Features of surgery for penis enlargement

After trying 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 male intimate sphere, find out the approximate prices and clinics where such operations are performed.

Men are divided into different categories:

• have a medium size, which fits him and his partner perfectly;
• has a normal, medium or large size, but would like to have an even larger size;
• 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 correcting the aesthetic appearance

• 3 Indications for surgery
• 4 Possible complications
• 5 Recovery
• 6 Which clinics offer augmentation services?
• 7 How much does the operation cost?
• 8 Reviews after surgery

Directions

To perform penis enlargement surgery, a man's desire alone is not enough. It is necessary to undergo an examination by a urologist or andrologist, during which a verdict is given on the size and shape of the penis.

An anomaly associated with insufficient length of the organ is called micropenis. It occurs due to lack of pituitary hormones. When evaluating the parameters of the penis, its size in the erect state is taken into account.

Other indications include:

• congenital pathologies of the structure of the penis;
• dysfunction occurring against the background of complex fibrosis;
• organ injury;
• erect penis length less than 12 cm;
• inability to have sex;
• Peyronie's disease or pathological curvature of the penis.

Male prejudices: the main reasons for dissatisfaction with one's size

The desire to improve the parameters of the penis is associated with 90% dissatisfaction in the intimate sphere. For example, if a man were taught that the size of his penis directly determines his sexual vitality. Regular comparison of the organ or partner's dissatisfaction with intimacy with her leads to an improvement in the parameters of the penis. Furthermore, women associate factor 2 with the minimum size of the man's penis, which does not always cause a low quality of sexual life.

What doctors say about penis enlargement:

In our country, a large number of men are not satisfied with the size of their penis, I tell you this as a doctor. This is a sensitive issue that is not usually discussed openly, but I encounter such complaints all the time.

In general, various exercises for penis enlargement have existed for a long time, but, alas, they require a colossal amount of time and, oddly enough, do not work. There is a more radical solution - surgical intervention, but operations cost a lot of money and not everyone will decide to take such a step.

Penile prosthesis

The outcome of surgery to enlarge the penis using prostheses depends on the type of implant used. Penis enlargement with this method is considered difficult.

In rare cases, rigid prostheses are used. Most often, inflatable or plastic implants are inserted. The operation is performed under general anesthesia. The prosthesis is inserted through an incision in the area of the spongy bodies.

The implants are made with different materials, but always hypoallergenic.

This type of operation is performed only for medical reasons, when underdevelopment of the penis is accompanied by sexual dysfunction. The cost of a penis enlargement operation depends on the material used, the complexity of the pathology and other factors. Penile implants are not available to everyone.

Contraindications to surgery

The specialist does not enlarge the reproductive organ invasively if the patient:

1. Low blood clotting.
2. Oncological processes in the urogenital system.
3. Heart dysfunction.
4. Allergy to all substances used for anesthesia.
5. Bronchial asthma.
6. Diabetes.

Additional contraindications – presence of serious mental disorders (schizophrenia, epilepsy); tendency to develop colloidal scars; purulent processes in the inguinal area.

Ligamentotomy

The surgery begins with the administration of an anesthetic. For ligamentotomy, general anesthesia or spinal anesthesia is used. The next step is to intersect and suspend the penile ligament, which supports the organ despite being located deep in the pelvis.

The process of penis enlargement is carried out by releasing the internal part of this ligament. After exposing the hidden part of the penis, the wound is sutured.

The desired enlargement effect is not achieved immediately, but after some time. It is facilitated by activities that involve the use of an extender during the rehabilitation period.

Existing methods

There are many methods for penis enlargement, but most of them are non-surgical options.

The operations are divided into areas: lengthening or thickening.

Penis enlargement procedures:

• Ligamentotomy;
• Penile prosthesis.

And the group of operations for thickening the penis includes:

• Lipofilling;
• Introduction of polymeric materials;
• Muscle transplant;
• Hyaluronic acid injections.

Lipofilling

The operation begins with the patient undergoing general anesthesia. Initially, the biomaterial is collected from the area where it is most abundant. Then the process of purification of the resulting material is carried out. The next step is to insert it into the genital organ using a special needle.

The injection sites are carefully disinfected with an antiseptic. A sterile bandage is applied to the genital organ. In total, the procedure takes no more than an hour.

The main advantage of lipofilling is the use of your own biomaterial. The use of artificial implants may cause an allergic reaction to foreign materials.

Having chosen the appropriate option, men calmly move on to finding a medical facility.They focus not only on the price, but look at the reviews about the organization and the specialist they are contacting.

Surgery is not always the right methodthey resort to it as a last resort!If your penis is longer than 8 cm, we recommend that you consider options for stretching the tissues of the organ:

• Extender or Stretcher;
• Suspended loads;
• Exercise or jelqing;
• Massage;
• Vacuum pumps.

For the resultWe recommend combining the above methods with the use of ointments, creams, gels or sprays, and as a supplement, using foods and herbs for penis growth.

Hyaluronic acid injections

Hyaluronic acid has become widespread not only in cosmetology, but also in plastic surgery. The procedure is quick and hassle-free. Hyaluronic acid is injected into the penis. On average, the effect lasts a year.

Injections are administered only by a specialist; it is not possible to self-medicate!

Which doctor should I contact?

If a decision such as penis enlargement through surgery is deliberate, hard-won, and there is no turning back, the patient turns toat the plastic surgery clinic.

Large clinics have a department of cosmetic surgery or intimate plastic surgery. First you need to meet your doctor, preliminaryconsultancy is not very expensive.

If the doctor finds your arguments convincing, he will refer youexam and test, for which, by the way, you will have to pay.

Tests to take (there are quite a few, so take some free time to do them all):

• general blood tests;
• blood clotting tests;
• general urinalysis;
• blood group and Rh factor analysis;
• examination for HIV, hepatitis B and C infection;
• blood test for RW;
• ECG.

In addition to the surgeon, you will needto consulturologist and andrologist.

After receiving the results of the examination, the plastic surgeon doesconclusionon the absence or presence of contraindications. And only then do plastic penis enlargement or not.

Preparation phase

Before surgery, it is necessary to undergo preparatory procedures. They help to avoid adverse reactions of the body and to choose the most appropriate method of intervention.

The preparation phase includes the following diagnostic procedures:

• ultrasound examination with Doppler;
• general clinical blood test;
• research to identify sexually transmitted infections;
• blood chemistry;
• ECG;
• examination by narrow profile specialists.

Additionally, studies are conducted to exclude the possibility of developing an allergic reaction to anesthetics and materials implanted under the skin. They will help avoid unexpected complications during surgery.

2 days before the appointed date, a man should limit fluid intake. It is also advisable to stop smoking and drinking alcoholic beverages.

Rehabilitation period: doctor's opinion

For tissue restoration after surgery the following is contraindicated:

• Lifting heavy objects (this can cause bleeding and broken sutures).
• Drinking alcohol, smoking (intoxication of the body after anesthesia causes multiple complications).
• Eat heavy food. The diet should be light so as not to overload the intestines, as constipation will increase wound pain.
• Fantastic. After surgery, immunity is reduced. Therefore, exposure to drafts and low temperatures can lead to disease.

Immediately after the operation, a catheter is installed in the patient's urethra (urination occurs through it). During the patient's stay in the department, the staff provides his care (washing, antiseptic treatment). Upon discharge from the clinic, the urethral catheter is removed and the man urinates on his own. At home, the patient must perform intimate hygiene after each visit to the bathroom. This will avoid infection of the operated organ.

Postoperative period

After the ligamentotomy, the patient remains in the hospital for 24 hours. The doctor's task is to explain how to use an extender that helps to increase the parameters of the penis. The device is worn 2 hours a day. In the future, the usage time will increase.

In the postoperative period, antibiotics and painkillers are needed. To speed up the healing rate of the sutures, physical activity and sexual contact should be avoided.

It usually takes up to 3 weeks for the organ to fully recover. It is also necessary to ensure cleanliness of the genitals. It is important to avoid wearing tight underwear. Compression of the genital organ contributes to the divergence of the seams.

The undoubted advantage of the operation is long-term results - literally until the end of life, while therapy requires constant repetition of the treatment course, and the results of surgical intervention become less impressive over time.

Since penile prostheses are difficult to perform, the postoperative period is longer. For 2 days after surgery, the patient remains in bed. Therefore short walks and independent movements within the hospital are permitted.

After 10 days physical activity increases. The total duration of the rehabilitation period is 1 month.

Recovery

The longest recovery period is observed after phalloplasty. Hospital stay reaches 2 weeks. For 2 months physical activity and sexual life are limited. This also applies to lipofilling. The remaining interventions allow sexual activity after 2 weeks.

• Hyaluronic acid injections: Visiting the sauna and hot baths are limited.
• Ligamentotomy requires the use of an extensor.
• Moderate pain is relieved by taking nonsteroidal anti-inflammatory drugs.

Possible complications

Any type of surgery carries some risks. The operation can lead to the development of complications.

These include the following:

• scar formation;
• tissue necrosis;
• bleeding in the area of \u200b\u200bthe sutures;
• thrombosis;
• erectile dysfunction;
• increased body temperature;
• nervous disorders due to past experiences;
• infection in the wound;
• decreased sensitivity of the genital organ.

Correct functioning guarantees the absence of scars and scars on the genital organ. Erectile function in this case is not suppressed. Difficulties arise if the operation was performed poorly.

Indications for penis enlargement surgery

Experts identify the following indications for penis enlargement:

1. Micropenis syndrome.
2. Curvature of the reproductive organ.
3. The desire to improve one's sexual performance.
4. The need to increase self-confidence (if, due to the small size of the penis, a man cannot satisfy his partner).

If the genital organ is deformed due to injury, surgical augmentation will help eliminate this problem. The surgery is also suitable for men whose penis is small due to hormonal problems and diabetes.

Be careful! Most penis enlargement exercises are dangerous for men, because. . . various types of distortions have an extremely negative effect on power.

How much does the operation cost?

You can find out how much penis enlargement surgery costs at the medical institution of your choice. The pricing policy depends on the prestige of the clinic and the qualifications of the surgeons. The type of surgery is also important.

You should focus on the following data:

1. The cost of penis enlargement surgery using a penile prosthesis varies from 180 to 250 thousand rubles.
2. The price for ligamentotomy is 12 – 85 thousand rubles.
3. When using implants, the final cost depends on the material. The operation can be performed for a cost of 40 to 280 thousand rubles.
4. Muscle transplant will cost 150-250 thousand rubles.

The operation is performed not only in private clinics, but also in public medical institutions.

How to choose a clinic for surgery?

The most important criterion for choosing a clinic is the qualifications of the surgeon

First of all, when choosing a clinic for plastic surgery, you pay attention to the qualifications of the surgeon, but the conditions and the environment itself are also important. Without good medical equipment it is almost impossible to achieve an ideal result, even with professional experience and skills. The choice of clinic is also influenced by the availability of intensive care equipment.

Main criteria to pay attention to

Permit to operate and a license are required. The documents state:

• Name of the clinic.
• Legal address.
• State of the healthcare facility.
• State Level Accreditations.
• Signature and seal issued by the State.

The success of the operation largely depends on the technical equipment. After finding out what kind of equipment the clinic has, it is important not to forget to check the availability of resuscitation equipment to provide emergency care.

A friendly environment in the clinic is important. It is important that the patient feels intuitively at ease. A team of specialists must inspire confidence in the consistency of their work.

The pre-operative examination and post-operative observation are carried out directly by the clinic staff.

The agreement concluded between the clinic and the patient must specify the responsibilities of both parties and the extent of responsibility for actions taken.

It would be nice to hear the opinions of people who have used the clinic's services. Find out how their ligamentotomy went. Patient reviews often play a decisive role.

If at least one of the points is in doubt, it is worth looking for another clinic with a more reliable reputation.

Alternative methods of lengthening

Ligamentotomy is not the only surgical method to increase penis length. There are also alternative methods.

V-Y-plastic

The essence of the operation is to create a restrictive skin defect in the pubic area (above the root of the penis). First, a V-shaped incision is made, which is sutured to a Y. During the operation, the sling and sussensorial ligaments are cut. As a result, the penis becomes visually larger due to its elevation above the scrotum.

Complications in the form of suppuration, scar formation and rough folds are possible. Moreover, the latter can manifest themselves in the long term.

Perovic method

The method is named after Professor Sava V. Perovic who developed it. During the operation, the penis is literally dismembered into parts: the head is cut off from the thickness of the corpora cavernosa and spongy tissue, and the neurovascular bundle is mobilized. Subsequently, particles of cartilage or synthetic materials are implanted into the resulting space between the head and the porous bodies.As a result of stretching of the nerves and corpus spongiosum, the length of the penis increases by 2. 5-5 cm.

As for complications, the subsequent formation of scar tissue and too much mobility of the head (granuloptosis) are possible. The implanted cartilage gradually dissolves, so the initial result will worsen. Synthetic implants may fail.

Operation Shcheplev

The essence of the operation is to introduce into the corpora cavernosa implants of a length greater than that permitted by the tunica albuginea. To lengthen it, several cuts are made.With the conventional penile prosthesis only the hardness of the penis is guaranteed, while with the Shcheplev procedure it is lengthened by approximately 2 cm. The implants are installed through a circular incision 10 mm from the coronary groove.

For installation, prostheses of greater length but smaller diameter are used. Therefore, their surface is covered with cavernous tissue, which significantly accelerates healing.

What happens during the operation?

A man who has decided to change his most intimate area goes to make an appointment at the relevant clinic and puts his intimate area in order. He find out more about shaving intimate areas here.

The first thing he's interested in is how much bigger his penis will become. In this case the doctors say soit can be extended up to a maximum of 5 centimetres. The second most popular question is whether it will become broader. The size of the new changed manhood will depend on the type of surgery performed.

How is the procedure performed on the genital organ?

If your doctor is an experienced and licensed genital surgeon, the main phase 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 coldly cuts the penis with a scalpel;
• the incision is made on the scrotum, exactly along the dark line, the natural suture of the midline. If you turn 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 inspection;
• The corpora cavernosa move laterally - this is how the doctor finds a way out to the periosteum. At this point the ligament that connects the phallus to the pubic bone is positioned. The point is that about a third of the actual length is here. These viscera are removed;
• the doctor evaluates how long the penis is, focusing on the sign. If all goes 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 freeze impressively.You will see the full effect in the erection. The fault lies with the tunica albuginea. It covers the bodies which fill with blood when excited.

Possible risks and side effects

Potential complications of surgery:

• Bleeding. Consequence of damage to the large vessels (if the symptom appeared during surgery) or heavy lifting (if it appeared during the recovery period).
• Nerve damage during tissue dissection.
• Formation of a large scar (due to individual characteristics of the skin or careless work of the surgeon).
• Hematomas (hemorrhages of varying severity).
• Inflammation of the surgical wound (due to pathogenic microflora penetrating into it).

The risk associated with unsuccessful surgical penis enlargement is impotence and erectile dysfunction.

Prices

The cost of penis enlargement has no clear limits. This is due to the fact that plastic surgery changes the parameters of thickness and length or has a complex effect. The price of the procedures varies. Depend on:

We advise you to read: Mandatory rules for communicating with men

• Technical difficulty for the surgeon;
• Clinical policies;
• Specialist's scope of work;
• Additional materials (implants, prostheses).

Types of surgery

At the moment there are many types of manipulations that are performed under general or local anesthesia. Some of them are quite harmless, while others require careful preparation and examination.

Elongation

With this procedure the reproductive organ is lengthened in length, while its thickness remains unchanged.

Ligamentotomy

This is a surgical penis enlargement, which consists of a simple circumcision of the foreskin, resulting in an extension of 2 centimeters. The event is held for hygienic purposes; many claim that it prevents sexually transmitted diseases, including infectious diseases. The method takes about 15 minutes and can be performed at any age under local anesthesia.

Thickening

With this approach the reproductive organ increases in volume, which is also important for a complete and vibrant sexual intercourse. The techniques mainly involve special injections, considered minimally invasive.

Lipofilling

The procedure involves inserting the patient's treated and purified fat cells into specialized equipment into the shaft of the penis with a fine needle.The effect lasts for several months, after which the injected tissues resolve on their own.The operation is painless; if necessary, local anesthesia in the form of ointments and injections is used. Virtually no rehabilitation is necessary.

Microsurgical muscle transplant

With this approach, the specialist takes tissue from the patient's back muscles or armpit, after which he implants them into the genital organ, thus restoring the normal functioning of the nerve endings. This is a complex and expensive method, but as a result of competent work it is possible to obtain an organ that is enlarged and sensitive to stimulation.

Important: Before choosing a particular technology, be sure to consult a doctor and undergo a comprehensive diagnosis.