Standard ligamentotomy (operation to increase the length of the penis) is performed through an incision in the pubic region, but it takes a long time: a large incision must be made. A visible scar remains at the incision site, and the tissues and subcutaneous fat are severely injured.
Today, many clinics offering surgical penis enlargement perform the operation via the scrotal route. 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 scrotal surgery, no unsightly scar remains in the pubic area, as with the standard technique, and the incision in the scrotal area heals, leaving almost no marks.
Phalloplasty: what it is, reasons for use and contraindications
Penile plastic surgery 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 reasons, there are several others in medicine:
- abnormal changes on the penis;
- damage caused by various injuries (mechanical, thermal, chemical);
- underdevelopment of the organ or its short length/thickness;
- deformation of the genital organ;
- neoplasms (malignant);
- gangrene;
- removal of an organ for any other 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 to 15 cm, but it is important to measure it correctly.
The penis is measured using three parameters:
- at rest;
- when stretched;
- with an erection.
The measurement is carried out 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 gripping it and pulling it by the head.
The organ is measured along its 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 genital organ is less than 9. 5 cm, then the man can be said to have 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 a number of specific contraindications to phalloplasty.These include:
- irreversible organic pathologies;
- inflammatory processes in the genitourinary system;
- mental disorders;
- autoimmune diseases;
- sexually transmitted diseases or genital infections;
- diabetes;
- leukemia, etc.
To find out more about the operation, and at the same time consult a doctor about the possibility of having it carried out,It is necessary to first consult a sexologist, then a urologist-andrologist.After receiving a sufficient amount of information and undergoing an examination, you can contact directly a surgeon experienced in performing operations specifically on the male genital organ.
Surgical methods for lengthening the penis and increasing its girth (girth) have been widely used since 1991. However, enough research has not yet been conducted to accurately predict the results and possible risks of the procedure. For example, a study from 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 use the services of a surgeon again.
An indication for surgery is an erect penis of less than 10 cm.
Penis lengthening
This is the most common operation on the penis and is performed under general anesthesia for up to one hour.
- The length of the reproductive organ is below average;
- The customer’s desire;
- Congenital and acquired pathologies.
Methods of surgical intervention are divided into two groups:
Pubic. Disadvantage: the procedure takes longer, scars remain;
Scrotal. It is gaining popularity due to its easy rehabilitation and lack of scarring.
The patient is consulted by an anesthesiologist.
Lipofilling
Lipofilling is a procedure aimed at increasing the width of the penis. Fat extracted from the patient's abdominal wall is pumped directly into the trunk. Lipofilling is not particularly difficult. But there are several nuances:
- dignity only becomes greater in breadth;
- the effect persists for a short time.
In other words, the patient's adipose tissue acts like an implant; over time, fat is absorbed, which is why repeated intervention is necessary after a while.
But lipofilling makes it possible to minimize the risk of rejection of a foreign body, and therefore to reduce the risk of developing undesirable complications (threat 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 for the surgical operation is set 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 need to completely abandon sexual contact with women.
Lengthen or thicken the penis?
The average length of the erect penis is approximately 12 to 15 cm. The average length of the vagina varies between 7 and 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 succeed, 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 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 intercourse.
After all, a big penis is a symbol of sexual satisfaction and self-confidence.
Penis enlargement surgery: how much does surgical penis enlargement cost?
After trying all the 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 sphere, find out the approximate prices and clinics where these operations are performed.
Men are divided into several categories:
- have an average height, which completely suits him and his partner;
- has a normal medium or large size, but would like an even larger one;
- 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 by surgery is carried out both for medical reasons and with the aim of correcting the aesthetic appearance.
After trying everything 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 removing its hidden part. The essence of this operation is as follows:
- the penis is elongated 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 accelerate, which will also affect the size.
Once 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 refuse the extender, 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 abdominis muscle under the skin of the penis. Many doctors use this method for thickening. The advantages of this method include the fact that one's own tissues are 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 take place under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9-10 months, fillers will have to be reinjected under the skin.
- Adipose tissue injection. Penis enlargement with fatty tissue is popular among men. The injected tissue ends up rooting under the skin, resulting in significant thickening of the penis.
- Application of biocollagen matrix. After the operation, the number of corpora cavernosa increases. As a result, it increases the diameter of the penis.
- Penile prostheses. During the operation, the patient is implanted with an artificial prosthesis. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Very often, a penile prosthesis is made if the patient has already undergone metoidioplasty.
If you refuse the extender, over time the penis will return to its previous position and the operation will not bring any results.
How is the procedure carried out on the genital organ?
If your doctor is an experienced, board-certified genital surgeon, the main stage will take no more than 30 to 35 minutes.
It looks like this:
- the patient is placed under general anesthesia;
- the entire genital region, at the same time the stomach, the legs are generously disinfected with iodine;
- the doctor coldly incises the penis with a scalpel;
- the incision is made on the scrotum, exactly along the dark line - the natural median suture. If you twist the phallus, you will see it with the naked eye. Moreover, after healing, the scar is hidden along the line and becomes invisible even after a more in-depth examination;
- The corpora cavernosa move 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 installed at this location. The fact is that about a third of the actual length is here. These entrails are removed;
- the doctor assesses the length of the penis focusing on the mark. If all goes well, 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 turn out impressively.You will see the full effect in the erection. The tunica albuginea is responsible for this. It covers the bodies which fill with blood when excited.
If all goes well, the incision is sutured.
Implantation of silicone implants
Surgical penis enlargement using hypoallergenic silicone implants is another effective and safe approach. In this case, materials of anatomically correct shape are used, which form a beautiful sexual organ with sufficient sensitivity. To avoid rejection, it is recommended to choose implants from renowned 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. It is theoretically 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 disruption 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.
Question:I would like to know at what age one can undergo 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 lasts up to an hour. After that, a one-day stay at the clinic is usually necessary. The extender can be worn for 3-6 months, 2-6 hours a day.
Question:Where is the ligamentotomy incision located?
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 region. An incision along the midline of the scrotum makes the operation less traumatic and gives a good aesthetic result. The postoperative suture heals quickly due to good blood supply to the scrotum and becomes practically invisible after 2-3 weeks. Access to the pubic area can be achieved when maximum release of the internal part of the penis, hidden deep within the body, is required. We can discuss all of this during the first meeting. The photo shows pubic and scrotal access, immediately after surgery.
Question:How often will dressings need to be done after ligamentotomy?
Answer:The first dressing is done on the day of leaving the clinic (i. e. one day after the operation). Subsequent dressings and their necessity are as prescribed by the attending physician.
Question:Is it possible to carry out the operation on a weekend?
Answer:Yes, we work on weekends. After having surgery on Saturday, you will be able to return to work on Monday without any pain or complaints.
At the first appointment, the list of studies can be adjusted depending on the presence of concomitant diseases.
Possible complications
If you experience any discomfort after penis enlargement surgery, you should consult a doctor immediately.
Modern medicine offers men improved techniques for penis enlargement. Therefore, most operations take place without complications. However, the possibility of adverse consequences cannot be excluded. Complications may arise due to a surgeon's error or the patient's non-compliance with the rules for caring for the male genital organ.
After surgery, the aim of which is 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 sexual intercourse.
- Decreased sensitivity of the organ head.
- Discomfort during and after sexual intercourse.
You should report these problems to your doctor immediately so that they can be resolved as soon as possible.
Some men who have undergone penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penis area.
- Dark spots and bruises in intimate areas.
- Inflammation of the skin.
- Deformity 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 carrying out surgical manipulations on the genital organ.
Does size matter?
From a physiological point of view, no. But sex is not a mechanical friction between two partners, it is a whole complex of human experiences. Self-confidence, the desire to make your partner happy, sexual habits and much more play a role in this.
"The fact is that the gap in the "norm" is quite significant. 11 or 18 centimeters is still a significant difference, explains plastic surgeon Andrei Istranov. — Size matters in the sense that it depends a lot on the partner, their adaptation and their sexual experience. And it's not about the penis size of your partner's ex-man, but also about his 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 side or somewhere near the cervix. The diameter of the penis is important if the receptors are concentrated at the entrance or along the walls of the vagina, the length - if they are around the cervix. And that means that a man's skills, position and understanding between partners are as important as his height. There is no universal penis that can satisfy any woman.
The first, and 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 from 20 minutes to an hour, before the procedure the patient must undergo a number of examinations:
- Interview with the urologist who will perform the operation.
- Psychiatric examination.
- General urine and blood examinations.
- Biochemical analysis.
- Urethral swab.
- Blood tests for syphilis, HIV, hepatitis.
- ECG.
- Fluorography.
- Consultation with an anesthesiologist.
10 hours before the procedure, food and water intake is completely excluded. They prepare the ground for the operation - they shave the groin.