Recently, penis enlargement surgeries have become increasingly popular. The male enhancement effect becomes possible thanks to an outpatient procedure, which lasts no more than an hour and a half and is performed under local anesthesia. The patient can return home immediately after the operation. He will have to see his doctor for another month. Often many men do not require any surgery. Patients suffering from micropenis syndrome or penile dysmorphophobia need only one course of psychotherapy. Men sometimes just think they have a small penis.
To solve a delicate problem, various organ enlargement drugs recommended by a doctor are suitable. They can be purchased without problems on the Internet or in a pharmacy. However, there are cases where the member still needs to be expanded:
- medical problem (hypospadias, epispadias, cavernous fibrosis, micropenis, consequences of injuries, Peyronie's disease);
- functional problem (the penis has lost elasticity, the subcutaneous fat layer has increased, the penis is hidden or webbed).
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 surgery to enlarge the male penis, it is necessary to refer to information on the anatomical structure of this organ. Therefore, the penis is supported by the pelvic region and is attached to it by a special ligament called the ligament. The purpose of the surgery is to change the size of this ligament, which allows you to increase the size of the penis.
It would seem that this technique allows you to solve multiple problems that arise due to the small size of the manhood (physical and psychological). However, some risk factors for such manipulation should be taken into account:
- The possibility of injury to the patient or infection in his body during surgery.
- If the ligamentous ligament is too short the surgery will not bring the expected effect.
- A penis that is not supported by a ligament is hypermobile. In addition, the suppression of the ligament leads to the fact that during erection the penis will be directed downwards, and not forwards or upwards, as is usually the case.
- A specialist is not able to completely predict the results of 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 rigorous 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.
Structure of the penis
Aesthetic indications:
- A man's desire to increase self-esteem.
- The desire to increase one's attractiveness.
- Penis 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 lower value may be considered a reason for ligamentotomy.
Types
Silently rubbing their hands, urologist-surgeons perform a whole series of plastic surgery operations on the phallus.
Circumcision of the foreskin
This group includes reconstructive cutting of the frenulum (frenulotomy) and the circumcision itself (circumcision). The operations are performed on an outpatient basis and do not present particular difficulties from a technical point of view. The process takes approximately 30 minutes. Recovery is rapid and moderately painful.
Sizing fix
Here you can work in two directions: increasing the thickness and length. In the first case the problem can only be solved surgically with the aid of autografts. In the second the doctor acts both surgically (no transplant is necessary) and conservatively (vacuum pumps, extenders).
Such plastic surgery is required for micropenis and man's dissatisfaction.
Shape correction
The process is performed using modern techniques to straighten 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 interventions. Artificial structures or autografts are implanted on the phallus. The reconstruction involves the restoration of the urethra, aesthetics and functionality. Reconstruction is part of gender reassignment procedures, 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 structures – synthetic prostheses – and inserts them into the trunk. They differ in how the phallus is transferred to a relaxed and excited state. We talked about procedures, the classification of which is very conditional. In practice, they are often combined with each other and performed sequentially on the same operating table.
Contraindications
There are several contraindications to the genital enlargement procedure, including:
- mental disease;
- diabetes;
- impaired blood coagulation.
The symptoms of these conditions may worsen 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.
Progress of the operation
There are two types of penis enlargement surgery. One of these is characterized by the classic implementation, the other involves the addition of adipose tissue elements. However, according to experts, stretching of the second type is performed much less frequently than the first. Often blood flow in the tissues is slow, which leads to various infectious complications.
Furthermore, ligamentotomy is divided according to the type of access. In this regard, it is much easier for a plastic surgeon to remove the ligament above the pubic bone. However, surgery performed through the scrotum is considered much more painless and less dangerous. Penis enlargement surgery with this approach can take longer, involves a much larger incision, and leaves a noticeable scar in the pubic area. Furthermore, this intervention damages the tissues and adipose tissue and makes it difficult to continue wearing the aid. The cost of surgery performed through the scrotum is higher, but the risk of complications is minimal, as is the appearance of postoperative scars. A surgeon and a urologist 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 manipulations until the patient awakens from anesthesia is 40-50 minutes. A bandage is applied to the area where the incision was made. It is believed that the elimination of the ligament fixing the hidden internal 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 needed only for the subsequent improvement of the result with the help of a special device - an extender. Therefore, ligamentotomy is exclusively auxiliary in nature and requires the indispensable use of an extensor in the future. It is also worth considering 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 extensor, allowing it to act inside the penis.
Which doctor should I contact?
If a decision such as penis enlargement through surgery is deliberate, hard-won and cannot be reversed, the patient turns to a plastic surgery clinic.
Large clinics have a department of cosmetic surgery or intimate plastic surgery. First you need to meet with your doctor.
If the doctor finds your arguments convincing, he will send you for an examination and tests, for which, among other things, you will have to pay. Tests to do (there are quite a few, so take some free time to do them all:
- general blood tests;
- blood clotting tests;
- general urinalysis;
- blood group and Rh factor analysis;
- examination for HIV, hepatitis B and C infection;
- blood test for RW;
- ECG.
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 concludes on the absence or presence of contraindications. And only then do plastic penis enlargement or not.
Rehabilitation
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 penis enlargement surgery, a man should follow the following recommendations:
- Refusal of sex, sport 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 has formed (after approximately 1-2 months), the lengthening 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.
Tips for using the extender
After the ligamentotomy, the extensor 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. In place of the severed ligament, new areas of connective tissue form. Their future size largely depends on compliance with the recommendations for the postoperative period, including the systematic use of an extender. In order for the device to work properly and achieve maximum effect, you should consider some tips for its use:
- The extender is placed on the penis only during the day, at night it must be removed.
- Initially, the device is worn for 1. 5-2 hours a day. Gradually the time increases to 5-6 hours.
- The extensor is worn until a new ligament forms and takes its place to replace the severed ligament. Typically, this takes 3 to 7 months.
Modern extenders are made of latex or hypoallergenic plastic. This is why 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 several implants, which are a material made of cavernous tissue. It is attached to the base of the penis using special cavernous rods which:
- during erection they will fill with blood;
- it will increase the size of the organ.
Another technique involves enlarging the penis by "wrapping" skin tissue taken from other places, such as the buttocks. Such operations are quite simple and the probability of a negative outcome after them is negligible. The skin covering the penis is unique in nature. Unlike all integuments, this piece of skin is not at all connected via nerve endings to the body of the genital organ. Thanks to this, surgeons have mastered this technique to perfection. By the way, revisions after ligamentotomy are very good, and patients note an increase in the penis. It happens that the doctor transplants the tissue together with bundles of blood vessels, and then:
- merge with native ships;
- there is a further increase in the penis.
This type of operation will help 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 increases the likelihood of complications after surgery.
Possible complications
A qualified specialist who performed penis enlargement surgery, through his professional actions, nullifies all risks of possible problems after ligamentotomy. In extremely rare isolated cases, the following complications are observed after such surgery:
- bleeding;
- deformation of the penis (it may also straighten at an atypical angle or partially rise);
- suppuration of the suture placed after surgery;
- infection of the testicles;
- development 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, the absence of possible problems both during the operation and during the rehabilitation period is noted.
Advantages of penile corrective surgery
The main benefits of penis enlargement surgery include:
- Long lasting effect.
- Relatively fast rehabilitation.
- The possibility of increasing 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 impact on reproductive function and the quality of male potency.
- Short duration of operation.
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 the narrowing 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 form of total or partial circumcision is chosen. In many countries of 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 breeding ground for pathogenic microflora. Premature 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 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 lasts approximately 20 minutes. The procedure involves placing transverse notches on the frenulum, lengthening it to normal size, and placing 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 the deviation of the penis. They all begin with the removal of 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 to be able to free the tunica albuginea of the penis shaft up to its 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 the curvature, followed by its fixation. This technique has several varieties. If it is necessary to straighten the penis by 30-45°, folds are applied using non-absorbable sutures. If the deviation is greater than 45, elliptical excision is used. Since the surgery leads to a reduction of the organ by 0. 5-2 cm, this type of surgery is suitable only for men with a large enough penis.
- Lengthening of the tunica albuginea of the corpora cavernosa from the side of the curvature using biological material (patient's 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 most often used in men with incurable erectile dysfunction, which allows you to eliminate two problems at once.
Having decided 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 specific clinic and make sure that the asking price is adequate.
When can the result of the operation be evaluated?
The result of the operation can be assessed only after complete healing of the tissues, removal of the sutures (if artificial threads were used) and the disappearance of the edema:
- After the introduction of hyaluronic acid, the enlargement effect is visible after 4 days, when the characteristic swelling disappears on its own.
- Lipofilling is an intervention that involves obtaining an effect quickly (from the point of view of the fact that it is an invasive procedure). The result is noticeable within 2 weeks.
- The success of the ligamentotomy can only be assessed after 2 months (this is the average period).
- Microsurgical muscle transplantation involves a 3-week recovery period. It is after this period that you can determine how successfully the procedure was completed.
- After the penile prosthesis it is possible to 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 condition of the body.
Preparation for plastic surgery
The first phase involves getting to know the surgeon personally, collecting the medical history and a mandatory interview. All the interesting facts related to mental and physical health will be brought out to you. Along with this, 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 fix them on your own or with a doctor. However, the operation is still carried out in 99. 9% of cases. This will happen on day X:
- you will not be allowed to drink: splashes of liquid in the stomach can cause complications if immersed in anesthesia. We advise you to adhere to this rule and endure thirst to the end;
- without any shyness, the nurse will shave his pubic area;
- for checking, they will test your blood for sugar and hemoglobin;
- an anesthetist and surgeon will come for a friendly word and last parting words;
- the doctor will leave a mark on the thigh: it 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 would like to warn you that the operation is just the beginning. After the operation, maximum courage will be required to face the recovery phase. The process takes about six months, but preparation for sex will take place in two weeks.
To guarantee the result you will have to:
- regularly do dressings, disinfection, smear the penis with ointments;
- wear an 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 surgery 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 using injections indicate a quick recovery period of several days, a rare appearance of hematomas and lesions, 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 time, abstinence from sexual contact and limitation of physical activity is required. It is essential to use loose cotton clothing or special compression clothing, depending on your doctor's recommendations.
In the first days after visiting the clinic, the patient should take antibiotics as prescribed by the doctor, this will help 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 carried out to those who want it!
Indications of iron for surgery:
- microfallia
– congenital underdevelopment. This penis does not exceed 10 cm in the erect state. This fact evokes only 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. The reason for the event, in fact, always remains the desire of the owner himself; - reduction for damages and accidents
- Anything can happen in life, even a Kamaz member who moved.
Possible risks and complications
The most common adverse reactions include the following:
- The appearance of hematomas and bruises on the skin and mucous membranes (small bruises also occur with injections; they usually disappear on their own after a few days).
- Injury to the corpora cavernosa, damage to the 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, a violation of the normal anatomical shape of the penis (due to unskilled actions of the surgeon).
Caution: To prevent most of these complications, you need to take a responsible approach when choosing a specialist. Trust your health only to famous doctors who regularly improve their qualifications and have positive reviews from other patients.