Recently, penis enlargement surgeries have become increasingly popular. The male enhancement effect becomes possible thanks to an outpatient procedure, which lasts 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 see his doctor for another month. Often, many men do not need any surgery. 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 organ enlargement drugs recommended by a doctor are quite suitable. They can be purchased without any problems on the Internet or in a pharmacy. However, there are cases where the member still needs to be expanded:
- medical problem (hypospadias, 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 winged).
To understand the nature of these disorders, you can view photos in medical sources.
Surgical penis enlargement: all the pros and cons
To understand the principle of male penis enlargement surgery, you should consult information about the anatomical structure of this organ. Thus, the penis is supported by the pelvic region and attached to it by a special ligament called the ligament. The aim of surgery is to change the size of this ligament, which allows the penis to increase in size.
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 manipulation must be taken into account:
- The possibility of injury to the patient or infection in their body during surgery.
- 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, the suppression of the ligament leads to the fact that during an erection the penis will be directed downwards, and not forward or upward, as is usually the case.
- The specialist cannot completely predict the result of the manipulation, since much depends on the patient's body and compliance with the rules of the rehabilitation period.
Indications for ligamentotomy
As penis enlargement surgery is a plastic procedure, there are no strict and categorical indications for its performance. However, in some cases it is simply necessary to perform genital augmentation, 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.
Penis structure
Aesthetic indications:
- A man's desire to increase self-esteem.
- The desire to increase one's own attractiveness.
- Penile dysmorphophobia. This condition consists of dissatisfaction with appearance, including the penis.
The lower limit of the dimensions of the male reproductive organ is 12 cm (including erection). A lower value may be considered grounds for ligamentotomy.
Types
Silently rubbing their hands, urologists-surgeons perform a series of plastic surgeries on the phallus.
Foreskin circumcision
This group includes reconstructive cutting of the frenulum (frenulotomy) and the circumcision itself (circumcision). The operations are carried out on an outpatient basis, presenting no particular difficulties in terms of technique. The process takes around 30 minutes. Recovery is quick and moderately painful.
Scaling correction
Here you can work in two directions - increasing the thickness and length. In the first case, the problem can only be resolved surgically with the help of autografts. In the second, the doctor acts surgically (no transplant is necessary) or conservatively (vacuum pumps, extenders).
This plastic surgery is highly sought after due to the micropenis and the man's own dissatisfaction.
Shape correction
The process is carried out using modern phallus straightening techniques. This is a 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 restoration of the penis (phalloplasty)
The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted into the phallus. Reconstruction involves restoring 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 prostheses
A necessary step to obtain a stable artificial erection. The surgeon takes structures – synthetic prostheses – and inserts them into the torso. They differ in the way the phallus is transferred to a relaxed and excited state. We talked about procedures whose classification 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 augmentation procedure, including:
- mental disease;
- diabetes;
- impaired blood clotting.
The symptoms of these pathologies may worsen after surgery to enlarge the male penis. More information about how much penis enlargement surgery costs in clinics in our country can be found in our material.
Operation progress
There are two types of penis enlargement surgery. One of them is characterized by classical implementation, the other involves the addition of adipose tissue elements. However, according to expert reviews, stretching of the second type is performed much less frequently than the first. Often, blood flow in tissues is slow, which leads to various infectious complications.
Furthermore, ligamentotomy is divided according to the type of access. In this sense, it is much easier for a plastic surgeon to excise the ligament above the pubic bone. However, the intervention carried out 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. Furthermore, such an intervention injures tissues and adipose tissue and makes it difficult to continue using the assistive device. The cost of surgery performed through the scrotum is higher, but the risk of complications is minimal, as is the occurrence of postoperative scars. A surgeon and urologist talks about the nuances of penis enlargement surgery and post-operative care.
Ligamentotomy is performed under anesthesia (general or epidural). The total time from the start 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 fixes the hidden inner part of the penis does not directly lead to the enlargement of the reproductive organ itself. The penis remains in its place, and the cut ligament is necessary only for further improvement of the result with the help of a special device - an extender. Thus, the ligamentotomy is exclusively auxiliary in nature and requires the essential use of an extensor 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 adjusted by the extender, allowing it to act on the internal part of the penis.
Which doctor should I contact?
If a decision such as enlarging the penis through surgery is deliberate, hard-won and there is no turning back, the patient turns to a plastic surgery clinic.
Large clinics have a department of aesthetic surgery or intimate plastic surgery. First you need to meet with your doctor.
If the doctor finds your arguments convincing, he will send you for tests and examinations, for which, by the way, you will have to pay. Tests that need to be done (there are quite a few of them, so set aside some free time to do them all:
- general blood analysis;
- blood clotting test;
- general urine analysis;
- blood group and Rh factor analysis;
- examination for HIV infection, hepatitis B and C;
- blood test for RR;
- ECG.
In addition to the surgeon, you will need to consult a urologist and an 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 or not plastic penis enlargement.
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 to 14 days. During the first three weeks after penis enlargement surgery, men should follow the following recommendations:
- Refusal of sex, sports and intense physical activity.
- Always use 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), phallus lengthening continues with the help of an extender and lasts up to six months.
The duration of using the extender gradually increases. The first tangible and visually traceable results can be seen 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 ensure the necessary tension of the muscles and ligaments of the penis. In place of the severed ligament, new areas made up of connective tissue form. Its future size largely depends on compliance with recommendations for the postoperative period, including the systematic use of an extender. For the device to work correctly and have maximum effect, you must consider some tips for its use:
- The extender is only placed on the penis during the day and must be removed at night.
- At first, the device is used 1. 5 to 2 hours per day. Gradually, the time increases to 5-6 hours.
- The extensor is used until a new ligament is formed and takes its place to replace the severed ligament. As a rule, this takes 3 to 7 months.
Modern extenders are made from latex or hypoallergenic plastic. That's why they're comfortable, practical and almost invisible to wear.
Penis enlargement techniques
There are several ways to increase male enhancement. Each of them involves the use of different implants, which are a material made up 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 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 of an unsuccessful result after them is negligible. The skin covering the penis is unique in nature. Unlike all integuments, this piece of skin is not connected by nerve endings to the body of the genital organ. Thanks to this, surgeons have mastered this technique to perfection. In fact, reviews after ligamentotomy are very good and patients notice an increase in their penis. It turns out that the doctor transplants tissue along with bundles of blood vessels and then:
- merge with native vessels;
- there is an additional increase in the penis.
This type of operation helps to enlarge the organ by up to 1 cm. When men want greater results, they turn to microsurgery. This type of intervention is very similar to the technology described above. However, in this case, not only the 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 it increases the likelihood of complications after surgery.
Possible complications
A qualified specialist who performed penis enlargement surgery, through his professional activities, 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 straighten at an atypical angle or partially rise);
- suppuration of the suture placed after surgery;
- infection of the testicles;
- development of scars and adhesions;
- unstable erection;
- impaired sensitivity of the scrotum or penis.
Most experts in the field of urology consider ligamentotomy to be a completely safe procedure. At the same time, the absence of possible problems is noted both during the operation and during the rehabilitation period.
Benefits of penile correction surgery
The main advantages of penis enlargement surgery include:
- Long-lasting effect.
- Relatively quick rehabilitation.
- The possibility of increasing the penis not only in length, but also in thickness.
- The possibility of simultaneously eliminating pathologies or defects of the penis (acquired and congenital).
- 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 region. These include:
- 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 total or partial form of circumcision is chosen. In many countries around the world, this procedure is performed for hygienic or religious purposes. Sutureless penis plastic surgery for phimosis is necessary to ensure complete cleaning of the head of the penis in a natural way. If the foreskin is narrowed, smegma accumulates under it, which is an excellent breeding ground for pathogenic microflora. Premature solution to the problem leads to constant inflammation and scarring, not only on the surface of the penis, but also inside the urethra.
- Another common problem that can be resolved with simple surgery is the frenulum. This characteristic of the organ not only causes pain and discomfort, but can also cause dangerous bleeding due to its rupture. The frenulum lengthening operation is performed under local anesthesia and takes about 20 minutes. The procedure involves applying transverse notches to the frenulum, stretching it to normal size, and applying cosmetic sutures. The complete recovery process takes 2 weeks.
Features of the penis straightening operation
A more complex procedure is penis straightening surgery. There are three different techniques that allow you to correct penile deviation. They all begin with removing the foreskin and cutting the skin along the coronal groove, approximately 5 mm from the glans. Some doctors do not resort to circumcision. This is necessary to be able to release the tunica albuginea from the shaft of the penis to its base.
After that, 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 by 30-45°, folds are applied with non-absorbable sutures. If the deviation is greater than 45, elliptical excision will be 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 rather large penis.
- Stretching the tunica albuginea of the corpora cavernosa on the side of the curvature with 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.
- Penis straightening with prosthesis insertion. This method is most often used in men with intractable erectile dysfunction, which allows two problems to be eliminated at the same time.
Having decided to correct the deformation 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 specific clinic and make sure that the asking price is adequate.
When can the result of the operation be evaluated?
The result of the intervention can only be assessed after the tissues have completely healed, the sutures have been removed (if artificial threads were used) and the edema has disappeared:
- After the introduction of hyaluronic acid, the lifting effect is visible after 4 days, when the characteristic swelling disappears by itself.
- Lipofilling is an intervention that involves quickly obtaining an effect (from the point of view of being an invasive procedure). The result is noticeable within 2 weeks.
- The success of the ligamentotomy can only be assessed 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 the success of the procedure.
- After penile prostheses, you can evaluate the effect only after 2 to 3 weeks.
Only average recovery periods are shown. In general, regeneration after surgery depends on the individual properties of the skin and the state of the body.
Preparation for plastic surgery
The first stage is personal acquaintance with the surgeon, collection of anamnesis and a mandatory interview. All the interesting facts related to physical and mental health will be extracted from 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 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 able to drink - liquid splashed into the stomach can cause complications when immersed in anesthesia. We advise you to comply with this rule and support the headquarters until the end;
- without any shyness, the nurse will shave the pubic area;
- for control, they will examine 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 - this will indicate the length of the phallus before surgery. Then you can check how many centimeters your best friend has gained.
Postoperative
We would like to warn you that the operation is just the beginning. After the intervention, maximum courage will be required to go through the recovery phase. The process takes about six months, but readiness for sex will occur within two weeks.
To guarantee the result, you will have to:
- make bandages, disinfect regularly, grease the penis with ointments;
- put on an extender - the device is used at least 8 hours a day. It will be used immediately after surgery. This will eliminate excessive scarring and the possibility of sagging.
Rehabilitation period
The recovery period after surgical intervention depends on individual characteristics, the chosen method, the traumatic nature of the procedure and the initial organ parameter. Reviews about surgical penis enlargement through injections indicate a quick recovery period of several days, a rare occurrence of bruises and injuries, and the absence of discomfort.
During the tissue regeneration process 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. It is essential to wear loose cotton or special compression clothing, depending on the doctor's recommendation.
In the first few days after visiting the clinic, the patient must take antibiotics prescribed by the doctor, which will help prevent inflammatory processes, avoid purulent abscesses and other potentially fatal 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. Firstly, it is made for those who want it!
Iron indications for surgery:
- microphaly
– congenital underdevelopment. This penis does not exceed 10 cm when erect. 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 injuries
- anything can happen in life, even a Kamaz member who has moved.
Possible risks and complications
The most common adverse reactions include the following:
- Occurrence of bruises and bruises on the skin and mucous membranes (small bruises occur even with injections; as a rule, they disappear spontaneously after a few days).
- Injuries to the corpora cavernosa, damage to blood vessels, which can lead to unstable erections and complete impotence.
- Pain when urinating and erection in the first few weeks.
- Impaired sensitivity of the head, which leads to feelings of weakness during orgasm.
- Premature ejaculation.
- In rare cases, violation of the normal anatomical shape of the penis (due to unskilled actions of the surgeon).
Attention: to prevent most of these complications, it is necessary to take a responsible approach when choosing a specialist. Entrust your health only to renowned doctors who regularly improve their qualifications and receive positive reviews from other patients.