The normal size of the erect penis is considered to be 11 to 19 centimeters. A penis less than 10 centimeters in length is considered small and less than 5 cm is considered a micropenis (this is an anatomical pathology). With deviations from the norm that interfere with normal life, a man is recommended plastic surgery. A man with normal masculinity dimensions can also resort to the operation - although there is no need, there are no prohibitions on it either, and the owner of the penis decides everything. In this article, we will tell you how it is performed, how much does penis enlargement surgery cost, what comments are left by men who decide on surgical resizing.
Changing the size of the penis by ligamentotomy
Now, the main operation is to lengthen the penis using the ligamentotomy method. At the same time, the penis itself, in fact, does not change in size, but visually it looks longer, as there is a redistribution of centimeters towards the visible part. This operation was first performed in 1990.
Penis enlargement by surgery takes place according to the following scheme:
- The surgeon cuts the ligaments at the base of the penis.
- It frees the corpora cavernosa to the point where the arteries enter them.
- It fixes the corpora cavernosa in an altered position at the level of the severed ligaments.
- After the surgical sutures are removed and the swelling subsides, the penis will appear 3-5 cm longer.
There are several types of surgical operation depending on the location of the incision (it is possible to achieve penis enlargement through suprapubic, scrotal, subcoronary incision). Which type will be chosen depends on the morphological characteristics of the man's penis - it is determined after consultation with a plastic surgeon.
This is not to say that surgically elongating the penis is a simple and painless procedure. Augmentation plastic surgery is performed only under general anesthesia. If the patient has contraindications for anesthesia, this operation will not be performed.
You also need to remember that a few months after the operation, the penis will have to be fixed with bandages or a plastic expander so that the ligaments remember the new position. The photo shows one of the expander options that can be used with the combined penis enlargement method.
"Does it hurt to lengthen a penis with an operation, will there be consequences? "many men ask. Read the reviews and make sure the surgical procedure is not pleasant. The operation itself, as already mentioned, takes place under anesthesia, but after that the man will have to endure pain (lasts a few days) and then discomfort due to an uncomfortable and unusual condition. Ideally, the healing process takes at least two to three weeks. After removing the staples or expander, slight discomfort is also possible, then everything returns to normal.
Introduction of the prosthesis into the organ
Another type of penis enlargement surgery is the placement of a prosthesis through a transverse incision of the albuginea (this penis enlargement operation is also called a corporotomy). The enlargement of the penis occurs due to the fact that a prosthesis of obviously greater length is placed in the intracavernous space. This leads to stretching of the skin of the penis. To enhance the effect, in addition to the operation to enlarge the penis, mechanical stretching of the tissues of the penis is performed (using an expander).
Various "parts" can be used as an implant. For example, many clinics now use a silicone implant that increases the length of the penis by 5 centimeters. The implant is inserted through a small incision in the groin. The entire procedure is performed under local anesthesia.
Recovery after this operation takes several weeks. A man can walk and sit up in 4-5 days, but the erection will only return after 1-2 months.
There is a downside to the introduction of a silicone implant - it may not take root after the operation. To avoid this, surgical augmentation may be requested, in which fat is pumped out instead of an artificial implant. Adipose tissue is considered the most natural and safest type of penile filler. It is 100% compatible with male tissues, which minimizes the risk of inflammation. After insertion, it does not move (the fat implant is stable), moreover, it looks the most natural.
Penis enlargement by a surgical method with the help of a certain amount of fatty tissue has another advantage - recovery after surgery takes about 5-6 days and its results are immediately visible. According to doctors, the operation allows you to increase the size of the penis by up to 40% - and this can be both an operation to enlarge the penis and an operation to change the length.
The downside is that some of the fat cells dissolve after a year or two, and the skin starts to stick together due to stretching and the voids formed. This isn't very pretty - you'll have to do an additional cosmetic operation to pump out new fat or cut sagging skin.
Changing the size of the penis according to the Perovich method
Operations to enlarge the penis according to the Savva Perovich method is a complex procedure, but it allows to achieve quite tangible changes in the size of a man's penis. Penis enlargement surgery is performed under general anesthesia. The scheme of the procedure is as follows:
- The surgeon performs a cardinal division of the organ into its constituent parts - the doctor surgically separates the corpora cavernosa along the entire length of the hanging part of the male penis (from the corpus spongiosum to the glans).
- Between the corpora cavernosa and the head, pieces of costal cartilage from a man are placed or an artificial prosthesis (silicone or helium) is inserted.
- As a result, the elements of the penis are elongated to the desired size (maximum - up to 7 centimeters).
It is worth performing this enlargement operation, only after carefully weighing the pros and cons, it will be impossible to return to the previous state of the penis after surgery. It's also worth preparing for a long recovery period. For example, a full erection after surgery will only return after 2-3 months.
Male dignity lipofilling
Lipofilling of a male penis is a non-invasive microsurgical procedure that does not require any open incisions. This penis enlargement surgery is a staged subcutaneous injection of the patient's own tissue. It is not used to increase the length - with its help you can only correct the diameter of the penis (by 5-15 millimeters). The material necessary for the procedure is extracted by liposuction from the places of its excessive deposition on a man's body: in the suprapubic zone, on the hips, abdomen, buttocks.
As this is not really a penis enlargement operation, but rather a cosmetic procedure, recovery is quick. A man stays in the hospital for only one day and then is discharged, but the patient will have to abstain from sexual intercourse for 4-5 weeks.
The downside of the procedure is that, as with fat implants, the result will not be eternal. The tissue injected into the penis during this procedure tends to dissolve. You will have to repeat the injections every two or three years.
Abdominal muscle tissue transplant
There is another type of surgery that can be used to enlarge the penis - a muscle flap transplant. A part of a man's rectus abdominis muscle with fragments of the vascular system adjacent to it is used as a starting material. During the operation, the muscle is retracted towards the penis, where it is attached to its natural tissues.
Sum up. In the article, we list the main methods of how to enlarge the penis surgically. Many men think about this, but they should remember that augmentation surgeries can be successful and complications can occur, so you need to weigh the pros and cons before you lie down on the surgeon's table. In half of the cases, surgery is not necessary, and the size of the man is normal (the desire to stretch or increase the thickness is just a whim). Still, doctors in their reviews are unanimous: operations should be done only in accordance with medical prescriptions - but it is still a man who makes the final decision about surgical penis enlargement.
Features of operations on the penis
According to statistics, about 80% of men think about penis surgery, wanting to enlarge this organ. But as a rule, everything is limited to desires, because. basically, the representatives of the stronger sex are quite satisfied with what nature gives them. Much less often, you can meet those who want to reduce their manhood size due to inconveniences in their sex life or some other points, because. to correct excessive volumes during sex, special rings are used and there are also slimming underwear.
Prerequisites for operations
Today, surgery may have the following indications:
- Various types of erectile dysfunction associated with organ curvature (Peyronie's syndrome), vascular diseases or metabolic disorders.
- Correction of the results of the previous surgical intervention.
- Cavernous fibrosis (proliferation of connective tissues within the cavernous bodies of the organ).
- Incorrect development of Organs genitals.
- Sex change to the opposite.
- A consequence of surgical intervention during operations (on the prostate, bladder or rectum).
The most common surgeries on the male penis involve stretching the frenulum. The frenulum is a skin fold between the foreskin and glans of the penis, and is usually long enough to allow for optimal mobility of the foreskin. However, as a result of trauma or congenital pathology, the size of this element may be insufficient, which causes pain during erection or problems with premature ejaculation. This problem, however, is solved quite easily and quickly by plastic surgery, when the patient is lengthened the frenulum to a normal size under local anesthesia in 15-20 minutes with the formation of cosmetic sutures that do not need to be removed. Full recovery time after surgery is around 5-7 days.
Since shortening of the frenulum can occur as a result of its rupture and a large blood vessel passes through it, the damage of which can cause bleeding, doctors recommend that you immediately go to the surgeon when it ruptures so that there is no incorrect fusion, which will result in scars.
circumcision operations
Circumcision is also a simple surgical intervention - circumcision of the foreskin. The essence of the operation is that part of the skin of the penis that covers the head is removed, and it remains completely open or partially closed. This operation on the penis is very old, originated in eastern countries with a hot climate and few water resources. It helps to prevent penile cancer, improve hygiene, reduce the risk of cystitis and pyelonephritis in boys tenfold and reduce the risk of transmission of sexually transmitted diseases.
Circumcision makes it possible to reduce the chance of cervical cancer in the partner of a circumcised man. the risk of transmission of papillomavirus types 16 and 18, which are the basis for the onset of this disease, is reduced. The procedure is performed under local or general anesthesia (adolescence), sutured (usually with absorbable threads, so that the sutures are not removed). The operated person comes to do some dressings, returns to sexual activity in two to three weeks.
penis enlargement surgery
An operation on the genital organ to enlarge it is resorted to if a man at room temperature and certain methods of stretching the organ is no more than 2 cm in length, which creates problems for normal sexual function in an erect state. If the erect penis reaches a size of up to 9. 5 cm, it belongs to the group of small organs considered to be the norm (for example, in Asia, the size of the penis in men averages around 11-12 cm in a state of erection).
It is possible to increase the size of the penis with the help of vacuum devices (they are used constantly, for a long time to stretch the penis), external stretching devices that work on the same principle as vacuum devices, and through a surgical operation. Surgical intervention is based on the fact that a man cuts the ligament that connects the organ to the pubic bone and extends the inner part of the penis. It is performed under general anesthesia, takes up to an hour, the recovery period lasts up to 5 weeks. Almost always, in addition to the operation, subsequent stretching in vacuum devices is recommended to further enlarge the tissues.
The ideal form of surgery on the penis to enlarge it today is ligamentotomy with scrotal access, which is a little more complicated than the classic one and allows you to minimize complications, reduce the time the patient stays under anesthesia and start applying vacuum stretching immediately. after the operation. However, it should be borne in mind that an increase in length in this case can reach a maximum of 3-5 cm at best, often the organ does not elongate in a state of erection, but increases only by 1-2 cm in rest, due to ligament dissection, the base of the penis becomes ultra-mobile, the erection angle changes to a smaller one. Therefore, you need to think often about the suitability of the operation before going under the surgeon's knife.
In some cases, a man's penis appears short due to a large fold of pubic fat. Here, pubic plastic surgery is performed with simultaneous liposuction, although positive results can also be achieved as a result of weight loss during sports. In addition to lengthening the penis, you can also make it thicker with a surgical scalpel. In this case, the patient can be transplanted tissue from his latissimus dorsi muscle, inserted self-fat along the shaft of the penis, removed from the pubic region by liposuction, implanted flaps of tissue from the gluteal fold under the skin of the penis along its length. total, etc. The ban on sexual activity after such manipulation lasts for two months.
A number of operations are performed with the introduction of artificial local implants of the shell or helium type, similar to those used for breast augmentation in women. This method is good for a more stable thickening result, minimal complications, no need for additional incisions to collect your own elements for implantation. Surgeons believe that it is possible to increase the diameter of the male genital organ by an average of 0. 5 to 1 cm, higher numbers are unreliable and deceive potential customers.
After surgery, pain medications are usually not needed the next day. Every 2-3 days, the patient visits the dressing, and in the absence of complications, the stitches are removed after 12-14 days.
penile prosthesis
To restore the rigidity (elasticity) of the penis, in some cases, a penile prosthesis operation will be necessary. It is the implantation of inflatable or semi-rigid prostheses in the male genital region. When installing inflatable options, inflatable cylinders are introduced into the corpora cavernosa, an injection pump is introduced into the scrotum and behind the pubis there is a reservoir (with sterile water), which is connected to the rest of the system by tubes. The prosthesis does not affect in any way the sensitivity, ejaculation or orgasmic sensation, on the contrary, it allows numerous sexual relations, and most women may not even notice the presence of a prosthesis if they don't know.
There are more operations on the penis with the installation of semi-rigid prostheses, because. such mechanisms are very reliable and inexpensive, and after the act, the sexual organ can simply be lowered to the lowest position. However, they give users a lot of inconvenience due to constant erection.
Operations on veins and arteries
Erectile dysfunction is also treated with penile surgeries based on correcting the condition of blood vessels or veins. For example, in X-ray vascular vein occlusion, venous drainage of blood flow from the cavernous bodies of the penis is performed under local anesthesia. Also, as a rule, for injured young people, surgery is performed on the arteries, with the aim of increasing blood flow to the cavernous bodies of the penis.
Surgeons call men's attention to the fact that they have only one genital organ, and it must be handled with care, entrusting surgical intervention only to qualified specialists.