The 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 incision, and the tissue and subcutaneous fat are severely damaged.
Today, many clinics offering surgical penis enlargement perform the operation using 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 using the scrotum method, as in the usual technique, no ugly scar remains in the vulva, and the incision in the scrotum area heals, leaving almost no traces behind.
Phalloplasty: what it is, reasons for use and contraindications
Penioplasty is either restoring the functions of the penis (both urinary and sexual) or changing its external features.
But in addition to the main reasons, there are several in medicine:
- pathological changes in the penis;
- damage caused by various injuries (mechanical, thermal, chemical);
- organ underdevelopment or small length/thickness;
- deformation of the genitals;
- tumors (malignant);
- gangrene;
- removal of an organ for any other reason;
- erectile dysfunction etc.
Most often, men turn to specialists who perform penile enlargement operations because of dissatisfaction with the appearance of the penis, and especially with its size. The norm has a certain indicator, according to which the normal length of the penis is 12-15 cm, but it is important to measure it correctly.
The penis is measured using three parameters:
- at rest;
- when straining;
- with erection.
The measurement is performed at room temperature, immediately after undressing, to avoid tissue contraction due to cooling.You can stretch your penis as far as possible by gently grasping it and pulling it by the head.
The organ is measured along the back (from the pubis to the edge of the head). In such cases, 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 who expressed such a desire can resort to this operation. Phalloplasty has several specific contraindications.These include:
- irreversible organ pathologies;
- inflammatory processes in the urogenital system;
- mental disorders;
- autoimmune disease;
- sexually transmitted diseases or genital infections;
- diabetes;
- leukemia etc.
If you would like to learn more about the operation and at the same time consult with your doctor about the possibility of performing it,First, a sexologist and then a urologist-andrologist should be visited.After receiving enough information and undergoing an examination, you can go directly to a surgeon who has experience in performing operations specifically on the male genitalia.
Surgical methods to lengthen and increase the girth of the penis 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 by 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 repeated interventions use the services of a surgeon.
The indication for the operation is a penis shorter than 10 cm in the erect state.
Penis extension
This is the most common surgery on the penis and is performed under general anesthesia for up to an hour.
- The length of the reproductive organ is smaller than average;
- the customer's desire;
- Congenital and acquired pathologies.
Methods of performing surgical intervention can be divided into two groups:
Lumbar. Disadvantage: the intervention takes longer, scars remain;
Scrotal. It is becoming increasingly popular due to easy rehabilitation and lack of scars.
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 torso. Lipofilling is not particularly difficult. But there are some nuances:
- the dignity becomes greater only in its breadth;
- the effect lasts for a short time.
In other words, the patient's adipose tissue acts as an implant, and the fat is absorbed over time, which is why a repeated intervention is necessary after a certain period of time.
However, lipofilling allows us to minimize the likelihood of the foreign body being rejected, thereby reducing the risk of developing unwanted complications (endangering the patient's life and health).
You can evaluate the result before and after the andrologist consultation, if the man is satisfied with everything, the day of the surgery will be set and the necessary recommendations will be given: what to do before and after.
The duration of the healing period varies between 3-5 weeks, during which time you must completely stop having sexual relations with women.
Penis lengthening or thickening?
The average length of the penis during the erection phase is approximately 12-15 cm. The average length of the vagina varies between 7 and 10 cm. The most sensitive point of the vagina is located on the front wall, at a depth of 2 cm -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. The problem is often not the length of the penis, but its too small girth.
In connection with the above, during the procedure, the specialists place emphasis on increasing the circumference of the penis. This has a significant effect on increasing the intensity of sexual feelings and satisfaction during sex.
After all, a large penis is a symbol of sexual satisfaction and self-confidence.
Penis enlargement surgery: how much does penis enlargement surgery cost?
Having tried all methods, from pills and creams to extreme NUP, men dissatisfied with the size of their penis decide that penis enlargement surgery is the only possible solution.
We consider all kinds of surgical interventions in the intimate male sphere, find out the approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- be of average size, which suits him and his partner perfectly;
- normal medium or large size, but would like to go bigger;
- you have a small penis and want to enlarge it (remember that the lower limit of the normal length of an erect penis is 7 cm);
- consequences of penile injury or disease.
Enlargement of the penis by surgery is done for medical reasons and for cosmetic correction of the appearance
After trying everything from pills and creams to extreme NUP, men dissatisfied with the size of their penis 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 makes it possible 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 restraining ligament,
- a special biopolymer matrix is inserted into the skin, which accelerates the development of connective tissue many times over,
- After surgery, cell recovery is accelerated, which will also affect the size.
When male enhancement surgery is completed, the new position of the penis is established. Therefore, you need to use the extender for a while to fix the position of the penis. If you refuse the extension, then over time the penis will return to its previous position and the operation will not bring results.
It is known that surgery 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 thickening. The advantages of this method include the fact that your 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 specialists use synthetic gels to increase the thickness of the penis. 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 must be re-injected under the skin.
- Injection of adipose tissue. 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 prosthesis. During the operation, an artificial prosthesis is implanted in the patient. This type of phalloplasty is performed when patients suffer from sexual dysfunction. Quite often, a penile prosthesis is performed if the patient has previously undergone metoidioplasty.
If you refuse the extension, then over time the penis will return to its previous position and the operation will not bring results.
How is the procedure done 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 and legs, are generously disinfected with iodine;
- the doctor coolly cuts a scalpel into the penis;
- the incision is made on the scrotum, exactly along the dark line - the natural midline suture. If you twist the phallus, you will see with the naked eye. Otherwise, after healing, the scar is covered along the line and becomes invisible even after a closer examination;
- The cavernous bodies move to the side - this is how the doctor finds the way out into the periosteum. The ligament that attaches the phallus to the pubic bone has settled in this place. The bottom line is that about a third of the actual length sits here. These intestines are taken out;
- the doctor evaluates the length of the penis, focusing on the sign. If everything is in order, the incision is sutured. Its length increases by an average of 3 cm.
The length of the penis remains unchanged after the operation in a relaxed state. Don't expect everything to freeze spectacularly.You will see the full effect in the erection. The tunica albuginea is to blame for this. It covers bodies that fill with blood when excited.
If everything is in order, the incision is sutured.
Implantation of silicone implants
Surgical enlargement of the penis with hypoallergenic silicone implants is another effective and safe method. In this case, anatomically correct materials are used, which create a beautiful genital with sufficient sensitivity. In order to avoid rejection, it is recommended to choose implants from well-known manufacturers and to follow the doctor's instructions during the healing 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 a lifetime.
Question: What kind of anesthesia is used for the operation?
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 undergo penis enlargement surgery and would like to know briefly about the side effects.
Answer:Ligamentotomy does not affect potency and reproductive function in men, as the muscles, ligaments and blood vessels responsible for erection are not affected by 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 from what age can penis enlargement surgery be performed?
Answer:Ligamentotomy can be performed from the age of 18.
Question:I want to enlarge my penis. How long does the treatment take?
Answer:The actual operation takes up to an hour. After that, a clinical stay of 1 day is usually required. The extension can be worn for 3-6 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 due to the good blood supply of the scrotum and becomes practically invisible after 2-3 weeks. Access to the pubic area can be done when maximum release of the inner part of the penis, the part hidden deep in the body, is required. We can discuss all this at the first appointment. The photo shows access to the vulva and scrotum, immediately after surgery.
Question:How often should a bandage be applied after a ligamentotomy?
Answer:The first dressing is performed on the day of leaving the clinic (ie one day after surgery). Subsequent dressings and their necessity are prescribed by the attending physician.
Question:Is it possible to perform the surgery on a weekend?
Answer:Yes, we work on weekends. After having surgery on Saturday, you can return to work on Monday without pain or complaints.
At the initial time, the list of tests can be modified depending on the presence of concurrent diseases.
Possible complications
If you experience discomfort after penis enlargement surgery, see your doctor immediately
Modern medicine offers men improved techniques for penis enlargement. Therefore, most operations take place without complications. However, the possibility of harmful consequences cannot be ruled out. Complications can occur due to the surgeon's error or if the patient does not follow the rules for the care of the male genital organ.
After surgery 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 sex.
- Decreased sensitivity of the organ head.
- Unpleasant feeling during and after intercourse.
Such problems should be reported to your doctor immediately so that they can be treated in time.
Some men who have undergone penis enlargement surgery complain of additional unpleasant symptoms:
- Chronic pain in the penile area.
- 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 who has extensive experience in surgical manipulations of the genital organ.
Does size matter?
Physiologically, no. But sex is not mechanical grinding between two partners, but a whole complex of human experiences. Self-confidence, desire to make your partner happy, sexual habits and many other things play a role.
"The fact is that the deviation of the 'norm' is quite large. 11 or 18 centimeters is still a significant difference, " says plastic surgeon Andrey Istranov. . And it's not about the size of your partner's previous man's penis, 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 surface or somewhere near the cervix. The penisits diameter matters if the receptors are concentrated at the entrance to the vagina or along the walls of the vagina, its length - if it is around the cervix. This means that a man's skill, position, understanding between partners are just as important as size. There is no such universalpenis that can satisfy any woman. "
The first, the most common, is due to the patient's own tissues.
Preparation for ligamentotomy
Before ligamentotomy, a full examination should be performed
In addition to mentally preparing for the intervention, which lasts from 20 minutes to an hour, the patient must undergo a number of tests before the procedure:
- Interview with the urologist who performed the surgery.
- Psychiatric examination.
- General examination of urine and blood.
- Biochemical analysis.
- Urethral tampon.
- Blood tests for syphilis, HIV, hepatitis.
- EKG.
- Fluorography.
- Consultation with anesthesiologist.
10 hours before the procedure, the consumption of food and water is completely excluded. They prepare the field for surgery - they shave the groin.