A standard ligamentotomy (an operation to increase the length of the penis) is performed through an incision in the pubic area, but it takes a long time: a large incision must be made. Significant scarring remains at the incision site, and subcutaneous tissue and fat are severely injured.
Today, many clinics that offer penile enlargement surgery perform the surgery through a scrotal approach. This allows you to significantly reduce its duration from 1-1. 5 hours (average length of standard ligamentotomy) to 10-15 minutes. After surgery through the scrotal approach, there is no unsightly scar in the genital area, as in the standard technique, and the incision in the scrotal area heals, leaving almost no trace.
Phalloplasty: what it is, reasons for use and contraindications
Penile plastic surgery involves either restoring the function of the penis (both urinary and sexual function) or changing its external features.
But, in addition to the main reasons, there are several more in medicine:
- abnormal changes in the penis;
- damage caused by various injuries (mechanical, thermal, chemical);
- lack of organ development or small length/thickness;
- deformation of the genital organs;
- neoplasm (malignant);
- gangrene;
- organ removal for any other reason;
- erectile dysfunction, etc.
Often, men turn to specialists who perform penis enlargement operations because they are not satisfied with the appearance of the penis, and, in particular, its size. There are certain indicators of the norm, according to which the normal length of the penis ranges from 12-15 cm, but it is important to measure it correctly.
The penis is measured using three parameters:
- resting;
- when stretched;
- with erection.
Measurements were performed indoors at room temperature immediately after undressing to avoid tissue shrinkage due to cooling.You can stretch your penis as much as possible by gently grasping and pulling it on the head.
Organs are measured along the back (from the pubis to the side 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, then 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 use this operation.There are some specific contraindications for phalloplasty.This includes:
- irreversible organ pathology;
- inflammatory processes in the genitourinary system;
- mental disorder;
- autoimmune diseases;
- venereal disease or genital infection;
- diabetes;
- leukemia, etc.
To learn more about surgery, and at the same time consult with a doctor about the possibility of doing surgery,It is necessary to visit first the sexologist, and then the urologist-andrologist.After receiving a sufficient amount of information and undergoing an examination, you can go directly to a surgeon who is experienced in performing specialized surgery on the male genital organs.
Surgical methods to lengthen the penis and increase girth (girth) have been widely used since 1991. However, there are not enough studies to accurately predict the results and possible risks of the intervention. Therefore, a study 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 underwent the procedure again used the services of a surgeon.
The indication for surgery is a penis shorter than 10 cm in the erect position.
Extends the penis
This is the most common operation on the penis and is performed under general anesthesia for no more than an hour.
- The length of the reproductive organs is less than average;
- Customer wishes;
- Congenital and acquired pathology.
Methods of surgical intervention are divided into two groups:
penisDisadvantages: intervention takes longer, scars remain;
scrotum. It is gaining popularity because of its easy recovery and no scarring.
The patient is referred by an anesthetist.
Lipofilling
Lipofilling is a procedure that aims to increase the width of the penis. Fat taken from the patient's abdominal wall is pumped directly into the trunk. Lipofilling is not that difficult. But there are some nuances:
- dignity becomes greater only in width;
- the effect lasts for a short period of time.
That is, the patient's adipose tissue acts as an implant; over time, fat is absorbed, for this reason repeated interventions are required after a certain period of time.
But lipofilling allows us to minimize the possibility of foreign body rejection, and therefore reduces the risk of unwanted complications (threats to the patient's life and health).
You can evaluate the results before and after during a consultation with an andrologist; if the man is satisfied with everything, then a day for the surgical operation is set, and the necessary recommendations are given: what to do before and after.
The duration of the recovery period varies from 3 to 5 weeks, during which you 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 12-15 cm. The average length of the vagina varies between 7-10 cm. The most sensitive point of the vagina is located on the front wall, at a depth of 2 -3 cm from the entrance. Therefore, the majority of men achieve it, which makes it possible to affect the most nervous parts of the vagina. Often, the problem is not the length of the penis, but the girth that is too small.
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 enlarge the penis surgically?
After trying all 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 intimate male sphere, find out the estimated prices and clinics where such operations are carried out.
Men are divided into several categories:
- has an average size, which fully suits him and his partner;
- have a normal medium or large size, but would like to have a larger size;
- have a small penis and want to enlarge it (remember that the lower limit of the normal length of an erect penis is considered to be 7 cm);
- there is a result of injury or disease on the penis.
Surgical enlargement of the penis is performed for medical reasons and for the purpose of cosmetic correction of appearance
After trying all methods from pills and creams to the extreme NUP, men, dissatisfied with the size of their genitals, decide that penis enlargement surgery is the only possible solution.
Operating characteristics
Before performing 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:
- penis lengthened due to surgery of the restraining 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 male enhancement surgery is completed, the new position of the penis will be formed. Therefore, you need to use the extender for some time to fix the position of the penis. If you reject the extender, then over time the penis will return to its previous position, and the operation will not bring any results.
It is known that through surgery you can not only lengthen the penis, but also make it thicker. This is done in several ways:
- Inserts the rectus muscle from the abdomen under the skin of the penis. Many doctors use this method to thicken. 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 put off by this type of phalloplasty because the procedure is too expensive.
- Use of special fillers. Some experts increase the thickness of the penis using synthetic gel. This penis enlargement must take place under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9-10 months, the filler needs to be re-injected under the skin.
- Adipose tissue injection. Penis enlargement with adipose tissue is popular among men. The injected tissue eventually takes root under the skin, leading to a noticeable thickening of the penis.
- Use of biocollagen matrix. After the operation, the number of cavernous bodies increased. As a result, this increases the diameter of the penis.
- Penile prosthesis. During the operation, the patient is implanted with an artificial prosthesis. This type of phalloplasty is performed when the patient has problems with sexual dysfunction. Most often, a penile prosthesis is performed if the patient has previously undergone metoidioplasty.
If you reject the extender, then 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 genitals?
If your doctor is an experienced and licensed genital surgeon, the main stage will last no more than 30-35 minutes.
It looks like this:
- the patient is placed under general anesthesia;
- the entire genital area, at the same time the abdomen, legs are generously disinfected with iodine;
- the doctor calmly cut the scalpel into the penis;
- an incision is made in the scrotum, right along the dark line - the natural midline suture. If you twist the phallus, you will see it with the naked eye. In this way, after healing, the scar is masked along the lines and becomes invisible even after a closer inspection;
- The cavernous body moves to the side - this is how the doctor finds a way out to the periosteum. The ligament that attaches the penis to the pubic bone has settled in this place. The point is that about a third of the actual length is located here. The intestine is removed;
- The doctor assesses how long the penis is, focusing on the signs. If all is well, the incision is sutured. On average, the length increases by 3 cm.
The length of the penis after surgery at rest will remain unchanged. Don't expect everything to hang spectacularly.You will see the whole effect in the erection. The tunica albuginea is to blame for this. It covers the body filled with blood when excited.
If all is well, the incision is sutured.
Implantation of silicone implants
Surgical enlargement of the penis using implants made of hypoallergenic silicone is another effective and safe approach. In this case, material with an anatomically correct shape is used, which forms a beautiful sexual organ with sufficient sensitivity. To avoid rejection, it is recommended to choose an implant from a well-known manufacturer 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 tissue, which remains in the penis for life.
Question: Under anesthesia is the surgery performed?
Answer:Ligamentotomy is performed under general anesthesia.
question:Can surgery be performed under local anesthesia?
Answer:The operation is performed only under general anesthesia. It is theoretically possible under local anesthesia, but the pain will be quite strong.
question:I am going to undergo penis enlargement surgery and would like to know briefly about the side effects.
Answer:Ligamentotomy does not involve any disturbance in reproductive potency and function in men, as the muscles, ligaments and vessels responsible for erection are not affected during the operation. Side effects from general anesthesia include drowsiness (1-1. 5 hours after surgery) and driving restrictions for 1 day.
question:I want to know at what age can I undergo penis enlargement surgery?
Answer:Ligamentotomy can be performed from the age of 18.
question:I want to enlarge my penis. How long will the treatment last?
Answer:The actual operation lasts up to an hour. After this, a 1-day stay in the clinic is usually required. Extender can be worn for 3 to 6 months, 2-6 hours a day.
question:Where is the ligamentotomy incision?
Answer:Access to the suspensory ligament of the penis can be arranged in two ways: along the midline of the scrotum or in the pubic area. An incision along the midline of the scrotum makes the operation less traumatic and provides good cosmetic results. Stitches after surgery heal quickly due to good blood supply to the scrotum and become invisible after 2-3 weeks. Access to the genital area is possible when maximum release of the inside of the penis, hidden deep in the body, is required. We can discuss all of this at the initial appointment. Photo shows access to the genitals and scrotum, immediately after surgery.
question:How often should bandages be done after ligamentotomy?
Answer:The first dressing is performed on the day of discharge from the clinic (i. e. the day after surgery). The next dressing and its requirements are as prescribed by the attending physician.
question:Is it possible to do the operation on the weekend?
Answer:Yes, we work on weekends. After having surgery on Saturday, you can go back to work on Monday without any pain or complaints.
At the initial appointment, the study list can be adjusted depending on the presence of concomitant diseases.
Possible complications
If you experience discomfort after penis enlargement surgery, you should see a doctor immediately
Modern medicine offers men better techniques for penis enlargement. Therefore, most operations take place without complications. However, the possibility of adverse consequences cannot be ruled out. Complications can arise due to the error of the surgeon or the patient's failure to comply with the rules for taking care of the male genital organs.
After surgery, the purpose 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.
- Decreases the sensitivity of the organ head.
- Discomfort during and after sexual intercourse.
You should immediately report the problem to your doctor so that it can be dealt with in a timely manner.
Some men who have undergone penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penis.
- Black spots and bruises in the intimate area.
- Skin inflammation.
- Penile deformity.
- Erectile dysfunction is permanent or temporary.
Such problems can be avoided if you entrust your health to a competent specialist with extensive experience in performing surgical manipulations on the genital organs.
Does size matter?
From a physiological point of view, no. But sex is not a mechanical grind between two partners, it is the whole complex of human experience. Self-confidence, desire to please your partner, sexual habits, and more play a role there.
"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 is important in the sense that a lot depends on the partner, his adaptation, and sexual experience. And it's not aboutthe size of the penis that your partner's previous man had, but also about his reaction and expectations. In women, receptors can be concentrated in different parts of the genital organ: on the clitoris, the entrance to the vagina, its anterior surface, or somewhere near the cervix. Diameter of the penisimportant if the receptors are concentrated at the entrance or along the wall of the vagina, long - if around the cervix. And this means that skill, position, understanding between partners is as important as size. There is no universal penis that can satisfy any woman. "
The first, the most common, is caused by the patient's own tissue.
Preparation for ligamentotomy
Before ligamentotomy, it is necessary to undergo a full examination
In addition to the fact that you should be mentally prepared for the procedure, which takes from 20 minutes to an hour, before the procedure the patient must undergo several examinations:
- Interview with the urologist who will perform the surgery.
- Psychiatric examination.
- General examination of urine and blood.
- Biochemical analysis.
- Urethral swab.
- Blood tests for syphilis, HIV, hepatitis.
- ECG.
- Fluorography.
- Consultation with an anesthesiologist.
10 hours before the procedure, food and water intake is completely excluded. They prepare the field for the operation - they shave the groin.