Recently, penis enlargement surgery has become increasingly popular. The effect of male enlargement becomes possible due to an outpatient procedure, which lasts no more than an hour and a half and is performed under local anesthesia. Immediately after the operationThe patient can go home. He will have 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. MenSometimes they just think that their penis is small.
To solve a delicate problem, various drugs for organ enlargement recommended by a doctor are quite suitable. These can be purchased without any problems from the Internet or pharmacy. However, there are cases when the member still needs to be enlarged. Is:
- medical problems (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).
You can look at photos in medical sources to understand the nature of these disorders.
Surgical penis enlargement: all the advantages and disadvantages
To understand the principle of surgery to enlarge the male penis, you should look at 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 calledcalled a ligament. The purpose of surgery is to change the shape of this ligament, which allows you to increase the size of the penis.
It appears that this technique allows us to solve many of the problems that arise due to the small size of the manhood (physical and psychological). However, some risk factors for this type of manipulation should be taken into account:
- There is a possibility of the patient getting injured or getting 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 the ligament is hypermobile. In addition, suppuration of the ligament leads to the fact that during an erection the penis will be directed downwards, and not forward or upward, as usuallyIt happens.
- A specialist is not able to fully predict the results of the manipulation, because much 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 clear indications for its implementation. However, in some cases it is necessary to perform genital enlargement, and the indications can be divided into two subgroups: medical and aesthetic.
Medical indications:
- Micropenis (so-called hidden penis).
- Cavernous fibrosis.
- Peyronie's disease. With this pathology, deformity of the penis is observed, which reduces its size.
structure of penis
Aesthetic Indications:
- The desire to increase a man's self-esteem.
- Desire to increase one's own attractiveness.
- Gender dysmorphophobia. This condition involves 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 considered a reason for ligamentotomy.
Type
Silently rubbing their hands, the urologist-surgeon carries out a whole series of plastic surgeries on the penis.
foreskin circumcision
This group includes reconstructive trimming (frenulotomy) and circumcision (circumcision) of the frenulum. The operations are performed on an outpatient basis; There are no particular difficulties in terms of technique. The procedure takes about 30 minutes. Recovery is quick and moderately painful.
size correction
Here you can work in two directions - increasing the thickness and length. In the first case, the problem can be solved only surgically with the help of autograft. In the second, the doctor acts either surgically (using implantsnot required) or conservatively (vacuum pump, extender).
Such plastic surgery is in demand for micropenis and man's own dissatisfaction.
size correction
This procedure is carried out using modern techniques to straighten the penis. It is plastic surgery that helps poor people with Peyronie's disease, local fibrosis and congenital curvature. In case of severe anomalies, surgeons can use synthetic prostheses. Decides to install.
Reconstructive Restoration of the Penis (Phalloplasty)
The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted on the phallus. Reconstruction includes the restoration of the urethra, aesthetics and functionality. Reconstruction is part of penis reassignment procedures, it is an option for men who have had surgery, diseaseOr have lost the penis after injury.
penile prosthetics
An essential step in achieving stable artificial erections. The surgeon takes the structures – synthetic prostheses – and inserts them into the torso. They differ in the way the penis moves in a relaxed and erect state. We talked about the proceduresKey, the classification of which is very conditional. In practice, they are often combined with each other and executed sequentially on the same operating table.
Difference
The genital enlargement procedure has several contraindications, including:
- mental illness;
- 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 elements of adipose tissue. However, according to expert reviews, the second type of enlargement is performed much less frequently than the first. Often, blood flow to the tissues is slowed, leading to various infectious complications.
Additionally, ligamentotomy is divided according to the type of access. In this regard, it is much easier for the plastic surgeon to excise the ligament above the pubic bone. However, the intervention performed through the scrotum is more painless and lessconsidered dangerous. Penis enlargement surgery using this approach can take longer, involve a much larger incision and leave a noticeable scar in the pubic area. Furthermore, such intervention can damage the tissues andThe fatty tissues hurt and it becomes difficult to continue wearing assistive devices. The cost of surgery performed through the scrotum is high, but the risk of complications is minimal, as is the occurrence of postoperative scars. A surgeon and urologistExperts talk about the nuances of penis enlargement surgery and the period after the operation.
Ligamentotomy is performed under anesthesia (general or epidural). The total time from the beginning of the surgeon's manipulation until the patient comes out of anesthesia is 40-50 minutes. A bandage is placed over the area where the incision was madeIt is believed that the rupture of the ligament that fixes the hidden part of the penis does not directly result in enlargement of the reproductive organ. The penis remains in place, and the severed ligament can only be removed with a special device -Subsequent correction of the result with the help of an extender is necessary. Thus, ligamentotomy is exclusively supportive in nature and requires the inevitable use of an extender in the future. It is also worth considering that the result is not dependent on the immediateDepending on the initial length. In other words, ligamentotomy helps to increase the size of the penis, which is accommodated by the extender, allowing it to function inside the penis.
Which doctor should I contact?
If a decision like enlarging the penis through surgery is deliberate, hard-won and cannot be looked back, then the patient turns to a plastic surgery clinic.
In larger clinics there is a department of aesthetic surgery or intimate plastic surgery. First you need to visit 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 a lot of them, so be sure to take them all. Set aside some free time for:
- general blood analysis;
- blood clotting test;
- general urine analysis;
- Blood group and Rh factor analysis;
- Screening for HIV infection, hepatitis B and C;
- Blood test for RW;
- ECG.
In addition to the surgeon, you will need to 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 then they make a plastic penis enlargement or not.
Rehabilitation
The day after the ligamentotomy, a special device called a stretcher is placed on the operated limb. 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 weights - this method does not allow the penis to return to its original position.
- After the scar is formed (after about 1-2 months), stretching of the penis with the help of an extender continues and lasts for six months.
The duration of use of the extender gradually increases. The first tangible and clearly detectable results can be seen six months after the operation.
Recommendations for using the extender
After ligamentotomy, an 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. New areas consisting of connective tissue are formed in place of the cut ligament. are. Their future size largely depends on compliance with the recommendations for the postoperative period, including systematically wearing an extender. In order for the device to work correctly and bring maximum effect, you need toSome tips to consider for use:
- The extender is placed on the penis only during the day; It should 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 forms and replaces the severed ligament. As a rule, this takes 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 technique
There are several methods of increasing masculine strength. 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:
- They will fill with blood during an erection;
- The size of the organ will increase.
Another technique involves enlarging the penis by "curving" skin tissue from other locations such as the buttocks. Such operations are quite simple and the chances of unsuccessful results after them are negligible. The skin covering 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 ligamentotomyVery good, and patients see an increase in the penis. It happens that the doctor transplants the tissue with bundles of blood vessels, and then:
- They join up with native ships;
- There is additional growth in the penis.
This type of operation will help in enlarging the organ by 1 cm. When a person wants better results, they resort to microsurgery. This type of intervention is similar to the technique described above. However, in this case, not only skin, but also muscle tissue is transplanted.
This technique will help to achieve a relatively larger size of the penis, 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 risks of possible problems after ligamentotomy. In extremely rare isolated cases, the following complications are observed after such interventions:
- is bleeding;
- Deformity of the penis (it may become erect or partially enlarged, even at an abnormal angle);
- clogging of the suture placed after surgery;
- testicular infection;
- development of scars and adhesions;
- unstable construction;
- 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 during the operation and during the rehabilitation period is noted.
Benefits of penis reassignment surgery
The main benefits of penis enlargement surgery include:
- Long lasting effect.
- Relatively fast rehabilitation.
- There is a possibility of increasing not only the length but also the thickness of the penis.
- Possibility of simultaneously eliminating penile deformities or defects (both acquired and congenital).
- There is no negative effect on reproductive function and quality of male potency.
- Short duration of operation.
Plastic surgery of the head of the penis with and without stitches
Plastic surgery of the glans penis is the most popular surgical intervention in the male genital area. It includes:
- Circumcision is the removal of narrowness 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. Many countries around the worldIn, this procedure is performed for hygienic or religious purposes. Penis plastic surgery without stitches for phimosis is necessary to ensure complete cleanliness of the head of the penis in a natural way. If the foreskin becomes narrowed, Smegma accumulates, which is an excellent breeding ground for pathogenic microflora. Untimely solution of the problem leads to persistent inflammation and sores 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 its rupture can also cause dangerous bleeding. The operation to lengthen the frenulum is performed under local anesthesia. The procedure is performed under surgery and takes about 20 minutes. The procedure involves placing transverse marks on the frenulum, stretching it to normal size, and placing cosmetic stitches. The entire recovery process takes 2 weeks.
Features of penis straightening operation
Penis straightening surgery is a more complex procedure. There are three different techniques that allow you to correct penis deviation. They all start by removing the foreskin and cutting the skin along the coronal sulcus, approximately from the head5 mm. Some doctors do not resort to circumcision. This is necessary to be able to free the tunica albuginea of the penis shaft up to its base.
Next, they start erecting the penis using one of the methods.
- Shortening of the tunica albuginea of the penis in the direction opposite to the curvature, followed by fixation. There are several varieties of this technique. If it is necessary to straighten the penis by 30-45°, the folds are superimposed using non-absorbable sutures. If the deviation is more than 45, elliptical excision is used. Since this procedure0. A reduction of 5-2 cm is achieved, this type of operation is only suitable for men with a fairly large penis.
- Lengthening of the tunica albuginea of the cavernous bodies on the side of the curvature using biological material (the patient's own skin or vein). In most cases this method allows you to leave the original size of the penis and sometimes increase its size. .
- Straightening the penis by inserting a prosthesis. This method is often used in men with treatable erectile dysfunction, making it possible to get rid of two problems at the same time.
Having decided to correct the deformity of your manhood or change its appearance, you need to find out what options for solving the problem are offered by modern surgery, study the reviews of a specific clinic andMake sure the asking price is reasonable.
When can the outcome of the operation be assessed?
The result of the intervention can be assessed only after complete healing of the tissues, removal of stitches (if artificial threads were used), and subsidence of the edema:
- After the introduction of hyaluronic acid, the effect of enhancement is visible after 4 days, when the characteristic swelling disappears on its own.
- Lipofilling is an intervention that involves achieving immediate effects (from the point of view of the fact that it is 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 recovery period of 3 weeks. Only after this period can you determine how successfully the procedure was completed.
- After penile prosthetics, you can evaluate the effect only after 2-3 weeks.
Only the average recovery period is shown. In general, regeneration after surgery depends on the individual properties of the skin and the condition of the body.
plastic surgery preparation
The first stage is personal introduction with the surgeon, history collection and a mandatory interview. All interesting facts related to mental and physical health will be brought to you. Along with this, you will have a series of consultations with endocrinologist, andrologist - urologist, therapist, cardiologist. Will have to go through.
When does a good doctor refuse surgery? - Only if there are problems of a psychological nature. You can solve these yourself or with a doctor. However, in 99. 9% of cases intervention is still carried out. This will happen on day X:
- You will not be allowed to drink - splashing liquid into the stomach while under anesthesia can cause complications. We advise you to follow this rule and endure thirst until the end;
- Without any shame, the nurse will shave her pubic area;
- For control, they will check the blood for sugar and hemoglobin;
- An anesthesiologist and a surgeon will come for a friendly word and last farewell words;
- The doctor will make a mark on the thigh - this will indicate the length of the penis before surgery. Then you can check how many centimeters your best friend has gained weight.
post period
We would like to warn you that this operation is only a beginning. Maximum courage will be required to go through the recovery phase after the intervention. This process takes about six months, but preparation for sex will come in two weeks.
To secure the results, you must:
- Regularly do dressing, disinfection, apply ointments to the penis;
- Wear the 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 crookedness.
rehabilitation period
The recovery period after surgical intervention depends on the individual characteristics, the method chosen, the painful nature of the procedure and the initial parameters of the organ. Reviews of surgical penis enlargement through injections Quick recovery period of several days, a rare occurrence of hematomas and bruisesAnd indicates the absence of discomfort.
During the process of tissue regeneration after the radical approach, the patient should regularly change dressings in the treatment room to maintain personal hygiene. At this time, it is necessary to abstain from sexual contact, as well as limit physical activity. . Based on the doctor's recommendation, it is mandatory 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 stop inflammatory processes, avoid purulent abscesses and other life-threatening complications.
When should you have genital surgery?
Our genital surgeons explained that shape correction surgery is considered plastic surgery. This means that it cannot be recommended, prescribed, or indicated. First, it is delivered to those who want it!
Iron indications for surgery:
- microphilia
– Congenital underdevelopment. Such a penis does not exceed 10 cm in an erect state. 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. Actually, The cause of the incident is always the will of the owner; - Reduction due to damage and injury
- Anything can happen in life, even a member of KAMAZ who has transferred.
Potential Risks and Complications
The most common adverse reactions include the following:
- The occurrence of hematomas and bruises on the skin and mucous membranes (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, can lead to unstable erections and complete impotence.
- Pain during urination and erection in the first few weeks.
- Decreased sensitivity of the head, leading to weaker sensations during orgasm.
- Premature ejaculation.
- In rare cases, violation of the normal anatomical shape of the penis (due to inept 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 differ from other patients. Receive positive reviews.