The standard conjunctomy (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 incision site, and the tissue and subcutaneous fat are severely injured.
Today, many clinics offering penile enlargement surgery perform the operation through the scrotal approach. 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 the operation through the scrotal approach, no unsightly scar remains 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 urinary and sexual function) or changing its external characteristics.
But, in addition to the main reasons, there are several more in medicine:
- abnormal changes in the penis.
- damages caused by various injuries (mechanical, thermal, chemical).
- underdevelopment of the organ or its short length/thickness.
- genital deformity.
- neoplasms (malignant);
- gangrene;
- removal of an instrument 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, with its size. There is a certain indicator of the rule, 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 performed in a room at room temperature immediately after undressing to avoid tissue shrinkage due to cooling.You can stretch your penis as far as possible by gently grasping it and pulling it away from the head.
The organ is measured along its back (from the pubic region to the tip of the head). In this case, it is good 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 function.There are a number of specific contraindications for phalloplasty.These include:
- irreversible organ pathologies.
- inflammatory processes in the genitourinary system.
- mental disorders?
- autoimmune disease;
- sexually transmitted diseases or genital infections;
- Diabetes;
- leukemia etc.
To learn more about the operation and at the same time to consult a doctor about the possibility of carrying it out,It is necessary to visit a sexologist first, 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 to lengthen the penis and increase its girth (girth) have been widely used since 1991. However, not enough research has yet been conducted to accurately predict the results and potential 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 again resort to the services of a surgeon.
An indication for surgery is a penis smaller than 10 cm in an erect position.
Penis enlargement
This is the most common penile operation and is done under general anesthesia for no more than an hour.
- The length of the reproductive organ is shorter than average.
- The customer's desire.
- Congenital and acquired pathologies.
Surgical methods are divided into two groups:
Pubic. Disadvantage: the intervention takes longer, the scars remain.
Scrotum. It is gaining popularity due to easy recovery and no scarring.
The patient consults 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. Liposuction is not particularly difficult. But there are many nuances:
- the dignity becomes greater only in breadth.
- the effect remains for a short time.
That is, the patient's adipose tissue acts as an implant; over time, the fat is absorbed, which is why repeated intervention is required after a certain period of time.
However, liposuction allows us to minimize the possibility of foreign body rejection and therefore reduce the risk of unwanted (threatening 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 a day is set for the surgery 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 you should completely abandon sexual intercourse 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 from 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 affect the most nervous fragments of the vagina. Often, the problem is not the length of the penis, but its too small girth.
In relation to the above, during the procedure, experts 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 penis enlargement surgery cost?
Having tried all methods: from pills and creams to extreme NUPs, 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 operations in the intimate male sphere, find out approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- they are an average size, which fits him and his partner perfectly.
- she is a regular medium or large size but would like to be even bigger.
- 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 performed both for medical reasons and for reasons of aesthetic correction of the appearance
Having tried everything from pills and creams to extreme NUPs, men, unhappy with the size of their genitals, decide that penile enlargement surgery is the only possible solution.
Features of 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 function is as follows:
- the penis is lengthened due to the dissection of the retaining ligament,
- a special biopolymer matrix is inserted into the skin, which accelerates the growth of connective tissue several times,
- After the operation, the recovery of the cells will be accelerated, which will also affect the size.
When the male enhancement surgery is completed, the new position of the penis will be formed. Therefore, you should use the extension for some time to correct 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 any result.
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 fattening. 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 discouraged from this type of phalloplasty because the procedure is very expensive.
- The 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 to temporarily enlarge their penis. Because after 9-10 months, the fillers will have to be re-injected under the skin.
- Adipose tissue injection. Penis enlargement with fatty tissue is popular among men. The injected tissue eventually takes root under the skin, which leads to a significant thickening of the penis.
- Application of biocollagen matrix. After surgery, the number of corpora cavernosa increases. As a result, this increases the diameter of the penis.
- Prosthetic penis. During the operation, an artificial prosthesis is implanted in the patient. This type of phalloplasty is performed when patients have sexual dysfunction problems. Quite often, a penile prosthesis is performed if the patient has previously undergone metadioplasty.
If you refuse the extension, then over time the penis will return to its previous position and the operation will not bring any result.
How is the genital surgery performed?
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, at the same time the stomach, the legs are generously disinfected with iodine.
- the doctor coolly cuts a scalpel into the penis.
- the incision is made in the scrotum, just along the dark line - the natural suture of the midline. If you twist the phallus, you will see it with the naked eye. By the way, after healing, the scar is covered along the line and becomes invisible even after closer examination.
- Cavernous bodies move to the side - so the doctor finds a way out to the periosteum. At this point the ligament connecting the phallus to the pubic bone is installed. The point is that about a third of the actual length is here. These intestines are removed.
- the doctor assesses how long the penis is, 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 the operation at rest will remain unchanged. Don't expect everything to hang spectacularly.You will see the full effect in the erection. This is because of the tunica albuginea. Covers bodies that fill with blood when excited.
If all goes well, the incision is sutured.
Implantation of silicone implants
Surgical enlargement of the penis using hypoallergenic silicone implants is another effective and safe approach. In this case, anatomically correct materials 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: With which anesthesia is the operation performed?
Answer:Ligandotomy is performed under general anesthesia.
Question:Is the operation possible with local anesthesia?
Answer:The operation is performed only under general anesthesia. Theoretically it is possible with 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:Ligandotomy does not involve disturbances in potency and reproductive function in men, as 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 of driving for 1 day.
Question:I would like to know at what age I can have penis enlargement surgery?
Answer:Ligamentotomy can be done from the age of 18.
Question:I would like to enlarge my penis. How long will the treatment last?
Answer:The actual operation takes up to an hour. After that, a 1-day stay in the clinic is usually required. The extension 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 aesthetic result. The postoperative suture heals quickly due 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, which is hidden deep in the body, is required. We can discuss all of this at the initial appointment. The photo shows the pubic and scrotal access, immediately after the operation.
Question:How often should bandages be applied after a ligamentectomy?
Answer:The first dressing is done on the day of discharge from the clinic (ie one day after the operation). Subsequent dressings and their necessity are as prescribed by the attending physician.
Question:Is it possible to do 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 pain or complaint.
At the initial appointment, the list of studies can be adjusted depending on the presence of co-morbidities.
Possible complications
If you experience discomfort after penile enlargement surgery, you should consult a doctor immediately
Modern medicine offers men improved techniques for penis enlargement. Therefore, most operations are performed without complications. However, the possibility of adverse consequences cannot be ruled out. Complications may arise due to the error of the surgeon or the inability of the patient to comply with the rules for the care of the male genital organ.
After the operation, the purpose of which is to increase the size of the penis, the following complications may appear:
- Severe pain during erection.
- Bleeding during urination.
- Tissue infection.
- Unstable position of the penis during sex.
- Reduced sensitivity of the instrument head.
- Discomfort during and after intercourse.
You should immediately report such problems to your doctor so that they can be treated promptly.
Some men who have undergone penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penile area.
- Black spots and bruises in intimate places.
- Inflammation of the skin.
- Penile deformity.
- Permanent or temporary erectile dysfunction.
Such problems 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 grind 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 point is that the spread in 'normal' 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 his sexual experience. And it has nothing to do with the size of your partner's previous man's penis, but also with her reactions and expectations. In women, the receptors can be concentrated in various parts of the genitals: on the clitoris, at the entrance to the vagina, on its front 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 ability, status, understanding among a man's partners are just 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 the ligamentotomy, it is necessary to undergo a complete examination
In addition to the fact that you should mentally prepare for the procedure, which lasts from 20 minutes to an hour, before the procedure the patient must undergo various tests:
- Interview with the urologist who will perform the operation.
- Psychiatric examination.
- General urine and blood tests.
- Biochemical analysis.
- Urethral smear.
- Blood tests for syphilis, HIV, hepatitis.
- EKG.
- Fluorography.
- Consultation with anesthesiologist.
10 hours before the procedure, intake of food and water is completely excluded. They prepare the field for the operation - they shave the groin.