According to research, many men are not satisfied with their penis size and experience psychological or physical discomfort due to this. This leads to problems of a sexual nature, uncertainty in communicating with women and the development of various complexes. The desire to gain self-confidence and harmonize intimate life forces a man to seek help from a doctor. There are many techniques that can eliminate this deficiency and feel like a complete man. This includes both non-surgical procedures and surgical interventions. With the help of surgery, you can restore the penis after an injury or eliminate congenital anomalies.
How to achieve the effect
In modern medicine, there are various ways to enlarge the penis. Plastic surgery can alter individual parts and capabilities of masculinity or recreate it as an entire organ. As a result of the operation, not only an improvement in the external form is achieved, but also the preservation of all its functions.
All known surgical interventions aimed at changing the size of the penis aim to increase its length or thickness. To lengthen the penis, a ligamentotomy is performed (surgery of the suspensory ligament of the penis). The following techniques are used to increase the volume and thickness of the penis:
penile prosthesis (implantation of the prosthesis into the body of the genital organ);
lipofilling (introduction of own fat cells into the internal tissue of the organ);
the introduction of collagen matrix (capsules that stimulate the production of your own connective tissue);
installation of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplantation (muscle tissue transplantation with organ formation);
hyaluronic acid injection (replenishment of lost volume).
As a result, by turning to a specialist for help, a man receives:
restoration or maintenance of penile function;
give an aesthetic form;
elimination of defects after diseases, developmental anomalies, and injuries.
There are also methods of penis enlargement without surgery using various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are increasingly popular. However, doctors warn that their free use to stretch the penis not only does not lead to the desired results, but is also fraught with damage to the corpus cavernosum, tunica albuginea, nerves and blood vessels, as well as erectile dysfunction.
Penis enlargement with exercise is also not effective. It is a massage movement in the form of stretching, squeezing, and rotation. No studies have shown any benefit from them. In addition, the use of stretching exercises for organs can cause erectile dysfunction and damage to blood vessels, bruising and swelling in the penile area.
Indications for penis enlargement
Many men tend to underestimate the size of their reproductive organs. It is believed that its normal length in an upright position ranges from 12-18 cm, its diameter is 3-3. 5 cm. The average length in men is 15. 7 cm. A penis less than 9 cm is considered small, and less than 2 cm is considered a micropenis.
If you have any doubts or dissatisfaction with yourself, you should visit a doctor who, depending on the specific situation, will recommend one of the methods of conservative procedures or surgical intervention. Operations can be performed for aesthetic correction purposes and for medical reasons, which include:
small penis and micropenis;
congenital anomalies of the urethra;
penile injury;
traumatic amputation;
deformation due to disease;
elimination as a result of operations on the male genital organs;
erectile dysfunction;
difficulty urinating;
gender change.
Contraindications
The main requirement before surgery is to assess your general health and identify possible contraindications. Surgical correction is not performed in the following cases:
age less than 18 years;
blood clotting disorders;
acute infection;
sexually transmitted infections;
diabetes;
mental illness;
chronic disease with severe pathology.
Prepare for penis enlargement
As soon as a man decides to adjust the size of his penis, the question arises: which doctor should he consult? Penile enlargement surgery is one of the areas in reconstructive plastic surgery and urology. Plastic surgeons specializing in urology or andrology deal with the issue of changing the size and shape of the male genital organs. Before the operation, a consultation with the operating doctor is required. The doctor will suggest the type of intervention needed, depending on the symptoms. This can be a complete restoration of the penis (total phalloplasty) or a partial restoration of the penis, changing its shape or size.
To avoid complications, the doctor prescribes a comprehensive examination. The list of instrumental and laboratory research methods includes:
fluorography;
ECG;
general blood analysis;
blood chemistry;
coagulogram;
blood tests for HIV, syphilis, hepatitis;
general urine analysis;
smear from the urethra to detect infectious agents.
After examination and exclusion of all possible contraindications, the doctor sets a date for the operation. When performing surgery under general anesthesia, a consultation is held with an anesthetist, who must be informed about the presence of allergic reactions and about taking any medication.
A few months before the procedure, you should stop smoking and drinking alcohol. At the preparatory stage, you need to adhere to a soft diet. 8 hours before the intervention, the pubic hair was shaved. If the operation is planned under general anesthesia, then at least 8 hours must pass after the last meal or liquid.
However, there is not always a need for surgical correction. If a man has a desire to enlarge the penis for aesthetic purposes, the doctor may recommend a non-surgical method - hyaluronic acid injections, which do not require special preparation.
Carry out penis enlargement
There are different types of surgery to change the size of the penis. Each of them has its own indications, advantages and disadvantages.
Ligamentotomy
Ligamentotomy is the most popular type of penis enlargement surgery. It is performed under general anesthesia and lasts from 30 minutes to 1 hour. A small cut is made on the front surface of the scrotum. Through it, the suspensory ligament, which attaches the genital organ to the pubic bone, is partially divided. After this, the penis is lengthened to 2-3 cm due to the release of its inner (hidden) part. Usually the operation is performed at the request of the man, it will not help with erectile dysfunction.
Penile prosthesis
Penile prostheses are used to treat impotence or for the purpose of complete plastic surgery when removing the penis or changing sex. Prostheses are rigid and semi-rigid, two and three components. A rigid prosthesis is a silicone tube implanted into the corpora cavernosa. They provide a constant stand, which is not always easy. Semi-rigid prostheses (plastic) have a special design and have plastic memory. Before sexual intercourse, the prosthesis is extended, moving the penis from a hanging position to an upright position, and then bent again.
More physiological are two- and three-component inflatable and self-expanding prostheses. They are reservoir and tube systems. By pressing the scrotum, a special pump is activated, which fills the hollow prosthesis with air or liquid from a hidden reservoir. The three-piece penile prosthesis more accurately reproduces a natural erection.
The operation is performed under spinal or general anesthesia. The duration is approximately 1 hour. The location of the incision depends on the type of prosthesis - along the coronary sulcus (at the junction of the head and shaft of the penis), in the scrotum or under the pubis. A parallel channel is formed between the shaft and skin to the root of the penis and the prosthesis is inserted. They increase the thickness of the penis up to 50-70%.
Lipofilling
This operation is done more for aesthetic purposes. With the help of lipofilling, you can flatten the shape and increase the thickness of the penis by 2-3 cm. Due to the increase in gravity when the organ thickens, its length in the non-erect state also increases.
Local anesthesia is usually used for pain relief. Adipose tissue is taken from the male genital area, abdomen, thighs or buttocks and injected along the shaft of the genital organ with a micro needle. The operation lasts for 1 hour. If necessary, the patient can be left in the clinic overnight.
Introduction of collagen matrix
For aesthetic reasons, for the purpose of enlargement, a special absorbable capsule (collagen matrix) is inserted into the penis, which stimulates the production of the organ's own connective tissue.
To do this, on the day of the operation, blood is taken from a vein in a volume of 50 ml to obtain stem cells, which are then planted on the matrix. After this, under general anesthesia, a circular incision is made along the edge of the head of the penis and a collagen matrix is placed under the skin of the penis. It consists of two cylinders with a cut in the location of the urethra. Within 3-6 months, the matrix settles, but its own connective tissue is formed in its place, so the increased size of the organ remains forever. The diameter of the penis can increase by 1-1. 5 cm The effect of using the matrix depends on the individual characteristics of the patient.
Installation of gel implants
Silicone gel implants are installed under the skin along the lateral surface of the penis. With their help, it is possible to increase the thickness of the genital organ up to 1. 5 cm. The operation is performed under general anesthesia for 1 hour. These implants do not cause rejection or allergic reactions; it is impossible for them to penetrate the shell, even if it breaks. If necessary, they can be removed.
Microsurgical muscle transplantation
Microsurgical muscle transplantation is performed for aesthetic and medical reasons. For medical reasons, the operation is performed if there is a result of injury, congenital pathology, previous penile disease, micropenis, sex change due to hermaphroditism.
This operation is considered a complex surgical procedure and is performed under general anesthesia for several hours. Muscle tissue from the chest or abdomen is used as a graft. The muscle flap is sewn to the penile tissue, the ducts and nerves are sewn.
In the case of removal of the penis due to oncology or traumatic amputation, total phalloplasty is used. In this case, the organ is created from scratch. This operation is also used for gender reassignment. To do this, usually a flap of skin and nerves is taken from the back area, and the penis is formed according to the pattern. The size depends on the wishes of the patient. The point for its attachment is chosen on the pubis, to which the muscle is sewn. After fixing the penis, the doctor microsurgically connects veins, arteries and nerves. After that, the surgical wound is sutured and the function of the nervous system and the circulatory system are checked. The result is a penis that has an appearance and function similar to the organ that has not undergone surgery.
Hyaluronic acid injection
There is another non-surgical method for penis enlargement - hyaluronic acid injections. The drug is easy to administer, distributes well in tissues and compensates for lost volume. This method allows you to increase the length of the organ by 1-3 cm and thickness by 3-5 cm. The procedure is performed under local anesthesia and lasts for 10 minutes. Using a thin needle, a preparation based on hyaluronic acid is injected under the skin of the penis. Over time, its biological deterioration occurs. Effects usually last up to a year. Then the procedure can be repeated.
Hyaluronic acid injections are also used to enlarge the glans penis. This procedure is indicated if the diameter of the head is equal to or less than the diameter of the barrel. To do this, under local anesthesia, 2-5 ml of hyaluronic acid gel is injected under the scalp.
Lengthening of the frenum - frenuloplasty
In some cases, men have a short frenulum (the area between the head of the penis and the foreskin). This can cause discomfort or pain during intercourse. To eliminate this problem, frenuloplasty is performed. The operation is performed under local anesthesia on an outpatient basis. Using a scalpel or laser knife, the frenulum is cut with a transverse incision and then sutured longitudinally using self-absorbable sutures. The procedure takes 15-20 minutes.
After the procedure
The duration of the recovery period depends on the amount and type of surgery.
After ligamentotomy, the patient remains under observation in the hospital for 2-3 days. Stitches are removed after 2 weeks. After surgery, it is necessary to limit physical activity and sexual activity for 1 month. To achieve a greater effect, you must wear a stretcher (or extender) for 6 months after surgery. It is designed to prevent repair of the severed part of the ligament. The Extender is a special stretching device that is individually made for each patient. It must be used up to 6-8 hours a day for 2-6 months. It does not cause any particular inconvenience when worn. In this case, the length of the penis increases to 3-5 cm, it remains constant and does not change over time. The final result depends on the individual characteristics of the body. To avoid complications when using an extender, you must strictly follow the doctor's recommendations.
Penile prosthesis is considered a minimally invasive operation with a short recovery period. After surgery, the patient remains in the hospital for 1 day. A sexual break is recommended for 1. 5-2 months.
The recovery period after lipofilling takes about 1 month. The surgery is minimally traumatic, so the recovery period is quick and without complications. To prevent damage to the transplanted fat cells after surgery, it is recommended to limit sexual activity for 2 months. Sports activities should be suspended for 1 month.
The postoperative period after the introduction of the collagen matrix is 2-3 months. The patient is under observation in the hospital for 1 more day. Sexual intercourse is limited for the entire period of matrix absorption.
After the installation of the gel implant, the patient is observed in the hospital for another 1 day. Sexual activity and physical activity are allowed after 1 month.
The recovery period after microsurgical muscle transfer lasts for 2 months. After the operation, it is necessary to be under observation in the hospital for 2 weeks. Physical activity and sex life are limited for 2 months. Urination is allowed only with the help of a catheter installed in the bladder. With total phalloplasty, the recovery period takes six months. At this time, the urination process begins and the erection is restored.
After hyaluronic acid injection, intimate contact is limited for 3-4 weeks. You must refrain from visiting saunas and hot baths for 2 weeks.
The recovery period after frenuloplasty takes 1 month. During this period, you should refrain from sexual intercourse.
In some cases, if you do not follow your doctor's recommendations, complications may occur. At the first suspicious symptoms, you should not delay your visit to the clinic. Possible complications after phalloplasty:
urethral stricture;
violation of the innervation of the penis;
erectile dysfunction;
penis reduction;
inflammation;
bleeding;
tissue scarring and deformation;
rejection of bribery.