A standard ligamentotomy (surgery to increase the length of the penis) is performed through an incision in the groin, but it takes a long time: a large incision must be made. A noticeable scar remains at the incision site, the tissue and subcutaneous fat are seriously damaged.
Today, many clinics that offer surgical enlargement of the genital organ perform the operation through the scrotal approach. This allows to significantly reduce its duration from 1-1. 5 hours (the average length of a standard ligamentotomy) to 10-15 minutes. After the operation with the scrotal approach, as with the standard technique, no unsightly scar remains in the groin area, and the incision in the scrotal area heals, leaving almost no scars.
Phalloplasty: what is it, reasons for use and contraindications
Penile plastic surgery involves either restoring the functions of the penis (both urinary and sexual function) or changing its external features.
But in addition to the main reasons, there are several more reasons in medicine:
- abnormal changes in the penis;
- damage caused by various injuries (mechanical, thermal, chemical);
- underdevelopment of the organ or its small length/thickness;
- genital deformity;
- neoplasms (malignant);
- gangrene;
- organ removal for any other reason;
- erectile dysfunction etc.
Often, men turn to specialists who perform penis enlargement surgery because they are dissatisfied with the appearance of their penis, especially its size. The norm has a certain indicator, so the normal length of the penis varies between 12-15 cm. But it is important to measure it correctly.
The penis is measured by three parameters:
- at rest;
- when lying down;
- with erection.
The measurement is performed in a room at room temperature immediately after undressing to avoid tissue shrinkage due to cooling.You can stretch the penis as far as possible by gently holding it and pulling it from the head.
The body is measured along the back (from the pubis to the edge of the head). At this time, it is recommended to hold it so that there is a right angle between the penis 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 express such a desire can apply for this operation.There are a number of special 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 to consult a doctor about the possibility of its implementation,First, you need to consult a sexologist, and then a urologist-andrologist.After receiving enough information and passing the examination, you can directly refer to a surgeon who has experience in performing operations on the male genital organ.
Surgical methods for penis enlargement and girth have been widely used since 1991. However, not enough research has yet been done to accurately predict the outcomes and possible risks of the intervention. Thus, a 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 undergoing re-operation turn to the services of a surgeon.
The indication for surgery 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;
- Customer's request;
- Congenital and acquired pathologies.
Surgical intervention methods are divided into two groups:
Public. Disadvantage: intervention takes longer, scars remain;
Scrotal. It is gaining popularity due to easy rehabilitation and lack of scarring.
The patient is advised by the anesthesiologist.
Lipofilling
Lipofilling is a procedure aimed at increasing the width of the penis. Fats taken from the patient's abdominal wall are injected directly into the body. Lipofilling is not particularly difficult. But there are a few nuances:
- dignity grows only in breadth;
- the effect lasts for a short time.
That is, the patient's adipose tissue plays the role of an implant, fat is absorbed over time, so repeated intervention is required after a certain period of time.
However, lipofilling allows us to minimize the possibility of rejection of a foreign body, and therefore reduces the risk of developing undesirable (threat to the patient's life and health) complications.
You can evaluate the result before and after consulting an andrologist, if the man is satisfied with everything, a day is set for the surgical 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 you will have to completely abandon sexual intercourse with women.
Penis lengthening or thickening?
The average length of the penis during erection 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, 2 deep. -3 cm from the entrance. Thus, the vast majority of men reach it, which allows to affect the most innervated parts of the vagina. Often the problem is not the length of the penis, but its very small girth.
In connection with the above, during the procedure, specialists pay attention to increasing the circumference of the penis. This has a significant effect on increasing the intensity of sexual feelings and satisfaction during intercourse.
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?
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 intimate male area, find out the approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- having an average size that perfectly suits him and his partner;
- normal size medium or large, 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);
- results from penile injury or disease.
Surgical enlargement of the penis is performed both for medical reasons and for the purpose of cosmetic correction of appearance.
Having tried everything from pills and creams to extreme NUP, men unhappy with the size of their penis decide that penile enlargement surgery is the only possible solution.
Features of the operation
Before the operation, it is recommended to familiarize yourself with the features of this procedure.
Phalloplasty allows you to lengthen the penis by removing the hidden part. The essence of this operation is as follows:
- the penis is elongated due to the rupture of the retaining ligament,
- a special biopolymer matrix is inserted into the skin, which accelerates the development of connective tissue several times;
- After the operation, cell regeneration will be accelerated, which will affect its size.
After the male enhancement surgery is completed, the new position of the penis will be formed. Therefore, you will have to use an extender for a while to correct the position of the penis. If you refuse the expander, over time the penis will return to its previous position and the operation will not give any results.
It is known that the genital organ can be lengthened and thickened surgically. This is done in several ways:
- Insertion of the rectus muscle from the abdominal cavity under the skin of the penis. Many doctors use this method for thickening. The advantages of this method are the use of own tissue during the operation. It does not interfere with blood circulation and takes root almost immediately. However, many people refuse this type of phalloplasty because the procedure is very expensive.
- Use of special fillers. Some experts use synthetic gels to increase the thickness of the penis. This penis enlargement should be done under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9-10 months, fillers will have to be re-injected under the skin.
- Adipose tissue injection. Penis enlargement with fat tissue is popular among boys. The injected tissue eventually takes root under the skin, causing the penis to thicken significantly.
- Application of biocollagen matrix. After surgery, the number of cavernous bodies increases. As a result, it increases the diameter of the penis.
- Penis prostheses. During the operation, an artificial prosthesis is placed on the patient. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Often, a penile prosthesis is made if the patient has previously undergone metoidioplasty.
If you refuse the expander, over time the penis will return to its previous position and the operation will not give any results.
How is the procedure performed on the genitals?
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, as well as the stomach, legs are generously disinfected with iodine;
- the doctor coldly cuts a scalpel into 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 on closer inspection;
- Cavernous bodies move to the side - this is how the doctor finds the way out to the periosteum. The ligament connecting the phallus to the pubic bone is located here. The thing is, about a third of the actual length sits here. These intestines are removed;
- the doctor evaluates how long the penis is by paying attention to the mark. If everything is in order, the incision is sutured. On average, the length increases by 3 cm.
At rest, the length of the penis will remain unchanged after the operation. Don't expect everything to go down 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 incision is sutured.
Implantation of silicone implants
Another effective and safe approach is to surgically enlarge the penis using implants made of hypoallergenic silicone. At this time, anatomically correct materials are used that form a beautiful sexual organ with sufficient sensitivity. In order 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: Under which 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. It is theoretically possible under local anesthesia, but the pain will be quite strong.
Question:I am about to undergo penis enlargement surgery and 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 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 can a genital enlargement surgery be performed?
Answer:Ligamentotomy can be done from the age of 18.
Question:I want 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 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 gives a good cosmetic result. The postoperative suture heals quickly due to good blood supply to the testicle and becomes practically invisible after 2-3 weeks. Access to the public 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 this at the initial meeting. The photograph shows the pubic and scrotal exit immediately after the operation.
Question:How often should dressings be done after ligamentotomy?
Answer:The first bandage is applied on the day of discharge from the clinic (that is, one day after the operation). Further dressings and their necessity are prescribed 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 depending on the presence of accompanying diseases.
Possible complications
If you feel discomfort after penis enlargement surgery, you should immediately consult a doctor
Modern medicine offers men improved methods of penis enlargement. Therefore, most operations are performed without complications. However, the possibility of negative results cannot be excluded. Complications can arise due to the error of the surgeon or the patient's failure to follow the rules of care for the male genital organ.
The following complications may occur after the operation, the purpose of which is to increase the size of the penis:
- Sharp pain during erection.
- Bleeding during urination.
- Tissue infection.
- Unstable position of the penis during intercourse.
- Decreased sensitivity of the organ head.
- Anxiety during and after sex.
In order to eliminate such problems in time, you should inform your doctor immediately.
Some men who have undergone penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penis.
- Dark spots and bruises in intimate areas.
- Inflammation of the skin.
- Deformation of the penis.
- Permanent or temporary erectile dysfunction.
Such problems can be avoided if you entrust your health to a competent specialist with extensive experience in performing genital surgical manipulations.
Does size matter?
Physiologically, no. But sex is not a mechanical grind between two partners, it is a whole complex of human experiences. Self-confidence, desire to please your partner, sexual habits and many other things play a role here.
"The fact is that the spread in the "norm" 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. Andand this is not related to the size of your partner's previous man's penis, but also related to his reactions and expectations. In women, receptors can be concentrated in different parts of the genitals: in the clitoris, at the entrance of the vagina, on its front surface or near the cervix. The diameter of the penis, If the receptors are concentrated at the entrance or along the walls of the vagina, its length is important if it is around the cervix. This means that a man's ability, 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 related to the patient's own tissues.
Preparation for ligamentotomy
A complete examination should be performed before ligamentotomy
In addition to mentally preparing for the procedure, which lasts from 20 minutes to an hour, the patient must undergo a series of examinations before the procedure:
- Interview with the urologist who will perform the operation.
- Psychiatric examination.
- General examination of urine and blood.
- Biochemical analysis.
- Urethral tampon.
- Blood tests for syphilis, HIV, hepatitis.
- EKG.
- Fluorography.
- Consultation with an anesthesiologist.
Food and water intake is completely excluded 10 hours before the procedure. They prepare the area for surgery - they shave the groin.