Standard ligamentotomy (operation to increase the length of the penis) is performed through an incision in the pubic area, but it is time-consuming: a large incision is required. A noticeable scar remains at the incision site, and subcutaneous tissue and fat are severely injured.
Today, many clinics offering surgical penis enlargement perform the operation through the scrotal approach. This allows you to significantly reduce its duration from 1 to 1. 5 hours (the average duration of a standard ligamentotomy) to 10 to 15 minutes. After surgery via the scrotum, there is no unpleasant scar left in the pubic area, as with the standard technique, and the incision in the scrotum heals, leaving almost no trace.
Phalloplasty: what it is, reasons for use and contraindications
Penile plastic surgery involves restoring the functions of the penis (both its urinary and sexual functions) or altering its external characteristics.
But, in addition to the main reasons, there are several others in medicine:
- abnormal changes in the penis;
- damage caused by various injuries (mechanical, thermal, chemical);
- underdevelopment of the organ or its small length/thickness;
- deformation of the genital organ;
- neoplasms (malignant);
- gangrene;
- organ removal for any other reason;
- erectile dysfunction, etc.
Most often, men turn to specialists who perform penis enlargement operations due to dissatisfaction with the appearance of the penis and, in particular, its size. There is a certain indicator of the norm, according to which the normal length of the penis varies from 12 to 15 cm, but it is important to measure it correctly.
The penis is measured using three parameters:
- in rest;
- when stretched;
- with an erection.
The measurement is carried out in a room temperature environment immediately after taking off to avoid contraction of the fabric due to cooling.You can stretch your penis as much as possible by holding it and gently pulling it by the head.
The organ is measured along your back (from the pubis to the edge of the head). In this case, it is advisable to hold the penis so that there is a right angle between it and the abdominal wall. If the length of the genital organ is less than 9. 5 cm, we can say that the man has a small genital organ.
But, unfortunately, not all representatives of the stronger sex who have expressed such a desire can resort to this operation.There are several specific contraindications to phalloplasty.These include:
- irreversible organic pathologies;
- inflammatory processes in the genitourinary system;
- Mental Disorders, Mental Disorder;
- autoimmune diseases;
- sexually transmitted diseases or genital infections;
- diabetes;
- leukemia, etc.
To find out more about the operation and at the same time consult a doctor about the possibility of carrying it out,It is necessary to initially consult a sexologist and then a urologist-andrologist.After receiving sufficient information and undergoing an examination, you can go directly to a surgeon who has experience in performing specific operations on the male genital organ.
Surgical methods for lengthening the penis and increasing its girth (girth) have been widely used since 1991. However, not enough research has yet been conducted to accurately predict the results and possible risks of the intervention. Thus, a study carried out at the Institute of Urology in London showed that only 35% of patients who underwent male enhancement surgery were satisfied with the results. Half of those who have undergone the procedure resort to the services of a surgeon again.
An indication for surgery is a penis smaller than 10 cm in an erect state.
Penis stretching
This is the most common operation on the penis and is performed under general anesthesia for a maximum of one hour.
- The length of the reproductive organ is below average;
- Customer desire;
- Congenital and acquired pathologies.
Methods for carrying out surgical intervention are divided into two groups:
Pubic. Disadvantage: the intervention takes longer, scars remain;
Scrotal. It is gaining popularity due to easy rehabilitation and lack of scars.
The patient is consulted by an anesthetist.
Lipofilling
Lipofilling is a procedure that aims to increase the width of the penis. Fats taken from the patient's abdominal wall are pumped directly to the torso. Lipofilling is not particularly difficult. But there are several nuances:
- dignity only increases in breadth;
- the effect persists for a short period of time.
In other words, the patient's adipose tissue acts as an implant; Over time, the fat is absorbed, so repeated intervention is necessary after a certain period of time.
But lipofilling allows you to minimize the likelihood of foreign body rejection and, therefore, reduce the risk of developing unwanted complications (threat to the patient's life and health).
You can evaluate the result before and after during a consultation with an andrologist, if the man is satisfied with everything, then a day is appointed for the surgical operation and the necessary recommendations are given: what needs to be done before and after.
The duration of the recovery period varies from 3 to 5 weeks, during which time you will have to completely abandon sexual contact with women.
Lengthen or thicken the penis?
The average length of the penis in the erection phase is about 12 to 15 cm. The average length of the vagina varies in the range of 7 to 10 cm. The most sensitive vaginal point is located on the front wall, at a depth of 2 -3 cm from the entrance. Thus, the vast majority of men reach it, which allows it to influence the most innervated fragments of the vagina. Often the problem is not the length of the penis, but its very small girth.
In connection with the above, during the procedure, experts focus on increasing the girth of the penis. This has a significant impact on increasing the intensity of sexual sensations and satisfaction during sex.
After all, a large penis is a symbol of sexual satisfaction and self-confidence.
Penis enlargement surgery: how much does it cost to surgically enlarge the penis?
After trying all the methods: from pills and creams to extreme NUP, men, dissatisfied with the size of their genitals, decide that penis enlargement surgery is the only possible solution.
We will consider all types of surgical interventions in the male intimate sphere, find out approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- have an average size, which suits him and his partner perfectly;
- It's a normal medium or large size, but I'd like to have an even bigger one;
- have a small penis and would like to enlarge it (remember that the lower limit of the normal length of an erect penis is considered to be 7 cm);
- there are consequences of injuries or diseases of the penis.
Penis enlargement by surgery is carried out both for medical reasons and for the purpose of cosmetic correction of appearance
Having tried every method, from pills and creams to extreme NUP, men, dissatisfied with the size of their genitals, decide that penis enlargement surgery is the only possible solution.
Features of the operation
Before carrying out the operation, it is recommended to familiarize yourself with the features of this procedure.
Phalloplasty allows you to lengthen the penis by removing its hidden part. The essence of this operation is as follows:
- the penis is lengthened due to dissection of the retaining ligament,
- a special biopolymer matrix is introduced into the skin, which accelerates the development of connective tissue several times,
- After the operation, cell recovery will be accelerated, which will also affect the size.
When the male enhancement surgery is completed, the new position of the penis will be formed. Therefore, you will have to use the extender for some time to fix the position of the penis. If you refuse the extender, over time the penis will return to its previous position and the operation will not bring any results.
It is known that surgically it is possible not only to lengthen the penis, but also to make it thicker. This is done in several ways:
- Insertion of the rectus abdominis muscle under the skin of the penis. Many doctors use this method for thickening. The advantages of this method include the fact that the tissue itself is used during the operation. It does not interfere with blood circulation and takes root almost immediately. However, many people are discouraged by this type of phalloplasty because the procedure is very expensive.
- The use of special fillers. Some experts increase penis thickness with synthetic gels. This penis enlargement must take place under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9 to 10 months, the fillers will have to be reinjected under the skin.
- Adipose tissue injection. Penis enlargement with adipose tissue is popular among men. The injected tissue eventually takes root under the skin, which leads to significant thickening of the penis.
- Application of biocollagen matrix. After the operation, the number of corpora cavernosa increases. As a result, this increases the diameter of the penis.
- Penile prostheses. During the operation, the patient is fitted with an artificial prosthesis. This type of phalloplasty is performed when patients have sexual dysfunction problems. Penile prosthesis is often performed if the patient has already undergone metoidioplasty.
If you refuse the extender, over time the penis will return to its previous position and the operation will not bring any results.
How is the procedure performed on the genital organ?
If your doctor is an experienced, licensed genital surgeon, the main stage will last no longer than 30-35 minutes.
It looks like this:
- the patient is placed under general anesthesia;
- the entire genital area, at the same time the stomach, legs are generously disinfected with iodine;
- the doctor coldly cuts a scalpel into the penis;
- The incision is made in the scrotum, exactly along the dark line - the natural midline suture. If you twist the phallus, you will see it with the naked eye. By the way, after healing, the scar is masked along the line and becomes invisible even after a more detailed examination;
- The corpora cavernosa move to the side - this is how the doctor finds an exit to the periosteum. The ligament that connects the phallus to the pubic bone is installed in this location. The issue is that about a third of the actual length is here. These entrails are removed;
- the doctor assesses the length of the penis, focusing on the mark. If everything is fine, the incision is sutured. On average, the length increases by 3 cm.
The length of the penis after surgery in a calm state will remain unchanged. Don't expect everything to be impressive.You will see the full effect on the erection. The tunica albuginea is to blame for this. It covers bodies that fill with blood when excited.
If everything is fine, the incision is sutured.
Implantation of silicone implants
Penis enlargement through surgery with hypoallergenic silicone implants is another effective and safe approach. In this case, materials of an anatomically correct shape are used, which form a beautiful sexual organ with sufficient sensitivity. To avoid rejection, it is recommended to choose implants from well-known manufacturers and follow the doctor's instructions during the recovery process.
As a result of active cell division, the organic structure of the product is gradually replaced by soft connective tissues, which remain in the penis for life.
Question: Under what anesthesia is the operation performed?
To respond:The ligamentotomy is performed under general anesthesia.
Question:Is surgery possible under local anesthesia?
To respond:The operation is performed only under general anesthesia. Theoretically it is possible under local anesthesia, but the pain will be quite severe.
Question:I am about to undergo penile lengthening surgery and would like to know briefly about the side effects.
To respond:Ligamentotomy does not cause disturbances in potency and reproductive function in men, since the muscles, ligaments and vessels responsible for erection are not affected during the operation. Side effects of general anesthesia include drowsiness (1-1. 5 hours after surgery) and restriction of driving for 1 day.
Question:I would like to know at what age can I have penis enlargement surgery?
To respond:Ligamentotomy can be performed from the age of 18.
Question:I would like to enlarge my penis. How long will the treatment take?
To respond:The actual operation lasts up to an hour. After that, a 1-day stay at the clinic is usually required. The extender can be used for 3 to 6 months, 2 to 6 hours a day.
Question:Where is the ligamentotomy incision?
To respond:Access to the penile suspensory ligament can be organized in two ways: along the midline of the scrotum or in the pubic region. An incision along the midline of the scrotum makes the operation less traumatic and provides a good cosmetic result. The postoperative suture heals quickly due to the good blood supply to the scrotum and becomes practically invisible after 2 to 3 weeks. Access to the pubic region can be carried out when maximum release of the internal part of the penis, hidden deep in the body, is required. We can discuss all of this at the initial consultation. The photo shows the pubic and scrotal access, immediately after surgery.
Question:How often will dressings need to be applied after ligamentotomy?
To respond:The first dressing is done on the day of discharge from the clinic (that is, one day after the operation). Subsequent dressings and their need will be prescribed by the attending physician.
Question:Is it possible to carry out the operation on the weekend?
To respond:Yes, we work on weekends. After the operation on Saturday, you will be able to return to work on Monday without pain or complaints.
At the initial consultation, the list of studies can be adjusted depending on the presence of concomitant diseases.
Possible complications
If you experience discomfort after penis enlargement surgery, you should consult a doctor immediately
Modern medicine offers men improved techniques for penis enlargement. Therefore, most operations go without complications. However, the possibility of adverse consequences cannot be ruled out. Complications may arise due to a surgeon's error or the patient's failure to comply with the rules for caring for the male genital organ.
After surgery, the aim of which is to increase the size of the penis, the following complications may occur:
- Sharp pain during erection.
- Bleeding during urination.
- Tissue infection.
- Unstable position of the penis during sex.
- Decreased sensitivity of the head of the organ.
- Discomfort during and after sexual intercourse.
You should immediately report these problems to your doctor so they can be addressed in a timely manner.
Some men who have had penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penis region.
- Dark spots and bruises in intimate areas.
- Skin inflammation.
- Deformation of the penis.
- Erectile dysfunction of a permanent or temporary nature.
Such problems can be avoided if you entrust your health to a competent specialist who has extensive experience in carrying out surgical manipulations on the genital organ.
Does size matter?
From a physiological point of view, no. But sex is not a mechanical crunch between two partners, it is a whole complex of human experiences. Self-confidence, the desire to make your partner happy, sexual habits and much more play an important role in this.
"The point is that the spread in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, says plastic surgeon Andrei Istranov. — Size matters in the sense that it depends a lot on the partner, their adaptation and the sexual experience. And it's not about the size of the penis that your partner's previous man had, but also about her reactions and expectations. In women, receptors can be concentrated in different parts of the genitals: in the clitoris, at the entrance to the vagina , on the anterior surface or somewhere near the cervix. The diameter of the penis is important if the receptors are concentrated at the entrance or along the walls of the vagina, the length - if it is around the cervix. And this means that a man's skill, position and understanding between partners are as important as size. There is no universal penis that can satisfy any woman. "
The first, the most common, is due to the patient's own tissues.
Preparation for ligamentotomy
Before ligamentotomy, it is necessary to have a complete examination
In addition to mentally preparing for the procedure, which takes 20 minutes to an hour, before the procedure the patient must undergo a series of tests:
- Interview with the urologist who will perform the operation.
- Psychiatric examination.
- General urine and blood tests.
- Biochemical analysis.
- Urethral swab.
- Blood tests for syphilis, HIV, hepatitis.
- ECG.
- Fluorography.
- Consultation with an anesthetist.
10 hours before the procedure, food and water intake is completely excluded. They prepare the field for the operation - shave the groin.