A standard ligamentotomy (surgery to increase the length of the penis) is done through an incision in the pubic area, but it takes a long time: a large incision must be made.A visible scar remains at the wound site, tissue and subcutaneous fat are severely damaged.
Today, many clinics that offer surgical penile enlargement perform the operation through a scrotal approach.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 the operation with the scrotal approach, there is no unpleasant scar in the pubic area, as with the standard technique, and the wound in the scrotal area heals and leaves almost no trace.
Phalloplasty: what is it, reasons for use and contraindications
Plastic surgery of the penis involves either restoring the functions of the penis (both urinary and sexual function) or changing its external characteristics.
But, in addition to the main reasons, there are several more in medicine:
- pathological changes on the penis;
- damage caused by various injuries (mechanical, thermal, chemical);
- underdevelopment of the organ or its small length/thickness;
- genital deformity;
- neoplasms (malignant);
- gangrene;
- removal of an organ for another 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 ranges from 12-15 cm.But it is important to measure it correctly.
The penis is measured by three parameters:
- during rest
- when stretched;
- with erection.
Measurements are taken at room temperature immediately after undressing to avoid tissue shrinkage due to cooling.You can stretch your penis as much as possible by gently squeezing and pulling it towards the head.
The organ is measured along the back (from the pubis to the edge of the head).In this case, it is preferable 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 expressed such a desire can apply for this operation.Phalloplasty has a number of specific contraindications.This includes:
- Irreversible organ pathologies;
- inflammatory processes in the genital system;
- mental disorders;
- autoimmune diseases;
- sexually transmitted diseases or genital infections;
- diabetes mellitus;
- Leukemia, etc.
In order to learn more about the operation and at the same time consult with the doctor about the possibility of carrying it out,It is necessary to visit a sexologist first, and then a urologist-andrologist.After receiving sufficient information and examination, you can go directly to a surgeon who has experience specifically in the male genitalia.
Since 1991, surgical methods for lengthening the penis and increasing its circumference have been widely used.However, not enough research has yet been done to accurately predict the effects and possible risks of the intervention.Thus, one study conducted 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 had an operation, again turn to the services of a surgeon.
The indication for the operation is a penis shorter than 10 cm in the erect position.
penis enlargement
This is the most common operation on the penis and is performed under general anesthesia in no more than an hour.
- The length of the reproductive organ is less than average;
- the client's desire;
- Congenital and acquired pathologies.
Surgical intervention methods are divided into two groups:
public.Disadvantage: intervention lasts longer, scars remain;
scrotal.It is popular for easy rehabilitation and no scars.
The patient is consulted with an anesthesiologist.
Lipofilling
Lipofilling is a procedure aimed at increasing the width of the penis.Fat removed from the patient's abdominal wall is pumped directly into the body.Lipophilization is not particularly difficult.But there are some nuances:
- Dignity becomes greater only in breadth;
- The effect lasts for a short time.
That is, the patient's fatty tissue acts as an implant;Over time, the fat is absorbed, so after a certain period of time it is necessary to repeat the intervention.
But lipofilling allows us to minimize the probability of rejection of a foreign body and, therefore, to reduce the risk of developing unwanted (life-threatening and health-threatening) complications.
You can evaluate the result during and after the andrologist consultation;If the man is satisfied with everything, then the day of surgery comes 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.
Penis lengthening or thickening?
The average length of the penis in the erection phase is about 12-15 cm.The average length of the vagina ranges from 7-10 cm.The most sensitive vaginal point is located on the front wall, 2-3 cm deep from the entrance.Thus, the vast majority of men achieve it, which makes it possible to influence the most innervated fragments of the vagina.Often the problem is not the length of the penis, but its very small circumference.
In connection with the above, during the procedure, specialists focus on increasing the circumference of the penis.This has a significant impact on increasing the intensity of sexual sensations and satisfaction during sex.
A large penis is a symbol of sexual satisfaction and self-confidence.
Penis enlargement surgery: how much does penis enlargement surgery cost?
After trying everything from pills and creams to extreme NUP, men unhappy with their penis size decide that penile enlargement surgery is the only possible solution.
We will discuss all types of surgical interventions in the intimate area of men, find out the approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- has an average size that fully suits him and his partner;
- have a normal medium or large size, but want even larger;
- has a small penis and wants 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 injury or disease of the penis.
Penis enlargement is performed surgically both for medical reasons and for the purpose of cosmetic correction of appearance.
After trying everything from pills and creams to extreme NUP, men who are unhappy with their penis size 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.
Phalloplasty allows you to lengthen the penis by removing its hidden part.The essence of this operation is as follows:
- The penis is elongated due to the dissection of the sphincter ligament.
- A special biopolymer matrix is injected into the skin, which accelerates the development of connective tissue several times;
- After the operation, the recovery of cells will be accelerated, which also affects the size.
When the male enhancement surgery is completed, the new position of the penis will be established.Therefore, you will have to use an extender for some time to fix the position of the penis.If you refuse the extender, then over time the penis will return to its previous position and the operation will not bring results.
It is known that surgically you can not only lengthen the penis, but also thicken it.This is done in several ways:
- Insertion of the rectus muscle from the abdomen under the skin of the penis.Many doctors use this method for thickening.The advantages of this method include the fact that your own tissue is used during the operation.It does not interfere with blood circulation and takes root almost immediately.However, many people put off this type of phalloplasty because the procedure is too expensive.
- Use of special fillers.Some specialists increase the thickness of the penis using synthetic gels.This penis enlargement should be done under local anesthesia.Many people use this procedure to temporarily enlarge the penis.Because after 9-10 months, the filler should be reintroduced subcutaneously.
- Adipose tissue injection.Penis enlargement with fatty tissue is popular among boys.The injected tissue eventually takes root under the skin, causing a significant thickening of the penis.
- Application of biocollagen matrix.After surgery, the number of cavernous bodies increases.As a result, it increases the diameter of the penis.
- Prosthesis of the penis.During the operation, the patient is implanted with an artificial prosthesis.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 extender, then over time the penis will return to its previous position and the operation will not bring results.
How is the procedure performed on the genital organ?
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 stomach, legs are generously disinfected with iodine;
- The doctor coldly cuts the scalpel into the penis;
- An incision is made on the scrotum, exactly along the dark line - the natural midline suture.If you rotate the phallus, you can see it with the naked eye.By the way, after healing, the scar is masked along the line and becomes invisible even during a closer examination;
- Cavernous bodies move to the side - this is how the doctor finds a solution to the periosteum.In this place there is a ligament that fastens the phallus to the pubic bone.The thing is, it sits here for about a third of the actual length.These intestines are removed;
- The doctor evaluates the length of the penis, focusing on the sign.If everything is fine, the wound is sutured.The length increases by an average of 3 cm.
At rest, the length of the penis will remain unchanged after the operation.Don't expect everything to go smoothly.You will see the whole effect in the erection.Tunica albuginea is to blame for this.It covers the bodies, which fill with blood when excited.
If everything is fine, the wound 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, anatomically correct materials are used, which create 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 throughout life.
Question: With what kind of anesthesia is the operation performed?
Answer:Ligamentotomy is performed under general anesthesia.
Question: Is it possible to operate under local anesthesia?
Answer:The operation is performed only under general anesthesia.Theoretically, it is possible with local anesthesia, but the pain will be quite strong.
Question: I am going to have penile enlargement surgery and I would like to know briefly about the side effects.
Answer:Ligamentotomy does not cause a violation of potency and reproductive function in men, because the muscles, ligaments and vessels responsible for erection are not damaged 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 wonder at what age I can have penis enlargement surgery?
Answer:Ligamentotomy can be performed from the age of 18.
Question: I want to increase my penis.How long will the treatment last?
Answer:The actual operation lasts up to an hour.After that, as a rule, a 1-day stay in the clinic is 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: 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 gives a good cosmetic result.The postoperative suture heals quickly due to good blood supply to the gonad and becomes practically invisible after 2-3 weeks.Access to the public area can be done when there is a need for maximum release of the inner part of the penis, which is hidden deep in the body.We can discuss all this on the first date.The photo shows the pubic and scrotal access, immediately after the operation.
Question: How often will dressings be needed after a ligamentotomy?
Answer:The first dressing is done on the day of discharge from the clinic (that is, one day after the operation).Further dressings and their necessity are determined by the attending physician.
Question: Is it possible to do the surgery on the weekend?
Answer:Yes, we work on weekends.After surgery on Saturday, you will be able to return to work on Monday without any pain or complaints.
At the initial appointment, the list of studies can be adjusted according to the presence of concomitant diseases.
Possible complications
If you experience discomfort after penile enlargement surgery, you should consult your doctor immediately
Modern medicine offers men improved methods of penis enlargement.Therefore, most operations are carried out without complications.However, the possibility of undesirable consequences is not excluded.Complications can arise due to a surgeon's mistake or a patient's failure to follow the rules of male genital care.
The following complications may occur after surgery to increase the size of the penis:
- Sharp pain during erection.
- Bleeding during urination.
- tissue infection.
- Unstable position of the penis during sex.
- Decreased sensitivity of the organ itself.
- Discomfort during and after intercourse.
You should immediately inform your doctor about such problems so that they can be solved in time.
Some men who have penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penis.
- Dark spots and bruises in intimate areas.
- Skin inflammation.
- Deformation of the penis.
- Permanent or temporary erectile dysfunction.
Such problems can be avoided if you entrust your health to a competent specialist who has extensive experience in performing surgical manipulations on the genitals.
Does size matter?
Physiologically, no.But sex is not a mechanical grind between two partners, it is a whole complex of human experience.Self-confidence, the desire to please the partner, sexual habits and many others play a role here.
"The fact is that the spread in "normal" is quite large. 11 or 18 centimeters is still a significant difference, says plastic surgeon Andrey Istranov. - The size is important in the sense that a lot depends on the partner, his adaptation and sexual experience. Organs: in the clitoris, on its front surface, or anywhere near the cervix, it is important if the receptors are concentrated at the entrance to the vagina or around it, and this means that the man's skills, position are not the sameimportant, such as the size of a woman.
The first, the most common, is caused by the patient's own tissues.
Ligamentotomy preparation
A complete examination is necessary before ligamentotomy
In addition to mentally preparing for the procedure, which lasts from 20 minutes to an hour, the patient must undergo a number of examinations before the procedure:
- Interview with the urologist who will perform the operation.
- Psychiatric examination.
- General examinations of urine and blood.
- Biochemical analysis.
- Urethral smear.
- Blood tests for syphilis, HIV, hepatitis.
- EKG
- Fluorography.
- Consultation with an anesthesiologist.
10 hours before the procedure, it is completely impossible to take food and water.They prepare the field for surgery - they shave the groin.