Recently, penis enlargement surgeries have become increasingly popular. The effect of male enhancement becomes possible thanks to an outpatient procedure, which 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 need to consult his doctor for another month. Often, many men do not need any surgery at all. Patients suffering from micropenis syndrome or penile dysmorphophobia only need 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 quite suitable. They can be purchased without any problems on the Internet or in a pharmacy. However, there are cases when the member still needs to be enlarged:
- 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 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 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 pelvic region and is attached to it by a special ligament called the ligament. The point of surgery is to change the size of this ligament, which allows you to increase the size of the penis.
It would seem 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 should be taken into account:
- The possibility of injury to the patient or infection in his 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, suppression of the ligament leads to the fact that during an erection the penis will be directed downward, and not forward or upward, as is usually the case.
- A specialist is not able to completely predict the results of the manipulation, since much 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 categorical indications for its implementation. 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. 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 enhance one's own attractiveness.
- Penis dysmorphophobia. This condition consists of dissatisfaction with one’s 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 regarded as a reason for ligamentotomy.
Kinds
Quietly rubbing their hands, urologists-surgeons carry out a whole range of plastic surgeries 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 in terms of technique. The process takes about 30 minutes. Recovery is quick and moderately painful.
Sizing correction
Here you can work in two directions - increasing thickness and length. In the first case, the issue can only be resolved surgically with the help of autografts. In the second, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pumps, extenders).
Such plastic surgery is in demand for micropenis and a man’s own dissatisfaction.
Shape correction
The process is carried out using modern techniques for straightening the phallus. This 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 restoration 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 gender reassignment procedures, an option for men who have lost a penis after surgery, illness, or injury.
Penile prosthetics
A necessary step to obtain a stable artificial erection. The surgeon takes structures - synthetic prostheses - and introduces them into the trunk. They differ in the way the phallus is transferred into a relaxed and excited state. We talked about procedures, the classification of which 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 enlargement procedure, including:
- mental illness;
- diabetes;
- impaired blood clotting.
The symptoms of these pathologies can 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.
Progress of the operation
There are two types of penis enlargement surgery. One of them is characterized by classical implementation, the other involves the addition of elements of adipose tissue. However, according to expert reviews, lengthening of the second type is carried out much less frequently than the first. Often, the blood flow in the tissues is slow, which leads to various infectious complications.
Additionally, ligamentotomy is divided according to the type of access. In this regard, it is much easier for a plastic surgeon to excise the ligament above the pubic bone. However, 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 injures tissues and fatty tissue 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 is minimal, as is the occurrence of postoperative scars. A surgeon and urologist talks about the nuances of 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 manipulations until the patient emerges from 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 an increase in the reproductive organ itself. The penis remains in its place, and the cut ligament is necessary only for subsequent improvement of the result with the help of a special device - an extender. Thus, ligamentotomy is exclusively auxiliary in nature and requires the indispensable use of an extender 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, which is adjusted 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 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 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 set aside some free time to take 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 RW;
- ECG.
In addition to the surgeon, you will need to consult with a urologist and andrologist. After receiving the examination results, the plastic surgeon makes a conclusion about the absence or presence of contraindications. And only then do they do plastic penis enlargement or not.
Rehabilitation
The next 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. For the first three weeks after penis enlargement surgery, a man should follow the following recommendations:
- Refusal of sex, sports and intense physical activity.
- Always wearing 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), stretching of the phallus continues with the help of an extender and lasts up to six months.
The duration of use of the extender increases gradually. The first tangible and visually traceable results can be observed six months after the operation.
Recommendations for using the extender
After 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 cut ligament, new areas consisting of connective tissue are formed. Their future size largely depends on compliance with the recommendations for the postoperative period, including the systematic wearing of an extender. In order for the device to work correctly and bring maximum effect, you should consider some tips for its use:
- The extender is placed on the penis only during the daytime; it must be removed at night.
- At first, the device is worn for 1. 5-2 hours a day. Gradually the time increases to 5-6 hours.
- The extender is worn until a new ligament is formed and takes its place to replace the cut ligament. As a rule, this takes from 3 to 7 months.
Modern extenders are made of latex or hypoallergenic plastic. For this reason, they are 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 consisting 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 penis enlargement by "winding" skin tissue taken from other places, such as the buttocks. Such operations are quite simple and the likelihood that there will be an unsuccessful outcome after them is negligible. The skin that covers the penis is unique in nature. Unlike all integuments, 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, reviews after ligamentotomy are very good, and patients note an increase in the penis. It happens that the doctor transplants tissue along with bundles of blood vessels, and then:
- they fuse with native vessels;
- there is an additional increase in the penis.
This type of operation will help enlarge the organ by up to 1 cm. When a man wants greater results, they resort to microsurgery. This type of intervention is very similar to the technology described above. However, in this case, 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 likelihood of complications after surgery increases.
Possible complications
A qualified specialist who has performed penis enlargement surgery, through his professional actions, negates all the 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 rise partially);
- 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 specialists 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 fast 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 (both acquired and congenital).
- No negative impact on the reproductive function and quality of male potency.
- Short duration of the 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 area. These include:
- Circumcision is the removal of 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 carried out for hygienic or religious purposes. Plastic surgery of the penis without sutures for phimosis is necessary to ensure 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 breeding ground for pathogenic microflora. Untimely 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 solved with simple surgery is a frenulum. This feature 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 sulcus, approximately 5 mm from the glans. Some doctors do not resort to circumcision. This is necessary in order to be able to free the tunica albuginea of the penis shaft to its base.
After this, 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 using non-absorbable sutures. If the deviation is more than 45, then elliptical excision is used. Since the procedure leads to a reduction in the organ by 0. 5-2 cm, this type of operation is only suitable for men with a fairly large penis.
- Lengthening the tunica albuginea of the cavernous bodies 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.
- Penis straightening by inserting a prosthesis. This method is more often used in men with untreatable erectile dysfunction, which makes it possible to get rid of two problems 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 are offered by modern surgery, study reviews of a specific clinic and make sure that the asking price is adequate.
When can the result of the operation be assessed?
The result of the intervention can be assessed only after complete healing of the tissues, removal of sutures (if artificial threads were used), and subsidence of edema:
- After the introduction of hyaluronic acid, the enlargement effect is visible after 4 days, when the characteristic swelling disappears on its own.
- Lipofilling is an intervention that involves quickly obtaining an effect (from the point of view of the fact that it is an invasive procedure). The result is noticeable within 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. It is after this period that you can determine how successfully the procedure was completed.
- After penile prosthetics, you can evaluate the effect only after 2-3 weeks.
Only average recovery periods 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 a personal acquaintance with the surgeon, anamnesis collection, and a mandatory interview. All interesting facts related to mental and physical health will be pulled out of 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 solve them yourself or with a doctor. However, intervention is still carried out in 99. 9% of cases. This will happen on day X:
- you will not be allowed to drink - the liquid splashing in the stomach can cause complications when immersed in anesthesia. We advise you to adhere to this rule and endure thirst to the end;
- without any shyness, the nurse will shave his pubic area;
- for control, they will screen 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 - it will indicate the length of the phallus before surgery. Then you can check how many centimeters your best friend has gained.
Postoperative period
We would like to warn you that the operation is just a start. 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 in two weeks.
To secure the result, you will have to:
- regularly do dressings, disinfection, smear the penis with ointments;
- put on an extender - the device is used for at least 8 hours a day. It will be worn immediately after surgery. This will eliminate excessive scarring and the possibility of 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 parameter of the organ. Reviews of surgical penis enlargement through injections indicate a quick recovery period of several days, a rare occurrence of hematomas and injuries, and the absence 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 required, as well as limitation of physical activity. It is imperative to use loose cotton or special compression garments, depending on the doctor’s recommendation.
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 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 of all, it is carried out to those who want it!
Iron indications for surgery:
- microphallia
– congenital underdevelopment. Such a penis does not exceed 10 cm in the erect state. This fact evokes 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 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 adverse reactions include the following:
- The occurrence of hematomas and bruises on the skin and mucous membrane (small bruises occur even with injections; as a rule, they go away on their own after a few days).
- Injuries to the cavernous bodies, damage to blood vessels, which can lead to unstable erections and complete impotence.
- Painful urination and erection in the first few weeks.
- Impaired sensitivity of the head, which leads to weak sensations during orgasm.
- Premature ejaculation.
- In rare cases, a violation of the normal anatomical shape of the penis (due to unqualified actions of the surgeon).
Attention: to prevent most of these complications, it is necessary to take a responsible approach to choosing a specialist. Trust your health only to well-known doctors who regularly improve their qualifications and have positive reviews from other patients.