According to research, many men are dissatisfied with the size of their penis and feel psychological or physical discomfort because of this. 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 men to seek medical help. There are many techniques that can eliminate this deficiency and make you feel like a complete man. This includes non-surgical procedures and surgical interventions. With the help of operations, you can restore the penis after an injury or eliminate congenital anomalies.
How to achieve the effect
In modern medicine, there are several ways to enlarge the penis. Plastic surgery can alter individual parts and capabilities of the manhood or recreate it as an entire organ. As a result of the operation, not only an improvement in external forms is achieved, but also the preservation of 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 suspensory ligament of the penis) is performed. The following techniques are used to increase the volume and thickness of the penis:
penile prosthesis (implantation of a prosthesis in the body of the genital organ);
lipofilling (introduction of one's own fat cells into the internal tissues of an organ);
introduction of collagen matrix (capsules that stimulate the production of connective tissue itself);
installation of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplantation (transplantation of muscle tissue with organ formation);
hyaluronic acid injections (replacement of missing volume).
As a result, when asking a specialist for help, a man receives:
restoration or preservation of penile function;
giving aesthetic shapes;
elimination of defects after illnesses, 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 becoming especially popular. However, doctors warn that its independent use to lengthen the penis not only does not lead to the desired result, but also causes damage to the corpora cavernosa, tunica albuginea, nerves and blood vessels, as well as erectile dysfunction.
Penis enlargement with exercise is also ineffective. These are massage movements in the form of stretching, compression and rotation. No studies have shown any benefit from them. Furthermore, the use of organ stretching exercises can lead to erectile dysfunction and damage to blood vessels, bruising and swelling in the penis region.
Indications for penis enlargement
Many men tend to underestimate the size of their reproductive organ. It is believed that its normal length in an erect state varies from 12 to 18 cm, its diameter is 3 to 3. 5 cm. Its average length in men is 15. 7 cm. A penis less than 9 cm is considered small and less than 2 cm. It is considered a micropenis.
If you have any doubts or dissatisfaction with yourself, you should consult 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 the purpose of aesthetic correction and for medical reasons, which include:
small penis and micropenis;
congenital anomalies of the urethra;
penile injuries;
traumatic amputation;
deformation resulting from disease;
elimination of the consequences of operations on 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;
blood clotting disorder;
acute infection;
sexually transmitted infections;
diabetes;
mental disease;
chronic diseases with severe pathology.
Preparing to enlarge your penis
After a man decides 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 issues of changing the size and shape of male genitals. Before the operation, a consultation with the operating doctor is required. The doctor will suggest the type of intervention necessary, depending on the indications. It can be a complete restoration of the penis (total phalloplasty) or restoration 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 urine analysis;
a swab of the urethra to detect infectious agents.
After examination and exclusion of all possible contraindications, the doctor sets the date for the operation. When performing surgery under general anesthesia, a consultation is held with the anesthetist, who must be informed about the presence of allergic reactions and the use of any medications.
Several months before the procedure, you must stop smoking and drinking alcohol. At the preparatory stage, you need to follow a moderate diet. 8 hours before the intervention, the pubic hair is shaved. If an operation is planned under general anesthesia, at least 8 hours must pass after the last meal or liquid.
However, there is not always a need for surgical correction. If a man wants to enlarge his 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 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 connects the genital organ to the pubic bone, is partially divided. After that, the penis is lengthened to 2-3 cm due to the release of its inner (hidden) part. Normally the operation is carried out at the man's request, it is of no use in erectile dysfunction.
Penile prostheses
Penile prosthesis is used to treat impotence or for the purpose of complete plastic surgery to remove the penis or change sex. Prostheses are rigid and semi-rigid, with two and three components. Rigid prostheses are silicone tubes 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 suspended position to an erect position and then folded again.
More physiological are two- and three-component inflatable and self-inflating prostheses. They are a system of reservoirs and tubes. By pressing on 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. Its duration is about 1 hour. The location of the incision depends on the type of prosthesis - along the coronary groove (at the junction of the head and shaft of the penis), in the scrotum or under the pubis. Parallel channels are formed between the shaft and the skin to the root of the penis and prostheses are inserted. They increase penis thickness by up to 50-70%.
Lipofilling
This operation is performed more for aesthetic purposes. With the help of lipofilling, it is possible to even out the shape and increase the thickness of the penis by 2 to 3 cm. Due to the increase in gravity when the organ thickens, its length in the non-erect state also increases.
Local anesthesia is generally used for pain relief. Adipose tissue is taken from the man's pubic region, abdomen, thighs or buttocks and injected along the shaft 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, for enlargement purposes, special absorbable capsules (collagen matrix) are introduced into the penis, which stimulate the production of the organ's own connective tissue.
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 cutout at the location of the urethra. Within 3-6 months, the matrix resolves, 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 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 lateral surfaces of the penis. With their help, it is possible to increase the thickness of the genital organ by up to 1. 5 cm. The operation is performed under general anesthesia for 1 hour. These implants do not cause rejection or allergic reactions, making it impossible for them to penetrate the shell, even if it ruptures. If necessary, they can be removed.
Microsurgical muscle transplant
Microsurgical muscle transplantation is performed for aesthetic 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 chest 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 body is created from scratch. This operation is also used for gender reassignment. To do this, usually a skin flap and a nerve are taken from the posterior region, and the penis is formed according to the pattern. Its size will depend on the patient's wishes. A point is selected on the pubis for its attachment, to which the muscles are sewn. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerves. Subsequently, the surgical wound is 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 medicine is easy to administer, well distributed in the tissues and compensates for the lack of volume. This method allows you to increase the length of the organ by 1 to 3 cm and the thickness by 3 to 5 cm. The procedure is performed under local anesthesia and lasts 10 minutes. Using a fine needle, a hyaluronic acid-based preparation is injected under the skin of the penis. Over time, biological degradation occurs. The effect usually lasts up to a year. Then the procedure can be repeated.
Hyaluronic acid injections are also used to enlarge the glans penis. This procedure is recommended if the head diameter is equal to or smaller than the barrel diameter. To do this, under local anesthesia, 2 to 5 ml of hyaluronic acid gel are 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 sutured longitudinally with self-absorbent threads. The procedure takes 15 to 20 minutes.
After the procedure
The length of the recovery period depends on the volume and type of surgery.
After the ligamentotomy, the patient remains under observation in the hospital for 2 to 3 days. The stitches are removed after 2 weeks. After surgery, it is necessary to limit physical and sexual activity for 1 month. To achieve greater effect, it is necessary to use a stretcher (or extender) for 6 months after surgery. It is designed to prevent repair of the severed portion of the ligament. An extender is a special stretching device made individually for each patient. It should be used 6 to 8 hours a day for 2 to 6 months. Does not cause any special 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, you must strictly follow doctors' recommendations.
The penile prosthesis is considered a minimally invasive operation with a short rehabilitation period. After the operation, the patient remains hospitalized 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 period is quick and without complications. To avoid 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 to 3 months. The patient remains under observation in the hospital for another day. Sexual contacts are limited throughout the period of matrix reabsorption.
After installing the gel implants, the patient is observed in the hospital for another 1 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 sex life are limited for 2 months. Urination is only permitted with the aid of a catheter installed in the bladder. With total phalloplasty, the rehabilitation period takes six months. During this period, the urination process begins and the erection is restored.
After hyaluronic acid injections, intimate contact is limited for 3-4 weeks. You should avoid going to the sauna and taking hot baths for 2 weeks.
The rehabilitation period after frenuloplasty lasts 1 month. During this period, you must refrain from sexual intercourse.
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;
scars and tissue deformations;
graft rejection.