Recently, penis enlargement surgeries have become more and more 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 has 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.
To solve a delicate problem, various organ enlargement drugs recommended by a doctor are quite suitable. They can be bought without problems on the Internet or at a pharmacy. However, there are cases where the member still needs to be enlarged:
- medical problem (hypospadia, epispadias, cavernous fibrosis, micropenis, secondary to injury, 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 see pictures in medical sources.
Surgical penis enlargement: all the pros and cons
To understand the principle of surgery to enlarge the male penis, you should refer to information about the anatomical structure of this organ. The penis is thus supported by the pelvic region and is attached to it by a special ligament called the ligament. The point of surgery 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 several problems that arise due to the small size of manhood (physically and psychologically). 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 the operation.
- If the ligament is too short, the intervention will not produce the expected effect.
- A penis that is not supported by a ligament is hypermobile. In addition, compression of the ligament causes the penis during an erection to be directed downwards, and not forwards or upwards, as is normally the case.
- A specialist is not able to completely 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. But 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, which reduces its size.
Penile structure
Aesthetic indications:
- A man's desire to increase 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 dimensions of the male reproductive organ is 12 cm (including erection). A smaller value can be considered a reason for ligamentotomy.
Kind of
Quietly rubbing their hands, urologists-surgeons perform a wide variety of plastic operations on the phallus.
Circumcision of the foreskin
This group includes reconstructive trimming of the frenulum (frenulotomy) and circumcision itself (circumcision). The operations are performed on an outpatient basis, there are no particular technical difficulties. The process takes approximately 30 minutes. Recovery is quick and moderately painful.
Correction of size
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, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pumps, extenders).
Such plastic surgery is in demand after micropenis and a man's own dissatisfaction.
Shape correction
The process is carried out 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 severe 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 involves restoration of the urethra, aesthetics and functionality. Reconstruction is part of sex reassignment procedures, an option for men who have lost a penis after surgery, illness or injury.
Penis prostheses
A necessary step to achieve a stable artificial erection. The surgeon takes structures - synthetic prostheses - and introduces them into the trunk. They differ in the way 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 sequentially on the same operating table.
Contraindications
There are several contraindications to the genital enlargement procedure, including:
- mental illness;
- diabetes;
- decreased blood clotting.
The symptoms of these pathologies 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.
The course of the operation
There are two types of penis enlargement surgery. One of them is characterized by classical implementation, the other involves the addition of elements of adipose tissue. But 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.
In addition, ligamentotomy is divided by the type of access. In this regard, it is much easier for a plastic surgeon to cut out the ligament above the pubic bone. However, interventions performed through the scrotum are considered to be much more painless and less dangerous. Penis enlargement surgery using this approach can take longer, involves a much larger incision, and leaves a noticeable scar on the pubic bone. Furthermore, such an intervention damages tissue and fat 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 occurrence of postoperative scars. A surgeon and urologist talks about the nuances of penis enlargement surgery and the post-operative period.
Ligamentotomy is performed under anesthesia (general or epidural). The total time from the beginning of the surgeon's manipulations until the patient comes out of 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 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 only necessary for subsequent improvement of the result with the help of a special device - an extender. Thus, ligamentotomy is exclusively of aids and requires the indispensable use of an extender 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 increase the size of the phallus, which is adjusted by the extender so that it can work on the inside of the penis.
Which doctor should I contact?
If such a decision as penis enlargement through surgery is deliberate, hard-won, and there is no way back, the patient turns to a plastic surgery clinic.
Large clinics have a department for aesthetic surgery or intimate plastic surgery. First, you must meet with your doctor.
If the doctor considers your arguments to be convincing, he will refer you to examination and tests, which you will also have to pay for. Tests to do (there are quite a few of them, so take some time to take them all:
- general blood analysis;
- blood clots test;
- general urinalysis;
- 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 must consult a urologist and andrologist. After receiving the examination results, the plastic surgeon concludes 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 applied to 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:
- Rejection of sex, sports and intense physical activity.
- Always wearing a stretcher or special weight - this method does not allow the penis to return to its original position.
- After the scar is formed (after about 1-2 months), stretching of the phallus continues using an extender and lasts up to six months.
The duration of the use of the extender is gradually increased. The first tangible and visually traceable results can be observed six months after the operation.
Recommendations for using the extender
After 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. In place of the severed ligament, new areas consisting of connective tissue are formed. Their future size largely depends on compliance with the recommendations for the postoperative period, including systematic use of an extender. In order for the device to work properly and give maximum effect, you should consider some tips for use:
- The extender is only placed on the penis during daytime; 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 is worn until a new ligament forms and takes the place of the severed ligament. As a rule, this takes from 3 to 7 months.
Modern extensions 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 a material consisting of hollow tissue. It is attached to the base of the penis by means of special hollow rods, which:
- during an erection, they will fill with blood;
- will increase the size of the organ.
Another technique involves penis enlargement by "wrapping" skin tissue taken from other locations, such as the buttocks. Such operations are quite simple, and the probability that there will be an unsuccessful result after them is negligible. The skin that covers 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, reviews after ligamentotomy are very good, and patients notice an increase in the penis. What happens is that the doctor transplants tissue along with bundles of blood vessels, and then:
- they merge with native vessels;
- there is a further increase in the penis.
This type of surgery will help enlarge the organ by up to 1 cm. When a man wants greater results, they resort to microsurgery. This type of intervention is very similar to the technology described above. But 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 the operation.
Possible complications
A qualified specialist who has performed penile enlargement surgery rejects through his professional actions all risks of possible problems after ligamentotomy. In extremely rare isolated cases, the following complications are observed after such an intervention:
- bleeding;
- deformation of the penis (it can also straighten at an atypical angle or rise partially);
- suppuration of the suture placed after the operation;
- infection of the testicles;
- development of scars and adhesions;
- unstable erection;
- decreased sensitivity of the scrotum or penis.
Most specialists in urology consider ligamentotomy to be a completely safe procedure. At the same time, the absence of possible problems is noted both during the operation and during the rehabilitation period.
Benefits of penile correction surgery
The main benefits of penile enlargement surgery include:
- Long lasting effect.
- Relatively quick rehabilitation.
- The possibility of increasing the penis not only in length, but also in thickness.
- The possibility of simultaneously eliminating pathologies or defects in the penis (both acquired and congenital).
- No negative impact on the reproductive function and the quality of male potency.
- Short duration of the operation.
Plastic surgery of glans penis without and with sutures
Plastic surgery of the glans penis is the most popular surgical intervention in the male genital organ. These include:
- Circumcision is the removal of 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 full or partial form of circumcision is chosen. In many countries around the world, this procedure is performed for hygienic or religious purposes. Plastic surgery of the penis without sutures 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. Untimely solution to 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 a frenulum. This function 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 approximately 20 minutes. The procedure involves applying transverse notches to the frenulum, stretching it to normal size, and applying cosmetic sutures. 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. They 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 to be able to release the tunica albuginea of the shaft of the penis to its base.
After this, 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 variants. If it is necessary to straighten the penis by 30-45°, folds are applied using non-absorbable sutures. If the deviation is more 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 only suitable for men with a fairly large penis.
- Extension of the tunica albuginea of the cavernous bodies on the side of the curvature 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 to increase its size.
- Straightening of the penis by inserting a prosthesis. This method is used more often in men with untreatable erectile dysfunction, which makes it possible to get rid of two problems at the same time.
Having decided to correct the deformation of your manhood or change its appearance, you need to find out what options for solving the problem are offered by modern surgery, study reviews of a specific clinic and make sure that the asking price is sufficient.
When can the result of the operation be assessed?
The result of the intervention can only be assessed after complete healing of the tissues, removal of sutures (if artificial threads were used) and reduction of edema:
- After the introduction of hyaluronic acid, the enlargement effect is visible after 4 days, when the characteristic swelling disappears by itself.
- Lipofilling is an intervention that involves quickly achieving an effect (from the point of view 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 recovery period of 3 weeks. It is after this period that you can determine how successfully the procedure was carried out.
- After penile prostheses, you can only evaluate the effect 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 phase is a 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 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, intervention is still carried out in 99. 9% of cases. This will happen on day X:
- you must not drink - the liquid that splashes into the stomach can cause complications when it is immersed in anesthesia. We advise you to observe this rule and endure the thirst to the end;
- without shame, the nurse will shave her pubic area;
- for control they will screen the blood for sugar and hemoglobin;
- an anesthesiologist and a surgeon will come for a kind word and 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 would like to warn you that the operation is only a start. After the intervention, maximum courage will be required to go through the recovery phase. The process takes about six months, but readiness for sex will happen in two weeks.
To ensure the result, you must:
- regularly make dressings, disinfection, lubricate the penis with ointments;
- put on an extension cord - 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 parameter of the organ. Reviews of surgical penis enlargement through injections indicate a quick recovery period of several days, a rare occurrence of hematomas 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 time, abstinence from sexual contact is required, as well as limitation of physical activity. It is imperative to use loose cotton or special compression garments, depending on the doctor's recommendation.
In the first few days after the visit to the clinic, the patient must 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 is considered plastic surgery. This means that it cannot be recommended, prescribed or indicated. First of all, it is performed for those who want it!
Iron indications for surgery:
- microcephaly
– congenital underdevelopment. Such a penis does not exceed 10 cm in the erect state. This fact arouses 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. In fact, the cause of the event always remains the desire of the owner himself; - reduction due to damage and injury
- 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 occurrence of hematomas and bruises on the skin and mucous membrane (small bruises occur even with injections; as a rule, they disappear by themselves after a few days).
- Damage to cavernous bodies, damage to blood vessels, which can lead to unstable erections and complete impotence.
- Painful urination and erection in the first few weeks.
- Decreased sensitivity in 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 unqualified actions of the surgeon).
Note: To prevent most of these complications, it is necessary to take a responsible approach to choosing a specialist. Trust your health only to well-known doctors who regularly improve their qualifications and have positive reviews from other patients.