There are two types of penile enlargement surgeries: some increase length, others increase thickness. Consider each of the types for appropriateness, effectiveness and danger to the patient's body. The article pays special attention to the rehabilitation period, since the consolidation of the results of the surgical intervention depends on the rehabilitation.
Lengthening, ligamentotomy
Operations to increase the length of the penis - ligamentotomy. The suspensory ligament is transected, after which the penis must be kept stretched downward during the rehabilitation period, otherwise the ligament may fuse back to its original position. The penis is kept taut with an elastic band. As a result, the angle between the penis and the womb opens (increases). In addition, the inside of the penis is pulled out a little and rooted in a new position.
If you follow the recommendations during the rehabilitation period, you can get an extension of the penis from 1 to 2 cm. If without surgery it is guaranteed to achieve an increase of up to 3 cm, which is confirmed by the results of an international study, then with surgery it will be up to 4-5 cm, but with certain risks.
Indications
The main indication is the patient's desire to improve aesthetic performance.
Expected Feasibility:
- with an erection length of up to 10-12 cm - there are medical indications,
- at 12-15 - performed at the patient's request,
- more than 16 - does not make much sense.
Analyzes
Before surgery, only a testosterone test is usually required. The remaining necessary tests will be carried out in the clinic immediately before the operation. However, please consult your surgeon. Chat with a doctor. This way you will find out how competent and adequate the specialist is. If you cannot get full information from him, the person is no longer inclined to communicate, think about what will happen in case of some complication - you will have to solve the problems yourself.
Contraindications
Contraindications are:
- skin diseases in the area of surgery,
- diseases of the genitourinary system,
- urological diseases,
- inflammation of the urethra and other similar problems.
You will also most likely have to undergo a psychological consultation: if abnormalities are found, they may become a contraindication.
Operating expenses
Examinations and dressings are free.
You can find out how much penile enlargement surgery costs in your city by contacting a medical institution directly.
Types of ligamentotomy
Ligamentotomy is performed through the pubic or scrotal approach. The ligament is cut through the incision.
Pubic access is an outdated method of surgery, after which a rather noticeable scar remains. This operation takes longer, which increases the risk of infection and prolongs the patient's stay under anesthesia.
A more recent technique is ligamentotomy through the scrotal approach: an incision is made in the scrotum and access to the ligament is opened through it. Ligamentotomy through the scrotal approach reduces the operation time from 1-1. 5 hours (standard ligamentotomy) to 20-30 minutes. The scar on the scrotum is almost invisible. Fewer tissues are damaged, the rehabilitation period is shorter.
A side effect of ligamentotomy is a change in the angle of erection. An erect penis will not point forward and up, but forward and down. The operation should not affect the level of erection.
Rehabilitation
In ligamentotomy, the rehabilitation period is extremely important. The supporting ligament is cruciate. To prevent fusion of the ligament in its original position, the penis should be kept stretched downward during the rehabilitation period. For this, a stretcher is used - a stretcher based on an elastic belt. As a result, the angle between the penis and the womb opens (increases). Also, the inside of the penis is pulled out a little, then rooted in a new position. If you do not fix the penis in the right position, it will gradually retract and take its original place.
The stretcher is worn several hours a day with maximum traction. The device will not put pressure on the seam, it is compact, inconspicuous under clothes, you can wear it outside the home. You can start using it in the early postoperative period, which helps to eliminate suture divergence and scar formation.
The result of the operation is fixed and improves in a few months. But the first or second week will be critical. If the patient fails to apply the stretcher in these first days, then the ligamentotomy will be pointless.
After surgery, stress and pain are possible. If you do not familiarize yourself with the stretcher and expander in advance, do not choose a comfortable option for wearing the devices, do not adapt to wearing them, then it will be extremely problematic to experiment after the operation. Very often patients refuse to wear devices because of this or wear them for insufficient time.
The stretcher should be worn for the first 3 weeks, then gradually connect the extender, following your sensations. Postoperative wearing of an extender improves the result. After the ligamentotomy, the extender stretches both the outer and inner parts of the penis. At that time you can have sex. Your doctor should be more specific about this and other precautions after surgery.
You can often hear complaints that the operation does not work. These are only cases where the patient did not follow the above recommendations.
Ask the surgeon what rehabilitation program he plans. If there is no post-operative carrying of a stretcher in it, it is also better to refuse.
Which extender to choose for ligamentotomy
The extender is an alternative to surgery. Without resorting to a scalpel, it is possible to increase the length of the organ to 3-4 cm. But in this article we will consider the extender as a method used in postoperative therapy. A cheap device from a sex shop will not work for these purposes. It must meet several requirements:
- Comes with an elastic carrying strap.
- The extender should be comfortable to be left on for 1. 5-2 hours straight.
An extension cord from a German manufacturer is ideal. An elastic stretch belt is included in the kit for wearing after surgery. The attachment of the extender to the penis is vacuum-adhesive. This type of fixation is the most comfortable of the existing ones and allows you to wear an expander or stretcher for up to 3 hours in a row. Long periods of wear are required for the penis to assume a new position.
After the penile grafting period, you can continue to wear the extender, getting an additional result due to the growth of the penis. Therefore, if you are thinking about surgery, start practicing with the extender before it.
This is the only extender where the attachment does not come into contact with the hard parts of the penis. There are several modifications: bar extension, elastic belt, stretcher and with weights - a hanger.
Increase in thickness
Increasing the thickness of the penis is not easy. Unlike ligamentotomy, thickening surgeries are complicated and can have side effects.
One of the most popular is the patient's fat tissue transplant under the skin of the penis. At the same time, the volume increases by 1-1. 5 cm. But there is always a risk of rejection of adipose tissue, even if it is your own tissue. In addition, fat will be absorbed gradually and, most importantly, unevenly. Because of this, tuberose may appear on the surface of the organ.
Transferring some of the muscle tissue under the skin of the penis, where the shaft wraps around a muscle flap, is another method. The transfer of a muscle to the penis is a complex and expensive manipulation and threatens with complications, even if flawlessly performed. Muscle flap necrosis and ischemia are complications that occur in a number of cases. Then, to save the patient's life, the valve is removed urgently. The muscle area for transplantation is taken from the back. Many doctors believe that this is harmful to the posture because the muscles support the bones and the graft site is not compensated by anything.
The third popular method is the introduction of hyaluronic acid under the skin of the penis. This is a special gel that can add density to the body. The gel is injected quickly. The cost of this operation is low compared to other surgical methods. It is most often performed by a cosmetologist. After a year, the acid dissolves and the procedure must be repeated. Often the injected gel is collected into small lumps and encapsulated. Seals are felt on the penis, the relief of the skin becomes uneven.
All three types of surgery can give approximately the same side effects: weakening of the erection, reduction of sensitivity of the head, curvature of the penis. In addition, after any of the interventions, the organ may retain an unnatural swollen appearance for a very long time.
Every operation is a risk. There are fewer and riskier interventions. Ligamentotomy is relatively safe and effective when worn with an extender. Thickening operations are more dangerous and usually have a temporary effect.
It's never too late to go under the scalpel. Try non-surgical methods of penis enlargement.