Features of penis enlargement surgery.

After having tried all 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 area, we will know the approximate prices and the clinics where these operations are performed.

Men are divided into several categories:

• have a medium size, which adapts perfectly to him and his partner;
• You have a normal, medium or large size, but you would like to have an even larger one;
• you 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 7 cm);
• There are consequences of an injury or disease of the penis.

Surgical penis enlargement is carried out both for medical reasons and in order to cosmetically correct the appearance.

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

Indications

To perform penis enlargement surgery, the man's desire alone is not enough. It is necessary to undergo an examination by 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 penis structure;
• dysfunction arising against the background of complicated fibrosis;
• organ injury;
• erect penis length less than 12 cm;
• inability to have sexual relations;
• Peyronie's disease or pathological curvature of the penis.

Male prejudices: the main reasons for dissatisfaction with size

The desire to improve the parameters of the penis is 90% associated with dissatisfaction in the intimate sphere. For example, if a man was 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 her causes improvement in the parameters of the penis. Furthermore, women associate factor 2 with the tiny size of the man's penis, which does not always cause 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 this as a doctor. This is a sensitive topic that is not normally discussed openly, but I constantly encounter these types of complaints.

In general, various exercises to enlarge the penis have existed for a long time, but, unfortunately, they require a large amount 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 dare to take that step.

Penis prosthesis

The result of surgery to enlarge the penis with a prosthesis depends on the type of implant that was used. Penis enlargement with this method is considered difficult.

In rare cases, rigid prostheses are used. Most commonly, inflatable or plastic implants are inserted. The operation is performed under general anesthesia. The prosthesis is introduced through an incision in the area of the spongy bodies.

The implants are made of different materials, but always hypoallergenic.

This type of operation is performed only for medical reasons, when penile underdevelopment is accompanied by sexual dysfunction. The cost of such a penis enlargement operation depends on the material used, the complexity of the pathology and other factors. Penile prostheses are not available to everyone.

Contraindications for surgery.

The specialist does not enlarge the reproductive organ invasively if the patient:

1. Low blood coagulation.
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 – the presence of serious mental disorders (schizophrenia, epilepsy); tendency to develop colloidal scars; Purulent processes in the groin area.

Ligamentotomy

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 penile ligament, which supports 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 a while. It is facilitated by activities that involve the use of an extender during the rehabilitation period.

Existing methods

There are many methods to enlarge the penis, but most of them are non-surgical options.

The operations are divided into zones: lengthening or thickening.

Penis enlargement surgeries:

• Ligamentotomy;
• Penis prosthesis.

And the group of operations to thicken the penis includes:

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

lipofilling

The operation begins by placing the patient under general anesthesia. Initially, the biomaterial is collected from the area where it is most abundant. Then the purification process of the resulting material is carried out. The next step is to insert it into the genital organ with a special needle.

Injection sites are thoroughly disinfected with an antiseptic. A sterile bandage is applied to the genital organ. In total, the procedure lasts no more than an hour.

The main advantage of lipofilling is the use of its own biomaterial. The use of artificial implants can cause an allergic reaction to foreign materials.

After choosing the appropriate option, men calmly proceed to search for a medical facility.They focus not only on the price, but also look at reviews about the organization and the specialist they turn to..

Surgery is not always the correct methodThey resort to it as a last resort!If your penis is longer than 8 cm, we recommend considering options for stretching the tissues of the organ:

• Extender or Stretcher;
• hanging loads;
• Exercise or jelqing;
• Massage;
• Bomb of void.

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 a year.

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

Which doctor should I contact?

If the decision to enlarge the penis through surgery is deliberate, achieved with effort and there is no turning back, the patient resorts toto the plastic surgery clinic.

Large clinics have a department of aesthetic surgery or intimate plastic surgery. You should first meet with your doctor, preliminarily.the consultation is not very expensive.

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

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

• general blood tests;
• blood coagulation test;
• general urine analysis;
• analysis of blood group and Rh factor;
• examination for HIV infection, hepatitis B and C;
• blood test for RW;
• ECG.

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

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

Preparation stage

Before surgery, it is necessary to go through preparatory procedures. They help avoid adverse reactions in the body and choose the most appropriate intervention method.

The preparation stage includes the following diagnostic procedures:

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

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 appointed date, the man should limit his fluid intake. It is also recommended to stop smoking and drinking alcoholic beverages.

Rehabilitation period: doctor's advice.

For tissue restoration after surgery, the following are contraindicated:

• Lift heavy objects (this can cause bleeding and sutures to break).
• Drinking alcohol, smoking (intoxication of the body after anesthesia causes multiple complications).
• Eat heavy foods. The diet should be light so as not to overload the intestines, since constipation will increase the pain in the wound.
• Super cool. After surgery, immunity decreases. 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 department, his care (washing, antiseptic treatment) is the responsibility of the staff. Upon discharge from the clinic, the urethral catheter is removed and the man urinates on his own. At home, the patient must perform intimate hygiene after each visit to the bathroom. This will prevent infection of the operated organ.

Postoperative period

After ligamentotomy, the patient remains in the hospital 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 increases.

Antibiotics and analgesics are required in the postoperative period. 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 cleanliness of the genitals. It is important to avoid wearing tight underwear. Squeezing the genital organ contributes to the divergence of the sutures.

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

Since penile prostheses are difficult to perform, the postoperative period is longer. For 2 days after surgery, the patient remains in bed. Short walks and independent movement around the hospital are then allowed.

After 10 days, increase physical activity. The total duration of the rehabilitation period is 1 month.

Recovery

The longest recovery period is observed after phalloplasty. The hospital stay reaches 2 weeks. For 2 months, physical activity and sexual life are limited. This also applies to lipofilling. The rest of the interventions allow sexual activity after 2 weeks.

• Hyaluronic acid injections: visiting the sauna and taking hot baths is limited.
• Ligamentotomy requires the use of an extensor.
• Moderate pain is relieved by taking nonsteroidal anti-inflammatory drugs.

Possible complications

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

These include the following:

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

Proper operation ensures the absence of scars and scars on the genital organ. The erectile function in this case is not suppressed. Difficulties arise if the operation was performed poorly.

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 enlargement will help eliminate this 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 power.

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 penile prosthesis ranges from 180 to 250 thousand rubles.
2. The price of ligamentotomy is from 12 to 85 thousand rubles.
3. When using implants, the final cost depends on the material. The operation can be performed at a cost of 40 to 280 thousand rubles.
4. Muscle transplant 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.

First of all, when choosing a clinic for plastic surgery, attention is paid to the qualifications of the surgeon, but the conditions and environment itself are also important. Without good medical equipment, it is almost impossible to achieve an ideal result, even with professional experience and skills. The choice of clinic is also influenced by the availability of intensive care equipment.

Main criteria to pay attention to

Permit to operate and a license are required. The documents say:

• Clinic name.
• Legal direction.
• Medical center status.
• State level Accreditations.
• Signature and seal issued by the state.

The success of the operation largely depends on the technical equipment. Having found out what type of equipment the clinic has, it is important not to forget to check the availability of resuscitation equipment to provide emergency care.

A friendly atmosphere in the clinic is important. It is important that the patient feels intuitively comfortable with it. A team of specialists 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 should specify the responsibilities of both parties and the extent of liability for actions taken.

It would be nice to hear the opinions of people who have used the clinic's services. Find out what your 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 lengthening methods.

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

V-Yplasty

The essence of the operation is to create a constrictive skin defect in the pubic area (above the root of the penis).. First, a V-shaped incision is made, which is sutured to a Y. During the operation, the sling and suspensory ligaments are cut. As a result, the penis is visually enlarged 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 from the thickness of the corpora cavernosa and spongy tissue, and the neurovascular bundle is mobilized. Cartilage particles or synthetic materials are then implanted into the resulting space between the head and the porous bodies.As a result of the stretching of the nerves and corpus spongiosum, the length of the penis increases by 2. 5 to 5 cm.

As for complications, the subsequent formation of scar tissue and too high mobility of the head (granuloptosis) are possible. The implanted cartilage gradually dissolves, so the initial result will worsen. Synthetic implants can fail.

Operation Shcheplev

The essence of the operation is to introduce longer implants into the corpora cavernosa than the tunica albuginea allows. To stretch it, several cuts are made.With conventional penile prostheses 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 its installation, prostheses of greater length but smaller diameter are used. Therefore, its surface is covered with cavernous tissue, which significantly accelerates healing.

What happens during the operation?

A man who has decided to modify his most intimate area goes and makes an appointment at the appropriate clinic and puts his intimate area in order. Read more about how to shave your intimate area here.

The first thing she cares about is how much bigger his penis will be. In this case, doctors say thatcan be extended up to a maximum of 5 centimeters. The second most popular question is whether it will be expanded. The size of the new modified penis will depend on the type of surgery that has been performed.

How is the procedure performed on the genital organ?

If your doctor is an experienced and licensed genital surgeon, the main stage will take no more than 30 to 35 minutes.

Does it look like this:

• the patient is placed under general anesthesia;
• The entire genital area, at the same time the stomach and legs, are generously disinfected with iodine;
• the doctor coldly cuts the penis with a scalpel;
• The incision is made in the scrotum, exactly along the dark line: the natural suture of the midline. If you turn 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 upon closer examination;
• The cavernous bodies move to one side; This is how the doctor finds a way out of the periosteum. In this place the ligament that joins the phallus to the pubic bone has settled. The thing is that about a third of the actual length is found here. These intestines are removed;
• The doctor evaluates 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 hang impressively.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.

Possible complications of surgical interventions:

• Bleeding. Consequence of damage to large vessels (if the symptom arose during surgery) or lifting heavy objects (if it appeared during the recovery period).
• Nerve damage during tissue dissection.
• Formation of a large scar (due to 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 failed surgical penis enlargement is impotence and erectile dysfunction.

Prices

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

We suggest you read: Mandatory rules for communicating with men.

• Technical difficulty for the surgeon;
• clinical policies;
• Scope of work of the specialist;
• Additional materials (implants, prostheses).

types of surgery

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

Elongation

With this procedure, the reproductive organ is extended in length, 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 lasts 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 a full and vibrant sexual relationship. The techniques mainly involve special injections, which are 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 several months, after which the injected tissues resolve 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 method, the specialist removes tissue from the muscles of the patient's back or armpit, after which he implants them into the genital organ and then restores the normal functioning of the nerve endings. This is a complex and expensive method, but as a result of competent work it is possible to obtain an enlarged organ that is sensitive to stimulation.

Important: Before choosing a particular technology, be sure to consult a doctor and undergo a comprehensive diagnosis.