Recently, penis enlargement surgeries have become more and more popular. The effect of male enhancement is made possible thanks to an outpatient procedure, which takes no more than an hour and a half and is carried out under local anesthesia. The patient can go home immediately after the operation. He will need to consult his doctor for another month. Often, many men do not need surgery at all. 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 sensitive problem, various drugs for organ enlargement recommended by the doctor are quite suitable. They can be bought without any problems on the Internet or in a pharmacy. However, there are cases where the member still needs enlargement:
- medical problem (hypospadias, epispadias, cavernous fibrosis, micropenis, consequences of injury, Peyronie's disease).
- functional problem (the penis has lost its elasticity, the subcutaneous fat has increased, the penis is hidden or reticulated).
To understand the nature of these disorders, you can see photos in medical sources.
Penis enlargement surgery: all the pros and cons
To understand the principle of surgery for the enlargement of the male penis, you should refer to information about the anatomical structure of this organ. Thus, the penis is supported by the pelvic region and connected to it by a special ligament called 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 multiple problems that arise due to the small size of manhood (physical and psychological). However, some risk factors for such manipulations should be considered:
- The possibility of injury to the patient or infection in his body during the operation.
- If the link is too short, the intervention will not bring the expected result.
- A penis that is not supported by a ligament is hypermobile. In addition, suppression of the ligament leads to the fact that during an erection the penis will be directed downwards, and not forwards or upwards, as is usually the case.
- A specialist is not able to fully predict the results of the manipulation, since a lot depends on the patient's body and his compliance with the rules of the recovery period.
Indications for ligamentotomy
Since penis enlargement surgery is a plastic surgery, there are no strict and categorical indications for its application. 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.
Penile structure
Sensory cues:
- A man's desire to increase self-esteem.
- The desire to enhance one's own attractiveness.
- Penile dysmorphophobia. This condition consists in dissatisfaction with his appearance, including the penis.
The lower limit of the dimensions of the male reproductive organ is 12 cm (including the erection). A smaller value may be considered a reason for a ligamentotomy.
Items
Quietly rubbing their hands, urologists-surgeons perform a whole series of plastic operations on the phallus.
Circumcision of the foreskin
This group includes the corrective cut of the frenulum (frenulotomy) and the circumcision itself (circumcision). The operations are performed in outpatient clinics, there are no particular technical difficulties. The procedure takes about 30 minutes. Recovery is quick and moderately painful.
Size correction
Here you can work in two directions - increasing the thickness and length. In the first case, the issue can only be solved surgically with the help of autografts. In the second, the doctor acts either surgically (no transplant required) or conservatively (vacuum pumps, extension).
Such plastic surgery is in demand for the micropenis and the dissatisfaction of the man himself.
Shape correction
The procedure is carried out using modern phallus lifting techniques. This is plastic surgery that helps poor people with Peyronie's disease, local fibrosis and congenital curvature. In case of severe abnormalities, the surgeon decides to insert synthetic prostheses.
Reconstructive reconstruction of the penis (phalloplasty)
The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted in the phallus. Restoration includes 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.
Prosthetic penis
A necessary step to achieve a stable artificial erection. The surgeon takes structures - synthetic prostheses - and inserts them into the trunk. They differ in the way the phallus is carried in a relaxed and aroused state. We talked about processes, 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 for the genital enlargement procedure, such as:
- mental illness;
- Diabetes;
- impaired blood clotting.
The symptoms of these pathologies may worsen after surgery to enlarge the male penis. More information on how much penis enlargement surgery costs in the clinics of our country can be found in our material.
Progress of the operation
There are two types of penile enlargement surgery. One of them is characterized by a classic application, the other involves the addition of adipose tissue elements. However, according to expert reviews, the lengthening of the second type is carried out much less often than the first. Often, blood flow to the tissues 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 resect the ligament above the pubic bone. However, the intervention through the scrotum is considered 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 in the pubic area. In addition, such an intervention injures tissues and adipose tissue and makes it difficult to continue using the assistive device. The cost of the operation 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 penile enlargement surgery and the postoperative period.
Ligandotomy is performed under anesthesia (general or epidural). The total time from the start of the surgeon's manipulations until the patient is released 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 that secures 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 link is only necessary for the subsequent improvement of the result with the help of a special device - an extender. Thus, the ligamentotomy is exclusively of an auxiliary nature and requires the necessary use of an expander in the future. It is also worth considering that the result depends on the immediate initial length of the penis. In other words, the ligature helps increase the size of the phallus, which is accommodated by the extension, allowing it to act inside the penis.
Which doctor should I contact?
If such a decision as penis enlargement through surgery is deliberate, hard-earned and there is no return, the patient turns to a plastic surgery clinic.
Large clinics have a department of cosmetic surgery or internal plastic surgery. First you need to see 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 to be done (there are quite a few 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.
- examination for HIV infection, hepatitis B and C.
- blood test for RW;
- EKG.
In addition to the surgeon, you will need to consult a urologist and andrologist. After receiving the results of the examination, the plastic surgeon makes a conclusion about the absence or existence of contraindications. And only then do they do plastic penis enlargement or not.
Reform
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, 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), the stretching of the phallus continues with the help of a dilator and lasts up to six months.
The duration of use of the extension increases gradually. The first tangible and visually detectable results can be observed six months after the operation.
Recommendations for using the extension
After the sphincterotomy, the extension 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 the systematic use of an extension. In order for the device to work properly and to have the maximum effect, you should take into account some tips for its use:
- The extension is placed on the penis only during the day and 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 extension is worn until a new ligament forms and takes its place to replace the severed ligament. As a rule, this lasts 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 use.
Penis enlargement techniques
There are several ways to increase male enhancement. Each of them involves the use of different implants, which are a material composed of cavernous tissue. It is attached to the base of the penis using special cavernous rods, which:
- during an erection they will fill with blood.
- will increase the size of the instrument.
Another technique involves enlarging the penis by "wrapping" skin tissue taken from other parts, such as the buttocks. Such operations are quite simple, and the probability of an unsuccessful result after them is negligible. The skin covering the penis is unique in nature. Unlike all sheaths, 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 conjunctotomy are very good, and patients note an increase in the penis. It happens that the doctor transplants tissue along with bundles of blood vessels and then:
- They fuse with native vessels.
- there is an additional 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 the possibility of complications after the operation increases.
Possible complications
A qualified specialist who has performed penis enlargement surgery, through his professional actions, cancels all the risks of possible problems after the ligature. In extremely rare individual cases, the following complications are observed after such an intervention:
- Bleeding;
- penile deformity (it may also straighten at an atypical angle or be partially raised).
- swelling of the suture placed after the operation.
- testicular infection;
- development of scars and adhesions.
- unstable erection;
- decreased sensitivity of the scrotum or penis;
Most specialists in the field of urology consider the conjunctive surgery to be a completely safe operation. At the same time, the absence of possible problems is noted both during the operation and during the recovery period.
Benefits of penile correction surgery
The main advantages of penile enlargement surgery include:
- Long lasting effect.
- Relatively quick recovery.
- The possibility of increasing the penis not only in length, but also in thickness.
- The possibility of simultaneous elimination of pathologies or defects of the penis (both acquired and congenital).
- No negative effect on reproductive function and quality of male potency.
- Short duration of the operation.
Plastic surgery of the glans penis without and with stitches
Plastic surgery of the glans penis is the most popular surgery in the male genital area. These include:
- Circumcision is the removal of the foreskin by circumcision. This simple manipulation allows you to prevent a large number of problems associated with gagging. 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 reasons. Suture-free penile plastic surgery for gagging is necessary to ensure complete cleansing of the head of the penis in a natural way. If the foreskin is narrow, then sebum accumulates under it, which is an excellent breeding ground for pathogenic microflora. Not solving the problem in time leads to continuous 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 fringe lengthening operation is performed under local anesthesia and takes about 20 minutes. The procedure involves making transverse incisions in the frenulum, stretching it to normal size and applying cosmetic sutures. The full recovery process takes 2 weeks.
Features of penile erection function
A more complicated procedure is penile erection surgery. There are three different techniques that allow you to correct penile deviation. It all starts with removing the foreskin and cutting the skin along the coronal sulcus, about 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 at its base.
After that, they begin to straighten the phallus using one of the methods.
- Shortening of the foreskin on the opposite side of the curvature, followed by its fixation. This technique has many variations. 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, then elliptical resection 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 sufficiently large penis.
- Lengthening of the tunica albuginea of the corpora cavernosa on the side of curvature using biological material (skin or patient's own vein). This method in most cases allows you to leave the original size of the phallus and sometimes increase its size.
- Penile erection with prosthesis placement. This method is most often used 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 deformity of your manhood or change its appearance, you need to find out what options for solving the problem modern surgery offers, study reviews of a particular 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 be assessed only after complete healing of the tissues, removal of sutures (if artificial threads were used) and subsidence of the swelling:
- After the introduction of hyaluronic acid, the effect of enlargement is visible after 4 days, when the characteristic swelling disappears by itself.
- Lipofilling is an intervention that involves quickly obtaining a result (in terms of the fact that it is an invasive procedure). The result is noticeable within 2 weeks.
- The success of the syndesmotomy can be assessed only after 2 months (this is the average period).
- Microsurgical muscle transplantation involves a 3-week recovery period. After this time you can determine how successfully the process was completed.
- After the penile prosthesis, you can evaluate the result only after 2-3 weeks.
Only average recovery times 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 stage is a personal acquaintance with the surgeon, collection of memories and a mandatory interview. All interesting facts related to mental and physical health will be removed from you. Along with this, you should 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 psychological nature. You can solve them yourself or with a doctor. However, the intervention still takes place in 99. 9% of cases. This will happen on day X:
- you will not be allowed to drink - the liquid that splashes into the stomach can cause complications when immersed in anesthesia. We advise you to adhere to this rule and endure thirst until the end.
- Without any hesitation, the nurse will shave his pubic area.
- To check, they will test the blood for sugar and hemoglobin.
- An anesthesiologist and a surgeon will come for a friendly chat and final farewell words.
- the doctor will make a mark on the thigh - it will indicate the length of the phallus before surgery. Then you can check how many centimeters your best friend has gained.
Postoperative period
We would like to warn you that the business is only a 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 appear in two weeks.
To ensure the result, you should:
- regularly bandage, disinfect, smear the penis with ointments.
- put an extension - 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.
Recovery period
The recovery period after surgery depends on the individual characteristics, the chosen method, the traumatic nature of the operation and the initial parameter of the organ. Reviews of injectable penile enlargement surgery 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. Abstinence from sexual intercourse is required at this time, as well as limitation of physical activity. It is imperative that you use loose cotton or special compression garments, depending on the doctor's recommendation.
In the first days after visiting the clinic, the patient should take antibiotics according to the doctor's instructions; 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 resizing surgery is considered plastic surgery. This means that it cannot be recommended, prescribed or indicated. First of all, it is carried out for those who want it!
Indications of iron for surgery:
- trifle
– congenital underdevelopment. Such a penis does not exceed 10 cm when erect. This fact causes 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 reason for the event always remains the desire of the owner himself. - reduction due to damage and injury
- Everything can happen in life, even a Kamaz member who has moved.
Potential 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 appear even with injections; as a rule, they go away on their own after a few days).
- Injuries 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 weeks.
- Decreased sensitivity of the head, which leads to weak sensations during orgasm.
- Premature ejaculation.
- In rare cases, violation of the normal anatomical shape of the penis (due to inappropriate actions of the surgeon).
Attention: to avoid 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.