Nowadays, penis enlargement surgery is gaining in popularity. And this is due to the fact that part of the male population, even in the absence of a problem, have complexes about the size of their penis. There are several ways to enlarge the genitals, but not all methods offer a long-term effect, unlike surgery.
Is it possible to enlarge the penis surgically
Of course, surgical enlargement of the male genitalia is possible. The desire for surgery is not always due to the fact that the problem really exists. Often, owners of perfectly normal penis sizes can also acquire such complexes. Most men also believe that success in sexual relations and the ability to reproduce directly depends on the value of dignity, but this is not the case at all.
The normal size of the penis varies from 12 cm to 18 cm when it is straight. A small penis is considered, the size of which varies from 9 cm to 12 cm. There are also owners of a micropenis, whose length is less than 8 cm and can reach 2 cm (in the state of erection).
Penis enlargement surgery should have indications, and not be performed simply because of the man's complexes. In case the desire to enlarge the phallus is caused by dissatisfaction with its size, but at the same time its indicators adhere to the average values, it is necessary to visit a psychotherapist or sexologist.
Surgical penis enlargement is only necessary in a few cases:
- Penile involution, which is characterized, as a rule, by a decrease in muscle tone and tissue elasticity, usually occurs in old age. With the development of involution, the surgeon will not insist on surgery and the decision to enlarge the phallus will remain at the discretion of the patient. After all, sexual activity decreases with age, so many older men accept this phenomenon absolutely calmly.
- Acquired organ deformities or intrauterine abnormalities. Congenital malformations of the male penis include underdevelopment of the spongy urethra, which leads to curvature of the phallus to the scrotum (hypospadias).
- Undeveloped urethra (epispadias). Acquired deformities include all types of penile injuries of varying severity.
- Micropenis is another condition that involves increasing the size of the man through surgery.
In case the patient wants to resort to surgery to enlarge the phallus, without any indications, the doctor will most likely try to dissuade him and possibly advise other methods to change the size of the penis.
Among other things, surgical correction and enlargement of the male phallus is a rather expensive procedure.
Types of operations
There are several ways to enlarge the male genitalia:
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 an examination and pass the necessary tests. This type of surgery allows not only to solve the problem of missing inches of the penis of a man, but also to deal with erectile dysfunction, which makes phalloprosthesis quite popular among men, despite the high cost of surgery and 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.
Hard penile prostheses are cheaper than hydraulic and semi-rigid ones, but they are less popular and are rarely used in surgery. This is due to the fact that this type of endoprosthesis does not have a plastic memory, and also can not change the degree of its hardness. As a result, it turns out that a man constantly has an imitation of an erection.
In the case of a semi-rigid phalloprosthesis (one-component), its rigidity is also preserved. But the difference between a one-component prosthesis and a rigid one is that the semi-rigid one consists of two cylinders made of silicone, 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 by hand.
But the largest number of positive reviews are used by hydraulic phalloprostheses, ie inflatable (three-component). This endoprosthesis has the following structure - two cylinders, which are connected to each other by a special pump, and there is a fluid reservoir. During penile prosthesis, these cylinders are implanted in the corpus cavernosum of the penis and the pump is placed in the scrotum of the man. The reservoir is placed in the area behind the pubic bone.
To achieve an erection, you need to squeeze the pump several times. In this way, the liquid that was previously in the tank moves into the cylinders and thus increases their hardness. As soon as it is necessary to remove 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. Phallo prosthetics with hydraulic implants are the most expensive, but provide 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 characteristics of the physical structure and only after undergoing a thorough examination of the whole organism. It is not uncommon for other close specialists to be consulted.
As mentioned above, phalloplasty is a very serious procedure, during and after which various complications can occur. Therefore, the desire to increase dignity is not enough, any clinic will undertake this operation only if there are serious indications. It is possible that the implant simply does not take root and the body will make every effort to displace it, including through the urethra, the crown of the head. In addition to the displacement, twisting and breaking of the prosthesis is possible. As a result of compression, the patient may receive necrosis of the genitals or skin, injury to the epithelium that covers 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 urinating. During intercourse, displacement or disruption of the integrity of the implants is 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, but is more aimed at increasing not the length of the phallus, but its thickness.
Lipofilling involves the introduction of a biomaterial (the patient's adipose tissue) under the skin of the penis, so in addition to this procedure, liposuction is required. The use of the patient's fat cells often excludes the presence of allergic reactions, but can lead to inflammatory processes.
Lipofilling is performed in several stages:
- Liposuction is performed first. That is, the required amount of biomaterial is pumped from the patient's abdomen, legs or buttocks.
- The adipose tissue then undergoes a procedure to cleanse it of any harmful components.
- The next step is to fill the penis with fat cells. This is done with a syringe and a microcannula. Fat is injected along the entire length of the penis.
- At the end of the operation, the patient is bandaged.
In the postoperative period, several recommendations should be followed: it is undesirable to visit saunas, swimming pools and other water pools, you should refrain from intimacy. Following these simple rules will only bring you closer to a positive result.
Lipofilling is important when:
- The patient is quite satisfied with the length, but is not satisfied with the diameter of the penis, ie with congenital thinness (including if it is the result of 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 size of a man's self-esteem.
- Congenital or traumatic asymmetry of the phallus.
- Restoration of the aesthetic appearance after 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 an increase throughout life, the size remains for a long time.
- The procedure has practically no contraindications.
- If the need arises, the surgeon can always correct the shape of the penis.
- Significant difference in price compared to penis prosthetics.
Despite the fact that the bruises and swellings that appeared during the operation disappear within three days, the final result is assessed only after a week.
However, even such a seemingly positive operation has a number of complications and contraindications on all sides.
The following complications can occur after lipofilling:
- painful sensations when urinating are possible;
- skin pigmentation sometimes occurs at the site where the biomaterial is injected;
- swelling of the penis and legs;
- rarely, but it happens that the adipose tissue is not evenly distributed throughout the male organ, but there are lumps under the skin, and asymmetric enlargement of the penis is possible;
- cavernous tissue scars;
- accumulation of purulent fluid under the skin in the groin and penis;
- inflammation of the lymph nodes in the groin.
If the patient has complications, you should consult a doctor immediately. The specialist will prescribe medication or correction of the form (depending on the problem).
Lipofilling is contraindicated for people suffering from diabetes, vascular and arterial diseases, the presence of penile deformity (congenital or acquired), urethral infections, the presence of sexually transmitted diseases, oncology, rash 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 have serious consequences.
Ligamentotomy
The male reproductive system is designed so that when blood invades the penis, the ligament located in the pubic area begins to tighten the organ, causing it to rise.
The essence of a ligamentotomy is to cut this ligament (ligament), thus moving the penis away from the pubic bone to which it is attached, so it will increase.
However, penis enlargement is not about the surgeon cutting the ligament, but about how the ligament will grow together. As soon as the ligament is cut, the phallus bends down and stretches, and the inside is pulled out of the pelvic area and fixed.
When enlarged in this way, the result depends on both the plastic surgeon and the patient. The man will have to stretch his penis with an extension cord for 14 days. Thanks to the ligamentotomy procedure, it is easy to add the desired 3-5 centimeters to the man. The result of a ligamentotomy is a lifetime, because if the ligament grows together in a similar position, then nothing will return to its original position.
Ligamentotomy is performed either under general anesthesia or with spinal anesthesia. The process itself takes 30 minutes and rehabilitation takes two weeks. However, we can talk about the end result only six months later, when the relationship is completely overgrown.
The main advantage of ligamentotomy is that as such the operation does not involve complications and in no way affects a man's sexual health.
Ligamentotomy, like phalloprosthetics, is performed only for medical reasons, but this operation is performed repeatedly, simply based on the patient's wishes.
Microsurgical muscle transplantation
The essence of the method is that the patient's penis is wrapped in muscular-skin valves, after an incision is made around its base and the skin is lowered. The operation lasts 2-3 hours, under general anesthesia, and after its completion the patient's organ immediately becomes noticeably thicker, by about 3-4 centimeters.
Biomaterial for transplantation is taken from the operated person, from the abdominal wall or 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 eliminates a number of possible complications, in addition to the painful sensations.
Muscle transplants are rare. This is due to the high cost of this service.
Possible complications
Complications after plastic surgery can occur both in case of medical error and in case of irresponsible attitude to the recommendations during the rehabilitation period.
The most common complications are:
- deformity of the male genital organ;
- change in the angle of erection;
- shortening of the shaft of the penis;
- erectile dysfunction;
- decreased sensitivity of the male penis.
It will not be possible to completely avoid the occurrence 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.