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 when 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 grown man. These include both non-surgical procedures and surgical interventions. With the help of operations, it is possible to restore the penis after injury or eliminate congenital anomalies.
How to achieve the effect
In modern medicine, there are several ways to enlarge the penis. Plastic surgery can change individual parts and capabilities of the man or recreate him as a complete organ. As a result of the operation, it is possible not only to improve the external forms, but also to maintain 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 penile suspensory ligament) is performed. The following techniques are used to increase both the volume and thickness of the penis:
penile prosthesis (implantation of a prosthesis in the body of the genital organ);
lipofilling (introduction of the fat cells themselves into the internal tissues of an organ);
introduction of a collagen matrix (capsules that stimulate the production of their own connective tissue);
installation of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplant (transplantation of muscle tissue with the formation of an organ);
hyaluronic acid injections (replacement of missing volume).
As a result, turning to a specialist for help, a man receives:
restoration or preservation of penile function;
giving aesthetic shapes;
elimination of defects after diseases, developmental anomalies and injuries.
There are also non-surgical methods to enlarge the penis that use various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are becoming especially popular. However, doctors warn that its independent use to stretch 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 not effective. They are massage movements in the form of stretching, compression and rotation. No studies have shown any benefit from them. In addition, the use of stretching exercises for the organ can cause erectile dysfunction and damage to blood vessels, bruising and swelling in the penile area.
Indications to enlarge the penis.
Many men tend to underestimate the size of their reproductive organ. It is believed that its normal length when erect is between 12 and 18 cm, its diameter is 3 to 3. 5 cm, its average length in men is 15. 7 cm, a penis of less than 9 is considered small. cm 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 aesthetic correction purposes and for medical reasons, including:
small penis and micropenis;
congenital anomalies of the urethra;
penile injuries;
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 assess your general health and identify possible contraindications. Surgical correction is not performed in the following cases:
age under 18 years;
blood clotting disorder;
acute infection;
sexually transmitted infections;
diabetes;
Mental illness;
chronic diseases with serious pathology.
Preparing for penis enlargement
Once a man has decided to adjust 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 problems related to the change in 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 necessary, according to the indications. It can be a complete restoration of the penis (total phalloplasty) or a restoration of a part of the penis, changing its shape or size.
To avoid complications, the doctor prescribes a comprehensive 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 urine analysis;
a smear from the urethra to detect infectious agents.
After examination and exclusion of all possible contraindications, the doctor sets the date of 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 about 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 soft diet. 8 hours before the intervention, the pubic hair is shaved. If an 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 wants to enlarge the penis for aesthetic purposes, the doctor may recommend non-surgical methods - hyaluronic acid injections, which do not require special preparation.
Performing 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 from 30 minutes to 1 hour. A small incision is made on the front surface of the scrotum. Through it, the suspensory ligament, which joins the genital organ to the pubic bone, is partially divided. After this, the penis lengthens up to 2-3 cm due to the release of its internal (hidden) part. Typically, the operation is performed at the man's request; will not help with erectile dysfunction.
Penis prosthesis
Penile prosthesis is used to treat impotence or to perform complete plastic surgery by removing the penis or changing sex. The prostheses are rigid and semi-rigid, with two and three components. Rigid prostheses are silicone tubes that are 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 a hanging position to an erect state and then bent again.
More physiological are the two- and three-component inflatable and self-inflating prostheses. They are a system of tanks and tubes. Pressing on the scrotum activates a special pump that fills the hollow prosthesis with air or fluid 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 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 inserted. They increase the thickness of the penis up to 50-70%.
lipofilling
This operation is performed more for aesthetic purposes. With the help of lipofilling you can equalize the shape and increase the thickness of the penis by 2-3 cm. Due to increased 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 removed from the man's pubic area, abdomen, thighs or buttocks and injected along the axis of the genital organ with a microneedle. The operation lasts 1 hour. If necessary, the patient can stay in the clinic overnight.
Introduction of collagen matrix.
For aesthetic reasons, in order to enlarge it, special absorbable capsules (collagen matrix) are introduced into the penis, which stimulate the production of its own connective tissue in the organ.
To do this, on the day of the operation, blood is taken from a vein in an amount of 50 ml to obtain stem cells, which are then planted in a matrix. After this, 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 cut at the location of the urethra. In 3 to 6 months, the matrix resolves, but in its place its own connective tissue forms, so the increased size of the organ remains forever. The diameter of the penis can increase by 1 to 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 side surfaces of the penis. With its 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 cosmetic and medical reasons. For medical reasons, the operation is performed if there are consequences of injury, congenital pathology, 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 thorax or abdomen is used as a graft. The muscle flap is sutured to the tissues of the penis, 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 operation is also used for gender reassignment. To do this, a flap of skin and a nerve are usually removed from the posterior area and the penis is formed according to the pattern. Its size will depend on the patient's wishes. On the pubis, a point is selected for fixation, to which the muscles are sewn. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerves. The surgical wound is then sutured and the functioning of the nervous and circulatory system 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 to enlarge the penis: hyaluronic acid injections. The drug is easily administered, distributes well in the tissues and compensates for the missing volume. This method allows increasing the length of the organ from 1 to 3 cm and the thickness from 3 to 5 cm. The procedure is performed under local anesthesia and lasts 10 minutes. With a fine 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. The procedure can then 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 smaller 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 knife, the frenulum is cut with a transverse incision and then sutured longitudinally with self-absorbing threads. The procedure lasts between 15 and 20 minutes.
After the procedure
The length of the recovery period depends on the volume and type of surgery.
After 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, a stretcher (or extender) should be used for 6 months after surgery. It is designed to prevent repair of the cut portion of the ligament. An extender is a special stretching device that is made individually for each patient. Should be used up to 6-8 hours a day for 2-6 months. It does not cause any particular inconvenience when used. In this case, the length of the penis increases 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 using an extender, it is necessary to 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 lasts approximately 1 month. The operation is not very traumatic, so the recovery period is quick and without complications. To prevent damage to the transplanted fat cells after surgery, it is recommended to limit sexual activity for 2 months. Sports activities must 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 the hospital for 1 more day. Sexual contacts are limited during the entire period of womb resorption.
After the installation of the gel implants, the patient remains under observation in the hospital for 1 more day. Sexual activity and physical activity are allowed after 1 month.
The recovery period after microsurgical muscle transplant lasts 2 months. After the operation, it is necessary to remain under observation in the hospital for 2 weeks. Physical activity and sexual life are limited for 2 months. Urination is only allowed with the help of a catheter installed in the bladder. With total phalloplasty, the rehabilitation period lasts six months. During this time, the urination process begins and the erection is restored.
After hyaluronic acid injections, intimate contact is limited to 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 relations.
In some cases, if you do not follow your doctor's recommendations, complications may occur. At the first suspicious symptoms, you should 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;
tissue scarring and deformation;
graft rejection.