According to research, many men are dissatisfied with the size of their penis and experience mental or physical discomfort as a result. This leads to problems of a sexual nature, indecision in communication with women and the development of various complexes. The desire to gain self-confidence and harmonize intimate life prompts a man to consult a doctor. There are many techniques that can be used to overcome this deficiency and make you feel like a full human being. This includes both non-surgical procedures and surgical interventions. With the help of surgeries, you can repair damage to the penis or eliminate congenital abnormalities.
How to achieve the effect
In modern medicine, there are several methods of penis enlargement. Plastic surgery can change parts and abilities of the manhood or recreate it as an entire organ. As a result of the operation, not only the improvement of the external forms is achieved, but also the preservation of all its functions.
All known surgical procedures aimed at changing the size of the penis are aimed at increasing the length or thickness of the penis. In order to lengthen the penis, a ligamentotomy is performed (cutting the suspensory ligament of the penis). The following techniques are used to increase the volume and thickness of the penis:
penile prosthesis (implantation of a prosthesis into the body of the genital organ);
lipofilling (introducing one's own fat cells into the internal tissues of an organ);
introduction of collagen matrix (capsules that stimulate the production of own connective tissue);
insertion of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplantation (transplantation of muscle tissue with the formation of an organ);
hyaluronic acid injections (to replace the missing volume).
As a result, when turning to a specialist, a man receives the following:
restoration or preservation of penile function;
giving aesthetic forms;
elimination of defects after diseases, developmental disorders, and injuries.
There are also non-surgical methods of penis enlargement using various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are especially popular. However, doctors warn that their independent use to stretch the penis not only does not lead to the desired result, but is also associated with damage to the corpora cavernosa, tunica albuginea, nerves and blood vessels, as well as erectile dysfunction.
Enlarging the penis with exercises is also ineffective. These are massage movements in the form of stretching, squeezing and rotation. No studies have shown any benefit from them. In addition, organ stretching exercises can lead to 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. According to assumptions, its normal length in erection is 12-18 cm, diameter 3-3. 5 cm. Average length for males is 15. 7 cm. A penis smaller than 9 cm is considered small, smaller than 2 cm. it is considered a micropenis.
If you have doubts or dissatisfaction with yourself, it is worth visiting a doctor who, depending on the situation, will recommend one of the methods of conservative procedure or surgical intervention. Surgery can be performed for aesthetic correction purposes and for medical reasons, which include:
small penis and micropenis;
congenital abnormalities of the urethra;
penile injuries;
traumatic amputation;
deformation resulting from diseases;
eliminating the consequences of operations on male genitalia;
erectile dysfunction;
difficulty urinating;
gender change.
Contraindications
Before surgery, the main requirement is to assess the general state of health and identify possible contraindications. Surgical correction is not performed in the following cases:
under 18 years of age;
blood clotting disorder;
acute infection;
sexually transmitted infections;
diabetes;
mental illness;
chronic diseases with severe pathology.
Preparation for penis enlargement
If a man has decided to change the size of his penis, the question arises: which doctor should he consult? Penis enlargement surgery is a field of reconstructive plastic surgery and urology. Plastic surgeons specializing in urology or andrology deal with changing the size and shape of the male genitalia. Before surgery, you must consult with the attending physician. The doctor recommends the type of intervention required, depending on the indications. This can be the complete restoration of the penis (full wall surgery) or the restoration of a part of the penis, changing its shape or size.
In order to avoid complications, the doctor prescribes a thorough examination. The list of instrumental and laboratory research methods includes:
fluorography;
EKG;
general blood test;
blood chemistry;
coagulogram;
blood test to detect HIV, syphilis, hepatitis;
general urinalysis;
smear from the urethra to detect infectious agents.
After the examination and the exclusion of all possible contraindications, the doctor determines the date of the operation. In the case of surgery performed under general anesthesia, an anesthesiologist will be consulted, who must be informed about the presence of allergic reactions and possible medication.
A few months before the procedure, you should stop smoking and drinking alcohol. During the preparatory phase, you should follow a gentle diet. The pubic hair is shaved 8 hours before the procedure. If the operation is planned under general anesthesia, at least 8 hours should pass after the last meal or liquid.
However, surgical correction is not always necessary. If a man wants to enlarge his penis for aesthetic reasons, the doctor can recommend non-surgical methods - hyaluronic acid injections, which do not require special preparation.
Performing penis enlargement
There are various surgeries to change the size of the penis. Each 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 incision is made on the front surface of the scrotum. Through it, the suspensory ligament that fastens the genital organ to the pubic bone is partially divided. After that, the penis is lengthened by 2-3 cm thanks to the release of its inner (hidden) part. The operation is usually performed at the request of the man, and does not help with erectile dysfunction.
Penis prosthesis
A penile prosthesis is used for the treatment of impotence or for complete plastic surgery to remove the penis or change sex. The prostheses are rigid and semi-rigid, two- and three-component. Rigid prostheses are silicone tubes implanted in the corpora cavernosa. They provide a permanent erection, which is not always comfortable. Semi-rigid (plastic) prostheses have a special design and have a plastic memory. Before the sexual act, the prosthesis is extended, the penis becomes erect from a hanging position, and then bent again.
Two- and three-component inflatable and self-inflating prostheses are more physiological. These are a system of reservoirs and pipes. Pressing the scrotum activates a special pump that fills the hollow prosthesis with air or fluid from a hidden reservoir. The three-part penile prosthesis more accurately reproduces the natural erection.
The operation is performed under spinal or general anesthesia. Its 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. Between the shaft and the skin, parallel canals are formed to the root of the penis, and prostheses are inserted. They increase the thickness of the penis by 50-70%.
Lipofilling
This operation is performed more for aesthetic purposes. Lipofilling can even out the shape of the penis by 2-3 cm and increase its thickness. When the organ thickens, due to the increase in gravity, its length also increases in the non-erect state.
Local anesthesia is usually used to relieve pain. Fat tissue is taken from a man's vulva, abdomen, thigh, or buttocks and injected with a microneedle along the axis of the genital organ. The operation takes 1 hour. If necessary, the patient can stay at the clinic overnight.
Introducing the collagen matrix
For aesthetic reasons, for the purpose of enlargement, special absorbable capsules (collagen matrix) are placed in the penis, which stimulate the production of the organ's own connective tissue.
For this, on the day of surgery, 50 ml of blood is taken from a vein to obtain stem cells, which are then implanted into a matrix. After that, under general anesthesia, a circular incision is made at 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-out in the place of the urethra. Within 3-6 months, the matrix dissolves, but its own connective tissue forms 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 matrices depends to a large extent on the individual characteristics of the patient.
Installation of gel implants
Gel silicone implants are placed under the skin along the lateral surfaces of the penis. With their help, the thickness of the genital organ can be increased 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 to penetrate the shell, even if it cracks. They can be removed if necessary.
Microsurgical muscle transplantation
Microsurgical muscle transplantation is performed for aesthetic and medical reasons. For medical reasons, the operation is performed in the event of injury, congenital pathology, previous diseases of the penis, micropenis, or consequences of sex change due to hermaphroditism.
This operation is considered a complex surgical procedure and is performed under general anesthesia over several hours. Muscle tissue from the chest or abdomen is used as a graft. The muscle flap is sutured to the tissues of the penis, and the blood vessels and nerves are sutured together.
In case of removal of the penis due to oncological or traumatic amputation, a complete phalloplasty is used. In this case, the organ is created from scratch. This operation is also used to change gender. This is usually done by taking a flap of skin and a nerve from the back area and shaping the penis according to the pattern. Its size depends on the wishes of the patient. The attachment point is selected on the pubis, to which the muscles are sutured. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerves. After that, the surgical wound is sewn up, and the functioning of the nervous system and the circulatory system are checked. The result is a penis that looks and functions like a non-surgical organ.
Hyaluronic acid injections
There is another non-surgical method of penis enlargement - hyaluronic acid injection. The drug is easy to administer, distributes well in the tissues and compensates for the missing volume. This method makes it possible to increase the length of the organ by 1-3 cm and its thickness by 3-5 cm. The procedure is performed under local anesthesia and takes 10 minutes. Using a thin needle, a hyaluronic acid-based preparation is injected under the skin of the penis. Biological degradation occurs over time. The effect usually lasts up to one year. Then the procedure can be repeated.
Hyaluronic acid injections are also used to enlarge the glans penis. This procedure is recommended when the diameter of the head is equal to or less than the diameter of the barrel. For this, under local anesthesia, 2-5 ml of hyaluronic acid gel is injected under the scalp.
Frenum lengthening - 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. This surgery is performed under local anesthesia on an outpatient basis. The frenulum is cut with a transverse incision using a scalpel or laser knife, and then sutured longitudinally using self-absorbing 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 the ligamentotomy, the patient remains under observation in the hospital for 2-3 days. Sutures are removed after 2 weeks. Physical activity and sexual activity should be restricted for 1 month after surgery. To achieve a greater effect, you must wear a stretcher (or extender) for 6 months after surgery. It is designed to prevent the cut part of the tape from being restored. The extender is a special stretching device that is made individually for each patient. It must be used 6-8 hours a day for 2-6 months. It does not cause any particular discomfort while wearing it. In this case, the length of the penis increases to 3-5 cm, remains constant and does not change over time. The final result depends on the unique characteristics of the organization. In order to avoid complications, you must strictly follow the recommendations of doctors when wearing the extension.
A penile prosthesis is considered a minimally invasive operation with a short rehabilitation period. After the operation, the patient stays in the hospital for 1 day. Sexual rest is recommended for 1. 5-2 months.
The rehabilitation period after lipofilling lasts about 1 month. The operation is slightly traumatic, so the recovery period is quick and uncomplicated. In order to avoid damage to the transplanted fat cells after surgery, it is recommended to limit sexual activity for 2 months. Sports activities must be postponed for 1 month.
The postoperative period after the introduction of the collagen matrix is 2-3 months. The patient is observed in the hospital for another 1 day. Sexual relations are limited during the entire period of matrix resorption.
After the gel implants are inserted, the patient is monitored in the hospital for another 1 day. Sexual activity and physical activity are allowed after 1 month.
The recovery period after microsurgical muscle transplantation lasts 2 months. After the operation, you must remain under hospital observation for 2 weeks. Physical activity and sexual life are limited for 2 months. Urination is allowed only with the help of a catheter placed in the bladder. The rehabilitation period with full wall plastic surgery lasts six months. During this time, the urination process starts and the erection is restored.
After injection of hyaluronic acid, intimate contact is limited for 3-4 weeks. You must refrain from sauna visits and hot baths for 2 weeks.
The rehabilitation period after frenuloplasty lasts 1 month. You should refrain from sexual intercourse during this period.
In some cases, if you do not follow the doctor's recommendations, complications may occur. A visit to the clinic should not be postponed at the appearance of the first suspicious symptoms. Possible complications after phalloplasty:
narrowing of the urethra;
violation of the innervation of the penis;
erectile dysfunction;
penis reduction;
inflammation;
bleeding;
tissue scarring and deformation;
graft rejection.