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, indecisiveness in communication with women and the development of various complexes. The desire to gain self-confidence and harmonize intimate life forces a man to seek the help of a doctor. There are many techniques that can eliminate this deficiency and feel like a full-fledged man. This includes non-surgical procedures and surgical interventions. With the help of surgery, you can restore the penis after an injury or remove congenital anomalies.
How to achieve the effect
In modern medicine, there are different ways to enlarge the penis. Plastic surgery can change individual parts and capabilities of the manhood or recreate it as an entire organ. As a result of the operation, not only the improvement of 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 (installation of a prosthesis in the body of the genital organ);
lipofilling (introducing one's own fat cells into the internal tissues of organs);
introduction of collagen matrix (capsules that stimulate the production of own connective tissue);
installation of a gel implant (between the skin and the shaft of the penis);
microsurgical muscle transplantation (muscle tissue transplantation with organ formation);
injections of hyaluronic acid (replenishment of the missing volume).
As a result, turning to an expert for help, a man gets:
restoration or preservation of penile function;
giving aesthetic forms;
elimination of deficiencies after illness, developmental anomalies and injuries.
There are also non-surgical methods of penis enlargement with the help of various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are becoming especially popular. However, doctors warn that their independent use to stretch the penis not only does not lead to the desired result, but is fraught with damage to the cavernous bodies, 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, squeezing and rotation. No studies have shown any benefit from them. Moreover, using organ stretching exercises can lead to erectile dysfunction and damage to blood vessels, bruising and swelling in the penile area.
Indications for penis enlargement
Many men underestimate the size of their reproductive organs. It is considered that its normal length in the upright position ranges from 12-18 cm, its diameter is 3-3. 5 cm. The average length in men is 15. 7 cm. A penis smaller than 9 cm is considered small, and smaller than 2 cm is considered a micropenis.
If you have any doubts or dissatisfaction with yourself, visit 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;
deformations caused by diseases;
elimination of the consequences of operations on the male genital organs;
erectile dysfunction;
difficult urination;
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 less than 18 years;
blood clotting disorder;
acute infection;
sexually transmitted infections;
diabetes;
mental illness;
chronic diseases with severe pathology.
Preparation for penis enlargement
Once 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 plastic reconstructive surgery and urology. Plastic surgeons specializing in urology or andrology deal with issues of changing the size and shape of the male genital organs. Before surgery, a consultation with the operating physician is required. Depending on the indications, the doctor will suggest the necessary type of intervention. 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 detailed examination. The list of instrumental and laboratory research methods includes:
fluorography;
EKG;
general blood analysis;
blood chemistry;
coagulogram;
blood test for HIV, syphilis, hepatitis;
general urinalysis;
swab from the urethra to detect infectious agents.
After the examination and exclusion of all possible contraindications, the doctor determines the date of the operation. When performing an operation under general anesthesia, a consultation is held with an anesthesiologist, who must be informed about the presence of allergic reactions and about taking any medications.
A few months before the procedure, you should stop smoking and drinking alcohol. In the preparatory phase, you must adhere to a gentle diet. Pubic hair is shaved 8 hours before the intervention. If the 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 has a desire to enlarge the penis for aesthetic purposes, the doctor can recommend non-surgical methods - injections of hyaluronic acid, which do not require special preparation.
Carrying out penis enlargement
There are different types of surgery 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. The suspensory ligament, which attaches the genital organ to the pubic bone, is partially divided through it. After that, the penis is lengthened to 2-3 cm due to the release of its inner (hidden) part. Usually, the operation is performed at the request of the man, it will not help with erectile dysfunction.
Penis prosthetics
A penile prosthesis is used for the treatment of impotence or for the purpose of complete plastic surgery when removing the penis or changing sex. Dentures are rigid and semi-rigid, two- and three-component. Rigid prostheses are silicone tubes that are implanted in the corpora cavernosa. They enable a permanent erection, which is not always convenient. Semi-rigid (plastic) prostheses have a special design and plastic memory. Before intercourse, the prosthesis is extended, moves the penis from a hanging position to an erect position, and then bends again.
Two- and three-component inflatable and self-inflating prostheses are more physiological. They are a tank and pipe system. Pressing the scrotum activates a special pump that fills the hollow prosthesis with air or liquid from a hidden reservoir. The three-part 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 sulcus (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 placed. They increase the thickness of the penis up to 50-70%.
Lipofilling
This operation is performed more for aesthetic purposes. 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 when the organ thickens, its length in the non-erect state also increases.
Local anesthesia is usually used for pain relief. Fat tissue is taken from the man's pubic area, abdomen, thighs or buttocks and injected with a microneedle along the shaft of the genital organ. The operation lasts 1 hour. If necessary, the patient can be left in the clinic overnight.
Introduction of collagen matrix
For aesthetic reasons, for the purpose of enlargement, special absorbent capsules (collagen matrix) are inserted into the penis, which stimulate the production of the organ's own connective tissue.
To achieve this, on the day of the operation, blood is taken from a vein in the amount of 50 ml in order to obtain stem cells, which are then implanted on the matrix. After that, under general anesthesia, a circular incision is made along the edge of the head of the penis and the collagen matrix is placed under the skin of the penis. It consists of two cylinders with a cutout in the place of the urethra. Within 3-6 months, the matrix recedes, but its own connective tissue is formed in its place, so that the increased size of the organ remains forever. The diameter of the penis can increase by 1-1. 5 cm. The effect of the use of matrices largely depends on the individual characteristics of the patient.
Installation of gel implants
Gel silicone implants are implanted 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 breaks. 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 performed if there are consequences of injuries, congenital pathologies, 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 of the chest or abdomen is used as a graft. The muscle flap is sewn to the tissues of the penis, the vessels and nerves are sewn.
In case of removal of the penis due to oncology or traumatic amputation, total phalloplasty is used. In this case, the organ is created from scratch. This operation is also used to change gender. To do this, a skin flap and a nerve are usually taken from the back area, and the penis is formed according to the pattern. Its size will depend on the wishes of the patient. On the pubis, a point is selected for its attachment, to which the muscles are sewn. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerve. After that, the surgical wound is sutured and the functioning of the nervous and vascular systems is checked. The result is a penis that looks and functions like a non-surgical organ.
Hyaluronic acid injections
There is another non-surgical method for penis enlargement - hyaluronic acid injections. The drug is easy to apply, distributes well in tissues 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. With the help of a thin needle, a preparation based on hyaluronic acid is injected under the skin of the penis. Over time, its 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 indicated if the diameter of the head is equal to or less than the diameter of the pipe. To do this, under local anesthesia, 2-5 ml of hyaluronic acid gel is injected under the scalp.
Lengthening of the frenum - 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 intercourse. To eliminate this problem, frenuloplasty is performed. This operation is performed on an outpatient basis under local anesthesia. Using a scalpel or laser knife, the frenulum is cut with a transverse incision and then sutured longitudinally using self-absorbable sutures. The procedure takes 15-20 minutes.
After the procedure
The duration 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. Stitches are removed after 2 weeks. After surgery, it is necessary to limit physical activity and sexual activity for 1 month. To achieve a greater effect, you must wear a stretcher (or extender) for 6 months after the operation. It is designed to prevent repair of the torn part of the ligament. The extender is a special stretching device that is made individually for each patient. It must be used up to 6-8 hours a day for 2-6 months. It does not cause any special discomfort when wearing it. 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 wearing an extender, you must strictly follow the doctor's recommendations.
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, 5-2 months.
The rehabilitation period after lipofilling lasts about 1 month. The operation is low-traumatic, so the recovery period is quick and without complications. In order to avoid damage to 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 is under observation in the hospital for 1 more day. Sexual contacts are limited for the entire period of matrix resorption.
After the installation of the gel implant, the patient is monitored in the hospital for another day. Sexual activity and physical activity are allowed after 1 month.
The recovery period after microsurgical muscle transplantation lasts 2 months. After the operation, it is necessary to remain under observation in the hospital for 2 weeks. Physical activity and sexual life are limited to 2 months. Urination is allowed only with the help of a catheter inserted into the bladder. With total phalloplasty, the rehabilitation period lasts six months. During this time, the urination process begins and the erection returns.
After hyaluronic acid injections, intimate contact is limited for 3-4 weeks. You must refrain from visiting the sauna and hot baths for 2 weeks.
The rehabilitation period after frenuloplasty lasts 1 month. During this period, you should refrain from sexual relations.
In some cases, if you do not follow the doctor's recommendations, complications may occur. At the first suspicious symptoms, you should not delay a 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.