, which is characterized, as a rule, by a decrease in muscle tone and tissue elasticity, usually occurs in old age. As involution develops, the surgeon will not insist on surgery, and the decision to enlarge the phallus will remain at the patient's discretion. After all, sexual activity decreases with age, so many older men take this phenomenon with absolute calm.
- Acquired organ deformity or intrauterine abnormalities. Congenital malformations of the male member include underdevelopment of the spongy urethra, leading to curvature of the phallus towards the scrotum (hypospadias).
- Underdevelopment of the urethra (epispadias). Acquired deformities include all types of penile injuries of varying severity.
- Micropenis is another of the conditions that result in an increase in the size of the manhood by a surgical method.
In case the patient wants to resort to surgery to enlarge the phallus, without any indication, the doctor will most likely try to dissuade him and possibly recommend other methods to change the size of the penis.
Among other things, surgical correction and enlargement of a man's phallus is a rather expensive procedure.
Types of operations
There are several ways to enlarge the male genital organ:
Phalloprosthesis
Phalloprosthesis involves the implantation of a prosthesis into a man's penis. This type of surgery is quite serious, as the organ is disassembled and then assembled into parts. Usually, phalloprosthesis is performed only if there are indications, when no classical means can cope with the situation. Before the operation, the patient will have to visit the hospital several times to undergo the examination and pass the necessary tests. This type of surgery allows not only to solve the problem of missing centimeters of a man's penis, but also to cope with erectile dysfunction, which makes phalloprosthesis very popular among men, despite the high cost of the operation and the his pain.
The essence of this method is that special devices are implanted in the corpora cavernosa of the penis. This method is performed exclusively under general anesthesia.
There are three types of endoprostheses: semi-rigid, hydraulic and rigid.
Rigid penile prostheses are cheaper than hydraulic and semi-rigid ones; however, they are not that popular and are rarely used in surgery. This is due to the fact that this type of endoprosthesis has no plastic memory and also cannot change the degree of its rigidity. As a result, it turns out that a man constantly has an imitation of an erection.
In the case of a semi-rigid (one-piece) phalloprosthesis, its rigidity is also preserved. But the difference between a single-component and a rigid prosthesis is that a semi-rigid consists of two silicone cylinders, which are equipped with a wire and a rod. Thanks to this design, the phallus can be held in the required position by changing it with the hand.
But the greatest number of positive reviews is used by hydraulic, that is, inflatable (three-component) phalloprostheses. This endoprosthesis has the following structure: two cylinders, which are interconnected by a special pump, and there is also a reservoir for the fluid. During penile implants, these cylinders are implanted in the corpus cavernosum of the penis and the pump is placed in the man's scrotum. The reservoir is placed in the area behind the pubic bone.
To get an erection, you need to press the pump several times. Thus, the liquid previously in the tank moves into the cylinders and thereby increases their rigidity. As soon as it is necessary to eliminate the state of erection, it is necessary to bend the penis and wait for complete relaxation. At this point the liquid returns to the tank. Phalloprosthesis with plumbing is the most expensive, but it provides a more natural and natural physiological appearance, even at rest.
In any case, a phalloprosthesis for each patient is selected individually, taking into account all the features of the physical structure and only after undergoing a comprehensive examination of the whole organism. It is not a rare case when consultation with other narrow specialists is needed.
As mentioned above, phalloprosthesis is a rather serious procedure, during and after which various complications can arise. For this reason, the desire to increase one's dignity is not enough, any clinic will undertake this operation only if there are serious indications. It is possible that the implant will simply not take root, and the body will make every effort to move it, including through the urethra, the crown of the head. In addition to displacement, twisting and fracture of the prosthesis is possible. As a result of squeezing, the patient may manifest necrosis of the genital organ or skin, lesions of the epithelium covering the foreign body. Among the complications can also be distinguished: the development of inflammatory processes; hematoma of the penis, edema, painful postoperative conditions, decreased sensitivity of the organ; problems with urination. During intercourse, displacements or violations of the integrity of the implants are possible, as well as pain and discomfort.
lipofilling
Lipofilling refers to minimally invasive plastic surgery. And it has a number of advantages over the method described above, however, it is more aimed at increasing not the length of the phallus, but its thickness.
Lipofilling involves introducing biomaterial (the patient's adipose tissue) under the skin of the penis, so in addition to this procedure, liposuction must be performed. The use of the patient's fat cells often excludes the presence of allergic reactions, however, it can lead to inflammatory processes.
Lipofilling is carried out in several stages:
- First of all, liposuction is performed. That is, the required amount of biomaterial is pumped from the patient's abdomen, legs or buttocks.
- Subsequently, the adipose tissue undergoes a cleaning procedure from all kinds of harmful components.
- The next step is to fill the penis with fat cells. This happens with an injection syringe and a microcannula. Fat is injected along the entire length of the penis.
- At the end of the operation, a bandage is applied to the patient.
In the postoperative period, several recommendations should be followed: it is not recommended to visit saunas, swimming pools and other water bodies, it is necessary to refrain from intimacy. Compliance with these simple rules will only bring you closer to a positive result.
Lipofilling is relevant when:
- The patient is quite satisfied with the length, but he is not satisfied with the diameter of the penis, that is, with the congenital thinness (although this is the result of an independent enlargement of the organ with the help of an extender).
- Due to the physiological characteristics of the partner, her vagina is too wide.
- There is erectile dysfunction, which is caused not by physiological abnormalities, but by psychological ones and is associated with dissatisfaction with the dimensions of a man's self-esteem.
- Congenital or acquired asymmetry of the phallus from trauma.
- Restoration of the aesthetic appearance after the removal of silicone implants.
- The patient has a micropenis.
Lipofilling has several advantages:
- General anesthesia is not required.
- Rehabilitation after the procedure is not long and takes only a few days.
- Long-term effect and although doctors do not guarantee a lifelong increase, the size remains for a long time.
- The procedure has practically no contraindications.
- If necessary, the surgeon can always correct the shape of the penis.
- A significant difference in price compared to penile implants.
Regardless of whether the bruises and swelling that appeared during the operation disappear within three days, the final result is evaluated only after a week.
However, even such an apparently positive operation has a number of complications and contraindications on all sides.
After lipofilling, the following complications can occur:
- painful sensations are possible when urinating;
- in the place where the biomaterial was injected, skin pigmentation sometimes occurs;
- swelling of both the penis and legs;
- rarely, but it happens that the adipose tissue is not evenly distributed throughout the male organ, but it will be lumps under the skin, and asymmetrical enlargement of the penis is also possible;
- scarring of cavernous tissues;
- accumulation of purulent fluid under the skin in the groin and penis;
- inflammation of the lymph nodes in the groin area.
If the patient has complications, you should immediately consult a doctor. The specialist will prescribe drug treatment or correction of the form (depending on the problem that has arisen).
Lipofilling is contraindicated for people suffering from diabetes mellitus, vascular and arterial diseases, the presence of deformities of the penis (congenital or acquired), infections of the urethra, the presence of sexually transmitted diseases, oncology, rashes on the penis. Also, lipofilling is not done for people with weakened immunity and mental disabilities.
It is important to choose a good, proven clinic for this type of surgery. The desire to save money can lead to serious consequences.
Ligamentotomy
The male reproductive system is designed in such a way that when blood flows to the penis, the ligament located in the pubic region begins to tighten the organ, due to which it rises.
The essence of a ligamentotomy is to cut this ligament (ligament), thereby moving the penis away from the pubic bone to which it is attached, due to which it will increase.
However, penis enlargement does not reside in the surgeon cutting the ligament, but in how the ligament will grow together. As soon as the ligament is cut, the phallus is bent and stretched, and the inside is pulled out of the pelvic area and fixed.
When zoomed in this way, the result depends on both the plastic surgeon and the patient. A man will have to stretch his penis with an extender for 14 days. Thanks to the ligamentotomy procedure, it is easy to add the desired 3-5 centimeters to manhood. The result of the ligamentotomy lasts a lifetime, because if the ligament grows together in a similar position, nothing will return to its original position.
Ligamentotomy is performed under general anesthesia or with spinal anesthesia. The process itself takes 30 minutes, and the rehabilitation takes two weeks. However, we can talk about the final result only six months later, when the ligament has fully grown.
The main advantage of ligamentotomy is that, as such, the operation does not involve complications and does not affect a man's sexual health in any way.
Ligamentotomy, like phalloprosthesis, is performed only for medical reasons, but this operation was performed repeatedly, simply according to the patient's wishes.
Microsurgical muscle transplant
The essence of the method is that the patient's penis is wrapped in musculocutaneous flaps, after making an incision around its base and lowering the skin. The operation lasts 2-3 hours, under general anesthesia, and upon completion the patient's organ immediately becomes noticeably thicker, about 3-4 centimeters.
The biomaterial for the transplant is taken from the operated person, from the abdominal wall or from the armpit area.
Postoperative rehabilitation lasts 4-6 weeks; a man can leave the hospital after 5-7 days.
Your own skin takes root quite well, which rules out a number of possible complications, as well as painful sensations.
Muscle transplants are rare. This is due to the high cost of this service.
Possible complications
Complications can arise after plastic surgery both in case of medical error, and in case of irresponsible attitude towards the recommendations in the rehabilitation period.
The most common complications are:
- deformation of the male genital organ;
- change in the angle of erection;
- shortening of the shaft of the penis;
- erectile dysfunction;
- decreased sensitivity of the man's penis.
It will not be possible to completely avoid the appearance of complications after an increase in a man's phallus. However, you should carefully choose a clinic for this procedure, as 80% of the result depends on it.