Recently, penis enlargement surgeries have become more and more popular. The effect of male growth is made 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 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 think they have a small penis.
To solve a delicate problem, various medicines 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 when the member still needs to be expanded:
- medical problem (hypospadia, epispadias, cavernous fibrosis, micropenis, consequences of 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 look at the photos in medical sources.
Surgical enlargement of the penis: all the pros and cons
To understand the principle of male penis enlargement surgery, 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 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 the 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, compression of the ligament leads to the fact that during an erection the penis will be directed downward, and not forward or upward, as it usually happens.
- A specialist is not able to fully predict the results of the manipulation, as much 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 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.
The structure of the penis
Aesthetic indications:
- A man's desire to increase 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 size of the male reproductive organ is 12 cm (including the erection). A smaller value can be considered a reason for ligamentotomy.
The types
Gently rubbing their hands, urologists-surgeons perform a series of plastic operations on the phallus.
Circumcision of the foreskin
This group includes reconstructive shortening of the frenulum (frenulotomy) and circumcision itself (circumcision). Operations are performed on an outpatient basis, there are no special difficulties in the technical aspect. The process takes about 30 minutes. Healing 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 be resolved only surgically with the help of autografts. In the second, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pump, extender).
Such plastic surgery is in demand for the micropenis and the dissatisfaction of a man.
Form correction
The process is performed using modern techniques for guiding the phallus. This is a plastic surgery that helps poor people with Peyronie's disease, local fibrosis and congenital curvature. In case of severe anomalies, the surgeon decides to place synthetic prostheses.
Reconstructive restoration of the penis (phalloplasty)
The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted in the phallus. Reconstruction includes restoration of the urethra, aesthetics and functionality. Reconstruction is part of sex reassignment procedures, an option for men who have lost their penis after surgery, illness or injury.
Penile prosthesis
A necessary step to get a lasting artificial erection. The surgeon takes structures - synthetic prostheses - and inserts them into the trunk. They differ in the way 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 illness;
- diabetes;
- impaired blood coagulation.
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 penile enlargement surgery. One of them is characterized by classical implementation, the other includes the addition of adipose tissue elements. However, according to expert reviews, the extension of the second type is performed much less often than the first. Often, blood circulation 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, the intervention performed 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 visible scar in the pubic area. In addition, such an intervention damages tissue and adipose tissue and makes it difficult to continue using the assistive device. The cost of the operation performed through the scrotum is higher, but the risk of complications is minimal, such as the appearance of scars after the operation. 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 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 regulates 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 the subsequent improvement of the result with the help of a special device - an extender. Thus, ligamentotomy is exclusively auxiliary in nature and requires the necessary 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, the ligamentotomy helps to increase the size of the phallus, which is regulated by the extender, allowing it to act on the inside of the penis.
Which doctor should I contact?
If a decision such as penis enlargement through surgery is deliberate, hard-won and irreversible, the patient is referred to a plastic surgery clinic.
Large clinics have a department of aesthetic surgery or intimate 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 do (there are quite a few of them, so leave some time to complete them all:
- general blood analysis;
- blood coagulation test;
- general analysis of urine;
- 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 presence of contraindications. And only then do they do plastic penis enlargement or not.
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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 penile enlargement surgery, a man should follow the following recommendations:
- Rejection of sex, sports and intense physical activity.
- Always with a stretcher or special weight - this method does not allow the penis to return to its original position.
- After the scar has formed (after about 1-2 months), the extension of the phallus continues with the help of an extender and lasts up to six months.
The duration of use of the extender increases gradually. The first tangible and visually traceable results can be observed six months after the operation.
Recommendations for using the extender
After the ligamentotomy, the extender is placed on the penis to avoid pain and discomfort. An additional function of this device is to provide the necessary tension of the muscles and ligaments of the penis. In place of the severed ligament, new areas composed of connective tissue are formed. Their future size depends mainly on compliance with the recommendations for the postoperative period, including the systematic wearing of an extender. In order for the device to work properly and bring the maximum effect, you should consider some tips for its use:
- The extender is placed on the penis only during the day, it must be removed at night.
- At first, 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 its place to replace the severed ligament. As a rule, this lasts from 3 to 7 months.
Modern dilators 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 growth. 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 cave rods, which:
- during an erection they will be filled with blood;
- it will increase the size of the organ.
Another technique involves enlarging the penis 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 covering the penis is unique in nature. Unlike all layers, this part of the skin is not at all connected by nerve endings to the body of the genital organ. 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. It happens that the doctor transplants the tissue together with bundles of blood vessels and then:
- they join the native ships;
- there is an additional growth in the penis.
This type of surgery will help enlarge the organ up to 1 cm. When a man wants greater results, he turns 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 the operation.
Possible complications
A qualified specialist who has performed surgery for penis enlargement, with his professional actions, negates all the 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 be directed at an atypical angle or partially grow);
- suppuration of the suture placed after the operation;
- testicular infection;
- the development of wounds and adhesions;
- unstable erection;
- impaired 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 a lack of possible problems both during the operation and during the rehabilitation period.
Benefits of penile correction surgery
The main advantages of penile 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 simultaneous elimination of penile pathologies or defects (acquired and congenital).
- It has no negative impact on reproductive function and the quality of male potency.
- Short duration of operation.
Plastic surgery of the glans penis without and with sutures
Plastic surgery of the glans penis is the most popular surgical intervention in the male genital area. This includes:
- 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 full or partial form of circumcision is chosen. In many countries of 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 narrows, then smegma accumulates under it, which is an excellent breeding ground for pathogenic microflora. Premature solution of the problem 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 a frenulum. This feature 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 includes the application of transverse stitches to the frenulum, its extension to normal size and the application of cosmetic sutures. The complete recovery process takes 2 weeks.
Features of penile straightening surgery
A more complex procedure is the operation to adjust the penis. There are three different techniques that allow you to correct penile deviation. All begin with removal of the foreskin and skin incision along the coronal sulcus, approximately 5 mm from the glans. Some doctors do not use circumcision. This is necessary in order to free the tunica albuginea of the shaft of the penis at its base.
After that, they start directing the phallus using one of the methods.
- Shortening of the tunica albuginea of the penis on the opposite side to the curvature, followed by its fixation. This technique has several types. If it is necessary to straighten the penis by 30-45°, the 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 suitable only for men with a sufficiently large penis.
- Extension of the tunica albuginea of the corpora cavernosa 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 increase its size.
- Straightening the penis by placing a prosthesis. This method is most often used in men with intractable erectile dysfunction, which makes it possible to eliminate two problems at the same time.
Once you have decided to correct the deformity of your manhood or change its appearance, you should find out what options for solving the problem modern surgery offers you, study the reviews of a specific clinic and make sure that the requested price is suitable.
When can the result of the operation be evaluated?
The result of the intervention can be evaluated only after complete healing of the tissues, removal of stitches (if artificial thread was used) and reduction of edema:
- 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 getting an effect quickly (from the point of view of the fact that it is an invasive procedure). The result is visible within 2 weeks.
- The success of the ligamentotomy can be assessed only 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 penile prosthetics, the effect can be assessed 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, the collection of anamnesis and a mandatory interview. All interesting facts related to mental and physical health will be drawn 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 choose them yourself or with a doctor. However, intervention is still performed in 99. 9% of cases. This will happen on X day:
- you won't be allowed to drink - the liquid that splashes into your stomach can cause complications when you're under 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;
- for control, they will check the blood for sugar and hemoglobin;
- an anesthesiologist and a surgeon will come for a friendly word and last parting words;
- the doctor will make a mark on the thigh - it will indicate the length of the phallus before the operation. You can then check how many inches your best friend has gained.
Postoperative period
We would like to warn you that the operation is only a beginning. After the intervention, maximum courage will be required to get through the recovery phase. The process takes about six months, but readiness for sex will occur after two weeks.
To ensure the result, you will need:
- regularly dress, disinfect, apply ointment to the penis;
- put an extension cord - the device is used at least 8 hours a day. It will be dressed immediately after the operation. This will eliminate excess indentation and the possibility of warping.
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 enlargement of the penis through injections show a quick recovery period of several days, a rare occurrence of hematomas and injuries and a lack of discomfort.
During the process of tissue regeneration after radical approaches, the patient must regularly change clothing in the treatment room to maintain personal hygiene. At this time, it is required to abstain from sexual contact, as well as to limit physical activity. It is imperative to use loose cotton or compression garments, depending on the doctor's recommendation.
In the first days after visiting 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 surgery is considered plastic surgery. This means that it cannot be recommended, prescribed or shown. First of all, it is performed for those who love it!
Indications of iron for surgery:
- microphalia
– 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 reason for the event always remains the owner's own desire; - reduction due to damage and injury
- Anything can happen in life, even a Kamaz member who has moved.
Risks and possible complications
The most common side reactions include the following:
- The appearance of hematomas and bruises on the skin and mucous membranes (small bruises also occur with injections; as a rule, they go away on their own after a few days).
- Injuries of the corpora cavernosa, damage to blood vessels, which can lead to unstable erections and complete impotence.
- Painful urination and erection in the first weeks.
- Impaired sensitivity of the head, which leads 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).
Caution: to prevent most of these complications, it is necessary to have 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.