There are two types of penis enlargement surgeries: some increase the length, others increase the thickness. Consider each of the types of convenience, effectiveness and danger to the patient's body. Special attention is given to the rehabilitation period in the article, since the consolidation of the results of the surgical intervention depends on the rehabilitation.
stretching, ligamentotomy
Operations to increase the length of the penis - ligamentotomy. The suspensory ligament is cut, after which the penis must be kept straight down during the rehabilitation period, otherwise the ligament may fuse into its original position. The penis is kept straight with an elastic stretcher. As a result, the angle between the penis and the uterus opens up (increases). Also, the inside of the penis is pulled out a little bit and takes root in a new position.
If you follow the recommendations during the rehabilitation period, you can achieve a 1-2 cm penis elongation. If without surgery, an increase of up to 3 cm is guaranteed, 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 aesthetic performance.
Estimated Viability:
- with an erection length of up to 10-12 cm - there are medical indications,
- at 12-15 - performed at the request of the patient,
- over 16 - doesn't make much sense.
analysis
Before surgery, usually only one test of testosterone is needed. The rest of the necessary studies will be carried out at the clinic immediately before the operation. However, please check with your surgeon. Talk to a doctor. This way 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 yourself.
contraindications
Contraindications are:
- skin diseases in the area of the operation,
- genitourinary system diseases,
- urological diseases,
- inflammation of the urethra and other similar problems.
In addition, most likely, you will need to undergo a psychological consultation: if abnormalities are detected, they may become a contraindication.
Cost of operation
Inspections and dressings are free.
You can find out how much penis enlargement surgery costs in your city by contacting a medical institution directly.
Types of ligamentotomy
Ligamentotomy is performed through pubic or scrotal access. The ligament is cut through the incision.
Pubic access is an outdated method of operation, after which a quite noticeable scar remains. This operation takes longer, which increases the risk of infection and prolongs the patient's stay under anesthesia.
A more recent technique is ligamentotomy through scrotal access: an incision is made in the scrotum and access to the ligament is opened through it. Ligamentotomy through the scrotal access reduces the operating time from 1-1. 5 hours (standard ligotomy) to 20-30 minutes. The scar on the scrotum is almost invisible. Less tissues are damaged, the rehabilitation period is shorter.
A side effect of ligamentotomy is a change in the angle of erection. An erect penis will not be directed forwards and upwards, but forwards and downwards. The operation should not affect the level of erection.
Rehabilitation
In ligamentotomy, the rehabilitation period is extremely important. The supporting ligament is cruciate. To avoid fusing the ligament into its original position, the penis must be kept straight 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 uterus opens up (increases). 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 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 does not put pressure on the seam, it is compact, invisible under clothing, you can wear it outside. You can start using it immediately post-op, which helps to eliminate seam divergence and scar formation.
The result of the operation is corrected and improved for several months. But the first week or two will be critical. If the patient does not apply the stretcher in these first few days, the ligamentotomy will be useless.
After the operation, stress and pain are possible. If you do not familiarize yourself with the stretcher and extender in advance, do not choose a convenient option for using the devices, do not adapt to their use, it will be extremely troublesome to try after the operation. Patients 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, following your feelings. Postoperative use of an extender improves the outcome. After a ligamentotomy, the extender stretches the outer and inner parts of the penis. Around that time, you can already have sex. Your doctor should be more specific about this and other precautions after surgery.
You can often 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 post-operative use 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 by up to 3-4 cm, but in this article we will consider the extender as a method used in postoperative therapy. A cheap sex shop device will not work for these purposes. It must meet several requirements:
- Comes with an elastic stretcher strap.
- The extender should be comfortable so that it can be left on for 1. 5 to 2 hours straight.
An extender from a German manufacturer is ideal. The set includes an elastic 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 use an extender or stretcher for up to 3 hours straight. Long periods of use are necessary for the penis to settle into a new position.
After the penis grafting period, you can continue using the extender, getting an additional result due to the growth of the penis. So if you are considering surgery, start practicing with the extender first.
This is the only extender in which the accessory does not come into contact with the hard parts of the penis. It has several modifications: an extender on bars, 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 may have side effects.
One of the most popular is the transplant of a patient's fat flap under the skin of the penis. At the same time, the volume increases by 1 to 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 gradually and, more importantly, absorbed unevenly. Therefore, the tuberosity may appear on the surface of the organ.
Transferring a section of muscle tissue under the skin of the penis, where the shaft surrounds 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 carried out without fail. Muscle flap necrosis and ischemia are complications that occur in many cases. Then, to save the patient's life, the flap is urgently removed. The muscle section for transplantation is taken from the back. Many doctors believe that this is a detriment to posture, as the muscles support the bones, and the graft site is not compensated for 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 give 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 resolves and the procedure must be repeated. Often, the injected gel is collected in small pieces and encapsulated. Seals are felt on the penis, the relief of the skin becomes uneven.
All three types of surgery can give approximately the same side effects: weakening of the erection, decreased sensation of the head, curvature of the penis. Also, after any of the interventions, the organ may maintain an unnaturally swollen appearance for a long time.
Any operation is a risk. There are increasingly 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 scalpel. Try non-surgical penis enlargement methods.