Standard ligamentotomy (an operation 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 injured.
Today, many clinics offering surgical penis enlargement perform the operation through the 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 through the scrotal approach, there is no unsightly scar left in the pubic area, as with the standard technique, and the incision in the scrotal area heals, leaving almost no 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 function) 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;
- 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 12-15 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 grasping 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 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 to 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 consult with a doctor about the possibility of having it performed,It is necessary to visit initially a sexologist, and then a urologist-andrologist.Having received a sufficient amount of information and undergone an 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 circumference (girth) have been widely used since 1991. However, not enough research has yet been conducted to accurately predict the results and possible risks of the intervention. Thus, one 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 underwent the procedure again resort to the services of a surgeon.
An indication for surgery is a penis shorter than 10 cm in an erect state.
Penis lengthening
This is the most common operation on the penis and is performed under general anesthesia for no more than an hour.
- The length of the reproductive organ is less than the average;
- Client's desire;
- Congenital and acquired pathologies.
Methods of performing surgical intervention are divided into two groups:
Pubic. Disadvantage: the intervention takes longer, scars remain;
Scrotal. It is gaining popularity due to easy rehabilitation and no scars.
The patient is consulted by an anesthesiologist.
Lipofilling
Lipofilling is a procedure aimed at increasing the width of the penis. Fats taken from the patient's abdominal wall are pumped directly into the trunk. Lipofilling is not particularly difficult. But there are several nuances:
- dignity becomes greater only in width;
- the effect persists for a short period of time.
That is, the patient’s adipose tissue acts as an implant; over time, the fat is absorbed, for this reason repeated intervention is required after a certain period of time.
But lipofilling allows us to minimize the likelihood of foreign body rejection, and therefore reduce the risk of developing unwanted (threat to the life and health of the patient) complications.
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 needs to 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 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. Thus, the vast majority of men reach it, 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 circumference.
In connection with the above, during the procedure, specialists focus on increasing the circumference of the penis. 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 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 sphere, find out approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- have an average size, which completely suits him and his partner;
- has a normal medium or large size, but would like to have 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 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 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.
Features 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 the 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.
When 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, then 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 method for thickening. 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.
- 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.
- Injection of adipose tissue. Penis enlargement with adipose tissue is popular among guys. The injected tissue eventually takes root under the skin, which leads to a significant thickening of the penis.
- Application of biocollagen matrix. After the operation, the number of cavernous bodies increases. As a result, this increases the diameter of the penis.
- Penile prosthetics. During the operation, the patient is implanted with an artificial prosthesis. This type of phalloplasty is performed when patients have problems with sexual dysfunction. Quite often, penile prosthesis is performed if the patient has previously undergone metoidioplasty.
If you refuse the extender, then 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 last 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, 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 it with the naked eye. By the way, after healing, the scar is masked along the line and becomes invisible even upon closer examination;
- The cavernous bodies move to the side - this is how the doctor finds a way out to the periosteum. The ligament that attaches the phallus to the pubic bone has settled in this place. The point is that about a third of the actual length sits here. These bowels are taken out;
- the doctor evaluates how long the penis is, focusing on the mark. If all is 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 hang down impressively.You will see the whole effect in the erection. The tunica albuginea is to blame for this. It covers bodies that fill with blood when excited.
If all is well, the incision is sutured.
Implantation of silicone implants
Penis enlargement through surgery using implants made of hypoallergenic silicone 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 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 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 undergo penile lengthening surgery and would like to know briefly about the side effects.
Answer:Ligamentotomy does not entail any disturbances in potency and reproductive function in men, since 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 on 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 actual operation lasts up to one hour. After this, 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 due to 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 initial appointment. The photo shows the 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 discharge from 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 perform the operation on a weekend?
Answer:Yes, we work on weekends. Having had the operation 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 concomitant diseases.
Possible complications
If you experience discomfort after penis enlargement surgery, you should consult a doctor immediately
Modern medicine offers men improved techniques for enlarging the penis. 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 comply with the rules for caring for the male genital organ.
After surgery, the purpose 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 sex.
- Decreased sensitivity of the organ head.
- Discomfort during and after sexual intercourse.
You should immediately report such problems to your doctor so that they can be addressed in a timely manner.
Some men who have had 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.
- 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 organ.
Does size matter?
From a physiological point of view, no. But sex is not a mechanical grinding 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 there.
"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 matters in the sense that a lot depends on the partner, his adaptation, and sexual experience. And it’s not about what size penis your partner’s previous man had, but also about her reactions and expectations. In women, receptors can be concentrated in different parts of the genital organs: in the clitoris, the entrance to the vagina, its anterior surface, or somewhere near the cervix. The diameter of the penis matters if the receptors are concentrated at the entrance or along the walls of the vagina, the length - if around the cervix. And this means that a man's skill, position, understanding between partners are as important as size. There is no universal penis that can satisfy any woman. "
The first, the most common, is due to the patient’s own tissues.
Preparation for ligamentotomy
Before ligamentotomy, it is necessary to undergo a full examination
In addition to the fact that you should prepare mentally for the procedure, which takes 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 examinations of urine and blood.
- 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 field for the operation - they shave the groin.