Features of penis enlargement surgery

After trying all the 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 approximate prices and clinics where such operations are performed.

Men are divided into several categories:

• have an average size, which suits him and his partner perfectly;
• It's a normal medium or large size, but I'd like to have an even bigger one;
• have 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 injuries or diseases of the penis.

Penis enlargement by surgery is carried out both for medical reasons and for the purpose of cosmetic correction of appearance

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

Indications

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

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

Other indications include:

• congenital pathologies of the structure of the penis;
• dysfunction arising against the background of complicated fibrosis;
• organ damage;
• 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 size

The desire to improve penis parameters is 90% associated with dissatisfaction in the intimate sphere. For example, if a man has been taught that the size of his penis directly determines his sexual viability. Regular comparison of the organ or the partner's dissatisfaction with intimacy with him stimulates the improvement of penis parameters. Furthermore, women associate factor 2 with the small size of a man's penis, which does not always lead to 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 as a doctor. This is a sensitive issue that is not usually discussed openly, but I constantly encounter such complaints.

In general, various penis enlargement exercises have existed for a long time, but, unfortunately, they require a lot 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 this step.

Penile prostheses

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

Rigid dentures are used in rare cases. Most often, inflatable or plastic implants are inserted. The operation is performed under general anesthesia. The prosthesis is inserted through an incision in the corpora spongiosum region.

Implants are made from 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. How much this penis enlargement operation costs depends on the material used, the complexity of the pathology and other factors. Penile prostheses 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. Cardiac 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 groin 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 cross and suspend the ligament of the penis, which holds the organ while it is located deep in the pelvis.

The penis enlargement process is carried out by releasing the inner 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 lengthening surgeries:

• Ligamentotomy;
• Penile prostheses.

And the group of operations to thicken the penis includes:

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

Lipofilling

The operation begins with the patient being placed under general anesthesia. Initially, the biomaterial is collected in the area where it is most abundant. Next, the resulting material is purified. The next step is to insert it into the genital organ with a special needle.

The injection sites are thoroughly disinfected with an antiseptic. A sterile dressing 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 proprietary biomaterial. The use of artificial implants can cause an allergic reaction to foreign materials.

After choosing the appropriate option, men calmly go through the search for a medical center.They focus not only on price but also look at reviews about the organization and specialist they are contacting.

Surgery is not always the right methodthey resort to this as a last resort!If your penis is longer than 8 cm, we recommend considering options for stretching the organ's tissues:

• 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 complement, 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 uncomplicated. Hyaluronic acid is injected into the penis. On average, the effect lasts one year.

Injections are given only by a specialist, you cannot self-medicate!

Which doctor should I contact?

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

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

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

Tests that need to be done (there are quite a few of them, so set aside some free time to do them all):

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

In addition to the surgeon, you will needconsult withurologist and andrologist.

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

Preparation stage

Before surgery, you need to undergo preparatory procedures. They help to avoid adverse reactions from the body and choose the most appropriate intervention method.

The preparation phase includes the following diagnostic procedures:

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

In addition, studies are being carried out 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 scheduled date, the man should limit his fluid intake. It is also recommended to stop smoking and drinking alcohol.

Rehabilitation period: medical advice

For tissue restoration after surgery, the following are contraindicated:

• Lift heavy objects (this can cause bleeding and tearing of the sutures).
• Drink alcohol, smoke (intoxication of the body after anesthesia causes multiple complications).
• Eat heavy foods. Food should be light so as not to overload the intestines, as constipation will increase the pain in the wound.
• Very cool. After surgery, immunity is reduced. Therefore, exposure to drafts and low temperatures can cause illness.

Immediately after the operation, a catheter is installed in the patient's urethra (urination occurs through it). During the patient's stay in the service, their care (washing, antiseptic treatment) is carried out by the team. Upon discharge from the clinic, the urethral catheter is removed and the man urinates alone. At home, the patient needs to perform intimate hygiene after each trip to the bathroom. This will avoid infection of the operated organ.

Postoperative

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

Postoperatively, antibiotics and analgesics are necessary. To speed up the healing rate of 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 the cleanliness of the genitals. It is important to avoid wearing tight underwear. Squeezing the genital organ contributes to the divergence of the seams.

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

As the penile prosthesis is difficult to perform, the post-operative period is longer. For 2 days after surgery, the patient remains in bed. Then short walks and independent movements around the hospital are allowed.

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. The hospital stay lasts up to 2 weeks. For 2 monthsphysical activity and sex life are limited. This also applies to lipofilling. The remaining interventions allow sexual activity after 2 weeks.

• Hyaluronic acid injections - sauna visits and hot baths are limited.
• Ligamentotomy requires the use of an extender.
• Moderate pain is relieved with the use of nonsteroidal anti-inflammatory drugs.

Possible complications

Any type of surgery involves certain risks. The operation can lead to the development of complications.

This includes the following:

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

Proper 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 is poorly executed.

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 your 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 the problem. Surgical intervention 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 sprains have an extremely negative effect on potency.

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 surgical intervention 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 of ligamentotomy is 12 to 85 thousand rubles.
3. When using implants, the final cost depends on the material. The operation can be carried out at a cost of 40 to 280 thousand rubles.
4. Muscle transplantation will cost 150-250 thousand rubles.

The operation is carried out 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.

Firstly, when choosing a plastic surgery clinic, pay attention to the surgeon's qualifications, 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 experience and professional qualifications. The choice of clinic is also influenced by the availability of intensive care equipment.

Main criteria to look out for

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

• Name of the clinic.
• Legal address.
• Status of the medical facility.
• State LevelAccreditations.
• Signature and seal issued by the State.

The success of the operation largely depends on the technical equipment. Once you know what type of equipment the clinic has, it is important not to forget to check the availability of resuscitation equipment for emergency care.

A friendly environment in the clinic is important. It is important that the patient feels intuitively comfortable with this. A team of experts must inspire confidence in the coherence of their work.

Examination before the procedure and observation after the operation are carried out directly by the clinic staff.

The agreement drawn up between the clinic and the patient must specify the responsibilities of both parties and the degree of responsibility for the actions taken.

It would be nice to hear the opinion of people who used the clinic's services. Find out what the ligamentotomy was like. 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 stretching methods

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

V-Y-plasty

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

Complications in the form of suppuration, the formation of rough scars and folds are possible. Furthermore, 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. Then, 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 very high mobility of the head (granuloptosis) is possible. The implanted cartilage gradually dissolves, worsening the initial result. Synthetic implants can fail.

Operation Shcheplev

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

For installation, prostheses of greater length but smaller diameter are used. Thus, its surface is covered with cavernous tissue, which significantly speeds up healing.

What happens during the operation?

A man who has decided to modify his most intimate area will make an appointment at the appropriate clinic and put his intimate area in order. Read more about shaving your intimate area here.

The first thing he cares about is the size of his penis. In this case, doctors say thatcan be extended up to a maximum of 5 centimeters. The second most popular question is whether it will become broader. The size of the new modified manhood will depend on the type of surgery performed.

How is the procedure performed on the genital organ?

If your doctor is an experienced, licensed genital surgeon, the main stage will last no longer 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 a scalpel into the penis;
• The incision is made in the scrotum, exactly along the dark line - the natural midline suture. If you twist 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 after a more detailed examination;
• The corpora cavernosa move to the side - this is how the doctor finds an exit to the periosteum. The ligament that connects the phallus to the pubic bone is installed in this location. The issue is that about a third of the actual length is here. These entrails are removed;
• the doctor assesses the length of the penis, focusing on the mark. If everything is fine, 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 be impressive.You will see the full effect on the erection. The tunica albuginea is to blame for this. It covers bodies that fill with blood when excited.

Possible risks and side effects

Potential complications of surgical interventions:

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

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

Pricing

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

We suggest you read: Mandatory rules for communicating with men

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

Types of surgery

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

Stretching

With this procedure, the length of the reproductive organ is extended, while its thickness remains unchanged.

Ligamentotomy

This is a surgical enlargement of the penis, 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 STDs, including infectious pathologies. The method takes approximately 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 full and vibrant sexual intercourse. The techniques mainly involve special injections, considered minimally invasive.

Lipofilling

The procedure involves inserting the patient's processed 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 disappear on their own.The operation is painless; if necessary, local anesthesia is used in the form of ointments and injections. Virtually no rehabilitation is required.

Microsurgical muscle transplant

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

Important: before choosing a particular technology, consult a doctor and make a complete diagnosis.