After trying all methods: from pills and creams to extreme NUP, men, dissatisfied with the size of their genitals, decide that penis enlargement surgery is the only possible solution.
We will review all types of surgical interventions in the male intimate sphere, find out the approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- to have an average size, which suits him and his partner perfectly;
- has a normal size medium or large, but would like to have an even larger one;
- has a small penis and wants to enlarge it (remember that the lower limit of the normal length of the erect penis is considered to be 7 cm);
- there are consequences of penile injury or disease.
Surgical enlargement of the penis is performed both for medical reasons and for the purpose of cosmetic correction of the appearance.
- 3 Indications for surgery
- 4 Possible complications
- 5 Recovery
- 6 Which clinics offer augmentation services?
- 7 How much does the operation cost?
- 8 Postoperative reviews
Indications
A man's desire alone is not enough to perform penis enlargement surgery. It is necessary to undergo an examination by a urologist or andrologist, during which a decision is made about the size and shape of the penis.
An abnormality associated with the insufficient length of the organ is called micropenis. It occurs as a result of the lack of pituitary hormones. When evaluating the parameters of the penis, its size in the erect state is taken into account.
Other indications include:
- congenital pathologies of the structure of the penis;
- dysfunction arising on the background of complex fibrosis;
- organ injury;
- penis length in erection less than 12 cm;
- inability to have sex;
- Peyronie's disease or pathological curvature of the penis.
Masculine bias: the main reasons for dissatisfaction with one's size
The desire to improve the parameters of the penis is 90% related to dissatisfaction in the intimate sphere. For example, if a man were taught that the size of his penis directly determines his sexual stamina. The regular comparison of the organ or the partner's dissatisfaction with intimacy with him promotes the improvement of the parameters of the penis. In addition, the woman associates factor 2 with the miniature size of the man's penis, which does not always cause a low quality of sex life.
What doctors say about penis enlargement:
In our country, a large number of men are not satisfied with the size of their penis, I tell you as a doctor. This is a sensitive issue that is not usually discussed openly, but I come across such complaints all the time.
In general, various exercises for penis enlargement have existed for a long time, but, unfortunately, they require a colossal amount of time and, surprisingly, do not work. There is a more radical solution - surgical intervention, but operations cost a lot of money and not everyone will decide to take such a step.
Penile prosthesis
The result of the operation to enlarge the penis using prostheses depends on the type of implant that was used. Extending the penis using this method is considered difficult.
In rare cases, solid prostheses are used. Most often, inflatable or plastic implants are inserted. The operation is performed under general anesthesia. The prosthesis is inserted through an incision in the area of the spongy bodies.
Implants are made of different materials, but always hypoallergenic.
This type of operation is performed only for medical reasons, when underdevelopment of the penis is accompanied by sexual dysfunction. How much such a penis enlargement operation costs depends on the material used, the complexity of the pathology and other factors. A penile prosthesis is not available to everyone.
Contraindications for surgery
The specialist does not enlarge the reproductive organ invasively if the patient:
- Low blood coagulation.
- Oncological processes in the urogenital system.
- Heart failure.
- Allergy to all substances used for anesthesia.
- Bronchial asthma.
- Diabetes.
Additional contraindications - the presence of severe mental disorders (schizophrenia, epilepsy); tendency to develop colloidal wounds; purulent processes in the groin area.
Ligamentotomy
The surgery begins with the administration of an anesthetic. For ligamentotomy, general anesthesia or spinal anesthesia is used. The next step is to cross and suspend the penile ligament, which holds the organ while it is deep in the pelvis.
The process of penis enlargement is performed by loosening the inner part of this ligament. After exposing the hidden part of the penis, the wound is sutured.
The desired effect of enlargement is not achieved immediately, but after some time. It is facilitated by activities that involve the use of an extender during the rehabilitation period.
Existing methods
There are many methods of penis enlargement, but most of them are non-surgical options.
Operations are divided into areas: lengthening or thickening.
Operations for penis enlargement:
- Ligamentotomy;
- Penile prosthesis.
And the group of operations for penis enlargement includes:
- Lipofilling;
- Introduction of polymer materials;
- muscle transplant;
- Hyaluronic acid injections.
Lipofilling
The operation begins with placing the patient under general anesthesia. Initially, biomaterial is collected from the area where it is most abundant. Then the process of cleaning the resulting material is carried out. The next step is to insert it into the genital organ using a special needle.
The injection sites are thoroughly disinfected with an antiseptic. A sterile bandage is applied to the genital organ. In total, the procedure takes no more than an hour.
The main advantage of lipofilling is the use of your own biomaterial. The use of artificial implants can provoke an allergic reaction to foreign materials.
After choosing the right option, men calmly proceed to the search for a medical institution.They focus not only on the price, but look at the ratings for the organization and the specialist they are contacting.
Surgery is not always the right methodthey use it as a last resort!If your penis is more than 8 cm, we recommend that you consider the options for stretching the tissues of the organ:
- Stretcher or stretcher;
- Suspended loads;
- Exercises or jelqing;
- Massage;
- Vacuum pump.
For the resultWe recommend the combination of the above methods with the use of ointments, creams, gels or sprays and as a supplement to use foods and herbs for penis growth.
Hyaluronic acid injections
Hyaluronic acid has become widespread not only in cosmetology, but also in plastic surgery. The procedure is quick and hassle-free. Hyaluronic acid is injected into the penis. On average, the effect lasts a year.
Injections are given only by a specialist, you cannot self-medicate!
Which doctor should I contact?
If a decision such as penile enlargement through surgery is deliberate, hard-won, and irreversible, the patient is directed toin the plastic surgery clinic.
Large clinics have a department of aesthetic surgery or intimate plastic surgery. First you need to meet with your doctor, in advanceconsultation is not very expensive.
If the doctor considers your arguments convincing, he will refer youexamination and testing, for which, by the way, you will have to pay.
Tests to do (there are quite a few of them, so leave some free time to do them all):
- general blood analysis;
- blood coagulation test;
- general analysis of urine;
- blood group and Rh factor analysis;
- examination for HIV infection, hepatitis B and C;
- blood test for RW;
- EKG.
In addition to the surgeon, you will needconsult withurologist and andrologist.
After receiving the results of the examination, the plastic surgeon doesconclusionfor the absence or presence of contraindications. And only then do they do plastic penis enlargement or not.
Preparation phase
Before the operation, you must go through preparatory procedures. They help to avoid negative reactions of the body and to choose the most appropriate method of intervention.
The preparation phase includes the following diagnostic procedures:
- Doppler ultrasound examination;
- general clinical blood test;
- research for the detection of sexually transmitted infections;
- blood chemistry;
- ECG;
- examination by specialists of a narrow profile.
Also, studies are being conducted to rule out the possibility of developing an allergic reaction to anesthetics and materials implanted under the skin. They will help to avoid unexpected complications during the operation.
2 days before the due date, a man should limit his fluid intake. It is also recommended to stop smoking and drinking alcohol.
Rehabilitation period: doctor's advice
For tissue restoration after surgery, the following are contraindicated:
- Lift heavy objects (this can cause bleeding and stitches to break).
- Drink alcohol, smoke (intoxication of the body after anesthesia causes numerous complications).
- Eat heavy food. The diet should be light so as not to overload the intestines, as constipation will increase pain in the wound.
- Supercool. After surgery, immunity decreases. Therefore, exposure to low currents and temperatures can lead to illness.
Immediately after the operation, a catheter is placed in the patient's urethra (urination occurs through it). During the patient's stay in the department, his care (washing, antiseptic treatment) is provided by the staff. Upon leaving the clinic, the urethral catheter is removed and the man urinates on his own. At home, the patient should perform intimate hygiene after each visit to the toilet. This will avoid infection of the operated organ.
Postoperative period
After ligamentotomy, the patient stays in the hospital for 24 hours. The doctor's task is to explain how to use an extender that helps increase the parameters of the penis. The device is used 2 hours a day. In the future, the wear time increases.
Antibiotics and sedatives are required in the postoperative period. To speed up the healing rate of the stitches, physical activity and sexual contact should be avoided.
It usually takes up to 3 weeks for the organ to fully heal. It is also necessary to ensure the cleanliness of the genitals. It is important to avoid wearing tight underwear. The squeezing of the genital organ contributes to the divergence of the stitches.
The undoubted advantage of surgery is long-term results - literally until the end of life, while therapy requires constant repetition of the course of treatment, and the results of surgical intervention become less impressive over time.
Since the penile prosthesis is difficult to perform, the postoperative period is longer. For 2 days after the operation, the patient stays in bed. Short walks and independent movements around the hospital are then allowed.
After 10 days, physical activity increases. The total duration of the rehabilitation period is 1 month.
recovery
The longest recovery period is observed after phalloplasty. Hospital stay reaches 2 weeks. For 2 months, physical activity and sexual life are limited. This also applies to lipofilling. The remaining interventions allow sexual activity after 2 weeks.
- Hyaluronic acid injections - visits to saunas and hot baths are limited.
- Ligamentotomy requires wearing an extender.
- Moderate pain is relieved by taking non-steroidal anti-inflammatory drugs.
Possible complications
Every type of surgery involves certain risks. The operation can lead to the development of complications.
These include the following:
- scar formation;
- tissue necrosis;
- bleeding in the area of the stitches;
- thrombosis;
- erectile dysfunction;
- increase in body temperature;
- nervous disorders due to past experiences;
- wound infection;
- decreased sensitivity of the genital organ.
Proper functioning ensures the absence of wounds and sores on the genital organ. Erectile function in this case is not suppressed. Difficulties arise if the operation is performed poorly.
Indications for surgery for penis enlargement
Experts identify the following indications for penis enlargement:
- Micropenis syndrome.
- Reproductive organ curvature.
- Desire to improve your sexual performance.
- The need to increase self-confidence (if, due to the small size of the penis, a man cannot satisfy his partner).
If the genital organ is deformed due to injury, surgical enlargement will help to remove this problem. Surgical intervention is also suitable for men whose penises are small due to hormonal problems and diabetes.
Be careful! Most penis enlargement exercises are dangerous for men because. . . different types of strains have an extremely negative effect on power.
How much does the operation cost?
You can find out how much penile enlargement surgery costs at your chosen medical facility. The price policy depends on the prestige of the clinic and the qualifications of the surgeons. The type of surgical intervention is also important.
You should focus on the following data:
- The cost of the operation to enlarge the penis through penile prosthesis ranges from 180 to 250 thousand rubles.
- The price for ligamentotomy is 12 - 85 thousand rubles.
- When using implants, the final cost depends on the material. The operation can be performed for a cost of 40 to 280 thousand rubles.
- Muscle transplantation will cost 150-250 thousand rubles.
The operation is performed not only in private clinics, but also in public medical institutions.
How to choose a surgery clinic?
The most important criterion for choosing a clinic is the qualifications of the surgeon
First of all, when choosing a clinic for plastic surgery, attention is paid to the qualifications of the surgeon, but the conditions and the environment itself are also important. Without good medical equipment, it is almost impossible to achieve an ideal result, even with experience and professional skills. The choice of clinic is also influenced by the availability of intensive care equipment.
The main criteria to pay attention to
Operating permit and license required. The documents state:
- Name of the clinic.
- Legal address.
- The condition of the medical facility.
- state level accreditations.
- Signature and seal issued by the state.
The success of the operation depends mainly on the technical equipment. After finding out what kind of equipment the clinic has, it is important not to forget to check the availability of resuscitation equipment to provide emergency care.
A friendly environment in the clinic is important. It is important that the patient feels intuitively comfortable in it. A team of specialists must inspire confidence in the coherence of their work.
Pre-procedure examination and post-operative observation are performed directly by the clinic staff.
The agreement drawn up between the clinic and the patient should specify the responsibilities of both parties and the extent of responsibility for the actions taken.
It would be great to hear the opinions of people who have used the clinic's services. Find out how their ligamentotomy went. Patient reviews often play a decisive role.
If at least one of the points is in doubt, it is worth looking for another clinic with a more reliable reputation.
Alternative extension methods
Ligamentotomy is not the only surgical method for increasing the length of the penis. There are also alternative methods.
V-Y-plastic
The essence of the operation is the creation of a tightening skin defect in the pubic area (above the root of the penis).. First, a V-shaped incision is made, which is sutured in a Y. During the operation, the ligaments of the sling and pendant are cut. As a result, the penis visually becomes larger due to its elevation above the scrotum.
Complications in the form of suppuration, the formation of rough wounds and folds are possible. Moreover, the latter can appear in the long term.
The Perovic method
The method is named after Professor Sava V. Perovic who developed it. During the operation, the penis is literally disintegrated into parts: the head is cut through the thickness of the corpora cavernosa and spongy tissue, and the neurovascular bundle is mobilized. Particles of cartilage or synthetic materials are then inserted into the resulting space between the head and the porous bodies.As a result of stretching the nerves and corpus spongiosum, the length of the penis increases by 2. 5-5 cm.
As for complications, the subsequent formation of scar tissue and very high mobility of the head (granuloptosis) are possible. The implanted cartilage gradually disintegrates, so the initial result will deteriorate. Synthetic implants can fail.
Operation Shcheplev
The essence of the operation is the insertion of implants of greater length into the corpora cavernosa than the tunica albuginea allows. To stretch it, several cuts are made on it.With the conventional penile prosthesis, only the rigidity of the penis is ensured, but with the Shcheplev operation, it is lengthened by approximately 2 cm.. Implants are installed through a 10 mm circular incision from the coronary sulcus.
Prostheses with a longer length but smaller diameter are used for installation. Thus, their surface is covered with cavernous tissue, which significantly accelerates healing.
What happens during the operation?
A man who has decided to modify his most intimate area goes and makes an appointment at the relevant clinic and adjusts his intimate area. Read more about shaving your private area here.
The first thing he cares about is how big his penis will get. In this case, doctors say thatit can be extended up to a maximum of 5 centimeters. The second most popular question is whether it will become wider. The size of the new, modified manhood will depend on the type of surgery that was performed.
How is the procedure performed on the genital organ?
If your doctor is an experienced and licensed genital surgeon, the main stage will take no more than 30-35 minutes.
It looks like this:
- the patient is placed under general anesthesia;
- the entire genital area, at the same time the stomach, legs are generously disinfected with iodine;
- the doctor coolly cuts a scalpel on the penis;
- the incision is made in the scrotum, exactly along the dark line - the natural midline suture. If you twist the phallus, you will see it with the naked eye. By the way, after healing, the scar is masked along the line and becomes invisible even after the closest examination;
- Cavernous bodies move to the side - so the doctor finds a way out to the periosteum. The ligament that connects the phallus to the pubic bone is located in this place. The thing is, about a third of the actual length is here. These intestines are pulled out;
- the doctor estimates how long the penis is, focusing on the mark. If everything is in order, the cut is sewn. On average, the length increases by 3 cm.
The length of the penis after the operation in a relaxed state will remain unchanged. Don't expect everything to end spectacularly.You will see the whole effect in the erection. The tunica albuginea is to blame for this. Covers bodies that fill with blood when excited.
Possible risks and side effects
Possible complications of surgical interventions:
- Bloodshed. The consequence of damage to large vessels (if the symptom appeared during the operation) or heavy lifting (if it appeared during the recovery period).
- Nerve damage during tissue dissection.
- The formation of a large scar (due to the individual characteristics of the skin or careless work of the surgeon).
- Hematoma (hemorrhage of varying severity).
- Inflammation of the surgical wound (due to pathogenic microflora entering it).
The risk associated with unsuccessful surgical penis enlargement is impotence, erectile dysfunction.
Prices
The cost of penis enlargement has no clear limits. This is due to the fact that plastic surgery changes the thickness and length parameters or has a complex effect. The price of the procedures varies. Depends on the:
We suggest you read: Mandatory rules for communicating with men
- Technical difficulty for the surgeon;
- clinic policies;
- Specialist's field of work;
- Additional materials (implants, prostheses).
Types of operation
Currently, there are many types of manipulations that are performed under general anesthesia or local anesthesia. Some of them are quite harmless, while others require careful preparation and examination.
Elongation
With this procedure, the reproductive organ is lengthened, while its thickness remains unchanged.
Ligamentotomy
It is a surgical enlargement of the penis, which is a simple circumcision of the foreskin, resulting in an extension of 2 centimeters. The event is held for hygienic purposes; many claim that it prevents sexually transmitted diseases, including infectious pathologies. The method takes approximately 15 minutes and can be performed at any age under local anesthesia.
Thickening
With this approach, the reproductive organ increases in volume, which is also important for full and lively sexual intercourse. The techniques mainly involve special injections, which are considered minimally invasive.
Lipofilling
The procedure involves inserting the patient's processed and purified fat cells into specialized equipment into the shaft of the penis with a fine needle.The effect lasts for several months, after which the injected tissue resolves itself.The operation is painless, if necessary, local anesthesia is used in the form of ointments and injections. Practically no rehabilitation is required.
Microsurgical muscle transplantation
With this approach, the specialist takes tissue from the patient's back or armpit muscles, after which he implants them in the genital organ and then restores the normal functioning of the nerve endings. This is a complex method that is expensive, but as a result of competent work it is possible to obtain an enlarged organ sensitive to stimulation.
Important: before choosing a particular technology, be sure to consult a doctor and undergo a comprehensive diagnosis.