Recently, penis enlargement surgeries have become more and more popular. The male enhancement effect is made 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 will have to consult his doctor in another month. Often, many men do not need surgery at all. Patients suffering from micropenis syndrome or penile dysmorphophobia need only a course of psychotherapy. Men sometimes just think they have a small penis.
To solve a delicate problem, various drugs for organ enlargement recommended by a doctor are suitable. They can be purchased without problems on the Internet or in a pharmacy. However, there are cases when the member still needs to be enlarged:
- medical problem (hypospadia, epispadias, cavernous fibrosis, micropenis, sequelae 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 photos in medical sources.
Surgical penis enlargement: 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 area and is attached to it by a special ligament called a 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 (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 surgery.
- If the ligament 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, the suppression 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.
- The specialist is not able to fully predict the results of the manipulation, because a lot 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 definite indications for its application. 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. In this pathology, a deformation of the phallus is observed, reducing its size.
Structure of the penis
Aesthetic indications:
- A man's desire to increase his self-esteem.
- The desire to increase one's attractiveness.
- Penile dysmorphophobia. This condition is expressed in dissatisfaction with the 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 ligamentotomy.
Kinds
Quietly rubbing their hands, urologists-surgeons perform a whole range 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 difficulties regarding the technique. The process takes about 30 minutes. Recovery is quick and moderately painful.
Size correction
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 necessary) or conservatively (vacuum pumps, extensions).
Such plastic surgery is sought after for a micropenis and a man's own dissatisfaction.
Format correction
The process is performed using modern phallus straightening techniques. It 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 reconstruction of the penis (phalloplasty)
The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted on 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 due to 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 the way the phallus is transferred to a relaxed and aroused state. We talked about procedures, the classification of which is very conditional. In practice, they are often combined with each other and performed consecutively on the same operating table.
Contraindications
There are several contraindications to the genital enlargement procedure, including:
- mental illness;
- diabetes;
- impaired blood clotting.
The symptoms of these pathologies can 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 penis enlargement surgery. One of them is characterized by a classic performance, the other includes the addition of elements of adipose tissue. However, 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 according to the type of access. In this regard, it is much easier for the plastic surgeon to cut 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 noticeable scar in the pubic area. In addition, such an intervention damages tissues and fat tissue and makes it difficult to continue wearing the aid. The price of the operation performed through the scrotum is higher, but the risk of complications is minimal, as well as the appearance of postoperative scars. A surgeon and urologist talks about the nuances of penile 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 to the patient's exit from anesthesia is 40-50 minutes. A bandage is applied to the place where the incision was made. It is believed that the removal 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 needed only to subsequently improve the result with the help of a special device - an expander. Thus, ligamentotomy has an extremely auxiliary character and requires the indispensable 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 ligamentotomy helps 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 such a decision as penis enlargement by surgery is deliberate, hard-earned and irreversible, the patient turns to a plastic surgery clinic.
Large clinics have a department of aesthetic surgery or intimate plastic surgery. You should see your doctor first.
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 that need 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 analysis of urine;
- blood group and Rh factor analysis;
- testing 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 after that they 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. During the first three weeks after penile enlargement surgery, a man should follow the following recommendations:
- Refusal of sex, sports and intense physical activity.
- Constantly carrying a stretcher or a special weight - this method does not allow the penis to return to its original position.
- After the formation of the scar (after about 1-2 months), the stretching of the phallus continues with the help of an extender and lasts up to six months.
The duration of use of the extender is increased 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 over the penis to avoid pain and discomfort. An additional function of this device is to provide the necessary tension to the muscles and ligaments of the penis. New areas consisting of connective tissue are formed at the site of the cut ligament. Their future size largely depends on compliance with the recommendations for the postoperative period, including the systematic wearing of an expander. In order for the device to work properly and have the maximum effect, you should keep in mind some tips for its use:
- The extender 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 per day. Gradually, the time increases to 5-6 hours.
- The expander is worn until a new ligament forms and takes its place to replace the cut 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 unnoticeable when worn.
Techniques for penis enlargement
There are several ways to increase male enhancement. Each of them involves the use of different implants, which are a material consisting of cavernous tissue. It is attached to the base of the penis with the help of special cavernous rods, which:
- during an erection, they will fill with blood;
- will increase the size of the organ.
Another technique involves enlarging the penis by "rolling" skin tissue taken from other places, such as the buttocks. Such operations are quite simple and the probability of an unsuccessful result after them is negligible. The skin that covers the penis is unique in nature. Unlike all sheaths, this piece of 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, examinations after ligamentotomy are very good, and patients note an increase in the penis. It happens that the doctor transplants tissue together with bundles of blood vessels and then:
- they merge with local vessels;
- there is an additional increase in the penis.
This type of surgery will help increase the organ by up to 1 cm. When a person wants better results, they resort to microsurgery. This type of intervention is very similar to the technology described above. In this case, however, not only skin but also muscle tissue is transplanted.
This technique will help to achieve a relatively large size of the phallus, but at the same time the probability of complications after the operation increases.
Possible complications
A qualified specialist who has performed an operation to enlarge the penis, through his professional actions, eliminates 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 stand at an atypical angle or rise partially);
- suppuration of the suture placed after surgery;
- testicular infection;
- development of scars and adhesions;
- unstable erection;
- impaired sensitivity of the scrotum or penis.
Ligamentotomy is considered by most specialists in the field of urology 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 correction surgery
The main advantages of penile enlargement surgery include:
- Long lasting effect.
- Relatively quick rehabilitation.
- The ability to increase the penis not only in length, but also in thickness.
- The possibility of simultaneous removal of pathologies or defects of the penis (both acquired and congenital).
- There is no negative impact on reproductive function and the quality of male potency.
- Short duration of operation.
Plastic surgery of the head of the penis without and with sutures
Plastic surgery of the glans penis is the most popular surgical intervention in the male genital area. They include:
- Circumcision is the removal of a 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 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 a complete cleansing of the head of the penis in a natural way. If the foreskin is narrowed, then smegma accumulates under it, which is an excellent environment for the reproduction of pathogenic microflora. Untimely solving the problem leads to permanent inflammation and scars 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. Frenulum lengthening surgery is performed under local anesthesia and takes about 20 minutes. The procedure involves applying transverse incisions to the frenulum, stretching it to normal size and applying cosmetic sutures. The full recovery process takes 2 weeks.
Features of penile straightening surgery
A more complicated 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 incising the skin along the coronal sulcus, approximately 5 mm from the glans. Some doctors do not resort to circumcision. This is necessary so that you can release the tunica albuginea of the penis to its base.
Then they begin to straighten the phallus using one of the methods.
- Shortening of the tunica albuginea of the penis on the side opposite to the curvature, followed by its fixation. This technique has several varieties. If it is necessary to straighten the penis at 30-45°, the folds are applied with 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.
- Lengthening 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 to increase its size.
- Straightening of the penis by inserting a prosthesis. This method is used more often in men with incurable erectile dysfunction, which allows you to get rid of 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, study the reviews of a specific clinic and make sure that the price requested is adequate.
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 the sutures (if artificial sutures 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 achieving an effect (from the point of view of being an invasive procedure). The result is noticeable after 2 weeks.
- The success of the ligamentotomy can be assessed only after 2 months (this is the average period).
- Microsurgical muscle transplantation involves a recovery period of 3 weeks. After this period, you can determine how successfully the procedure was completed.
- After penile prosthesis, you can appreciate the effect 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 personal acquaintance with the surgeon, collection of anamnesis and mandatory interview. All the interesting facts related to mental and physical health will be ripped from you. Along with this, you will have to undergo a number of consultations with an endocrinologist, andrologist - urologist, therapist, cardiologist.
When does the good doctor refuse surgery? - only if there are problems of a psychogenic nature. You can resolve them yourself or with a doctor. However, the intervention is still performed in 99. 9% of cases. This will happen on day X:
- you will not be allowed to drink - the liquid splashing into the stomach can cause complications when going under anesthesia. We advise you to adhere to this rule and endure the thirst to the end;
- without any shyness the nurse will shave his pubis;
- for control they will examine the blood for sugar and hemoglobin;
- anesthesiologist and surgeon will come for a friendly word and last parting words;
- the doctor will make a mark on the thigh - it will show 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 the 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 occur in two weeks.
To ensure the result, you will need to:
- regularly make dressings, disinfection, smear the penis with ointments;
- an extender is put on - the device is used for a minimum of 8 hours a day. It will be worn immediately after surgery. This will eliminate excessive marks and the possibility of distortion.
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 by injections show a quick recovery period of several days, rare occurrence of hematomas and injuries and lack 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 necessary, as well as limiting physical activity. The use of loose cotton or special compression clothing is mandatory, depending on the doctor's recommendation.
During the first few 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 it is done to those who wish!
Iron indications for surgery:
- microphallia
– congenital underdevelopment. Such a penis does not exceed 10 cm in an erect state. 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 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 appearance of hematomas and bruises on the skin and mucous membrane (small bruises appear even when injected; as a rule, they disappear on their own after a few days).
- Injuries to the cavernous bodies, damage to blood vessels, which can lead to an unstable erection and complete impotence.
- Painful urination and erection during the first few weeks.
- Impaired sensitivity of the head, which leads to weak sensations during orgasm.
- Premature ejaculation.
- In rare cases, there is a violation of the normal anatomical shape of the penis (due to unqualified actions of the surgeon).
Attention: in order to prevent most of these complications, it is necessary to approach the choice of a specialist responsibly. Trust your health only to well-known doctors who regularly upgrade their qualifications and have positive feedback from other patients.