According to research, many men are dissatisfied with the size of their genitals and experience psychological or physical discomfort because of it. This leads to sexual problems, indecision in communication 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 overcome this deficiency and make you feel like a full-fledged person. 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 genital organ. Plastic surgery can change individual parts and capabilities of the manhood or recreate it as an entire organ. As a result of the operation, not only the external forms are improved, but also the protection of all its functions is ensured.
All known surgical interventions aimed at changing the size of the penis are aimed at increasing its length or thickness. Ligamentotomy (severing of the suspensory ligament of the penis) is performed to lengthen the penis. The following methods 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 (insertion of own fat cells into internal tissues of an organ);
application of collagen matrix (capsules that stimulate the production of your own connective tissue);
installation of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplantation (transplantation of muscle tissue with organ formation);
injections of hyaluronic acid (filling the missing volume).
As a result, turning to a specialist for help, a person receives:
restoration or preservation of penile function;
give aesthetic forms;
elimination of defects after diseases, developmental anomalies and injuries.
There are also non-surgical methods of penis enlargement using various devices and exercises. Expanders, expanders, stretchers and vacuum pumps are becoming especially popular. However, doctors warn that their independent use to lengthen the penis not only leads to the desired result, but is also fraught with damage to the corpora cavernosa, tunica albuginea, nerves and blood vessels, as well as erectile dysfunction.
Penis enlargement with exercises is also ineffective. They are massage movements in the form of stretching, squeezing and rotation. No studies have shown any benefit from them. Moreover, the use of stretching exercises for the body can cause erectile dysfunction and damage to blood vessels, bruising and swelling in the penile area.
Tips for penis enlargement
Many men tend to underestimate the size of their reproductive organs. Its normal length in an erect position is 12-18 cm, diameter 3-3. 5 cm, and in men the average length is 15. 7 cm, a penis smaller than 9 cm is believed to be small, less than 2 cm. considered a micropenis.
If you have any doubts or dissatisfaction with yourself, you should consult a doctor who will recommend one of the conservative procedures or surgical intervention methods, depending on the specific situation. 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 caused by diseases;
elimination of the results of operations on the male genital organs;
erectile dysfunction;
difficulty urinating;
gender change.
Contraindications
Before surgery, the main requirement is to assess your general health and identify possible contraindications. Surgical correction is not performed in the following cases:
age less than 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 adjust the size of his penis, the question arises: which doctor should he consult? Penis enlargement surgery is one of the areas of plastic reconstructive surgery and urology. Plastic surgeons specializing in urology or andrology deal with changing the size and shape of the male genitalia. Consultation with the operating physician is required before the operation. The doctor will suggest the necessary type of intervention depending on the indications. It can be a complete restoration of the penis (total phalloplasty) or restoration of a part of the penis, changing its shape or size.
To prevent complications, the doctor prescribes a comprehensive examination. The list of instrumental and laboratory research methods includes:
fluorography;
ECG;
general blood analysis;
blood chemistry;
coagulogram;
blood test for HIV, syphilis, hepatitis;
general urinalysis;
a smear from the urethra to detect infectious agents.
After the examination and excluding all possible contraindications, the doctor sets a date for the operation. When performing surgery under general anesthesia, an anesthetist must be informed about the presence of allergic reactions and taking any medications.
You should stop smoking and drinking alcohol a few months before the procedure. During the preparation phase, you should follow a soft diet. Pubic hair is shaved 8 hours before the intervention. If the operation is planned under general anesthesia, at least 8 hours should pass after the last meal or liquid.
However, surgical correction is not always necessary. If a man wishes to enlarge his penis for aesthetic purposes, the doctor can recommend non-surgical methods - hyaluronic acid injections that do not require special preparation.
Conducting penis enlargement surgery
There are different types of operations to change the size of the penis. Each of them has its own 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 connecting the genital organ to the pubic bone is partially divided. After that, the penis stretches up to 2-3 cm due to the release of its inner (hidden) part. Usually the operation is done at the request of the man, it will not help the erectile dysfunction.
Penis prostheses
A penile prosthesis is used for the treatment of impotence or for the purpose of complete plastic surgery during genital removal or sex reassignment. Prostheses are rigid and semi-rigid, two- and three-component. Rigid prostheses are silicone tubes implanted in the cavernous bodies. They provide a permanent erection, which is not always comfortable. Semi-rigid (plastic) prostheses have a special design and have a plastic memory. Before intercourse, the prosthesis is extended, the penis is brought from a hanging position to an erect position and then bent again.
Two- and three-component inflatable and self-inflating prostheses are more physiological. They are a system of reservoirs and pipes. By pressing on the scrotum, a special pump is activated, which fills the empty prosthesis with air or liquid from a hidden reservoir. The three-part penile prosthesis restores the natural erection more precisely.
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 coronary sulcus (at the junction of the head and shaft 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 mostly 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. When the body becomes thicker, its length in an upright position also increases due to the increase in gravity.
Local anesthesia is usually used to relieve pain. Adipose tissue is taken from a man's groin, abdomen, thigh, or buttocks and injected with a microneedle along the shaft of the genital organ. The operation lasts 1 hour. If necessary, the patient can stay in the clinic overnight.
Presentation of the collagen matrix
For aesthetic reasons, special absorbent capsules (collagen matrix) are inserted into the penis for enlargement, which stimulates the body's own connective tissue production.
For this, on the day of the operation, 50 ml of blood is taken from a vein, stem cells are taken and then planted on the matrix. After that, circular incisions are made along the edge of the head of the penis under general anesthesia, and a collagen matrix is placed under the skin of the penis. It consists of two cylinders with a cut in 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 mainly depends on the individual characteristics of the patient.
Installation of gel implants
Silicone gel implants are installed under the skin along 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, and even if they break, they cannot penetrate the shell. 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 sex change due to injury, congenital pathology, previous diseases of the genital organ, micropenis, hermaphroditism.
This operation is considered a complex surgical operation and is performed under general anesthesia within a few hours. Chest or abdominal muscle tissue is used as a graft. The muscle flap is sewn to the tissues of the penis, and the veins and nerves are sewn.
Total phalloplasty is applied in case of genital organ removal due to oncological or traumatic amputation. In this case, the body is created from scratch. This operation is also used for gender reassignment. For this, a skin flap and a nerve are usually taken from the back area and the penis is shaped according to the pattern. Its size will depend on the wishes of the patient. In the pubis, where the muscles are sewn, a point is selected for its closure. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerves. Then the surgical wound is sutured and the work of the nervous and circulatory system is checked. As a result, a penis is created that is similar in appearance and function to the unoperated organ.
Hyaluronic acid injections
There is another non-surgical method for penis enlargement - hyaluronic acid injections. The drug is easily administered, well distributed in the tissues and compensates for the lost volume. This method allows 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. Then the procedure can be repeated.
Hyaluronic acid injections are also used to enlarge the glans penis. This procedure is indicated when the diameter of the head is equal to or less than the diameter of the barrel. For this, 2-5 ml of hyaluronic acid gel is injected under the scalp under local anesthesia.
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. Frenuloplasty is done to eliminate this problem. This operation is performed on an outpatient basis under local anesthesia. Using a scalpel or laser knife, the frenulum is cut with a transverse incision and then sutured longitudinally using self-absorbing threads. The procedure takes 15-20 minutes.
After the procedure
The duration of the recovery period depends on the volume and type of operation.
After ligamentotomy, the patient remains under observation in the hospital for 2-3 days. Stitches are removed after 2 weeks. It is necessary to limit physical activity and sexual activity for 1 month after the operation. To achieve a greater effect, you should wear a stretcher (or stretcher) for 6 months after the operation. This is designed to prevent repair of the torn part of the ligament. Stretching is a special stretching device that is individually designed for each patient. It should be used up to 6-8 hours a day for 2-6 months. It does not cause any special discomfort when worn. At this time, the length of the penis increases to 3-5 cm, remains stable and does not change over time. The final result depends on the individual characteristics of the body. To avoid complications when wearing an expander, you should strictly follow 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. Sexual rest is recommended for 1, 5-2 months.
The rehabilitation period after lipofilling takes about 1 month. The operation is less traumatic, so the recovery period is quick and without complications. After surgery, it is recommended to limit sexual activity for 2 months to prevent damage to the transplanted fat cells. Sports activities should be postponed for 1 month.
The postoperative period after the application of the collagen matrix is 2-3 months. The patient is under observation in the hospital for 1 more day. Sexual intercourse is limited for the entire period of matrix resorption.
After the gel implants are installed, the patient is observed in the hospital for 1 more day. After 1 month, sexual activity and physical activity are allowed.
The recovery period after microsurgical muscle transplantation lasts 2 months. After the operation, it is necessary to stay under observation in the hospital for 2 weeks. Physical activity and sexual life are restricted for 2 months. Urine is allowed only through a catheter placed in the bladder. The rehabilitation period with total phalloplasty takes six months. During this period, the process of urination begins and the erection is restored.
After injections of hyaluronic acid, intimate contact is restricted for 3-4 weeks. You should refrain from visiting the sauna and taking a hot bath for 2 weeks.
The rehabilitation period after frenuloplasty takes 1 month. You should avoid sexual intercourse during this period.
In some cases, if you do not follow your doctor's recommendations, complications may occur. You should not delay your visit to the clinic at the first suspicious symptoms. Possible complications after phalloplasty:
narrowing of the urethra;
violation of the innervation of the penis;
erectile dysfunction;
reduction of the penis;
inflammation;
bleeding;
tissue scarring and deformation;
graft rejection.