According to research, many men are dissatisfied with the size of their penis and therefore experience psychological or physical discomfort. This leads to problems of a sexual nature, indecision 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 flaw and make you feel like a full-fledged man. These include both non-surgical procedures and surgical interventions. With the help of operations, you can restore the penis after an injury or remove congenital anomalies.
How to achieve the effect
In modern medicine, there are various ways to enlarge the penis. Plastic surgery can change individual 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 interventions aimed at changing the size of the penis are aimed at increasing its length or thickness. Ligamentotomy (dissection of the suspensory ligament of the penis) is performed to lengthen the penis. The following techniques are used to increase the volume and thickness of the penis:
penile prosthesis (implantation of a prosthesis in the body of the genital organ);
lipofilling (introduction of own fat cells into the internal tissues of an organ);
introduction of collagen matrix (capsules that stimulate the production of own connective tissue);
placement 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);
injections with hyaluronic acid (filling the missing volume).
As a result, turning to a specialist for help, a person receives:
restoration or preservation of penile function;
giving aesthetic forms;
removal of defects after diseases, developmental anomalies and injuries.
There are also non-surgical methods of penis enlargement using various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are becoming 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 fraught with damage to the cavernous bodies, tunica albuginea, nerves and blood vessels, as well as erectile dysfunction.
Penis enlargement with exercise is also ineffective. They are massage movements in the form of stretching, pressing and rotation. No studies have shown any benefit from them. In addition, the use of 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 organ. It is believed that its normal length in an erect state varies from 12-18 cm, its diameter is 3-3. 5 cm. Its average length in men is 15. 7 cm. A penis under 9 cm is considered small, and moresmaller 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 procedure or surgical intervention. The operation can be performed both for the purpose of aesthetic correction and for medical reasons, which include:
small penis and micropenis;
congenital anomalies of the urethra;
penile injuries;
traumatic amputation;
deformation as a result of diseases;
elimination of the consequences 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 under 18 years;
blood coagulation disorder;
acute infection;
sexually transmitted infections;
diabetes;
mental illness;
chronic diseases with severe pathology.
Preparation for penis enlargement
After a man decides to correct the size of his penis, the question arises which doctor to consult? Surgery for penis enlargement is one of the directions in plastic-reconstructive surgery and urology. Plastic surgeons specializing in urology or andrology deal with the problems of changing the size and shape of the male genital organs. Before the operation, a consultation with the operating physician is necessary. The doctor will suggest the necessary type of intervention depending on the indications. This can be a complete restoration of the penis (total phalloplasty) or restoration of part of the penis, changing its shape or size.
To avoid complications, the doctor prescribes a thorough examination. The list of instrumental and laboratory research methods includes:
fluorography;
EKG;
general blood analysis;
blood chemistry;
coagulogram;
blood test for HIV, syphilis, hepatitis;
general analysis of urine;
smear from the urethra to detect infectious agents.
After an examination and exclusion of all possible contraindications, the doctor sets a date for the operation. When performing an operation under general anesthesia, a consultation is held with an anesthesiologist, who must be informed about the presence of allergic reactions and taking medications.
A few months before the procedure, you should stop smoking and drinking alcohol. At the preparatory stage, you must adhere to a gentle diet. 8 hours before the intervention, the pubic hair is shaved. If surgery is planned under general anesthesia, then at least 8 hours should pass after the last meal or liquid.
However, surgical correction is not always needed. If a man wishes to enlarge the penis for aesthetic purposes, the doctor can recommend non-surgical methods - hyaluronic acid injections that do not require special preparation.
Performing penis enlargement
There are different types of surgery to change the size of the penis. Each of them has its 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, which attaches the genital organ to the pubic bone, is partially divided. Then the penis is lengthened to 2-3 cm due to release of the inner (hidden) part. Usually, the operation is performed at the request of the man, it will not help with erectile dysfunction.
Penile prosthesis
A penile prosthesis is used to treat impotence or for complete plastic surgery for penis removal or sex reassignment. Dentures 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 are specially designed and have a plastic memory. Before intercourse, the prosthesis is extended, moving the penis from a pendent position to an erect state and then flexed again.
Two- and three-component inflatable and self-inflating prostheses are more physiological. They are a system of tanks and pipes. Pressing the scrotum activates a special pump that fills the hollow prosthesis with air or liquid from a hidden reservoir. The three-part penile prosthesis more accurately reproduces a natural erection.
The operation is performed under spinal or general anesthesia. Its duration is about 1 hour. The location of the incision depends on the type of prosthesis - along the coronal groove (at the junction of the head and body of the penis), in the scrotum or under the pubis. Parallel canals are formed between the shaft and the skin to the root of the penis and prostheses are placed. They increase the thickness of the penis up to 50-70%.
Lipofilling
This operation is performed more for aesthetic purposes. With the help of lipofilling, you can even out 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 to relieve pain. Fat tissue is taken from the man's pubic area, abdomen, thighs or buttocks and injected along the shaft of the genital organ with a microneedle. The operation lasts 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, special resorbable capsules (collagen matrix) are introduced into the penis, which stimulate the organ's production of its own connective tissue.
To do this, on the day of the operation, blood is taken from a vein in an amount of 50 ml to obtain stem cells, which are then planted on a matrix. Then, 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 cutout at the place of the urethra. Within 3-6 months, the matrix dissolves, 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 matrices largely depends on the individual characteristics of the patient.
Placement of gel implants
Gel-like silicone implants are installed under the skin on the lateral surfaces 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 bursts. 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 are consequences of injury, congenital pathology, previous diseases of the penis, 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 sutured to the penile tissues, the vessels and nerves are sutured.
In case of removal of the penis due to oncology or traumatic amputation, total phalloplasty is used. In this case, the body is created from scratch. This operation is also used for gender reassignment. To do this, a flap of skin and nerve is usually taken from the back area and the penis is shaped according to the model. Its size will depend on the wishes of the patient. On the pubis, a point is chosen for its attachment, to which the muscles are sewn. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerve. The surgical wound is then sutured and the functioning of the nervous and circulatory systems is checked. The result is a penis that resembles the appearance and function of an organ that has not undergone surgery.
Hyaluronic acid injections
There is another non-surgical method for penis enlargement - hyaluronic acid injections. The drug is easily applied, distributes well in the tissues and compensates for the missing volume. This method allows you to increase the length of the organ by 1-3 cm and the thickness by 3-5 cm. The procedure is performed under local anesthesia and lasts 10 minutes. Using a thin needle, a preparation based on hyaluronic acid is injected under the skin of the penis. Over time, its biological degradation occurs. The effect usually lasts up to a year. The procedure can then be repeated.
Hyaluronic acid injections are also used to enlarge the glans penis. This procedure is indicated if the head diameter is equal to or less than the barrel diameter. 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. This surgery 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 with self-absorbable sutures. The procedure takes 15-20 minutes.
After the procedure
The length of the recovery period depends on the volume and type of surgery.
After ligamentotomy, the patient remains under observation in the hospital for 2-3 days. Sutures are removed after 2 weeks. After the operation, it is necessary to limit physical activity and sexual activity for 1 month. To achieve a greater effect, you should wear a stretcher (or extender) for 6 months after the operation. It is designed to prevent the cut part of the ligament from regenerating. The extender is a special stretching device that is made individually for each patient. It should be used up to 6-8 hours a day for 2-6 months. It does not cause any particular discomfort when wearing. 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 individual characteristics of the body. To avoid complications when wearing an extender, you must strictly adhere to the recommendations of doctors.
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. A sexual break for 1. 5-2 months is recommended.
The rehabilitation period after lipofilling takes about 1 month. The operation is low-traumatic, so the recovery period is quick and without complications. To avoid damage to the transplanted fat cells after the operation, it is recommended to limit sexual activity for 2 months. Sports activities should be postponed 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 contacts are limited for the entire period of matrix resorption.
After placement of gel implants, the patient is observed in the hospital for 1 more day. Sexual activity and physical activity are allowed after 1 month.
The recovery period after microsurgical muscle transplantation lasts 2 months. After the operation, it is necessary to remain under observation in the hospital for 2 weeks. Physical activity and sexual life are restricted for 2 months. Urination is allowed only with the help of a catheter installed in the bladder. With a complete phalloplasty, the rehabilitation period takes six months. During this time, the process of urination begins and the erection is restored.
After injection of hyaluronic acid, intimate contact is limited for 3-4 weeks. You should refrain from visiting the sauna and taking hot baths for 2 weeks.
The rehabilitation period after frenuloplasty takes 1 month. During this period, you should refrain from sexual intercourse.
In some cases, if you do not follow the doctor's recommendations, complications may occur. At the first suspicious symptoms, you should not postpone your visit to the clinic. Possible complications after phalloplasty:
narrowing of the urethra;
violation of the innervation of the penis;
erectile dysfunction;
penis reduction;
inflammation;
bleeding;
tissue scarring and deformity;
graft rejection.