A standard ligamentotomy (surgery to increase the length of the penis) is performed through an incision in the pubic area, but it takes a long time: a large incision must be made. A noticeable scar remains at the site of the cut, and the tissue and subcutaneous fat are severely injured.
Today, many clinics that offer surgical penis enlargement perform the operation through a 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 surgery with a scrotal approach, there is no unsightly scar 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 (both its urinary and sexual functions) or changing its external characteristics.
But, in addition to the main reasons, there are several more in medicine:
- abnormal changes on 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;
- organ removal 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, especially 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 using three parameters:
- in peace;
- when stretched;
- with erection.
The measurement is performed in a room at room temperature immediately after undressing to avoid tissue contraction due to cooling.You can stretch the penis as much as possible by gently grabbing and pulling the head.
The organ is measured along the 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 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 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.
In order to learn more about the operation, and at the same time to consult with the doctor about the possibility of performing it,It is necessary to visit a sexologist first, and then a urologist-andrologist.After you have received a sufficient amount of information and passed the examination, you can go directly to a surgeon with experience in performing operations specifically on the male genital organ.
Surgical methods for lengthening the penis and increasing its girth have been widely used since 1991. However, not enough research has yet been conducted to accurately predict the outcomes and possible 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 undergo the procedure resort to the services of a surgeon again.
The indication for surgery is a penis shorter than 10 cm in erection.
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 shorter than average;
- Client's wish;
- Congenital and acquired pathologies.
Surgical intervention methods are divided into two groups:
Pubic. Disadvantage: the intervention takes longer, scars remain;
Scrotal. It is becoming more and more popular due to 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. Fat taken from the patient's abdominal wall is pumped directly into the carcass. Lipofilling is not particularly difficult. But there are several nuances:
- dignity becomes greater only in breadth;
- the effect lasts for a short time.
That is, the patient's fat tissue acts as an implant; over time, the fat is absorbed, which is why repeated intervention is required after a certain period of time.
But lipofilling allows us to minimize the probability of foreign body rejection, and thus the risk of developing unwanted (threat to the patient's life and health) complications.
You can evaluate the result before and after during a consultation with an andrologist; if the man is satisfied with everything, then the day for the operation is determined 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.
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 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. Therefore, the vast majority of men reach it, which allows it to act on the most innervated parts 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 experts focus on increasing the girth 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?
Having tried all methods: from tablets 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 sphere, find out approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- they have an average size, which fully suits him and his partner;
- has a normal medium or large size, but would like to have an even larger size;
- he 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.
Penis enlargement by surgical procedure is performed both for medical reasons and for the purpose of cosmetic correction of 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.
Characteristics 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 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, the recovery of the cells will be accelerated, which will also affect the size.
When male enhancement surgery is completed, a new position of the penis will be formed. Therefore, you will need to use the extender for some time to correct 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 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 thickening method. 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 by this type of phalloplasty because the procedure is too expensive.
- Use of special fillers. Some experts increase the thickness of the penis using synthetic gels. This penis enlargement must be done under local anesthesia. Many people use this procedure for temporary penis enlargement. Because after 9-10 months, the fillers will have to be re-injected under the skin.
- Fat tissue injection. Penis enlargement with fatty tissue is popular among men. The injected tissue eventually takes root under the skin, leading 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.
- Penis prosthetics. During the operation, an artificial prosthesis is implanted in the patient. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Very often, a 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 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.
looks like this:
- the patient is placed under general anesthesia;
- the entire genital area, at the same time the abdomen, the legs are generously disinfected with iodine;
- the doctor coldly cuts the scalpel into the penis;
- the incision is made on the scrotum, exactly along the dark line – the natural median seam. 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 closer inspection;
- Cavernous bodies 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 located in this place. The point is that 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 incision is sutured. On average, the length increases by 3 cm.
The length of the penis after the operation in a resting state will remain unchanged. Don't expect everything to hang impressively.You will see the whole effect in an erection. The tunica albuginea is to blame for that. Covers bodies that fill with blood when excited.
If everything is in order, the incision is sutured.
Installation of silicone implants
Penis enlargement surgery using hypoallergenic silicone implants is another effective and safe approach. In this case, 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, which remain in the penis for 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 penile enlargement surgery and would like to know briefly about the side effects.
answer:Ligamentotomy does not cause any disturbances in potency and reproductive function in men, because the muscles, ligaments and vessels responsible for erection are not affected 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 would like to know at what age can I have 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 operation itself lasts 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 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 thanks 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 this at the first meeting. The photo shows the pubic and scrotal access, immediately after the operation.
Question:How often should bandages be applied after ligamentotomy?
answer:The first dressing is done on the day of discharge from the clinic (ie one day after surgery). Subsequent dressings and their necessity are according to the doctor's recommendation.
Question:Is it possible to do the surgery on weekends?
answer:Yes, we work on weekends. After the operation on Saturday, you will be able to return to work on Monday without pain or complaints.
At the initial examination, the list of studies can be adjusted depending on the presence of concomitant diseases.
Possible complications
If you feel discomfort after penis enlargement surgery, contact your 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 ruled out. Complications can arise due to a surgeon's error or the patient's failure to follow 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 appear:
- Sharp pain during erection.
- Bleeding during urination.
- Tissue infection.
- Unstable position of the penis during sex.
- Decreased sensitivity of the organ head.
- Discomfort during and after sexual intercourse.
You should report such problems to your doctor immediately so that they can be resolved in time.
Some men who have undergone penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penis area.
- Dark spots and bruises on intimate areas.
- Skin inflammation.
- Deformation of the penis.
- Erectile dysfunction of a permanent or temporary nature.
Such troubles can be avoided if you entrust your health to a competent specialist with extensive experience in performing surgical manipulations on the genital organs.
Does size matter?
From a physiological point of view, no. But sex is not a mechanical mixing between two partners, it is a whole complex of human experiences. This role is played by self-confidence, the desire to make your partner happy, sexual habits and much more.
"The thing is that the expansion in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, says plastic surgeon Andrej Istranov. — The size is important in the sense that a lot depends on the partner, his adaptation and sexual experience. And noit's about the size of your partner's previous man's penis, but also about her 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 front surface or somewhere near the cervixThe 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 this means that a man's skill, position, understanding between partners are just as important as size. There is no universal penis that can satisfyany woman. "
The first, the most common, is caused by the patient's own tissues.
Preparation for ligamentotomy
Before ligamentotomy, it is necessary to undergo a complete examination
In addition to mentally preparing 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 swab.
- Blood tests for syphilis, HIV, hepatitis.
- EKG.
- Fluorography.
- Consultations with an anesthesiologist.
10 hours before the procedure, food and water intake is completely excluded. They prepare the field for the operation - they shave the groin.