There are two types of penis enlargement surgeries: some increase the length, others increase the thickness. Consider each of the types for expediency, effectiveness and danger to the patient's body. Particular attention is paid to the rehabilitation period in the article, since the consolidation of the results of surgical intervention depends on rehabilitation.
Lengthening, ligamentotomy
Operations to increase the length of the penis - ligamentotomy. The suspensory ligament is transected, after which the penis must be kept stretched down during the rehabilitation period, otherwise the ligament may fuse in its original position. The penis is kept taut with an elastic band stretcher. As a result, the angle between the penis and the womb opens (increases). Also, the inside of the penis is pulled out a little, and it takes root in a new position.
If you follow the recommendations during the rehabilitation period, you can get a lengthening of the penis from 1 to 2 cm. If without surgery it is guaranteed to achieve an increase of up to 3 cm, which is confirmed by the results of an international study, then with surgery it will be up to 4-5 cm, but with certain risks.
Indications
The main indication is the desire of the patient to improve aesthetic performance.
Estimated feasibility:
- with an erection length of up to 10-12 cm - there are medical indications,
- at 12-15 - carried out at the request of the patient,
- more than 16 - it doesn't make much sense.
Analyzes
Before surgery, only a testosterone test is usually required. The rest of the necessary studies will be carried out in the clinic immediately before the operation. However, please check with your surgeon. Chat with a doctor. So you will understand how competent and adequate the specialist is. If you cannot get complete information from him, the person is already reluctant to communicate, think about what will happen in the event of some kind of complication - you will have to solve problems on your own.
Contraindications
Contraindications are:
- skin diseases in the area of the operation,
- diseases of the genitourinary system,
- urological diseases,
- inflammation of the urethra and other similar problems.
Also, most likely, you will need to undergo a psychological consultation: if abnormalities are detected, they may become a contraindication.
Operation cost
Inspections and dressings are free of charge.
You can find out how much penis enlargement surgery costs in your city by contacting a medical institution directly.
Types of ligamentotomy
Ligamentotomy is performed either through the pubic or scrotal access. The ligament is cut through the incision.
Pubic access is an outdated method of operation, after which a rather noticeable scar remains. This operation takes longer, which increases the risk of infection and prolongs the patient's stay under anesthesia.
A newer technique is ligamentotomy through the scrotal access: an incision is made on the scrotum, and through it access to the ligament is opened. Ligamentotomy through the scrotal access reduces the operation time from 1-1. 5 hours (standard ligamentotomy) to 20-30 minutes. The scar on the scrotum is almost invisible. Less tissues are damaged, the rehabilitation period is shorter.
A side effect of ligamentotomy is a change in the angle of erection. An erect penis will not be directed forward and upward, but forward and downward. The operation should not affect the level of erection.
Rehabilitation
In ligamentotomy, the rehabilitation period is extremely important. The supporting ligament is crossed. To prevent the ligament from fusing in its original position, the penis must be kept stretched down during the rehabilitation period. For this, a stretcher is used - a stretcher based on an elastic belt. As a result, the angle between the penis and the womb opens (increases). Also, the inside of the penis is pulled out a little, after which it takes root in a new position. If you do not fix the penis in the correct position, it will gradually retract and take its original place.
The stretcher is worn for several hours a day at maximum traction. The device will not put pressure on the seam, it is compact, invisible under clothes, you can wear it outside the home. You can start using it in the early postoperative period, which helps to eliminate the divergence of the seams and the formation of scars.
The result of the operation is fixed and improved for several months. But the first or second week will be critical. If the patient fails to apply the stretcher in these first days, then the ligamentotomy will be pointless.
After the operation, stress and pain are possible. If you do not familiarize yourself with the stretcher and extender in advance, do not choose a convenient option for wearing the devices, do not adapt to wearing them, then it will be extremely problematic to experiment after the operation. Patients very often refuse to wear devices because of this or wear them for insufficient time.
The stretcher should be worn for the first 3 weeks, then gradually connect the extender, following your feelings. Postoperative wearing of an extender improves the result. After a ligamentotomy, the extender stretches both the outer and inner parts of the penis. Around this time, you can already have sex. Your doctor should be more specific about this and other precautions after surgery.
Often you can hear complaints that the operation did not work. These are just cases when the patient did not follow the above recommendations.
Ask the surgeon what kind of rehabilitation program he plans. If there is no postoperative wearing of a stretcher in it, it is also better to refuse.
Which extender to choose for ligamentotomy
The extender is an alternative to surgery. Without resorting to a scalpel, it is possible to increase the length of the organ up to 3-4 cm. But in this article, we will consider the extender as a method used in postoperative therapy. A cheap device from a sex shop will not work for these purposes. It must meet several requirements:
- Comes with an elastic stretcher strap.
- The extender should be comfortable so that it can be left on for 1. 5-2 hours in a row.
An extender from a German manufacturer is ideal. The set includes an elastic stretcher belt for wearing after surgery. The attachment of the extender to the penis is vacuum-adhesive. This type of fixation is the most comfortable of the existing ones and allows you to wear an extender or stretcher for up to 3 hours in a row. Long periods of wearing are necessary for the penis to settle into a new position.
After the engraftment period of the penis, you can continue to wear the extender, getting an additional result due to the growth of the penis. Therefore, if you are thinking about surgery, then start practicing with the extender before it.
This is the only extender in which the attachment does not come into contact with the hard parts of the penis. It has several modifications: an extender on bars, on an elastic belt, a stretcher, and with weights - a hanger.
Increase in thickness
Increasing the thickness of the penis is not easy. Unlike ligamentotomy, thickening operations are complex and may come with side effects.
One of the most popular is the transplantation of a patient's fat flap under the skin of the penis. At the same time, the volume increases by 1-1. 5 cm. But there is always a risk of rejection of adipose tissue, even if it is your own tissue. In addition, fat will be gradually and, most importantly, unevenly absorbed. Therefore, tuberosity may appear on the surface of the organ.
Transferring a section of muscle tissue under the skin of the penis, where the shaft wraps around a muscle flap, is another method. The transfer of a muscle to the penis is a complicated and expensive manipulation, and threatens with complications, even if performed flawlessly. Necrosis and ischemia of the muscle flap are complications that occur in a number of cases. Then, to save the patient's life, the flap is urgently removed. The muscle section for transplantation is taken from the back. Many doctors believe that this is a detriment to posture, since the muscles support the bones, and the graft site is not compensated by anything.
The third popular method is the introduction of hyaluronic acid under the skin of the penis. This is a special gel that can give the body thickness. The gel is injected quickly. The cost of this operation is low compared to other surgical methods. Most often performed by a cosmetologist. After a year, the acid resolves, and the procedure must be repeated. Often, the injected gel is collected in small lumps and encapsulated. Seals are felt on the penis, the skin relief becomes uneven.
All three types of surgery can give approximately the same side effects: weakening of erection, decrease in the sensitivity of the head, curvature of the penis. In addition, after any of the interventions, the organ may retain an unnatural swollen appearance for a very long time.
Any operation is a risk. There are less and more risky interventions. Ligamentotomy is relatively safe and effective when worn with an extender. Thickening operations are more dangerous and usually have a temporary effect.
It's never too late to go under the scalpel. Try non-surgical penis enlargement methods.