The standard ligamentotomy (surgery 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. A noticeable scar remains at the site of the incision, and the tissue and subcutaneous fat are severely injured.
Today, many clinics offering surgical penis enlargement perform the operation through scrotal access. This allows you to significantly reduce its duration from 1-1. 5 hours (the average duration of a standard ligamentotomy) to 10-15 minutes. After surgery through the scrotal access, there is no ugly scar in the pubic area, as with the standard technique, and the incision in the scrotal area heals, leaving almost no traces.
Phalloplasty: what is it, reasons for use and contraindications
Plastic surgery of the penis involves either restoring the functions of the penis (both its urinary and sexual function) or changing its external characteristics.
But in addition to the main causes in medicine, there are several more:
- unusual 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;
- removal of an organ for another reason;
- erectile dysfunction, etc.
Most often, men turn to specialists who perform operations to enlarge the penis due to dissatisfaction with the appearance of the penis and, in particular, with its size. There is a certain norm indicator, according to which the normal length of the penis varies from 12-15 cm. But it is important to measure it correctly.
The penis is measured using three parameters:
- at rest;
- when stretching;
- with an erection.
The measurement was performed in a room at room temperature immediately after undressing to avoid tissue shrinkage due to cooling.You can stretch your penis to the maximum by grabbing it and pulling it by the head.
The organ is measured along the 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 penis is less than 9. 5 cm, then we can say that the man has a small penis.
But, unfortunately, not all representatives of the stronger sex who have expressed such a desire can resort to this operation.There are a number of specific contraindications for phalloplasty.They include:
- irreversible organ pathologies;
- inflammatory processes in the genitourinary system;
- mental disorders;
- autoimmune diseases;
- sexually transmitted diseases or genital infections;
- diabetes;
- leukemia etc.
To learn more about the operation and at the same time to consult a doctor about the possibility of performing it,It is necessary to visit a sexologist first, and then a urologist-andrologist.After you have received enough information and undergone an examination, you can go directly to a surgeon experienced in performing operations specifically on the male genital organs.
Surgical methods to lengthen the penis and increase its girth (girth) have been widely used since 1991. However, not enough research has yet been conducted to accurately predict the outcomes and possible risks of the intervention. Thus, 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 have undergone the procedure resort to the services of a surgeon again.
An indication for surgery is a penis shorter than 10 cm in an erect state.
Penis enlargement
This is the most common penile surgery and is performed under general anesthesia in no more than an hour.
- The length of the reproductive organ is shorter than average;
- Customer's wish;
- Congenital and acquired pathologies.
Surgical intervention methods are divided into two groups:
Pubis. Disadvantage: the intervention takes longer, scars remain;
Scrotum. It is gaining popularity due to easy rehabilitation and lack of scars.
The patient is consulted by an anesthetist.
Lipofilling
Lipofilling is a procedure aimed at increasing the width of the penis. Fat taken from the patient's abdominal wall is pumped directly into the body. Lipofilling is not particularly difficult. But there are several nuances:
- the dignity becomes greater only in breadth;
- the effect persists for a short period of time.
That is, the patient's adipose tissue plays the role of an implant, after time the fat is absorbed, which is why repeated intervention is necessary after a certain period of time.
But lipofilling allows us to minimize the probability of rejection of a foreign body and, therefore, to reduce the risk of developing unwanted (threat to the patient's life and health) complications.
You can evaluate the result before and after consultation with an andrologist; if the man is satisfied with everything, then a day is set for the operation and the necessary recommendations are given: what should 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.
Lengthening or thickening the penis?
The average length of the penis in the erection phase is about 12-15 cm. The average length of the vagina varies in the range of 7-10 cm. The most sensitive vaginal point is located on the front wall, at a depth of 2-3 cm from the entrance. Thus, the majority of men reach it, which makes it possible to influence the most innervated fragments of the vagina. Often the problem is not in the length of the penis, but in its too small girth.
In connection with the above, during the procedure specialists 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 Penis Enlargement Surgery Cost?
After trying all methods: from pills and creams to extreme NUP, men dissatisfied with the size of their genitals decide that penile enlargement surgery is the only possible solution.
We will consider all types of surgical interventions in the intimate male sphere, find out the approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- have an average size that suits him and his partner perfectly;
- has a normal medium or large size, but would like to have an even larger one;
- has 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 penile injury or disease.
Penis enlargement by surgery is performed both for medical reasons and for the purpose of cosmetic correction of the appearance
Having tried everything from pills and creams to extreme NUP, men unhappy with the size of their genitals decide that penile enlargement surgery is the only possible solution.
Features of the operation
Before performing the operation, it is recommended to familiarize yourself with the features of this procedure.
A 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, the recovery of the cells will be accelerated, which will also affect the size.
After the male enhancement surgery is completed, the new position of the penis will be formed. Therefore, you will need to use the extender for some time to fix the position of the penis. If you refuse the expander, after a while the penis will return to its previous position and the operation will not bring any results.
It is known that surgically you can not only lengthen the penis, but also 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 fattening. The advantages of this method include the fact that one's own tissue is used during the operation. It does not interfere with blood circulation and takes root almost immediately. However, many people shy away from this type of phalloplasty because the procedure is too expensive.
- The use of special fillers. Some specialists increase the thickness of the penis with the help of synthetic gels. This penis enlargement must be done under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9-10 months the fillers will have to be re-injected under the skin.
- Fat injection. Penis enlargement with fatty tissue is popular among men. The injected tissue eventually takes root under the skin, resulting in a significant thickening of the penis.
- Application of biocollagen matrix. After surgery, the number of corpora cavernosa increases. As a result, the diameter of the penis increases.
- Penile prosthesis. During the operation, an artificial prosthesis is implanted in the patient. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Quite often, penile prosthesis is performed if the patient has previously undergone metoidioplasty.
If you refuse the expander, after a while the penis will return to its previous position and the operation will not bring any results.
How is the genital procedure performed?
If your doctor is an experienced and licensed genital surgeon, the main stage will last no more than 30-35 minutes.
It looks like that:
- 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 cold-bloodedly plunges a scalpel into the penis;
- the incision is made on the scrotum, just along the dark line - the natural median seam. If you rotate 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 on closer examination;
- Cavernous bodies are shifted to the side - this is how the doctor finds an exit to the periosteum. The ligament that attaches the phallus to the pubic bone is located in this place. The thing is, about a third of the actual length is sitting here. These intestines are removed;
- the doctor estimates how long the penis is by focusing on the scar. If everything is fine, the incision is sutured. On average, the length increases by 3 cm.
The length of the penis after the operation in a relaxed state will remain unchanged. Don't expect everything to hang impressively.You will see the full effect in the erection. The tunica albuginea is to blame for this. It includes bodies that fill with blood when excited.
If everything is fine, the incision is sutured.
Implantation of silicone implants
Penile enlargement through surgery using implants made of hypoallergenic silicone is another effective and safe approach. In this case, anatomically correct materials are used, which form a beautiful genital 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 that remain in the penis for life.
Question: Under what anesthesia is the operation performed?
Answer:Ligamentotomy is performed under general anesthesia.
Question:Is surgery possible under local anesthesia?
Answer:The operation is performed only under general anesthesia. Theoretically, it is possible under local anesthesia, but the pain will be quite strong.
Question:I am about to have a penis enlargement surgery and would like to know briefly about the side effects.
Answer:Ligamentotomy does not lead to disorders of potency and reproductive function in men, because during the operation the muscles, ligaments and vessels responsible for erection are not affected. 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 I can have a penis enlargement surgery?
Answer:Ligamentotomy can be performed from the age of 18.
Question:I would like to enlarge my penis. How long will the treatment last?
Answer:The actual operation takes up to an hour. After that, a 1-day stay in the clinic is usually required. The extender can be worn from 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 organized in two ways: in the midline of the scrotum or in the pubic area. An incision along the midline of the scrotum makes the operation less traumatic and gives a good cosmetic result. The postoperative suture heals quickly due to the good blood supply to the scrotum and becomes practically invisible after 2-3 weeks. Access to the pubis can be done when maximum release of the inner part of the penis, hidden deep in the body, is needed. We can discuss all of this at the initial meeting. The photo shows the pubic and scrotal access, immediately after the operation.
Question:How often will dressings need to be done after a ligamentotomy?
Answer:The first dressing is performed on the day of discharge from the clinic (ie, one day after the operation). Subsequent bandages and their necessity are prescribed by the attending physician.
Question:Is it possible to do the surgery over the weekend?
Answer:Yes, we work on weekends. After the operation on Saturday, on Monday you will be able to return to work without any pain or complaints.
At the initial appointment, the list of tests can be adjusted depending on the presence of concomitant diseases.
Possible complications
If you feel discomfort after penis enlargement surgery, you should immediately consult a doctor
Modern medicine offers men improved techniques for penis enlargement. Because of this, most operations proceed without complications. However, the possibility of adverse effects cannot be ruled out. Complications can occur due to a surgeon's error or the patient's non-compliance with the rules of care for the male genital organs.
After an operation 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 organ head.
- Discomfort during and after intercourse.
You should report such problems to your doctor immediately so that they can be dealt with promptly.
Some men who have undergone penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penile area.
- Dark spots and bruises in intimate areas.
- Skin inflammation.
- Penile deformity.
- Erectile dysfunction of a permanent or temporary nature.
Such problems can be avoided if you entrust your health to a competent specialist with extensive experience in performing surgical manipulations of the genital organ.
Does size matter?
Physiologically no. But sex is not a mechanical grinding between two partners, it is a whole complex of human experiences. Self-confidence, the desire to make your partner happy, sexual habits and many others play a role here.
"The thing is that the difference in the 'norm' is quite large. 11 or 18 centimeters is still a significant difference, says plastic surgeon Andrey Istranov. — The size matters in the sense that a lot depends on the partner, his adaptation and sexual experience. And it's not about what size penis your partner's previous man had, but about her reactions and expectations. In women, the receptors can be concentrated in different parts of the genital organs: in the clitoris, the entrance to the vagina, its front surfaceor somewhere near the cervix. The diameter of the penis matters if the receptors are concentrated at the entrance or on the walls of the vagina, the length - if around the cervix. And this means that the skill of the man, the position, the understanding between the partners are soas important as size There is no one-size-fits-all penis that will satisfy every woman.
The first, the most common, is due to the patient's own tissues.
Preparation for ligamentotomy
Before ligamentotomy, it is necessary to undergo a complete examination
In addition to the fact that you need to mentally prepare for the procedure, which takes from 20 minutes to an hour, before the procedure the patient must undergo a number of examinations:
- A conversation with the urologist who will perform the operation.
- Psychiatric examination.
- General tests of urine and blood.
- Biochemical analysis.
- Urethral tampon.
- Blood tests for syphilis, HIV, hepatitis.
- EKG.
- 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.