There are two types of penis enlargement surgery: some increase length, others increase thickness. Consider each type for expediency, effectiveness and danger to the patient's body. Special attention is paid to the period of rehabilitation in the article, because consolidation of the results of surgical intervention depends on rehabilitation.
Lengthening, ligamentotomy
Operations to increase the length of the penis - ligamentotomy. The suspensory ligament is cut, 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 the help of an elastic band. As a result, the angle between the penis and the uterus opens (increases). Also, the inside of the penis is pulled out a little, and it takes root in a new position.
If you follow the recommendations during the rehabilitation period, the penis can be lengthened from 1 to 2 cm, and without surgery, you are guaranteed to achieve an increase of up to 3 cm, 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 the aesthetic effect.
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 - doesn't make much sense.
Analysis
Before surgery, only testosterone is usually needed. The rest of the necessary studies will be done in the clinic immediately before the operation. However, check with your surgeon. Talk to the doctor. This way you will understand how competent and adequate the expert is. If you cannot get complete information from him, the person is already reluctant to communicate, think about what will happen in case of some complication - you will have to solve the problems yourself.
Contraindications
Contraindications are:
- skin diseases in the area of operation,
- diseases of the genitourinary system,
- urological diseases,
- inflammation of the urethra and other similar problems.
Also, most likely, you will have to undergo a psychological consultation: if abnormalities are detected, they may become a contraindication.
Operating costs
Examinations and bandages are free.
You can find out how much penis enlargement surgery costs in your city directly by contacting a medical institution.
Types of ligamentotomy
Ligamentotomy is performed via a pubic or scrotal approach. The ligament is cut through the incision.
The pubic approach is an outdated method of surgery, after which a rather 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 the scrotal approach: an incision is made on the scrotum and access to the ligament is opened through it. Ligamentotomy through the scrotal approach shortens the operation time from 1-1. 5 hours (standard ligamentotomy) to 20-30 minutes. The scar on the scrotum is almost invisible. Fewer 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 point 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 supporting ligament is crossed. In order to prevent the ligament from joining in its original position, the penis must be kept stretched during the rehabilitation period. Stretchers are used for this - stretchers based on an elastic belt. As a result, the angle between the penis and the uterus opens (increases). Also, the inside of the penis is pulled out a little, after which it is rooted 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 worn for several hours a day with maximum traction. The device will not put pressure on the seam, it is compact, invisible under clothes, you can wear it outside the house. You can start using it in the early postoperative period, which helps to eliminate suture divergence and scar formation.
The result of the operation was fixed and improved for several months. But the first or second week will be critical. If the patient fails to apply the stretcher in these first days, then the ligamentotomy will be pointless.
After surgery, stress and pain are possible. If you do not familiarize yourself with stretchers and extenders in advance, do not choose a suitable option for carrying the device, do not adapt to wearing them, then it will be extremely problematic to experiment after the operation. Because of this, patients very often refuse to wear the devices or wear them for insufficient time.
The stretcher should be worn for the first 3 weeks, then gradually connect the extender, following your feelings. Postoperatively wearing an extender improves the result. After the ligamentotomy, the extender stretches both the outer and inner parts of the penis. Around that time you can already have sex. Your doctor should be more specific about these and other precautions after surgery.
You can often hear complaints that the operation failed. These are only cases when the patient did not follow the above recommendations.
Ask the surgeon what kind of rehabilitation program he plans. If there is no postoperative stretcher in it, 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 up 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 conditions:
- Comes with an elastic stretcher strap.
- The extender should be comfortable so that you can leave it on for 1. 5-2 hours in a row.
It is an ideal extender from a German manufacturer. The set includes an elastic belt for wearing after surgery. Attaching the extender to the penis is vacuum-adhesive. This type of fixation is the most comfortable of the existing ones and makes it possible to wear extenders or carriers for up to 3 hours in a row. Long periods of wearing are necessary for the penis to settle into a new position.
After the period of penile implantation, you can continue to wear the extender, which will give you an additional result due to the growth of the penis. Therefore, if you are thinking about surgery, start exercising with the extender before it.
This is the only extender where the extension does not come into contact with the hard parts of the penis. It has several modifications: an extension on the bars, on an elastic belt, a stretcher and with weights - a hanger.
Increase in thickness
Increasing the thickness of the penis is not easy. Unlike ligamentotomy, thickening operations are complex and can have side effects.
One of the most popular is the transplantation of the 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 fat tissue, even if it is your own tissue. In addition, fat will be absorbed gradually and, most importantly, unevenly. Therefore, a tuberosity may appear on the surface of the organ.
Transferring part of the muscle tissue under the skin of the penis, where the shaft wraps around the muscle flap, is another method. The transfer of muscles to the penis is a complicated and expensive manipulation, which threatens complications, even if performed flawlessly. Necrosis and ischemia of the muscle flap are complications that occur in a large number of cases. Then, in order to save the patient's life, the flap is urgently removed. The muscle part for transplantation is taken from the back. Many doctors believe that this is harmful to the posture of the body, because the muscles support the bones, and the graft site is not compensated 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 add thickness to the body. The gel is quickly injected. The price of this operation is low compared to other surgical methods. It is most often performed by a cosmetologist. After a year, the acid recedes and the procedure must be repeated. Often the injected gel is collected into small lumps and encapsulated. Seals are felt on the penis, the relief of the skin becomes uneven.
All three types of surgery can produce approximately the same side effects: weakening of the erection, reduction of sensitivity of the head, curvature of the penis. In addition, after any intervention, the organ can retain an unnatural swollen appearance for a long time.
Every operation is a risk. There are more and more risky interventions. Ligamentotomy is relatively safe and effective when performed 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 methods of penis enlargement.