Most often, men think about penis enlargement for psychological reasons. The pressure of socio-cultural factors or the negative experience of intimacy prompts representatives of the stronger sex to apply to the clinic.
Keep in mind that in most cases, dissatisfaction with the size of the penis is successfully resolved with psychotherapy. However, there are also medical indications for such an operation. The feasibility of the procedure is determined by the doctor based on the examination and medical history, after which he makes recommendations to the patient.
As for the normal length of the penis, there are no clear answers to this question. Much depends on measurement methods, racial differences, and other factors. For example, for Europeans it is 12-18 centimeters in an erect position. In this case, the measurement should be taken from the pubic bone, since the fat folds around the penis make it visually smaller.
A reason to consult a doctor about the enlargement of your penis may be a size less than 12 cm, as well as a change in its shape. In addition to the lengthening surgery, the penis is also thickened. Such results are achieved in various ways, which will be discussed below.
Types of operations
Modern plastic surgery has several methods of penis enlargement. Doctors often resort to combined methods, which include both surgical intervention and the use of special devices - extenders. The latter is installed on the penis and helps to stretch it in length. Let's take a look at the most common penis enlargement surgeries that are performed in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement surgeries. The essence of this intervention is the crossing of the ligaments supporting the penis (ligamentum suspensorium penis).
The ligaments that hold the penis in place go deep into the pelvis and attach to the pelvic bones. If you cut them, the penis extends 3-5 centimeters. This is achieved with the help of an extender, which is prescribed to a man after surgery. At the same time, protocols exist without the use of additional devices. The choice of technique is determined by the doctor according to the indications and capabilities of the clinic.
Initially, the suspensory ligaments were divided through the pubic bone. However, after such an operation, the patient has visible scars. A more modern method is to access the scrotum through a small incision. This procedure takes only 15-20 minutes, and rehabilitation takes no more than 14 days. The procedure is performed using absorbable suture material.
In fact, this surgical intervention does not add a single millimeter to the penis. The operation will only redistribute its length, removing the perineal part of the reproductive organ.
Lipofilling
The thickness of the penis can be increased by means of lipofilling. For this purpose, the patient's adipose tissue is used, which is transplanted under the skin into the penis. One of the advantages of using your own tissue is that there is no immune system rejection.
This operation is performed under general anesthesia. In the first stage, adipose tissue accumulates. Incisions are made on the patient's thighs or abdomen, through which a certain amount of fat is removed using a syringe. Then the fatty mass is cleaned of blood impurities and melts into a thin layer under the skin of the penis through a microscopic puncture.
At the end of the operation, plasters are applied to the puncture sites.This procedure increases the thickness of the penis by about 0. 5-1. 5 cm.
surgical thickening
It is also possible to increase the diameter of the penis by transplanting muscle tissue. A muscle flap is taken from the patient's abdomen or groin and placed around the genitals.
This operation is considered complex and associated with postoperative complications. In particular, the probability of a hernia is high.
Hyaluronic acid injections
Many clinics perform penile enlargement with hyaluronic acid injections. This component has long been used for contouring, including genitals. Fillers (fillers) with hyaluronic acid smooth wrinkles, make the skin elastic. The substance blends well with tissues and does not cause rejection or allergic reactions.
When injected into the penis, hyaluronic acid is evenly distributed over the entire surface, thus achieving a proportional enlargement of the organ. If necessary, only the head can be enlarged separately.
This procedure does not require a hospital stay. At the same time, the technique also has its drawbacks. So, unlike surgical methods of penis enlargement, the effect of hyaluronic acid is temporary. After about 12-18 months, the substance will be completely absorbed, after which the procedure can be repeated.
Advantages of ligamentotomy
Among the existing surgical methods for penis enlargement, doctors prefer ligamentotomy.This technique is considered the safest and least traumatic for the patient. Here are the main advantages of this operation:
- The intervention does not require general anesthesia. Local anesthesia is enough to eliminate pain.
- The man spends only 2-3 days in the clinic.
- Rehabilitation after surgery is only 2 weeks. Intimate life can be restored after 1-1. 5 months. In this case, the first few contacts may be accompanied by discomfort, but it passes quickly. Otherwise, you should consult a doctor.
- Unlike other methods of penis enlargement, the reproductive organ itself is not subject to any traumatic effects. The operation is performed only on the ligaments.
- In addition to elongation, this intervention partially eliminates other defects such as curvature.
The disadvantages of the method include the impossibility of accurately determining the effect of the operation in advance. It all depends on the individual characteristics of the man. In some patients, the size of the reproductive organ increases by 4-5 cm, and in others - by 2-3. Another consequence of penis enlargement is a change in the angle of erection. However, this does not affect the strength of the erection organ in any way.
Indications for ligamentotomy
There are both aesthetic and medical indications for penile enlargement surgery. The latter includes:
- Peyronie's disease is a pathological curvature of the penis that occurs due to fibrosis in the area of the corpora cavernosa;
- The length of the penis is too short (micropenis);
- Compaction of cavernous bodies due to their replacement by connective tissue.
Often this operation is performed for aesthetic and/or psychological reasons:
- A man's desire to increase self-esteem and attractiveness;
- getting rid of psychological discomfort and complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of the genitals.
diagnosis
Before the penis enlargement surgery, a diagnosis is carried out, which includes:
- consultations with an andrologist (or urologist) and a plastic surgeon;
- psychotherapist consultation (if necessary);
- UAC;
- blood chemistry;
- blood test for infections - HIV, syphilis, hepatitis virus;
- consultation with anesthesiologist;
- EKG
- Other types of studies (at the doctor's discretion).
Some side effects are temporary. After their elimination, the procedure can be carried out.
Contraindications
Plastic surgery for penis enlargement is contraindicated if:
- up to 18 years (genital organs are still developing);
- severe diseases of internal organs;
- acute inflammatory processes of the urogenital system;
- blood clotting disorders;
- arterial hypertension;
- erectile dysfunction;
- mental illness;
- malignant neoplasms;
- serious pathologies of the cardiovascular system;
- endocrine pathologies;
- Local infectious and/or purulent foci.
Possible complications
Immediately after surgical correction, swelling and hematoma appear in the intervention area, which lasts for several days. Such postoperative complications are normal and disappear in a few days. In very rare cases, bleeding and suppuration of postoperative stitches are possible.
recovery period
In the first days after the operation, the patient is prescribed painkillers and antibiotics (to prevent infectious complications). Every 2 days you have to go to the clinic for dressings. If a non-absorbable suture is placed on the wound, it is removed after 14 days.
In order to consolidate the results after ligament cutting surgery, a man is advised to use an extender for 2-4 months. The device should be worn for several hours a day and removed at night.
If the extender is not worn, the operation may be useless. The fact is that the cruciate ligament grows together, bringing the reproductive organ to its original position.
What determines the outcome of penis enlargement?
First of all, the result of surgical intervention depends on the individual physiological characteristics of the patient. In particular, it is the length of the perineal part of the penis (which can stretch when the ligaments are crossed), as well as the elasticity of the tissue.
A lot depends on the capabilities of the clinic, the experience of the doctors, as well as the man's compliance with the recommendations. Remember that if you follow the medical instructions, the effect lasts for life.