There are two types of penis enlargement surgeries: some increase the length, others the thickness. Consider each of the types for convenience, effectiveness and danger to the patient's body. Particular attention is paid to the rehabilitation period in the article, since the consolidation of the results of surgical intervention depends on rehabilitation.
Lengthening, ligamentotomy
Operations to increase the length of the penis - ligamentotomy. The suspensory ligament is dissected, after which the penis must be kept extended during the rehabilitation period, otherwise the ligament may fuse into its original position. The penis is held taut with an elastic stretcher. As a result, the angle between the penis and the uterus opens (increases). In addition, the inside of the penis is slightly pulled out and takes root in a new location.
If you follow the recommendations during the rehabilitation period, you can achieve an elongation of the penis from 1 to 2 cm. If without surgery an increase of up to 3 cm is guaranteed, as confirmed by the results of an international study, then with surgery it will be up to 4-5 cm, but with some risks.
Indications
The main indication is the patient's desire to improve aesthetic performance.
Estimated feasibility:
- with an erection length of up to 10-12 cm - there are medical indications,
- at 12-15 - carried out at the request of the patient,
- over 16 - doesn't make much sense.
Analyses
Before surgery, only a testosterone test is usually required. The rest of the necessary studies will be carried out in the clinic immediately before the operation. However, please check with your surgeon. Chat with a doctor. So you will understand how competent and adequate the specialist is. If you cannot get complete information from him, the person is already reluctant to communicate, think about what will happen in case of some kind of complication - you will have to solve the problems yourself.
Contraindications
The contraindications are:
- skin diseases in the area of the operation,
- diseases of the genitourinary system,
- urological diseases,
- inflammation of the urethra and other similar problems.
In addition, most likely, you will have to undergo psychological counseling: if anomalies are detected, they can become a contraindication.
Cost of the operation
Inspections and dressings are free.
You can find out how much penis enlargement surgery costs in your city by contacting a medical institution directly.
Types of ligamentotomy
Ligamentotomy is performed through the pubic or scrotal access. The ligament is cut through the incision.
Pubic access is an outdated method of operation, 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 scrotal access: an incision is made on the scrotum and access to the ligament is opened through it. Ligamentotomy through scrotal access reduces the operative time from 1-1. 5 hours (standard ligamentotomy) to 20-30 minutes. The scar on the scrotum is almost invisible. The 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 be directed forward and upward, but forward and downward. The operation should not affect the erection level.
Rehabilitation
In ligamentotomy, the rehabilitation period is extremely important. The supporting ligament is crossed. To prevent the ligament from merging into its original position, the penis must be kept stretched out during the rehabilitation period. A stretcher is used for this, a stretcher based on an elastic belt. As a result, the angle between the penis and the uterus opens (increases). In addition, the inside of the penis is slightly pulled out, after which it takes root in a new location. If you do not fix the penis in the correct position, it will gradually retract and take its original position.
The stretcher is worn for several hours a day at maximum traction. The device does not put pressure on the seam, is compact, invisible under clothes, you can wear it outside the home. You can start using it in the early postoperative period, which helps to eliminate the divergence of the seams and the formation of scars.
The result of the operation is fixed and improved for several months. But the first or second week will be crucial. If the patient does not apply the stretcher in these first few days, the ligamentotomy will be useless.
After the operation, stress and pain are possible. If you do not know the stretcher and extender in advance, do not choose a convenient option for wearing the devices, do not adapt to wearing them, so it will be extremely problematic to experiment after the operation. Patients very often refuse to wear the devices for this reason 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 use of an extender improves the outcome. After a ligamentotomy, the extender stretches both the outer and inner parts of the penis. By this time, you can already have sex. Your doctor should be more specific about this and other precautions after surgery.
You can often hear complaints that the operation did not work. These are only cases when the patient did not follow the above recommendations.
Ask the surgeon what kind of rehabilitation program he has planned. If there is no postoperative use of a stretcher, it is even better to refuse.
Which extensor 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 up 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 strap.
- The extender should be comfortable so that it can be left on for 1. 5-2 hours straight.
An extender from a German manufacturer is ideal. The set includes an elastic belt to wear after surgery. The attachment of the extender to the penis is vacuum adhesive. This type of fastening is the most comfortable of the existing ones and allows you to wear an extender or stretcher for up to 3 hours in a row. Long periods of use are required for the penis to settle in a new position.
After the engraftment period of the penis, you can continue to wear the extender, obtaining an additional result due to the growth of the penis. Therefore, if you are considering 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. It has several modifications: an extender on bars, on an elastic belt, a stretcher, and with weights - a hook.
Thickness increase
Increasing the thickness of the penis is not easy. Unlike ligamentotomy, thickening operations are complex and can have side effects.
One of the most popular is transplanting a patient's fat flap 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, the fat will be gradually and, more importantly, absorbed unevenly. Thus, tuberosity can appear on the surface of the organ.
Another method is the transfer of a section of muscle tissue under the skin of the penis, where the shaft wraps around a muscle flap. Transferring a muscle to the penis is a complicated and expensive manipulation and threatens with complications, even if done flawlessly. Muscle flap necrosis and ischemia are complications that occur in a number of cases. Then, to save the patient's life, the flap is removed urgently. The muscle section for the transplant is taken from the back. Many doctors believe this is detrimental to posture, as the muscles support the bones and the graft site is not compensated for 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 give the body thickness. The gel is injected quickly. The cost of this operation is low compared to other surgical methods. Most often performed by a cosmetologist. After a year, the acid resolves and the procedure must be repeated. Often, the injected gel is collected in small lumps and encapsulated. Seals are felt on the penis, skin relief becomes uneven.
All three types of surgery can have roughly the same side effects: weakening of the erection, decreased sensitivity of the head, curvature of the penis. In addition, after any of the interventions, the organ can retain an unnatural swollen appearance for a long time.
Any operation is a risk. There are increasingly risky interventions. Ligamentotomy is relatively safe and effective when worn with an extensor. Thickening operations are more dangerous and usually have a temporary effect.
It is never too late to go under the scalpel. Try non-surgical penis enlargement methods.