Standard ligamentotomy (an 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 must be made. A noticeable scar remains at the incision site, and the tissue and subcutaneous fat are severely injured.
Nowadays, many clinics that offer 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 scrotal surgery, there is no unsightly scar in the pubic area, as is the case with the standard technique, and the incision in the scrotal area heals almost without a 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 function) or changing its external characteristics.
But, in addition to the main reasons, in medicine there are several more:
- 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;
- removal of an organ for any other reason;
- erectile dysfunction, etc.
Very often, men turn to specialists who perform penis enlargement operations due to their 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 to 15 cm, but it is important to measure it correctly.
The penis is measured by three parameters:
- Resting;
- when stretched;
- with an erection.
The measurement is performed in a room at room temperature immediately after undressing to avoid tissue contraction due to cooling.You can stretch your penis as much as possible by gently grabbing it and 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 it forms 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 resort to this operation. There are several specific contraindications for phalloplasty.These 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 consult with a doctor about the possibility of performing it,It is necessary to initially visit a sexologist, and then a urologist-andrologist.After receiving a sufficient amount of information and undergoing an examination, you can go directly to a surgeon with experience in performing operations specifically on the male genital organ.
Surgical methods to lengthen the penis and increase its girth have been widely used since 1991. However, there has not yet been enough research to accurately predict the results and possible risks of the intervention. Thus, a study from the London Institute of Urology showed that only 35% of patients undergoing male enhancement surgery were satisfied with the results. Half of those who underwent the procedure turn to the services of a surgeon again.
An indication for surgery is a penis less than 10 cm in the erect state.
penis enlargement
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 organ is less than average;
- The client's desire;
- Congenital and acquired pathologies.
The methods for performing surgical intervention are divided into two groups:
Pubic. Disadvantage: the intervention takes longer, scars remain;
Scrotal. It is gaining popularity due to its easy rehabilitation and no scarring.
The patient is consulted by an anesthesiologist.
lipofilling
Lipofilling is a procedure aimed at increasing the width of the penis. Fats extracted from the patient's abdominal wall are pumped directly to the trunk. Lipofilling is not particularly difficult. But there are several nuances:
- dignity becomes greater only in breadth;
- the effect persists for a short period of time.
That is, the patient's adipose tissue acts as an implant, over time the fat is absorbed, so it is necessary to repeat the intervention after a certain period of time.
But lipofilling allows us to minimize the probability of rejection of foreign bodies and, therefore, reduce the risk of developing unwanted complications (threats to the patient's life and health).
The result can be evaluated before and after during a consultation with an andrologist, if the man is satisfied with everything, the day of the surgical operation is set 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.
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 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 vast majority of men reach 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 girth.
In relation to 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 sexual intercourse.
After all, a big penis is a symbol of sexual satisfaction and self-confidence.
Penis enlargement surgery: how much does it cost to enlarge your penis surgically?
After having tried 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 male intimate area, we will know the approximate prices and the clinics where these operations are performed.
Men are divided into several categories:
- have a medium size, which adapts perfectly to him and his partner;
- You have a normal, medium or large size, but you would like to have an even larger one;
- you 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 7 cm);
- There are consequences of an injury or disease of the penis.
Surgical penis enlargement is carried out both for medical reasons and in order to cosmetically correct the appearance.
Having tried 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 the penis to be lengthened by eliminating its hidden part. The essence of this operation is the following:
- 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 reject the extender, over time the penis will return to its previous position and the operation will not produce 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 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 put off by this type of phalloplasty because the procedure is too expensive.
- The use of special fillers. Some specialists increase the thickness of the penis using synthetic gels. This penis enlargement must be performed under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9-10 months, fillers will need to be reinjected under the skin.
- Injection of adipose tissue. Penis enlargement with adipose tissue is popular among men. The injected tissue eventually takes root under the skin, causing 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.
- Penis prosthesis. During the operation, the patient is implanted with an artificial prosthesis. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Most often, penile prosthesis is performed if the patient has previously undergone metoidioplasty.
If you reject the extender, over time the penis will return to its previous position and the operation will not produce 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 to 35 minutes.
Does it look like this:
- the patient is placed under general anesthesia;
- The entire genital area, at the same time the stomach and legs, are generously disinfected with iodine;
- the doctor coldly cuts the penis with a scalpel;
- The incision is made in the scrotum, exactly along the dark line: the natural suture of the midline. If you turn 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 upon closer examination;
- The cavernous bodies move to one side; This is how the doctor finds a way out of the periosteum. In this place the ligament that joins the phallus to the pubic bone has settled. The thing is that about a third of the actual length is found here. These intestines are removed;
- The doctor evaluates 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 hang impressively.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.
Surgical penis enlargement using implants made of hypoallergenic silicone is another effective and safe method. 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 tissues, which remain in the penis for life.
Question: Under what anesthesia is the operation performed?
Answer:Ligamentotomy is performed under general anesthesia.
Ask:Is surgery possible with local anesthesia?
Answer:The operation is performed only under general anesthesia. Theoretically it is possible with local anesthesia, but the pain will be quite intense.
Ask:I am about to undergo penis enlargement surgery and would like to know briefly about the side effects.
Answer:Ligamentotomy does not involve any alteration of 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 to 1. 5 hours after surgery) and restriction of driving for 1 day.
Ask:I would like to know at what age can I have penis enlargement surgery?
Answer:Ligamentotomy can be performed from the age of 18.
Ask:I would like to enlarge my penis. How long will the treatment last?
Answer:The actual operation takes up to an hour. After this, a 1-day stay in the clinic is usually required. The extender can be used for 3 to 6 months, 2 to 6 hours a day.
Ask:Where is the ligamentotomy incision?
Answer:Access to the penile suspensory ligament 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 thanks to the good blood supply to the scrotum and becomes practically invisible after 2-3 weeks. Access to the pubic area can be done 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 appointment. The photo shows the pubic and scrotal access, immediately after surgery.
Ask:How often will bandaging be necessary after ligamentotomy?
Answer:The first dressing is done on the day of discharge from the clinic (that is, one day after the operation). The subsequent dressings and their need are those prescribed by the treating physician.
Ask:Is it possible to carry out the operation on a weekend?
Answer:Yes, we work on weekends. Having had surgery on Saturday, he 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 based on the presence of concomitant diseases.
Possible complications
If you feel discomfort after penis enlargement surgery, you should consult a doctor immediately.
Modern medicine offers men improved penis enlargement techniques. Therefore, most operations are carried out without complications. However, the possibility of adverse consequences cannot be ruled out. Complications can arise due to a surgeon's error or non-compliance by the patient with the rules for caring for the male genital organ.
After surgery aimed at increasing penis size, the following complications may occur:
- Acute pain during erection.
- Bleeding when urinating.
- Tissue infection.
- Unstable position of the penis during sexual intercourse.
- Decreased sensitivity of the head of the organ.
- Discomfort during and after sexual relations.
You should immediately report these problems to your doctor 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 penis area.
- Spots and bruises in intimate areas.
- Skin inflammation.
- Deformation of the penis.
- Erectile dysfunction of a permanent or temporary nature.
These 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 fight between two partners, it is a whole complex of human experiences. This is influenced by self-confidence, the desire to make your partner happy, sexual habits and much more.
"The thing is that the difference 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 couple, their adaptation and her sexual experience. And it is not about the penis size that her partner's previous man had, but also about his 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 anterior surface or somewhere near the cervix. The diameter of the penis matters whether the receptors are concentrated at the entrance or along the walls of the vagina, the length - whether they are located around of the cervix. And this means that a man's skill, position and understanding among his 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 undergo a complete examination.
In addition to the fact that it is necessary to mentally prepare for the procedure, which lasts between 20 minutes and 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 urine and blood tests.
- Biochemical analysis.
- Urethral swab.
- Blood test for syphilis, HIV, hepatitis.
- ECG.
- Fluorography.
- Consult with an anesthesiologist.
10 hours before the procedure, the intake of food and water is completely excluded. They prepare the field for the operation: they shave the groin.