Often, men think about penis enlargement for psychological reasons. The pressure of socio-cultural factors or negative experiences of intimacy encourage representatives of the stronger sex to seek help from the 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 a recommendation to the patient.
As for the normal length of the penis, there is no clear answer on this matter. Much depends on the measurement method, racial differences and other factors. For example, for Europeans it is 12-18 centimeters in an upright position. In this case, the measurement should be taken from the pubic bone, because the folds of fat around the penis make it visually smaller.
Reasons to consult a doctor about enlarging your manhood may be a size less than 12 cm, as well as changes in its shape. In addition to lengthening surgery, penis thickening is also practiced. Such results are achieved in various ways, which will be discussed below.
Types of operations
Modern plastic surgery has several methods of penis enlargement. Doctors often use a combination method, which involves both surgical intervention and the use of a special device - an extender. The latter is attached to the penis and helps to stretch it in length. Let's take a look at the most common penile enlargement surgeries practiced in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement surgeries. The essence of this intervention is to cut the ligament that supports the penis (penile suspensorium ligament).
The ligaments that hold the penis go deep into the pelvis and attach to the pelvic bones. If you cut it, the penis extends 3-5 centimeters. This is achieved with the help of an extender, which is prescribed to a man after surgery. At the same time, the protocol exists without the use of additional devices. The choice of technique is determined by the doctor based on indications and clinical capabilities.
Initially, division of the suspensory ligament is done through the pubic bone. However, after such an operation the patient is left with a significant scar. A more modern method is access through a small incision in the scrotum. The procedure takes only 15-20 minutes, and recovery requires no more than 14 days. The procedure is completed using absorbable suture material.
In fact, this surgical intervention does not add a single millimeter to the penis. The operation simply redistributes its length, pulling out 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 transferred 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. An incision is made in the patient's thigh or abdomen, where a certain amount of fat is removed using a syringe. Then the fat mass is cleaned of blood impurities and placed in a thin layer under the skin of the penis through a microscopic puncture.
At the end of the operation, a plaster is applied to the puncture site.This procedure increases the thickness of the penis by about 0. 5-1. 5 cm.
Surgical thickening
Increasing the diameter of the penis can also be done through the transfer of muscle tissue. A muscle flap is taken from the patient's abdomen or armpit and placed around the genitals.
This operation is considered complex and associated with postoperative complications. In particular, the possibility of a hernia occurring is high.
Hyaluronic acid injection
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 out wrinkles, making the skin elastic. This material combines well with the fabric and does not cause rejection or allergic reactions.
When inserted into the penis, hyaluronic acid is distributed evenly over the entire surface, thereby achieving a proportional enlargement of the organ. If necessary, only the head can be enlarged separately.
This procedure does not require a hospital stay. At the same time, this technique also has its drawbacks. So, unlike surgical methods to lengthen the penis, the effect of hyaluronic acid is temporary. After about 12-18 months, the material is completely absorbed, after which the procedure can be repeated.
Advantages of ligamentotomy
Among the surgical methods available 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 sufficient to eliminate pain.
- The man spent only 2-3 days in the clinic.
- Recovery after surgery is only 2 weeks. Intimate life can be resumed after 1-1. 5 months. In this case, the first few contacts may be accompanied by discomfort, but this quickly passes. If not, you should see a doctor.
- Unlike other methods of penis enlargement, the reproductive organ itself does not experience any traumatic effects. The operation is performed only on the ligament.
- In addition to lengthening, this intervention also removes some other defects, such as curvature.
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 a change in the angle of erection. However, this does not affect the hardness of the erect organ in any way.
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 cavernous body area;
- The length of the penis is too short (micropenis);
- compaction of the cavernous body due to its replacement with connective tissue.
Often this operation is 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 one's genitals.
Diagnostics
Before undergoing penis enlargement surgery, diagnostics are carried out, which include:
- consultation with andrologists (or urologists) and plastic surgeons;
- consultation with a psychotherapist (if necessary);
- UAC;
- blood chemistry;
- blood tests for infections - HIV, syphilis, viral hepatitis;
- consultation with an anesthesiologist;
- ECG;
- other types of studies (at the doctor's discretion).
Some of these contraindications are temporary. After they are eliminated, the procedure can be carried out.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- under the age of 18 (genitals are still developing);
- severe diseases of internal organs;
- acute inflammatory process in the genitourinary system;
- blood clotting disorders;
- arterial hypertension;
- erectile dysfunction;
- mental illness;
- malignant neoplasm;
- serious pathology of the cardiovascular system;
- endocrine pathology;
- local infectious and/or purulent focus.
Possible complications
Immediately after surgical correction, swelling and hematoma formed in the intervention area, which lasted for several days. Such postoperative complications are normal and disappear within a few days. In very rare cases, bleeding and suppuration of postoperative sutures are possible.
Recovery period
The first few days after surgery, the patient is given painkillers and antibiotics (to avoid infectious complications). Every 2 days you have to go to the clinic to get dressed. If a non-absorbable suture is placed on the wound, it is removed after 14 days.
To consolidate the results after surgery to cut the ligament, the man is advised to use an extender for 2-4 months. The device must be worn for several hours a day and removed at night.
If the extender is not used, 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 the doctor, as well as the man's compliance with the recommendations. Remember that if you follow the medical instructions, the effect lasts a lifetime.