There are two types of penis enlargement surgery: some increase length, some increase thickness. Consider each of the types in terms of convenience, effectiveness and danger to the patient's body. Particular attention is paid in the article to the rehabilitation period, since the consolidation of the results of surgical intervention depends on rehabilitation.
lengthening, ligamentotomy
Operations to lengthen the penis - ligamentotomy. The suspension ligament is severed, after which the penis must be kept stretched during the rehabilitation period, otherwise the ligament may fuse in its original position. The penis is kept taut with an elastic band tensioner. This opens (enlarges) the angle between the penis and the uterus. Also, the inside of the penis is pulled out a little and rooted in a new position.
If you follow the recommendations during the rehabilitation period, you can achieve lengthening of the penis by 1-2 cm. Without surgery, lengthening of up to 3 cm is guaranteed, which is confirmed by the results of an international study , then with surgery it will bebe up to 4-5 cm, but with certain risks.
Hints
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 - performed at the request of the patient,
- more than 16 - it doesn't make much sense.
analyses
A testosterone test is usually all that is required prior to surgery. The remaining necessary examinations are 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 appropriate the specialist is. If you cannot get complete information from him, then the person is already reluctant to communicate. Think about what will happen in case of a complication - you have to solve problems yourself.
contraindications
Contraindications are:
- skin diseases in the area of the operation,
- diseases of the urogenital system,
- urological diseases,
- Inflammation of the urethra and other similar problems.
Also, most likely, you will have to undergo psychological counseling: if any abnormalities are detected, they can become a contraindication.
operations costs
Inspections and associations are free.
You can find out how much penis enlargement surgery costs in your city by contacting a medical facility directly.
Types of ligamentotomy
The ligamentotomy is performed through either the pubic or scrotal approach. The ligament is severed through the incision.
Pubic access is an outdated surgical method that leaves a fairly noticeable scar. This operation takes longer, which increases the risk of infection and prolongs the patient's stay under anesthesia.
A newer technique is the ligamentotomy through the scrotum approach: An incision is made in the scrotum and this opens access to the ligament. Ligamentotomy through the scrotal approach reduces the operating time from 1-1. 5 hours (standard ligamentotomy) to 20-30 minutes. The scar on the scrotum is almost invisible. Less tissue is damaged, the rehabilitation time is shorter.
A side effect of ligamentotomy is a change in the angle of erection. An erect penis is not directed 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 support band is crossed. To prevent the ligament from growing into 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. This opens (enlarges) the angle between the penis and the uterus. Also, the inside of the penis is pulled out a little, after which it takes root in a new position. If you do not fix the penis in the right position, it will gradually retract and take its original place.
The stretcher is worn several hours a day with maximum traction. The device does not put pressure on the seam, it is compact, invisible under clothes, you can wear it outside the house. You can use it in the early postoperative period, which will help eliminate seam divergence and scar formation.
The result of the operation is fixed and improved for several months. But the first week or two will be crucial. If the patient does not put the stretcher on during these first few days, the ligamentotomy is pointless.
Stress and pain are possible after the operation. If you do not familiarize yourself with the stretcher and extender in advance, do not choose a convenient option for carrying the devices, do not get used to wearing them, then experimenting after the operation will be extremely problematic. As a result, patients very often refuse to wear devices or wear them too little.
The stretcher should be worn for the first 3 weeks, then gradually connect the extender as you feel. Wearing an extender postoperatively improves the outcome. After a ligamentotomy, the extender stretches both the outer and inner parts of the penis. At this time you can already have sex. Your doctor should be more specific about these and other precautions after surgery.
Often one hears complaints that the operation did not work. These are only cases when the patient did not follow the above recommendations.
Ask the surgeon what type of rehabilitation program they are planning. If there is no postoperative wearing of a stretcher, then it is also better to refuse.
Which extender 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 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 enough to be worn for 1. 5 to 2 hours at a time.
An extender from a German manufacturer is ideal. The set includes an elastic strap for carrying after the operation. The extender is attached to the penis using 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 wearing times are necessary for the penis to settle into a new position.
After the penis transplantation phase, you can continue to wear the extender and get an additional result due to the growth of the penis. So if you're thinking about surgery, start practicing with the extender beforehand.
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 hanger.
increase in thickness
Increasing penis thickness is not easy. Unlike ligamentotomy, thickening surgeries are complex and may be associated with 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, fat is absorbed gradually, and most importantly, unevenly. Therefore, tuberosity can appear on the surface of the organ.
Another method is to transfer a section of muscle tissue under the skin of the penis where the shaft wraps around a flap of muscle. The transfer of a muscle to the penis is a complicated and expensive manipulation and threatens with complications, even if it is carried out flawlessly. Necrosis and ischemia of the muscle flap are complications that occur in a number of cases. Then the flap is urgently removed to save the patient's life. 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 nothing compensates for the graft site.
The third popular method is the insertion of hyaluronic acid under the skin of the penis. This is a special gel that can add thickness to the body. 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 will dissolve and the procedure will have to be repeated. Often the injected gel is collected and encapsulated in small clumps. Seals are felt on the penis, the skin relief becomes uneven.
All three types of surgery can cause approximately the same side effects: weakening of the erection, decrease in sensitivity of the head, curvature of the penis. In addition, after one of the procedures, the organ can retain an unnaturally swollen appearance for a very long time.
Every operation is a risk. There are fewer and fewer risky interventions. Ligamentotomy is relatively safe and effective when worn with an extender. Thickening operations are more dangerous and usually only have a temporary effect.
It's never too late to go under the scalpel. Try non-surgical penis enlargement methods.