Recently, penis enlargement operations have become more and more popular. The effect of male enhancement is possible thanks to an outpatient procedure that takes 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 see a doctor in another month. Most men do not need surgery at all. Patients suffering from micropenis syndrome or penile dysmorphophobia need only a course of psychotherapy. Men sometimes think they just have a small penis.
Different drugs for organ enlargement recommended by a doctor to solve a delicate problem are quite suitable. They can be bought online or at a pharmacy without any problems. However, there are cases where a 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 layer of subcutaneous fat has increased, the penis is hidden or webbed).
To understand the nature of these disorders, you can look at photos from medical sources.
Surgical penis enlargement: all the pros and cons
To understand the principle of surgery to enlarge the male penis, you should refer to information about the anatomical structure of this organ. Thus, the penis is supported by the pelvis and attached to it by a special ligament called a ligament. The purpose of the operation is to change the size of this ligament, which makes it possible to increase the size of the penis.
It seems that this technique allows solving many problems caused by 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, the tightening of the ligament causes the penis to point downwards instead of forwards or upwards as it normally would during an erection.
- The specialist cannot fully predict the results of the manipulation, because a lot depends on the patient's body and compliance with the rules of the rehabilitation period.
Indications for ligamentotomy
Since penis enlargement surgery is a plastic procedure, there are no strict and definitive guidelines for its implementation. However, in some cases, it is simply necessary to perform the enlargement of the genitals, 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, the deformation of the phallus is observed, its size decreases.
Penile structure
Aesthetic features:
- The desire to increase a man's self-esteem.
- The desire to increase one's attractiveness.
- Penile dysmorphophobia. This condition consists of dissatisfaction with the appearance, including the penis.
The lower limit of the dimensions of the male reproductive organ is 12 cm (including erection). A smaller value can be considered as a reason for ligamentotomy.
Species
Quietly rubbing their hands, urologist-surgeons perform a series of plastic operations on the phallus.
Circumcision of the foreskin
This group includes reconstructive cutting of the frenulum (frenulotomy) and circumcision itself (circumcision). Operations are performed on an outpatient basis, there are no special difficulties in terms of technique. The process takes about 30 minutes. Recovery is quick and moderately painful.
Size correction
Here you can work in two directions - to increase the thickness and length. In the first case, the problem can only be solved surgically with the help of autografts. Secondly, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pumps, expanders).
Such plastic surgery is a demand for a micropenis and a man's own dissatisfaction.
Form correction
The process is carried out using modern techniques for the correction of the phallus. It is a plastic surgery that helps poor people with Peyronie's disease, localized fibrosis and congenital curvature. In case of serious anomalies, the surgeon decides to apply 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 involves 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.
Penis prostheses
A necessary step to obtain a stable artificial erection. The surgeon takes the structures - synthetic prostheses and inserts them into the body. They differ in that the phallus goes into a relaxed and excited state. We talked about the procedures, the classification of which is very conditional. In practice, they are often combined and performed sequentially on the same operating table.
Contraindications
There are a number of contraindications to the genital enlargement procedure, including:
- mental illness;
- diabetes;
- blood coagulation disorder.
Symptoms of these pathologies may worsen after surgery to enlarge the male penis. You can find more detailed information about how expensive genital organ enlargement surgery is in clinics in our country in our material.
Operation progress
There are two types of penis enlargement surgery. One of them is characterized by classical execution, the other involves the addition of elements of adipose tissue. However, according to expert opinions, the extension of the second type is carried out less often than the first. Often, the blood flow in the tissues is slow, which leads to various infectious complications.
Additionally, ligamentotomy is segmented by type of access. In this regard, it is easier for a plastic surgeon to excise the ligament above the pubic bone. However, the intervention through the scrotum is considered much less painful and less dangerous. With this approach, penis enlargement surgery can take longer, require a larger incision, and leave a noticeable scar in the groin area. In addition, such an intervention damages the tissues and fatty tissues and makes it difficult to continue wearing the assistive device. The cost of surgery performed through the scrotum is higher, but the risk of complications such as postoperative scarring is minimal. The surgeon and the urologist talk about the nuances of the 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 manipulation to the patient coming out of anesthesia is 40-50 minutes. A bandage is applied to the incision site. It is believed that the removal of the ligament that fixes the hidden inner part of the penis does not directly lead to the increase of the reproductive organ itself. The penis remains in place, and the cut ligament is only necessary for further improvement of the result with the help of a special device - an expander. Thus, ligamentotomy is only auxiliary and requires the indispensable use of the expander in the future. It is also worth considering that the result depends on the immediate initial length of the penis. In other words, ligamentotomy helps to increase the size of the phallus regulated by the expander, allowing it to move inside the penis.
Which doctor should I see?
If a decision to enlarge the penis by surgery was considered, it was difficult to swallow and there is no return, the patient turns to a plastic surgery clinic.
Large clinics have a department of cosmetic surgery or intimate plastic surgery. First, you should see your doctor.
If the doctor finds your arguments convincing, he will send you for examinations and tests, which, by the way, you will have to pay for. Tests to do (there are quite a few of them, so take some free time to take them all:
- general blood analysis;
- blood coagulation test;
- general urinalysis;
- 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 should consult a urologist and andrologist. After receiving the examination results, 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 ligamentotomy, a special device called a stretcher is applied to the operated organ. Unlike the expander, it is used continuously until the sutures are completely removed after 12-14 days. During the first three weeks after penis enlargement surgery, a man should follow the following recommendations:
- Refusal of sex, sports and intense physical activity.
- Always having 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 lengthening of the phallus continues with the help of an extender and lasts up to six months.
The life of the expander gradually increases. The first tangible and visually observable results can be observed six months after the operation.
Recommendations for using the extender
After ligamentotomy, a dilator is placed over the penis to prevent pain and discomfort. An additional function of this device is to provide the necessary tension of the muscles and ligaments of the penis. New areas of connective tissue are formed in place of the severed ligament. Their future size mainly depends on compliance with the recommendations for the postoperative period, including the systematic wearing of the expander. In order for the device to work properly and give maximum effect, you should consider some tips on its use:
- The extender is placed on the penis only during the day, it should be removed at night.
- At first, the device is used for 1. 5-2 hours a 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 severed ligament. As a rule, this lasts from 3 to 7 months.
Modern expanders are made of latex or hypoallergenic plastic. For this reason, they are comfortable, practical and almost invisible to wear.
Penis enlargement methods
There are several ways to increase male potency. 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 using special cavernous rods, which are:
- they will be filled with blood during erection;
- will increase the size of the organ.
Another method 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 small. The skin covering the penis is unique in nature. Unlike all integuments, this piece of skin is not generally connected to the body of the genital organ by nerve endings. Thanks to this, surgeons have mastered this technique perfectly. By the way, the reviews after ligamentotomy are very good, and patients note the growth of the penis. It happens that the doctor transplants the tissue together with bundles of blood vessels, and then:
- they connect with local ships;
- there is additional growth in the penis.
This type of operation will help the organ to grow up to 1 cm. When a man wants a bigger result, they turn to microsurgery. This type of intervention is very similar to the technology described above. But at this time, 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 possibility of complications after the operation increases.
Possible complications
A qualified specialist who has performed the penis enlargement operation eliminates all the risks of problems that may arise after ligamentotomy with his professional activity. In very rare isolated cases, the following complications are observed after such an intervention:
- bleeding;
- deformation of the penis (it can be straightened at an atypical angle or partially elevated);
- suppuration of the suture placed after the operation;
- testicular infection;
- development of scars and adhesions;
- unstable erection;
- violation of 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, it is noted that there are no possible problems both during the operation and during the rehabilitation period.
Benefits of penile correction surgery
The main advantages of penis enlargement surgery are:
- Long-term effect.
- Relatively fast rehabilitation.
- The ability to increase the penis not only in length, but also in thickness.
- The ability to remove pathologies or defects of the penis (both acquired and congenital) at the same time.
- It does not have a negative effect on reproductive function and the quality of male potential.
- Short duration of operation.
Sutureless and sutureless plastic surgery of the glans penis
Plastic surgery of the glans penis is the most popular surgical intervention in the male genital organ. These include:
- Circumcision is the removal of the narrowing of the foreskin by circumcision. This simple manipulation allows you to avoid many problems associated with phimosis. Depending on the clinical signs, a full or partial form of circumcision is chosen. In many countries of the world, this procedure is performed for hygienic or religious purposes. In order to ensure complete cleaning of the head of the penis naturally, a plastic surgery of the penis without sutures against phimosis is necessary. If the foreskin is narrowed, smegma accumulates under it, which is an excellent place for the reproduction of pathogenic microflora. Failure to solve the problem in time causes permanent inflammation and scars not only on the surface of the penis, but also inside the urethra.
- Another common problem that can be treated with simple surgery is the frenulum. This feature of the organ not only causes pain and discomfort, but also can 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, lengthening it to normal size, and applying cosmetic sutures. The full recovery process takes 2 weeks.
Features of penis enlargement surgery
A more complicated procedure is penile reshaping surgery. There are three different techniques that allow you to correct penile deviation. All begin by removing the foreskin and cutting the skin along the coronal sulcus about 5 mm from the head. Some doctors do not perform circumcision. This is necessary to release the tunica albuginea of the penile shaft to its base.
After that, they begin to make the phallus using one of the methods.
- Shortening of the tunica albuginea of the penis on the opposite side of the curvature, then its fixation. There are several varieties of this technique. If it is necessary to straighten the penis by 30-45°, folds are drawn using non-absorbable sutures. If the deviation is greater than 45, then elliptical clipping is applied. 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 cavernous bodies on the side of curvature using biological material (the patient's own skin or vein). This method allows you to leave the original size of the phallus in most cases, and sometimes to increase its size.
- Correction of the penis by wearing a prosthesis. This method is mostly used in men with untreatable erectile dysfunction, which allows you to get rid of two problems at the same time.
When you decide to correct the deformity of the manhood or change its appearance, you should find out what options are offered by modern surgery to solve the problem, read the reviews of a particular clinic and make sure that the required price is adequate.
When can the result of the operation be evaluated?
The result of the intervention can be evaluated only after complete healing of tissues, removal of sutures (if artificial sutures were used) and reduction of edema:
- After the application of hyaluronic acid, the growth effect is visible after 4 days, when the characteristic swelling disappears by itself.
- Lipofilling is an intervention that involves obtaining a quick effect (in terms of being an invasive procedure). The result is noticeable within 2 weeks.
- The success of 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 prosthesis, you can evaluate the effect only after 2-3 weeks.
Only average recovery times are shown. In general, recovery after surgery depends on the individual characteristics of the skin and the condition of the body.
Preparation for plastic surgery
The first stage is a personal acquaintance with the surgeon, anamnesis collection and a mandatory interview. All interesting facts about mental and physical health will be extracted from you. In addition, you will have to undergo a series of consultations with an endocrinologist, andrologist - urologist, therapist, cardiologist.
When does a good doctor refuse to operate? - only in case of psychogenic problems. You can solve them yourself or with a doctor. However, in 99. 9% of cases, the intervention is still carried out. This will happen on X days:
- it will not be allowed to drink - the liquid splashed in the stomach can cause complications when immersed in anesthesia. We advise you to follow this rule and endure thirst until the end;
- without any embarrassment, the nurse will shave his pubic area;
- they will check blood for sugar and hemoglobin for control;
- an anesthesiologist and surgeon will come for a friendly word and last parting words;
- the doctor will put a mark on the thigh - it will indicate the length of the phallus before the operation. Then you can check how many centimeters your best friend has gained.
Post-operative period
We would like to warn you that the transaction is just the beginning. It will take maximum courage to go through the recovery phase after the intervention. The process takes about six months, but readiness for intercourse will occur within two weeks.
To ensure the result, you will need:
- regularly bandage, disinfect, smear the penis with ointments;
- put an extender - the device is used for at least 8 hours a day. It will be worn immediately after surgery. This will eliminate the possibility of excessive scarring and curvature.
Rehabilitation period
The recovery period after surgical intervention depends on individual characteristics, the chosen method, the traumatic nature of the procedure and the initial parameters of the body. Reviews of surgical enlargement of the penis through injections indicate a quick recovery period of several days, a rare occurrence of hematomas and injuries, and the absence of discomfort.
In the process of tissue regeneration after radical approaches, the patient should regularly change the dressing in the treatment room to maintain personal hygiene. At this time, it is necessary to refrain from sexual intercourse, as well as limit physical activity. Depending on the doctor's recommendation, it is imperative to use loose cotton or special compression garments.
In 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 genital surgery be done?
Our genital surgeons explained that size correction surgery is considered plastic surgery. This means that it cannot be recommended, prescribed or indicated. First of all, it is carried out to those who want it!
Iron indicators for operation:
- microcephaly
- congenital underdevelopment. Such a penis in an erect position is no more than 10 cm. This fact arouses only sympathy among doctors. From a medical point of view, the man is healthy, he can urinate, and his genitals do not affect his life. In fact, the cause of the event is always the desire of the owner; - reduction due to injury and damage
- anything can happen in life, even a displaced kamazchi.
Possible risks and complications
The most common adverse reactions include:
- The formation of hematomas and bruises on the skin and mucous membrane (small bruises occur even with a needle; as a rule, they disappear on their own after a few days).
- Damage to the corpora cavernosa, damage to blood vessels, can cause an unstable erection and complete impotence.
- Painful urination and erection in the first few weeks.
- Disturbance of sensitivity of the head, which causes weak sensations during orgasm.
- Premature ejaculation.
- In rare cases, violation of the normal anatomical shape of the penis (due to unprofessional actions of the surgeon).
Attention: in order to avoid most of these complications, it is necessary to approach the choice of specialist responsibly. Trust your health only to well-known doctors who regularly improve their qualifications and receive positive reviews from other patients.