Nowadays, penis enlargement surgery is gaining more and more popularity. And this is due to the fact that part of the male population, even in the absence of a problem, has complexes about the size of the penis. There are several ways to enlarge the genital organ, but not all methods offer a long-term effect, unlike surgery.
Is it possible to surgically enlarge the penis
Surgical augmentation of the male genital organ is, of course, possible. The desire to undergo surgery is not always due to the fact that the problem actually exists. Often, owners of normal sized penises can also acquire such complexes. Most men also believe that success in sexual relations and the ability to directly reproduce depend on the value of dignity, but this is not the case.
Normal penis size ranges from 12 cm to 18 cm when erect. It is considered a small penis, whose size varies from 9 cm to 12 cm, there are also owners of micropenis whose length is less than 8 cm and can reach 2 cm (in an erect state).
Penile augmentation surgery should have indications and not be performed simply because of the man's complexes. In the case where the desire to enlarge the phallus is caused by dissatisfaction with its size, but at the same time its indicators adhere to average values, it is necessary to consult a psychotherapist or sexologist.
Surgical penis enlargement is only necessary in some cases:
- Penile involution, which is usually characterized by decreased muscle tone and tissue elasticity, usually occurs in old age. With the development of involution, the surgeon will not insist on surgical intervention and the decision to enlarge the phallus will be at the patient's discretion. After all, sexual activity decreases with age, so many older men take this phenomenon with absolute calm.
- Acquired organ deformities or intrauterine anomalies. Congenital malformations of the male limb include underdevelopment of the spongy urethra, which leads to curvature of the phallus toward the scrotum (hypospadias).
- Underdevelopment of the urethra (epispadias). Acquired deformities include all types of penile injuries of varying severity.
- Micropenis is another condition that involves an increase in the size of the manhood by a surgical method.
In the event that the patient wishes to resort to surgery to enlarge the phallus, without any indication, 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 augmentation of a man's phallus are quite expensive procedures.
Types of operations
There are several ways to enlarge the male genital organ:
Falloprosthesis
A phalloprosthesis involves implanting a prosthesis into a man's penis. This type of surgical intervention is quite serious, as the organ is disassembled and then assembled in parts. Normally, the phalloprosthesis is done only if there are indications, when no classical means can handle the situation. Before the operation, the patient will need to go to the hospital several times to be tested and pass the necessary tests. This type of surgical intervention allows not only to solve the problem of the missing centimeters of a man's penis, but also to deal with erectile dysfunction, which makes the phalloprosthesis quite popular among men, despite the high cost of the operation and the pain.
The essence of this method is that special devices are implanted in the corpus cavernosum of the penis. This method is performed exclusively under general anesthesia.
There are three types of stent grafts - semi-rigid, hydraulic and rigid.
Rigid penile prostheses are cheaper than hydraulic and semi-rigid ones, but they are not as popular and are rarely used in surgery. This is due to the fact that this type of endoprosthesis has no plastic memory, nor can it change the degree of its rigidity. As a result, it turns out that a man constantly has an imitation of an erection.
In the case of semi-rigid (monobloc) phalloprosthesis, its rigidity is also preserved. But the difference between a single-component prosthesis and a rigid one is that the semi-rigid one is composed of two silicone cylinders, equipped with a wire and a rod. Thanks to this design, the phallus can be kept in the desired position by changing it by hand.
But the greatest number of positive reviews is used by hydraulic phalloprostheses, that is, inflatable (three-component). This endoprosthesis has the following structure - two cylinders, which are connected by a special pump, and there is also a reservoir for fluid. During penile prosthesis, these cylinders are implanted in the corpus cavernosum of the penis, and the pump is placed in the man's scrotum. The reservoir is placed in the area behind the pubic bone.
To get an erection, you need to press the pump several times. Thus, the liquid that was previously in the reservoir passes to the cylinders and, therefore, increases its rigidity. As soon as it is necessary to eliminate the state of erection, it is necessary to bend the penis and wait for complete relaxation. At this point, the liquid returns to the reservoir. Hydraulic implant phalloprosthesis is the most expensive, but provides 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 a complete examination of the entire organism. It is not a rare case when consultation with other restricted specialists is necessary.
As mentioned above, phalloprosthesis is a very serious procedure, during and after which various complications can arise. That is why the desire to increase dignity is not enough, any clinic will only carry out this operation if there are serious signs. It is possible that the implant simply does not take root and the body makes every effort to move it, including through the urethra, the top of the head. In addition to displacement, torsion and fracture of the prosthesis are possible. As a result of compression, the patient may have necrosis of the genital organ or skin, damage to the epithelium that covers the foreign body. Among the complications can also be distinguished: the development of inflammatory processes; penile hematoma, edema, painful postoperative conditions, decreased organ sensitivity; problems with urination. During sexual intercourse, displacement or violation 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, however, it is more aimed at increasing not the length of the phallus, but its thickness.
Lipofilling involves the introduction of biomaterial (the patient's adipose tissue) under the skin of the penis, therefore, in addition to this procedure, liposuction is necessary. The use of the patient's fat cells often excludes the presence of allergic reactions, however, it can lead to inflammatory processes.
Lipofilling is performed in several steps:
- First, liposuction is performed. That is, the necessary amount of biomaterial is pumped out of the patient's abdomen, legs or buttocks.
- After that, the fatty tissue undergoes a cleaning procedure of all kinds of harmful components.
- The next step is to fill the penis with fat cells. This happens with an injection syringe and microcannula. Fat is injected along the entire length of the penis.
- At the end of the operation, a dressing is applied to the patient.
In the postoperative period, several recommendations must be followed: it is undesirable to go to saunas, swimming pools and other bodies of water, intimacy must be avoided. Following these simple rules will only bring you closer to a positive result.
Lipofilling is relevant when:
- The patient is quite satisfied with the length, but not satisfied with the diameter of the penis, that is, congenital thinness (even if it is the result of independent enlargement of the organ with the aid of an extender).
- Due to your partner's physiological characteristics, your vagina is very large.
- There is erectile dysfunction, which is not caused by physiological but psychological abnormalities, and is associated with dissatisfaction with the size of a man's self-esteem.
- Congenital or trauma-acquired phallus asymmetry.
- Restoration of 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 just a few days.
- Long-term effect, and although doctors do not guarantee lifetime increase, size remains for a long time.
- The procedure has practically no contraindications.
- If necessary, the surgeon can always correct the shape of the penis.
- A significant difference in price compared to penile prostheses.
Although the bruises and swelling that appeared during the operation disappear within three days, the final result is only evaluated after a week.
However, even an apparently positive operation has a host of complications and contraindications on all sides.
The following complications can occur after lipofilling:
- painful sensations when urinating are possible;
- where the biomaterial was injected, skin pigmentation sometimes occurs;
- swelling of the penis and legs;
- rarely, but it turns out that the adipose tissue is not evenly distributed throughout the male organ, but there will be lumps under the skin, and an asymmetrical enlargement of the penis is also possible;
- cavernous tissue scars;
- accumulation of purulent fluid under the skin in the groin and penis;
- inflammation of the lymph nodes in the groin area.
If the patient has complications, you should see a doctor right away. The specialist will prescribe a drug treatment or form correction (depending on the problem that arose).
Lipofilling is contraindicated for people suffering from diabetes mellitus, vascular and arterial diseases, presence of penile deformity (congenital or acquired), urethral infections, presence of sexually transmitted diseases, oncology, penile rash. Also, lipofilling is not 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 lead to serious consequences.
Ligamentotomy
The male reproductive system is designed in such a way that when blood flows to the penis, the ligament located in the pubic region starts to tighten the organ, whereby it ascends.
The essence of ligamentotomy is to cut this ligament (ligament), pulling the penis away from the pubic bone to which it is attached, as a result of which it will enlarge.
However, penis enlargement is not about the surgeon cutting the ligament, but how the ligament will grow with it. Once the ligament is trimmed, the phallus is bent down and stretched, and its inner part is pulled out of the pelvic region and secured.
When scaled up in this way, the result depends on both the plastic surgeon and the patient. A man will have to lengthen his penis with an extender for 14 days. Thanks to the ligamentotomy procedure, it's easy to add the desired 3-5 centimeters to the manhood. The result of ligamentotomy is lifelong, as if the ligament grows together in a similar position, nothing will return to its original position.
Ligamentotomy is performed under general anesthesia or with spinal anesthesia. The process itself takes 30 minutes and rehabilitation takes two weeks. However, we can talk about the final result just six months later, when the ligament is fully grown.
The main advantage of ligamentotomy is that, as such, the operation does not involve complications and does not affect the male's sexual health in any way.
Ligamentotomy, like phalloprosthesis, is performed only for medical reasons, but this operation was 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 musculocutaneous flaps, after making an incision around its base and lowering the skin. The operation lasts 2-3 hours, under general anesthesia, and after its completion the patient's organ immediately becomes visibly thicker, about 3-4 centimeters.
The biomaterial for transplantation is taken from the operated person, from the abdominal wall or from the armpit region.
Postoperative rehabilitation lasts from 4 to 6 weeks; a man can leave the hospital after 5-7 days.
The skin itself takes root very well, which excludes a series 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 arise both in the case of a medical error, and in the case of an irresponsible attitude to the recommendations in the rehabilitation period.
The most common complications are:
- deformation of the male genital organ;
- change in 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 prevent the appearance of complications after an enlargement of a man's phallus. However, the clinic for this procedure must be chosen carefully, as 80% of the result depends on it.