The standard ligamentotomy (surgery to increase the length of the penis) is performed through an incision in the pubic area, but it takes a lot of time: a large incision must be made. A visible scar remains at the incision site, and the subcutaneous tissue and fat are severely damaged.
Today, many clinics that offer surgical penile enlargement perform the operation through the scrotal approach. This allows you to significantly reduce its duration from 1-1. 5 hours (the average length of a standard ligamentotomy) to 10-15 minutes. After the operation through the scrotal approach, there is no ugly scar left in the pubic area, as with the standard technique, and the incision in the scrotal area heals, leaving almost no trace.
Phalloplasty: what it is, reasons for use and contraindications
Plastic surgery of the penis involves either restoring the functions of the penis (such as urinary and sexual function) or changing its external characteristics.
But, in addition to the main reasons, there are several others in medicine:
- abnormal changes in the penis;
- damages caused by various injuries (mechanical, thermal, chemical);
- underdevelopment of the organ or its small length/thickness;
- deformation of the genital organ;
- neoplasia (malignant);
- gangrene;
- removal of an organ for any other reason;
- erectile dysfunction etc.
Most often, men turn to specialists who perform operations for penis enlargement due to dissatisfaction with the appearance of the penis and, in particular, with its size. There is a certain indicator of the norm, according to which the normal length of the penis varies from 12-15 cm. But it is important to measure correctly.
The penis is measured using three parameters:
- in peace;
- when lying down;
- with an erection.
The measurement is performed in a room at room temperature immediately after undressing to avoid tissue shrinkage due to cooling.You can extend your penis as far as possible by grabbing and gently pulling it from the head.
The organ is measured along its back (from the pubis to the tip 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 male has a small genital organ.
But, unfortunately, not all representatives of the stronger sex who have expressed such a desire can turn to this operation.There are a number of specific contraindications for phalloplasty.This includes:
- 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 consult a doctor about the possibility of performing it,It is necessary to visit the sexologist first, and then the urologist-andrologist.After receiving a sufficient amount of information and undergoing an examination, you can go directly to a surgeon experienced in performing operations specifically on the male genital organ.
Surgical methods for lengthening the penis and increasing its circumference have been widely used since 1991. However, not enough research has yet been conducted to accurately predict the results and potential 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 underwent the procedure return to the surgeon's services.
An indication for surgery is a penis shorter than 10 cm when erect.
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 smaller than average;
- customer's desire;
- Congenital and acquired pathologies.
Methods of performing surgical intervention are divided into two groups:
Public. Disadvantage: the intervention takes longer, scars remain;
The scrotum. It is gaining popularity due to its easy and scar-free rehabilitation.
The patient is consulted by an anesthesiologist.
Lipofilling
Lipofilling is a procedure aimed at increasing the width of the penis. Fats taken from the patient's abdominal wall are pumped directly into the trunk. Lipofilling is not particularly difficult. But there are some nuances:
- the dignity becomes greater only in breadth;
- the effect lasts for a short period of time.
That is, the patient's adipose tissue acts as an implant; over time, the fat is absorbed, therefore repeated intervention is required after a certain period of time.
But lipofilling allows us to minimize the likelihood of rejection of the foreign body, and therefore reduce the risk of developing unwanted complications (threatening 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 set for the operation 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 time you will have to completely abandon sexual contact with women.
Lengthening or thickening of 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 vaginal point is located on the front wall, at a depth of 2-3 cm 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 too 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 pleasure 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 review all types of surgical interventions in the male intimate sphere, find out the approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- to have an average size, which suits him and his partner perfectly;
- has a normal size medium or large, but would like to have an even larger one;
- has a small penis and wants to enlarge it (remember that the lower limit of the normal length of the erect penis is considered to be 7 cm);
- there are consequences of penile injury or disease.
Surgical enlargement of the penis is performed both for medical reasons and for the purpose of cosmetic correction of the appearance.
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.
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 dissection of the supporting ligament,
- a special biopolymer matrix is inserted 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 need to use the extender for some time to adjust 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 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 muscle from the abdomen under the skin of the penis. Many doctors use this method for obesity. 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 are put off this type of phalloplasty because the procedure is very expensive.
- Use of special fillers. Some specialists increase the thickness of the penis using 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.
- Injection of adipose tissue. Penis enlargement with adipose tissue is popular among boys. The injected tissue eventually takes root under the skin, which leads to a significant thickening of the penis.
- Application of biocollagen matrix. After surgery, the number of corpora cavernosa increases. As a result, it increases the diameter of the penis.
- Penile prosthesis. During the operation, an artificial prosthesis is placed on the patient. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Very 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 any results.
How is the procedure performed on the genital organ?
If your doctor is an experienced and licensed genital surgeon, the main stage will take 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 coolly cuts a scalpel on 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 the closest examination;
- Cavernous bodies move to the side - so the doctor finds a way out to the periosteum. The ligament that connects the phallus to the pubic bone is located in this place. The thing is, about a third of the actual length is here. These intestines are pulled out;
- the doctor estimates how long the penis is, focusing on the mark. If everything is in order, the cut is sewn. 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 end spectacularly.You will see the whole effect in the erection. The tunica albuginea is to blame for this. Covers bodies that fill with blood when excited.
If everything is in order, the cut is sewn.
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 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 tissue, which remains in the penis for life.
Question: Under what anesthesia is the operation performed?
Answer:Ligamentotomy is performed under general anesthesia.
Question:Is the operation 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 penis enlargement surgery and would like to know briefly about the side effects.
Answer:Ligamentotomy does not cause any disturbance in the power and reproductive function in men, since 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 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 for 3 to 6 months, 2-6 hours a day.
Question:Where is the ligamentotomy cut?
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 suture after surgery heals quickly due to the good blood supply to the scrotum and becomes practically invisible after 2-3 weeks. Access to the pubic area can be performed when maximum release of the inner part of the penis, hidden deep in the body, is required. We can discuss all of this at the initial meeting. The picture shows the pubic and scrotal access, immediately after the operation.
Question:How often should dressings be done after ligamentotomy?
Answer:The first dressing is done on the day of discharge from the clinic (i. e. one day after the operation). Subsequent dressings and their necessity are prescribed by the attending physician.
Question:Is it possible to perform the operation on the weekend?
Answer:Yes, we work on weekends. After having surgery on Saturday, you will be able to return to work on Monday without pain or complaints.
At the initial meeting, the list of studies 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. Therefore, most operations take place without complications. However, the possibility of negative consequences cannot be excluded. Complications can arise due to the surgeon's mistake or the patient's failure to comply with the rules for the care of the male genital organ.
After surgery, the purpose of which is to increase the size of the penis, the following complications may occur:
- Severe 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 report such problems to your doctor immediately so that they can be addressed in a timely manner.
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.
- 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 with extensive experience in performing surgical manipulations on the genital organ.
Does size matter?
From a physiological point of view, no. But sex is not a mechanical quarrel between two partners, it is a whole complex of human experiences. Self-confidence, the desire to make the partner happy, sexual habits and much more play a role here.
"The thing 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 a lot depends on the partner, his adaptation and 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, the receptors can be concentrated in different parts of the genitals: in the clitoris, at the entrance to the vagina, on its front surface or somewhere near the cervix. The diameter of the penis matters if the receptors are concentrated at the entrance or along the walls of the vagina, the length - if around the cervix. And this means that the ability, position, understandingof a man between partners are as important as size. There is no universal penis that can satisfy every woman. "
The first, 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 lasts from 20 minutes to an hour, before the procedure the patient must undergo a series of examinations:
- Interview with the urologist who will perform the operation.
- Psychiatric examination.
- General examinations 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, intake of food and water is completely excluded. They prepare the field for surgery - they shave the groin.