Most often, men think about enlarging their penis for psychological reasons. Pressure from sociocultural factors or negative experiences of intimacy encourage representatives of the stronger sex to seek help at a clinic.
Note that in most cases, dissatisfaction with penis size is successfully resolved with psychotherapy. However, there are also medical indications for such an operation. The feasibility of the procedure is determined by the doctor based on examination and medical history, after which he makes recommendations to the patient.
As for the normal length of the penis, there are no clear answers on the subject. Much depends on measurement methods, racial differences, and other factors. For example, for Europeans it is 12 to 18 centimeters in the erect state. In this case, the measurement must be taken from the pubic bone, as the folds of fat around the penis make it visually smaller.
A reason to consult a doctor about male enhancement may be a size of less than 12 cm, as well as a change in its shape. In addition to lengthening surgery, penis thickening is also practiced. Such results are achieved in several ways, which will be discussed below.
Types of operations
Modern plastic surgery has several methods of penis enlargement. Doctors often resort to combined methods, involving both surgical intervention and the use of special devices - extenders. The latter are installed in the penis and help to stretch it in length. Let's look at the most common penis enlargement surgeries practiced in clinics today.
Ligamentotomy
This is one of the most popular penis lengthening surgeries. The essence of this intervention is to cross the ligaments that support the penis (suspensory ligament of the penis).
The ligaments that hold the penis go deep into the pelvis and are attached to the pelvic bones. If you cut them, the penis will extend 3 to 5 centimeters. This is achieved with the help of an extender, which is prescribed to the man after surgery. At the same time, there are protocols without the use of additional devices. The choice of technique is determined by the doctor based on the indications and capabilities of the clinic.
Initially, the division of the suspensory ligaments was carried out through the pubic bone. However, after such an operation, the patient is left with visible scars. A more modern method is access through a small incision in the scrotum. This procedure takes just 15 to 20 minutes and rehabilitation requires no more than 14 days. The procedure is completed with the application of absorbable suture material.
In fact, this surgical intervention does not add a single millimeter to the penis. The operation only redistributes its length, removing the perineal part of the reproductive organ.
Lipofilling
Increasing the thickness of the penis can be achieved through lipofilling. For this purpose, the patient's adipose tissue is used, which is transplanted subcutaneously into the penis. One of the advantages of using your own tissue is that there is no rejection reaction from the immune system.
This operation is performed under general anesthesia. In the first stage, adipose tissue is collected. Incisions are made in the patient's thighs or abdomen, where a certain amount of fat is removed using a syringe. Then the fatty mass is cleaned of blood impurities and placed in a thin layer under the skin of the penis using microscopic punctures.
At the end of the operation, plasters are applied to the puncture sites.This procedure increases the thickness of the penis by about 0. 5-1. 5 cm.
Surgical thickening
Increasing the diameter of the penis is also possible through muscle tissue transplantation. A muscle flap is taken from the patient's abdomen or armpit and placed around the genitals.
This operation is considered complex and is associated with postoperative complications. In particular, the probability of a hernia occurring is high.
Hyaluronic acid injections
Many clinics practice penis enlargement with hyaluronic acid injections. This component has long been used for contouring, including the genitals. Fillers (fillers) with hyaluronic acid smooth wrinkles, making the skin elastic. The substance blends well with fabrics and does not cause rejection or allergic reactions.
When introduced into the penis, hyaluronic acid is distributed evenly over the entire surface, thus achieving a proportional increase in the organ. If necessary, only the head can be enlarged separately.
This procedure does not require a hospital stay. At the same time, the technique also has disadvantages. Thus, unlike surgical methods of penis lengthening, the effect of hyaluronic acid is temporary. After about 12 to 18 months, the substance is completely absorbed, after which the procedure can be repeated.
Advantages of ligamentotomy
Among the existing surgical methods for penis enlargement, doctors prefer ligamentotomy.This technique is considered the safest and least traumatic for the patient. Here are the main advantages of this operation:
- The intervention does not require general anesthesia. Local anesthesia is enough to eliminate the pain.
- The man only spends 2 to 3 days in the clinic.
- Rehabilitation after surgery is only 2 weeks. Intimate life can be resumed after 1-1. 5 months. In this case, the first contacts may be accompanied by discomfort, but this passes quickly. Otherwise, you should consult a doctor.
- Unlike other penis lengthening methods, the reproductive organ itself is not subject to any traumatic effects. The operation is performed only on the ligaments.
- In addition to lengthening, this intervention also partially eliminates other defects, such as curvature.
The disadvantages of the method include the inability to accurately determine the effect of the operation in advance. It all depends on the individual characteristics of the man. In some patients, the size of the reproductive organ increases by 4-5 cm, and in others - by 2-3. Another consequence of lengthening the penis is the change in the angle of erection. However, this does not in any way affect the hardness of the erect organ.
Indications for ligamentotomy
There are aesthetic and medical indications for penis enlargement surgery. The latter include:
- Peyronie's disease is a pathological curvature of the penis that occurs due to fibrosis in the corpora cavernosa region;
- The length of the penis is very short (micropenis);
- compaction of the corpora cavernosa due to their replacement with connective tissue.
This operation is often performed for aesthetic and/or psychological reasons:
- a man's desire to increase self-esteem and attractiveness;
- get rid of discomfort and psychological complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of the genitals.
Diagnosis
Before undergoing penis enlargement surgery, diagnostics are carried out, which include:
- consultations with an andrologist (or urologist) and plastic surgeon;
- consultation with a psychotherapist (if necessary);
- YOU ACCEPTED;
- blood chemistry;
- blood test for infections - HIV, syphilis, hepatitis virus;
- consultation with an anesthetist;
- ECG;
- other types of studies (at the doctor's discretion).
Some of these contraindications are temporary. Once eliminated, the procedure can be carried out.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- under 18 years of age (genitals are still developing);
- serious diseases of internal organs;
- acute inflammatory processes in the genitourinary system;
- blood clotting disorders;
- arterial hypertension;
- erectile dysfunction;
- mental disease;
- Malignant neoplasms;
- serious pathologies of the cardiovascular system;
- endocrine pathologies;
- local infectious and/or purulent foci.
Possible complications
Immediately after surgical correction, swelling and hematoma form in the intervention area, which lasts for several days. These postoperative complications are normal and disappear within a few days. In very rare cases, bleeding and suppuration of postoperative sutures are possible.
Recovery period
In the first few days after surgery, the patient receives painkillers and antibiotics (to avoid infectious complications). Every 2 days you need to go to the clinic for dressings. If non-absorbable sutures are placed in the wound, they are removed after 14 days.
To consolidate the result after the operation to cut the ligaments, men are advised to use an extender for 2 to 4 months. The device must be worn several hours a day and removed at night.
If the extender is not worn out, the operation may be useless. The fact is that the cruciate ligament grows together, pulling the reproductive organ to its original position.
What determines the results of penis enlargement?
First of all, the result of surgical intervention depends on the individual physiological characteristics of the patient. In particular, this is the length of the perineal part of the penis (which can be stretched when crossing the ligaments), as well as the elasticity of the tissue.
Much depends on the capabilities of the clinic, the experience of doctors, as well as the man's compliance with recommendations. Remember that if you follow doctor's instructions, the effect lasts for a lifetime.