Standard ligamentotomy (an operation to enlarge the penis) is performed through an incision in the pubic area, but takes a long time: a large incision must be made. A noticeable scar remains at the incision site and the tissue and subcutaneous fatty tissue are severely injured.
Nowadays, many clinics that offer surgical penis enlargement perform the operation through the scrotal approach. This allows you to significantly reduce the duration: from 1-1. 5 hours (the average duration of a standard ligamentotomy) to 10-15 minutes. After the operation via the scrotal approach, no unsightly scar is left in the pubic area, as with the standard technique, and the incision in the scrotal area heals almost without a trace.
Phalloplasty: what is it, reasons for use and contraindications
Penile plastic surgery 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 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 another reason;
- erectile dysfunction etc.
Most often, men turn to specialists who perform penis enlargement operations because they are dissatisfied with the appearance of the penis, and especially with 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. However, it is important to measure them correctly.
The penis is measured using three parameters:
- at rest;
- when stretched;
- with an erection.
The measurement is taken immediately after undressing in a room at room temperature to avoid tissue contraction due to cooling.You can stretch your penis as much as possible by gently grabbing the head and pulling.
The organ is measured along its back (from the pubic bone to the edge of the head). In this case, it is recommended to hold the penis so that there is a right angle between it and the abdominal wall. If the length of the sexual organ is less than 9. 5 cm, we can say that the man has a small sexual 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 organ pathologies;
- inflammatory processes in the urogenital system;
- mental disorders;
- autoimmune diseases;
- sexually transmitted diseases or genital infections;
- diabetes mellitus;
- leukemia etc.
To learn more about the operation and at the same time talk to a doctor about the possibility of carrying it out,It is necessary to first visit a sexologist, and then a urologist-andrologist.After you have obtained sufficient information and undergone an examination, you can directly contact a surgeon who has experience in performing operations specifically on the male genital organ.
Surgical methods to lengthen the penis and increase its girth (girdle) have been widely used since 1991. However, there is not yet enough research to accurately predict the results and potential risks of the procedure. For example, a study at the Institute of Urology in London showed that only 35% of patients who had male enhancement surgery were satisfied with the results. Half of those who have undergone the procedure resort to the services of a surgeon again.
An indication for surgery is a penis that is shorter than 10 cm when erect.
Penis extension
This is the most common penile surgery and is performed under general anesthesia for a maximum of one hour.
- The length of the reproductive organ is less than average;
- customer's request;
- Congenital and acquired pathologies.
The methods of performing surgical interventions are divided into two groups:
Shame. Disadvantage: The procedure takes longer and scars remain;
Scrotal. It is becoming increasingly popular due to its easy rehabilitation and lack of scarring.
The patient is consulted by an anesthesiologist.
Lipofilling
Lipofilling is a procedure to enlarge the penis. Fats removed from the patient's abdominal wall are pumped directly into the torso. Lipofilling is not particularly difficult. But there are several nuances:
- Dignity only increases in width;
- The effect lasts for a short time.
That is, the patient's fatty tissue acts as an implant; Over time, the fat is absorbed, which is why repeated procedures are required after a certain period of time.
However, through lipofilling we can minimize the likelihood of foreign body rejection and thus reduce the risk of undesirable complications (threat to the patient's life and health).
You can assess the results before and after during a consultation with an andrologist; if the man is satisfied with everything, a day is set for the surgical intervention and the necessary recommendations are given: what to do before and after?
The duration of the recovery period varies between 3 and 5 weeks. During this period, you must completely abandon sexual contact with women.
Lengthen or thicken the penis?
The average length of the penis in the erection phase is around 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 anterior wall at a depth of 2 cm -3 cm from the entrance. Therefore, it reaches the vast majority of men, allowing it to affect the most innervated fragments of the vagina. Often the problem is not the length of the penis, but rather its too small circumference.
In this regard, specialists focus on increasing the girth of the penis during the procedure. This has a significant impact on increasing the intensity of sexual sensations and satisfaction during sex.
After all, a large penis is a symbol of sexual satisfaction and self-confidence.
Penis Enlargement Surgery: How Much Does Surgical Penis Enlargement Cost?
After trying all methods: from pills and creams to extreme NUP, men who are 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, find out approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- have an average size that completely fits him and his partner;
- is a normal medium or large size, but would like an even larger one;
- has a small penis and would like to enlarge it (remember that the lower limit of the normal length of an erect penis is 7 cm);
- There are consequences of an injury or illness to the penis.
Surgical penis enlargement is performed both for medical reasons and for cosmetic correction of appearance
After trying all methods from pills and creams to extreme NUP, men who are unhappy with the size of their genitals decide that penis enlargement surgery is the only possible solution.
Features of the operation
Before carrying out the procedure, 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 lengthened by dissection of the ligament,
- A special biopolymer matrix is introduced into the skin, which accelerates the development of connective tissue many times over.
- After surgery, cell recovery accelerates, which also affects size.
When the male enlargement surgery is completed, the new position of the penis is formed. Therefore, you need 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 the penis can not only be lengthened surgically, but also made thicker. This happens in different 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 use of your own tissue during the operation. It does not affect 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 penis thickness using synthetic gels. This penis enlargement must be done under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9-10 months, fillers have to be injected under the skin again.
- Injection of fatty tissue. Penis enlargement with fatty tissue is popular among men. The injected tissue eventually takes root under the skin, resulting in significant penis thickening.
- Application of a biocollagen matrix. After the operation, the number of erectile tissue increases. This increases the diameter of the penis.
- Penile prosthetics. During the operation, an artificial prosthesis is implanted into the patient. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Very often, penile prosthesis is performed if the patient has previously 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 on the genital organ carried out?
If your doctor is an experienced and licensed genital surgeon, the main phase lasts no more than 30-35 minutes.
It looks 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 coolly cuts into the penis with a scalpel;
- The incision is made on the scrotum, exactly along the dark line - the natural midline suture. If you rotate the phallus, you can see it with the naked eye. By the way, after healing, the scar is masked along the line and is invisible even upon closer inspection;
- The erectile tissue moves to the side - this is how the doctor finds a way to the periosteum. The ligament that connects the phallus to the pubic bone has become attached to this point. The point is that this is about a third of the actual length. These entrails are taken out;
- The doctor assesses the length of the penis, focusing on the marking. If everything is OK, the incision is stitched up. On average, the length increases by 3 cm.
The length of the penis remains unchanged after the operation when resting. Don't expect everything to hang impressively.You will see the full effect in the erection. The tunica albuginea is to blame. It covers bodies that fill with blood when excited.
If everything is OK, the incision is stitched up.
Implantation of silicone implants
Penis enlargement through surgery with hypoallergenic silicone implants is another effective and safe approach. Anatomically correctly shaped materials are used, which, with sufficient sensitivity, form a beautiful sexual organ. To avoid rejection, it is recommended to choose implants from reputable manufacturers and follow the doctor's instructions during the recovery process.
Due to active cell division, the organic structure of the product is gradually replaced by soft connective tissue that remains in the penis for life.
Question: Under what anesthesia is the operation performed?
Answer:Ligamentotomy is performed under general anesthesia.
Ask:Is surgery possible under local anesthesia?
Answer:The operation is only performed under general anesthesia. This is theoretically possible under local anesthesia, but the pain is quite severe.
Ask:I'm about to undergo penis enlargement surgery and would like to briefly find out about the side effects.
Answer:Ligamentotomy does not cause any problems with male potency or reproductive function, as 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 driving restriction for one day.
Ask:I would like to know at what age can I undergo penis enlargement surgery?
Answer:A ligamentotomy can be performed starting at age 18.
Ask:I want to enlarge my penis. How long will the treatment take?
Answer:The actual procedure takes up to an hour. Afterwards, a one-day stay in the clinic is usually required. The extender can be worn 2 to 6 hours a day for 3 to 6 months.
Ask:Where is the ligamentotomy incision?
Answer:Access to the penile suspensory ligament can be achieved 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 produces a good cosmetic result. The postoperative suture heals quickly due to the good blood supply to the scrotum and is practically invisible after 2-3 weeks. Access to the pubic area can be performed when maximum liberation of the internal part of the penis, hidden deep in the body, is required. We can discuss all of this at the first appointment. The photo shows the pubic and scrotal access immediately after the operation.
Ask:How often do bandages need to be applied after a ligamentotomy?
Answer:The first bandage is applied on the day you are discharged from the hospital (i. e. one day after the operation). The following dressings and their necessity depend on the prescription of the treating doctor.
Ask:Is it possible to do the operation on a weekend?
Answer:Yes, we work on weekends. After the operation on Saturday, you can return to work on Monday without any pain or symptoms.
At the initial appointment, the study list can be adjusted depending on the presence of comorbidities.
Possible complications
If you experience any discomfort after penis enlargement surgery, you should consult a doctor immediately
Modern medicine offers men improved penis enlargement techniques. Therefore, most operations are uneventful. However, adverse consequences cannot be ruled out. Complications can arise due to a mistake by the surgeon or due to the patient's non-compliance with the rules for caring for the male genital organ.
After surgery aimed at enlarging the penis, the following complications may occur:
- Sharp pain during erection.
- Bleeding when urinating.
- 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 corrected in a timely manner.
Some men who have undergone penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penile area.
- Dark spots and bruises in the intimate area.
- Inflammation of the skin.
- deformation 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 performing surgical interventions on the genital organ.
Does size matter?
From a physiological point of view, no. But sex is not a mechanical grinding between two partners, but a whole complex of human experiences. Self-confidence, the desire to make your partner happy, sexual habits and much more play a role.
"The thing is that the spread in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, says plastic surgeon Andrei Istranov. — Size is important in the sense that a lot depends on the partner, his adaptationand his sexual experience. And it depends not on what penis size your partner's previous husband had, but also on her reactions and expectations. In women, receptors can be concentrated in different parts of the sexual organs: in the clitoris, at the entrance to the vagina, on its front surface 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 located around the cervix. And this means that theSkills, position and understanding between a man's partners are as important as size. There is no universal penis that can satisfy every woman. "
The first and most common cause is due to the patient's own tissue.
Preparation for ligamentotomy
A comprehensive examination is required before ligamentotomy
In addition to mentally preparing for the procedure, which lasts between 20 minutes and 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 examinations of urine and blood.
- Biochemical analysis.
- Urethral swab.
- Blood tests for syphilis, HIV, hepatitis.
- ECG.
- Fluorography.
- Consultation with an anesthesiologist.
Food and water intake is completely excluded 10 hours before the procedure. They prepare the field for the operation - they shave the groin area.