A standard ligamentectomy (an operation to increase penis length) is performed through an incision in the pubic area, but it takes a long time: a large incision must be made. The incision site still has a noticeable scar, and the tissue and fat under the skin are severely damaged.
Today, many clinics that offer penis enlargement surgery perform the surgery through the scrotal approach. This allows you to significantly reduce its duration from 1-1. 5 hours (the average length of a standard ligament surgery) to 10-15 minutes. After trans-scrotal surgery, the pubic area no longer has unsightly scars like standard techniques, the incision in the scrotal area heals, leaving almost no traces.
Phalloplasty: what it is, reasons for use and contraindications
Penile cosmetic surgery involves restoring the functions of the penis (both urinary and sexual functions) or changing its external characteristics.
However, in addition to the main reasons, in medicine there are some other reasons:
- unusual changes in the penis;
- damage caused by various injuries (mechanical, thermal, chemical);
- underdeveloped organ or its small length/thickness;
- deformation of genital organs;
- melanoma);
- gangrene;
- removal of an organ for any other reason;
- erectile dysfunction, etc. v.
Often, men turn to specialists who perform penis enlargement surgeries due to dissatisfaction with the appearance of the penis and especially its size. There is a certain indicator of the standard, according to which the normal length of the penis ranges from 12-15 cm, but it is important to measure accurately.
The penis is measured using three parameters:
- at rest;
- when stretched;
- with erection.
Measurements were performed indoors at room temperature immediately after undressing to avoid tissue shrinkage due to cooling.You can stretch your penis as much as possible by gently grasping and pulling on the head of the penis.
The organ is measured along the back (from the pubic bone to the edge of the head). In this case, the penis should be held so that there is a right angle between it and the abdominal wall. If the length of the genitals is less than 9. 5 cm, it can be said that the man has small genitals.
But, unfortunately, not all representatives of the stronger sex who have expressed such a desire can use this activity. There are some specific contraindications to phalloplasty.Including:
- irreversible organ pathology;
- inflammatory process in the genitourinary system;
- psychosis;
- autoimmune disease;
- sexually transmitted diseases or genital infections;
- diabetes;
- leukemia, etc. v.
To learn more about the operation, and consult your doctor about the possibility of performing it,Initially it is necessary to visit a sexologist, then a urologist-endocrinologist.After receiving enough information and undergoing examination, you can go directly to a surgeon with experience performing specific surgeries on male genitalia.
Surgical methods to lengthen the penis and increase its circumference (girth) have been widely used since 1991. However, not enough research has been conducted to accurately predict the results. and possible risks of intervention. As a result, a study at the Institute of Urology in London found that only 35% of patients who underwent male enhancement surgery were satisfied with the results. Half of the people who undergo this procedure use the services of a surgeon.
Surgery is indicated when the penis is shorter than 10 cm in the erect state.
Penis lengthening
This is the most common surgery on the penis and is performed under general anesthesia for no more than an hour.
- The length of the reproductive organs is less than average;
- Customer wishes;
- Congenital and acquired diseases.
Methods of performing surgical intervention are divided into two groups:
Pubic hair. Disadvantages: longer intervention time, leaving scars;
scrotum. It is gaining popularity due to its ease of recovery and lack of scarring.
Patients are consulted by an anesthesiologist.
Liposuction
Lipofilling is a procedure aimed at increasing the width of the penis. Fat taken from the patient's abdominal wall is injected directly into the body. Lipofilling is not particularly difficult. But there are some nuances:
- dignity only becomes greater in breadth;
- The effect persists for a short time.
That is, the patient's fat tissue acts as an implant, over time the fat will be absorbed, for this reason it is necessary to intervene several times after a certain period of time.
But lipofilling allows us to minimize the possibility of foreign body rejection and thus reduce the risk of developing unwanted complications (which threaten the patient's life and health).
You can evaluate the results before and after consulting an internist; If the man is satisfied with everything, then the date of surgery will be set and the necessary recommendations will be given: what needs to be done before and after.
Recovery time varies from 3 to 5 weeks, during which you will have to completely abandon sexual relations with women.
Lengthen or thicken the penis?
The average length of the penis during erection is about 12-15 cm, the average length of the vagina ranges from 7-10 cm, the most sensitive point of the vagina is located on the anterior wall, at the depth2 cm. -3 cm from the entrance. Therefore, it is accessible to the vast majority of men, which can impact the most sensitive 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 sexual sensation intensity and sexual satisfaction.
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 who are unhappy with the size of their genitals decide that penis enlargement surgery is the only viable solution.
We will consider all types of surgical interventions in the intimate field of men, find out the approximate prices and clinics where such operations are performed.
Men are divided into several types:
- medium sized, perfectly suited for him and his partner;
- are a normal size medium or large, but would like to go even larger;
- have a small penis and want to enlarge it (remember that the lower limit of the normal length of an erect penis is considered 7 cm);
- as a result of injury or disease of the penis.
Surgical penis enlargement is performed for medical reasons and is intended to correct cosmetic 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 viable solution.
Characteristics of the activity
Before performing the operation, you should familiarize yourself with the features of this procedure.
Phalloplasty allows you to lengthen the penis by removing its hidden part. The essence of this activity is as follows:
- The penis is lengthened by removing the retaining ligament,
- a special biopolymer matrix is introduced into the skin, which speeds up the growth of connective tissue several times,
- After surgery, the process of cell recovery will accelerate, which will also affect the size.
When male enhancement surgery is completed, the new position of the penis will be formed. Therefore, you will have to use the device for a while to fix the position of the penis. If you refuse the extender, over time the penis will return to its old position and the surgery will not bring any results.
It is known that with surgery you can not only lengthen the penis, but also make it thicker. This is done in several ways:
- Insert the rectus muscle from the abdomen under the skin of the penis. Many doctors use this method to thicken the skin. The advantages of this method include the use of one's own tissue during surgery. It does not interfere with blood circulation and takes root almost immediately. However, many people are afraid to perform this penis shaping method because the cost is too high.
- The use of special fillers. Some experts increase the thickness of the penis with synthetic gel. This penis enlargement must be performed under local anesthesia. Many people use this procedure to temporarily enlarge their penis. Because after 9-10 months, the filler will have to be re-injected under the skin.
- Adipose tissue injection. Increasing penis size with adipose tissue is popular with many men. The injected tissue will eventually take root under the skin, resulting in a significantly thickened penis.
- Application of biocollagen matrix. After surgery, the number of corpora cavernosa increased. As a result, this increases the diameter of the penis.
- Dildo. During surgery, the patient is implanted with an artificial prosthesis. This type of phalloplasty is performed when the patient has problems with sexual dysfunction. Quite often, penile prosthesis is performed if the patient has previously undergone body contouring surgery.
If you refuse the extender, over time the penis will return to its old position and the surgery will not bring any results.
How is the procedure performed on the genitals?
If your doctor is an experienced and licensed genital surgeon, the main stage should last no more than 30-35 minutes.
It looks like this:
- The patient is given general anesthesia;
- the entire genital area, and at the same time the stomach and legs are widely disinfected with iodine;
- The doctor coldly slashed a scalpel into the penis;
- The incision is made on the scrotum, exactly along the dark line - the natural suture in the middle. If you twist the penis, you will see it with the naked eye. By the way, after healing, the scar will be hidden along the line and become invisible even on closer inspection;
- The corpora cavernosa moves to the side - this is how the doctor finds a way out to the periosteum. The ligaments that attach the penis to the pubic bone are stable in this position. The problem is that about a third of the actual length lies here. These intestines are removed;
- The doctor evaluates how long the penis is, focusing on the signs. If everything goes well, the incision will be sutured. On average, the length increases by 3 cm.
The length of the penis after surgery in its normal state will not change. Don't expect everything to turn out dramatically.You will see the full effect in erection. Tunica albuginea is what causes this. It covers bodies with blood when excited.
If everything goes well, the incision will be sutured.
Silicone implants
Penis enlargement through surgery using implants made of hypoallergenic silicone is another effective and safe method. In this case, materials of anatomically correct shape are used to form a beautiful genital organ with sufficient sensitivity. To avoid rejection, it is advisable to choose implants from well-known manufacturers and follow your doctor's instructions during recovery.
Due to the process of active cell division, the organic structure of the product is gradually replaced by soft connective tissues that remain in the penis for life.
Question: Surgery is performed under what type of anesthesia?
Reply:Tendonectomy is performed under general anesthesia.
Question:Can surgery be performed under local anesthesia?
Reply:Operations are performed only under general anesthesia. Theoretically, local anesthesia is possible, 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.
Reply:Ligamentectomy does not cause any disorders of fertility and reproductive function in men, since 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 restrictions for 1 day.
Question:I want to know at what age can I have penis enlargement surgery?
Reply:Ligamentectomy can be performed from the age of 18.
Question:I want to enlarge my penis. How long will the treatment last?
Reply:The actual activity lasts up to one hour. After that, you usually have to stay in the clinic for 1 day. The extender can be worn for 3 to 6 months, 2-6 hours per day.
Question:Where is the incision to cut the ligament?
Reply:Access to the penile suspensory ligament can be organized in two ways: along the midline of the scrotum or in the pubic region. An incision along the midline of the scrotum makes the surgery less traumatic and provides good cosmetic results. Postoperative sutures heal quickly due to good blood supply to the scrotum and become practically invisible after 2-3 weeks. Access to the pubic area can be performed when it is necessary to maximize the release of the inside of the penis, hidden deep in the body. We can discuss all of this at the first appointment. The photo shows access to the pubic area and scrotum immediately after surgery.
Question:How often do bandages need to be applied after a ligament is cut?
Reply:The first dressing change is performed on the day of discharge (i. e. one day after surgery). Subsequent dressing changes and their necessity will be prescribed by the attending physician.
Question:Is it possible to do the activity on the weekend?
Reply:Yes, we work on weekends. After surgery on Saturday, you should be able to return to work on Monday without any pain or complaints.
At the first appointment, the list of studies can be adjusted depending on the presence of comorbidities.
Complications may occur
If you feel discomfort after penis enlargement surgery, you should consult 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 may arise due to the surgeon's error or due to the patient's failure to comply with the rules of care for male genital organs.
After surgery with the purpose of increasing penis size, the following complications may occur:
- Severe pain during erection.
- Bleeding when urinating.
- Tissue infection.
- Penile position is unstable during sex.
- Reduced sensitivity of the tip of the organ.
- Discomfort during and after sex.
You should immediately report such problems to your doctor for timely resolution.
Some men who have had penis enlargement surgery complain of other unpleasant symptoms:
- Chronic pain in the penile area.
- Dark spots and bruises in the intimate area.
- Dermatitis.
- Deformity of the penis.
- Erectile dysfunction can be permanent or temporary.
Such troubles can be avoided if you entrust your health to a competent specialist with extensive experience in performing surgical operations on genital organs.
Does size matter?
From a physiological standpoint, no. But sex is not a mechanical grind between two people, it is the sum total of complex human experiences. Confidence, desire to make your partner happy, sexual habits, etc. v. all play a role there.
"The problem is that the difference in the "norm" is quite large. Plastic surgeon Andrei Istranov says 11 or 18 cm is still a significant difference. — Size matters in the sense that it depends very muchmuch depends on the partner, his adaptability and sexual experience. And it's not just about the penis size of the partner's previous man but also about her reactions and expectations. InIn women, receptors can be concentrated in different parts of the genitals: in the clitoris, the entrance to the vagina, its front surface or somewhere near the cervix. Diameter of the penisimportant if the receptors are concentrated at the entrance or along the vaginal wall, and length - if around the cervix. And this means skill, position, understanding between partners of oneThe size of the man is as important as the size. There is no universal penis that can satisfy any woman. "
The first, and most common, is due to the patient's own tissues.
Prepare for ligament surgery
Before cutting the ligament, it is necessary to undergo a comprehensive examination
In addition to the fact that you should be mentally prepared for the procedure to last from 20 minutes to an hour, before the procedure the patient must undergo a number of tests:
- Interview the urologist who will perform the surgery.
- Psychiatric examination.
- General examination of urine and blood.
- Biochemical analysis.
- Urethral swab.
- Blood tests for syphilis, HIV, and hepatitis.
- ECG.
- Fluorescence.
- Consult with an anesthesiologist.
10 hours before the procedure, completely exclude food and water intake. They prepared the field for surgery - they shaved the groin.