According to research, many men are dissatisfied with the size of their penis and experience psychological or physical discomfort as a result. 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 see a doctor. There are many techniques that can eliminate this deficiency and feel like a full-fledged man. This includes both non-surgical procedures and surgical procedures. With the help of surgery, you can restore the penis after an injury or eliminate congenital anomalies.
How to achieve the effect
In modern medicine there are various ways to enlarge the penis. Plastic surgery can change individual parts and abilities of a man or restore him as a whole organ. The operation not only improves the external shape, but also preserves all of its functions.
All known surgical procedures to resize the penis are aimed at increasing its length or thickness. To lengthen the penis, a ligamentotomy (dissection of the suspensory ligament of the penis) is performed. The following techniques are used to increase both the volume and thickness of the penis:
Penile prosthesis (implantation of a prosthesis into the body of the sexual organ);
Lipofilling (introducing your own fat cells into the internal tissue of an organ);
Introduction of a collagen matrix (capsules that stimulate the production of your own connective tissue);
Installation of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplantation (transplantation of muscle tissue to form an organ);
Injections of hyaluronic acid (filling up missing volume).
As a result, when a man turns to a specialist for help, he receives:
Restoration or preservation of penile function;
give aesthetic forms;
Elimination of defects after diseases, developmental anomalies and injuries.
There are also non-surgical methods of penis enlargement using various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are particularly popular. However, doctors warn that their independent use to stretch the penis not only does not lead to the desired result, but is also associated with damage to the erectile tissue, tunica albuginea, nerves and blood vessels, as well as erectile dysfunction.
Penis enlargement with exercises is also ineffective. These are massage movements in the form of stretching, pressing and rotation. No studies have shown any benefit from it. In addition, the use of stretching exercises for the organ can lead to erectile dysfunction and vascular damage, 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 when erect is believed to be between 12 and 18 cm, its diameter is 3 to 3. 5 cm. Its average length in males is 15. 7 cm. A penis of less than 9 cm is considered small, and less than 2 cm is considered a micropenis.
If you have doubts or dissatisfaction with yourself, you should consult a doctor who, depending on the situation, will recommend one of the methods of conservative approach 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 due to disease;
Elimination of the consequences of operations on the male genital organs;
erectile dysfunction;
difficulty urinating;
Gender change.
Contraindications
The most important 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 mellitus;
mental illness;
chronic diseases with severe pathology.
Preparing for penis enlargement
If a man has decided to adjust his penis size, the question arises: which doctor should he consult? Penis enlargement surgery is one of the areas of plastic reconstructive surgery and urology. Plastic surgeons who specialize in urology or andrology deal with changing the size and shape of male genital organs. Before the operation, consultation with the operating doctor is required. Depending on the indication, the doctor will suggest the necessary type of intervention. This can be a complete reconstruction of the penis (total phalloplasty) or the reconstruction 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 analysis;
blood chemistry;
coagulogram;
blood test for HIV, syphilis, hepatitis;
general urinalysis;
a swab from the urethra to detect infectious pathogens.
After examining and excluding all possible contraindications, the doctor sets a date for the operation. When carrying out an operation under general anesthesia, there is a consultation with an anesthetist, who must be informed about the presence of allergic reactions and whether any medications are being taken.
You should stop smoking and drinking alcohol a few months before the procedure. During the preparation phase, you must follow a sparing diet. The pubic hair is shaved 8 hours before the procedure. If surgery is planned under general anesthesia, at least 8 hours must pass after the last meal or fluid.
However, there is not always a need for surgical correction. If a man wants to enlarge the penis for aesthetic reasons, the doctor may recommend non-surgical methods - injections of hyaluronic acid that 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 30 minutes to 1 hour. A small incision is made in the front of the scrotum. This partially cuts the suspensory ligament that attaches the sexual organ to the pubic bone. After that, the penis lengthens by 2-3 cm due to the release of its inner (hidden) part. As a rule, the operation is carried out at the man's request; It does not help with erectile dysfunction.
Penile prosthetics
Penile prostheses are used to treat impotence or for the purpose of complete plastic surgery when removing a penis or undergoing gender reassignment surgery. Prostheses are rigid and semi-rigid, two- and three-component. Rigid prostheses are silicone tubes that are implanted into the erectile tissue. They ensure a constant erection, which is not always comfortable. Semi-rigid (plastic) prostheses have a special design and a plastic memory. Before sexual intercourse, the prosthesis is stretched, bringing the penis from the hanging position to the erect state and then bending it again.
Two- and three-component inflatable and self-inflating prostheses are more physiological. They are a system of reservoirs and tubes. By applying pressure to the scrotum, a special pump is activated, which 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. The 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 penile head and penile shaft), in the scrotum or under the pubic bone. Between the shaft and the skin, parallel channels are formed up to the base of the penis and prostheses are inserted. They increase penis thickness by up to 50-70%.
Lipofilling
This operation is performed more for aesthetic reasons. With the help of lipofilling, you can even out the shape and increase the thickness of the penis by 2-3 cm. Due to the increase in gravity as the organ thickens, its length when not erect also increases.
Local anesthesia is usually used to relieve pain. Fatty tissue is removed from the man's pubic area, abdomen, thighs or buttocks and injected with a microneedle along the shaft of the sexual organ. The operation lasts 1 hour. If necessary, the patient can stay in the clinic overnight.
Introduction of a collagen matrix
For aesthetic reasons, special absorbable capsules (collagen matrix) are inserted into the penis to increase the size, which stimulate the production of the body's own connective tissue in the penis.
To do this, 50 ml of blood is taken from a vein on the day of the operation to obtain stem cells, which are then planted on a matrix. A circular incision is then made along the edge of the glans under general anesthesia and a collagen matrix is placed under the skin of the penis. It consists of two cylinders with a recess at the location of the urethra. Within 3-6 months, the matrix dissolves, but its own connective tissue forms in its place, so the increased 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
Gel silicone 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 tears. If necessary, they can be removed.
Microsurgical muscle transplantation
Microsurgical muscle transplantation is performed for aesthetic and medical reasons. For medical reasons, the operation is carried out if there are consequences of injuries, congenital pathologies, previous diseases of the penis, micropenis, sex reassignment due to hermaphroditism.
This operation is considered a complex surgical procedure and is performed under general anesthesia over several hours. Muscle tissue from the chest or abdomen is used as a transplant. The muscle flap is sutured to the tissue of the penis, the vessels and nerves are sutured.
In case of penis removal due to oncology or traumatic amputation, total phalloplasty is performed. In this case, the organ is created from scratch. This process is also used for gender reassignment. To do this, a flap of skin and a nerve are usually removed from the back area and the penis is shaped according to the pattern. Its size depends on the patient's wishes. An attachment point is selected on the pubic bone 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 function of the nervous and circulatory systems is checked. The result is a penis that resembles in appearance and function an organ that has not undergone surgery.
Hyaluronic acid injections
There is another non-surgical method of penis enlargement - injections of hyaluronic acid. The drug is easy to administer, distributes well in the tissue 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. A preparation based on hyaluronic acid is injected under the skin of the penis using a thin needle. Biodegradation occurs over time. The effect usually lasts up to a year. The process can then be repeated.
Hyaluronic acid injections are also used to enlarge the glans. This procedure is indicated when the diameter of the head is equal to or smaller than the diameter of the barrel. To do this, 2-5 ml of hyaluronic acid gel is injected under the scalp under local anesthesia.
Frenum lengthening – frenuloplasty
In some cases, men have a short frenulum (the area between the glans and the foreskin). This can cause discomfort or pain during intercourse. To eliminate this problem, frenuloplasty is performed. This operation is performed on an outpatient basis under local anesthesia. The frenulum is cut transversely with a scalpel or laser knife and then sutured lengthways with self-absorbing threads. The process takes 15-20 minutes.
After the procedure
The length of the recovery period depends on the extent 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 the operation, it is necessary to limit physical and sexual activity for a month. To achieve greater effect, you must wear a stretcher (or extender) for 6 months after surgery. It is intended to prevent repair of the severed portion of the ligament. An extender is a special stretching device that is made individually for each patient. It needs to be used up to 6-8 hours a day for 2-6 months. When worn, it does not cause any particular inconvenience. In this case, the penis length increases to 3-5 cm, it 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 must 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 to 2 months.
The rehabilitation period after lipofilling lasts about 1 month. The operation is not very traumatic, so the recovery phase is quick and uncomplicated. 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 will be observed in the hospital for another day. Sexual contacts are limited for the entire period of matrix resorption.
After the gel implants are inserted, 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 is 2 months. After the operation, a two-week observation stay in the hospital is required. Physical activity and sex life are restricted for 2 months. Urination is allowed only with the help of a catheter installed in the bladder. With a complete phalloplasty, the rehabilitation period lasts six months. During this period, the process of urination begins and the erection is restored.
After injections with hyaluronic acid, intimate contact is restricted for 3-4 weeks. You should avoid sauna visits and hot baths for 2 weeks.
The rehabilitation period after frenuloplasty is 1 month. During this time you should avoid sexual intercourse.
In some cases, complications may arise if you do not follow your doctor's recommendations. 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;
reduction of penis size;
Inflammation;
bleeding;
scarring and deformation of tissue;
Transplant rejection.