There are two types of penis enlargement surgeries: some increase length, others increase girth. 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 divided, after which the penis must be kept stretched downwards during the rehabilitation period, otherwise the ligament may fuse in its original position. The penis is held taut with an elastic band stretcher. As a result, the angle between the penis and the womb opens (increases). Also, the inside of the penis is pulled out a bit and rooted in a new position.
If you follow the recommendations during the rehabilitation period, you can achieve a penis lengthening of 1-2 cm, if without surgery it is guaranteed to achieve an increase of up to 3 cm, which is confirmed by the results of an international study. , then with surgery it will be up to 4-5 cm, but with certain risks.
Indications
The main indication is the patient's desire to improve esthetic performance.
Estimated viability:
- 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.
Analysis
Before surgery, usually only a testosterone test is required. The rest of the necessary studies will be carried out in the clinic immediately before the operation. However, check with your surgeon. Chat with a doctor. Then you will understand how competent and suitable the specialist is. If you cannot get complete information from him, the person is already reluctant to communicate, think about what will happen in the event of some kind of complication - you will have to solve problems on your own.
Contraindications
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, you will most likely have to undergo a psychological consultation: if abnormalities are detected, they can become a contraindication.
Cost of operation
Revisions and bandages are free.
You can find out how much penis enlargement surgery costs in your city by contacting a medical institution directly.
Types of ligamentotomy
The 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 newer technique is the scrotal access ligamentotomy: an incision is made in the scrotum and access to the ligament is opened through it. Ligamentotomy through the scrotal access reduces the operation time from 1 to 1. 5 hours (standard ligamentotomy) to 20 to 30 minutes. The scar on the scrotum is almost invisible. Less tissue is damaged, the rehabilitation period is shorter.
A side effect of ligamentotomy is a change in the angle of erection. An erect penis will not go forward and up, but forward and down. The operation should not affect the level of erection.
Rehabilitation
In ligamentotomy, the rehabilitation period is extremely important. The supporting ligament is crossed. To prevent the ligament from fusing in its original position, the penis must be kept stretched during the rehabilitation period. For this, a stretcher is used - a stretcher based on an elastic belt. As a result, the angle between the penis and the womb opens (increases). Also, the inside of the penis is pulled out a little, after which it is rooted in a new position. If you do not fix the penis in the correct position, it will gradually retract and take its original place.
The stretcher is used for several hours a day with maximum traction. The device will not put pressure on the seam, it is compact, invisible under clothes, you can use 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 critical. If the patient does not apply the stretcher in these first few days, then the ligamentotomy will be useless.
After the operation, stress and pain are possible. If you do not get acquainted with the stretcher and extender in advance, do not choose a convenient option for using the devices, do not adapt to use them, it will be extremely troublesome to experience after the operation. Patients very often refuse to use devices because of this or use them for insufficient time.
The stretcher should be used for the first 3 weeks, then gradually connect the extender, according to your feelings. The postoperative use of an extender improves the result. After a ligamentotomy, the extender stretches both the outside and inside of the penis. Around this time, you can already have sex. Your doctor should be more specific about this and other precautions after surgery.
Often you can hear complaints that the operation did not work. These are just cases where the patient did not follow the above recommendations.
Ask the surgeon what type of rehabilitation program he plans. If there is no postoperative use of a stretcher, it is also better to refuse.
Which extender to choose for ligamentotomy
The extender is an alternative to surgery. Without resorting to the 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. You must meet several requirements:
- It comes with an elastic stretcher strap.
- The extender should be comfortable so that it can be left in for 1. 5-2 hours at a time.
An extender from a German manufacturer is ideal. The set includes an elastic stretcher belt for use after surgery. The attachment of the extender to the penis is vacuum adhesive. This type of fixation is the most comfortable of the existing ones and allows you to wear an extender or stretcher for up to 3 hours at a time. Long periods of use are needed for the penis to settle into a new position.
After the period of penis engraftment, you can continue to use the extender, obtaining an additional result due to the growth of the penis. So if you're thinking about surgery, start practicing with the extender earlier.
This is the only extender where the accessory 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 hanger.
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 the transplantation of the 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. Also, the fat will be absorbed gradually and, more importantly, unevenly. Therefore, the tuberosity can appear on the surface of the organ.
Transferring a section of muscle tissue under the skin of the penis, where the shaft wraps around a muscle flap, is another method. The transfer of a muscle to the penis is a complicated and expensive manipulation, and it threatens with complications, even if it is carried out without problems. Necrosis and ischemia of the muscle flap are complications that occur in several cases. Then, to save the patient's life, the flap is urgently removed. The section of muscle for the transplant is taken from the back. Many doctors believe that this is detrimental to posture, as the muscles support the bones and the graft site is not offset 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 thicken the body. The gel is injected quickly. The cost of this operation is low compared to other surgical methods. Most often it is done 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, the relief of the skin becomes uneven.
All three types of surgery can produce approximately the same side effects: weakening of the erection, decreased sensitivity of the head, curvature of the penis. Also, after any of the interventions, the organ can retain an unnaturally swollen appearance for a long time.
Any operation is a risk. There are fewer and fewer risky interventions. Ligamentotomy is relatively safe and effective when used with an extender. Thickening operations are more dangerous and usually have a temporary effect.
It's never too late to go under the knife. Try non-surgical penis enlargement methods.