According to research, many men are dissatisfied with the size of their penis and experience psychological or physical discomfort because of it. 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 deficiency and 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 injury or eliminate congenital anomalies.
How to get the effect
In modern medicine there are various ways to enlarge the penis. Plastic surgery can modify individual parts and capabilities of a man or recreate him as an entire organ. As a result of the operation, not only an improvement in external forms is achieved, but also the preservation of all its functions.
All known surgical interventions aimed at changing the size of the penis aim to increase its length or thickness. To lengthen the penis, a ligamentotomy (dissection of the suspensatory ligament of the penis) is performed. The following techniques are used to both increase the volume and thickness of the penis:
penile prosthesis (implantation of a prosthesis into the body of the genital organ);
lipofilling (introduction of one's own fat cells into the internal tissues of an organ);
introduction of a collagen matrix (capsules that stimulate the production of its own connective tissue);
installation of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplant (transplant of muscle tissue with formation of an organ);
hyaluronic acid injections (restoration of missing volume).
As a result, turning to a specialist for help, a man receives:
restoration or preservation of penile function;
give aesthetic shapes;
elimination of defects after diseases, developmental anomalies and injuries.
There are also non-surgical methods of penis enlargement that use various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are becoming especially popular. However, doctors warn that their independent use to lengthen the penis not only does not lead 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, compression and rotation. No studies have shown any benefit from them. Furthermore, the use of stretching exercises for the organ 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. Its normal length in the erect state is believed to be between 12 and 18 cm, its diameter is 3-3. 5 cm, its average length in men is 15. 7 cm, a penis less than 9 cm is considered small and less than 2 cm. it is considered a micropenis.
If you have 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 cosmetic correction purposes and for medical reasons, which include:
small penis and micropenis;
congenital anomalies of the urethra;
penile injury;
traumatic amputation;
deformation resulting from 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 evaluate the general state of health and identify possible contraindications. Surgical correction is not performed in the following cases:
age under 18;
blood clotting disorder;
acute infection;
sexually transmitted infections;
diabetes;
mental disease;
chronic diseases with serious pathology.
Preparation for penis enlargement
Once a man has decided to change the size of his penis, the question arises: which doctor should he consult? Penis enlargement surgery is one of the areas of reconstructive plastic surgery and urology. Plastic surgeons specializing in urology or andrology deal with changing the size and shape of the male genital organs. Before the operation, a consultation with the operating doctor is necessary. The doctor will suggest the type of intervention needed, depending on the indications. This can be a complete restoration of the penis (total phalloplasty) or a 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;
ECG;
general blood tests;
blood chemistry;
coagulogram;
blood test for HIV, syphilis, hepatitis;
general urinalysis;
a smear from the urethra to detect infectious agents.
After examination and exclusion of all possible contraindications, the doctor sets the date for the operation. When performing surgery under general anesthesia, a consultation is carried out with an anesthesiologist, who must be informed about the presence of allergic reactions and taking any medications.
Several months before the procedure, you should stop smoking and drinking alcohol. At the preparatory stage, it is necessary to adhere to a gentle diet. 8 hours before surgery the pubic hair is shaved. If an operation is planned under general anesthesia, at least 8 hours must pass after the last meal or liquid.
However, surgical correction is not always necessary. If a man wants to enlarge the penis for aesthetic purposes, the doctor may recommend non-surgical methods: hyaluronic acid injections, which do not require special preparation.
Carry out penis enlargement
There are different types of surgeries 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 30 minutes to 1 hour. A small incision is made on the anterior surface of the scrotum. Through it, the suspensatory ligament, which connects the genital organ to the pubic bone, is partially divided. Subsequently the penis is lengthened to 2-3 cm thanks to the release of its internal (hidden) part. Usually the operation is performed at the request of the man; does not help with erectile dysfunction.
Penile prosthesis
The penile prosthesis is used to treat impotence or for complete plastic surgery when removing a penis or changing sex. The prostheses are rigid and semi-rigid, with two and three components. Rigid prostheses are silicone tubes implanted in the corpora cavernosa. They provide a constant erection, which is not always convenient. Semi-rigid (plastic) prostheses have a special design and have plastic memory. Before sexual intercourse, the prosthesis is extended, moving the penis from the suspended position to the erect state, then bent again.
More physiological are the inflatable and self-inflatable prostheses with two and three components. They are a system of tanks and pipes. Pressing on the scrotum activates a special pump that fills the hollow prosthesis with air or liquid from a hidden reservoir. A three-piece penile prosthesis more accurately reproduces a natural erection.
The operation is performed under spinal or general anesthesia. Its duration is approximately 1 hour. The location of the incision depends on the type of prosthesis: along the coronary sulcus (at the junction between the head and the shaft of the penis), in the scrotum or under the pubis. Parallel channels are formed between the shaft and the skin up to the root of the penis and the implants are inserted. They increase the thickness of the penis by up to 50-70%.
Lipofilling
This is done more for aesthetic purposes. With the help of lipofilling it is possible to even out the shape and increase the thickness of the penis by 2-3 cm, and 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. Adipose 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 the collagen matrix
For aesthetic reasons, for enlargement purposes, special reabsorbable capsules (collagen matrix) are introduced into the penis which stimulate the production of its own connective tissue by the organ.
For this purpose, on the day of surgery, blood is taken from a vein in an amount of 50 ml to obtain stem cells, which are then planted on a matrix. Next, 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 location of the urethra. Within 3-6 months, the matrix dissolves, but its own connective tissue is formed in its place, so the increase in the 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.
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; it is impossible for them to penetrate the shell, even if it breaks. If necessary, they can be removed.
Microsurgical muscle transplant
Microsurgical muscle transplantation is performed for aesthetic and medical reasons. For medical reasons, the operation is performed if there are consequences of injuries, congenital pathologies, 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 organ is created from scratch. This is also used for gender reassignment. To do this, a skin flap and a nerve are usually taken from the back area and the penis is formed according to the scheme. Its size will depend on the patient's wishes. On the pubis a point is selected for its attachment, to which the muscles are sewn. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerves. Subsequently, the surgical wound is sutured and the functioning of the nervous and circulatory systems is checked. The result is a penis similar in appearance and function to an organ that has not undergone surgery.
Hyaluronic acid injections
There is another non-surgical method of penis enlargement - hyaluronic acid injections. The drug is easily administered, is well distributed 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. Then the procedure can be repeated.
Hyaluronic acid injections are also used to enlarge the glans. This procedure is indicated if the diameter of the head is equal to or less than the diameter of the barrel. To do this, under local anesthesia, 2-5 ml of hyaluronic acid gel is injected under the scalp.
Frenulum lengthening - frenuloplasty
In some cases, men have a short frenulum (the area between the head of the penis and the foreskin). This can create discomfort or cause pain during sexual intercourse. To eliminate this problem, frenuloplasty is performed. This operation is performed under local anesthesia on an outpatient basis. Using a scalpel or laser blade, 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 length of the recovery period depends on the volume and type of surgery.
After the ligamentotomy, the patient remains under observation in the hospital for 2-3 days. The stitches are removed after 2 weeks. After surgery it is necessary to limit physical activity and sexual activity for 1 month. To achieve a greater effect, you need to wear a stretcher (or extender) for 6 months after surgery. It is designed to prevent repair of the cut part of the ligament. An extensor is a special stretching device made individually for each patient. Must be used up to 6-8 hours per day for 2-6 months. It does not cause particular inconveniences when worn. In this case the length of the penis increases by up 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 should strictly adhere to the recommendations of doctors.
The penile prosthesis is considered a minimally invasive procedure with a short rehabilitation period. After the operation, the patient remains in the hospital for 1 day. Sexual rest is recommended for 1. 5-2 months.
The rehabilitation period after lipofilling lasts approximately 1 month. The operation is not very traumatic, so the recovery period is quick and without complications. To avoid damage to the transplanted fat cells after surgery, 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 hospital for another day. Sexual contacts are limited for the entire period of matrix resorption.
After the installation of the gel implants, the patient is observed in the hospital for another 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 hospital for 2 weeks. Physical activity and sexual life are limited for 2 months. Urination is allowed only with the help of a catheter installed in the bladder. With total phalloplasty, the rehabilitation period lasts six months. During this period the process of urination begins and erection is restored.
After hyaluronic acid injections, intimate contact is limited for 3-4 weeks. It is necessary to refrain from visiting the sauna and taking hot baths for 2 weeks.
The rehabilitation period after frenuloplasty lasts 1 month. During this period you should abstain from sexual intercourse.
In some cases, if you do not follow your doctor's recommendations, complications can occur. At the first suspicious symptoms, do 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;
scars and tissue deformations;
transplant refusal.