According to research, many men are dissatisfied with the size of their penis and experience psychological or physical discomfort due to this. This leads to problems of a sexual nature, indecision in communicating with women and the development of various complexes. The desire to gain self-confidence and harmonize intimate life forces a man to seek help from a doctor. There are many techniques that can eliminate this deficiency and feel like a full-fledged man. These include both non-surgical procedures and surgical interventions. With the help of operations, you can restore the penis after injury or eliminate congenital anomalies.
How to achieve the effect
In modern medicine, there are various ways to enlarge the penis. Plastic surgery can change individual parts and capabilities of manhood or recreate it as an entire organ. As a result of the operation, not only an improvement in external forms is achieved, but also the preservation of all its functions.
All known surgical interventions aimed at changing the size of the penis are aimed at increasing its length or thickness. To lengthen the penis, a ligamentotomy is performed (dissection of the suspensory ligament of the penis). The following techniques are used to both increase the volume and thickness of the penis:
penile prosthesis (implantation of a prosthesis into the body of the genital organ);
lipofilling (introduction of one's own fat cells into the internal tissues of an organ);
introduction of a collagen matrix (capsules that stimulate the production of your own connective tissue);
installation of gel implants (between the skin and the shaft of the penis);
microsurgical muscle transplantation (transplantation of muscle tissue with the formation of an organ);
injections of hyaluronic acid (replenishment of missing volume).
As a result, by turning to a specialist for help, a man receives:
restoration or preservation of penile function;
giving aesthetic forms;
elimination of defects after diseases, developmental anomalies, and injuries.
There are also non-surgical methods of penis enlargement using various devices and exercises. Extenders, expanders, stretchers and vacuum pumps are becoming especially popular. However, doctors warn that their independent use to stretch the penis not only does not lead to the desired result, but is also fraught with damage to the cavernous bodies, tunica albuginea, nerves and blood vessels, as well as erectile dysfunction.
Penis enlargement with exercises is also ineffective. They are massage movements in the form of stretching, squeezing, and rotation. No studies have shown any benefit from them. Moreover, the use of stretching exercises for the organ can lead to erectile dysfunction and damage to blood vessels, bruising and swelling in the penis area.
Indications for penis enlargement
Many men tend to underestimate the size of their reproductive organ. It is believed that its normal length in an erect state ranges from 12-18 cm, its diameter is 3-3. 5 cm. Its average length in men is 15. 7 cm. A penis less than 9 cm is considered small, and less than 2 cm is considered a micropenis.
If you have any doubts or dissatisfaction with yourself, you should visit a doctor who, depending on the specific situation, will recommend one of the methods of a conservative procedure or surgical intervention. The operation can be performed both for aesthetic correction purposes and for medical reasons, which include:
small penis and micropenis;
congenital anomalies of the urethra;
penile injuries;
traumatic amputation;
deformation resulting from diseases;
elimination of the consequences of operations on the male genital organs;
erectile disfunction;
difficulty urinating;
gender change.
Contraindications
The main requirement before surgery is to assess your general health and identify possible contraindications. Surgical correction is not performed in the following cases:
age less than 18 years;
blood clotting disorder;
acute infection;
sexually transmitted infections;
diabetes;
mental illness;
chronic diseases with severe pathology.
Preparing for penis enlargement
Once a man has decided to adjust his penis size, the question arises: which doctor should he consult? Penis enlargement surgery is one of the areas in plastic reconstructive surgery and urology. Plastic surgeons specializing in urology or andrology deal with issues of changing the size and shape of male genital organs. Before the operation, a consultation with the operating doctor is required. The doctor will suggest the necessary type of intervention, depending on the indications. This can be a complete restoration of the penis (total phalloplasty) or restoration of part of the penis, changing its shape or size.
To avoid complications, the doctor prescribes a thorough examination. The list of instrumental and laboratory research methods includes:
fluorography;
ECG;
general blood analysis;
blood chemistry;
coagulogram;
blood test for HIV, syphilis, hepatitis;
general urine analysis;
a smear from the urethra to detect infectious agents.
After examination and exclusion of all possible contraindications, the doctor sets a date for the operation. When performing surgery under general anesthesia, a consultation is held with an anesthesiologist, who must be informed about the presence of allergic reactions and about taking any medications.
Several months before the procedure, you should stop smoking and drinking alcohol. At the preparatory stage, you need to adhere to a gentle diet. 8 hours before the intervention, pubic hair is shaved. If an operation is planned under general anesthesia, then at least 8 hours must pass after the last meal or liquid.
However, there is not always a need for surgical correction. If a man has a desire to enlarge the penis for aesthetic purposes, the doctor may recommend non-surgical methods - injections of hyaluronic acid, which do not require special preparation.
Carrying out penis enlargement
There are different types of surgeries to change the size of the penis. Each of them has its own indications, advantages and disadvantages.
Ligamentotomy
Ligamentotomy is the most popular type of penis enlargement surgery. It is performed under general anesthesia and lasts from 30 minutes to 1 hour. A small incision is made on the front surface of the scrotum. Through it, the suspensory ligament, which attaches the genital organ to the pubic bone, is partially divided. After this, the penis is lengthened to 2-3 cm due to the release of its internal (hidden) part. Usually the operation is performed at the request of the man; it will not help with erectile dysfunction.
Penile prosthetics
Penile prosthesis is used to treat impotence or for the purpose of complete plastic surgery when removing a penis or changing gender. Prostheses are rigid and semi-rigid, two- and three-component. Rigid prostheses are silicone tubes implanted into the corpora cavernosa. They provide a constant erection, which is not always convenient. Semi-rigid (plastic) prostheses have a special design and have plastic memory. Before sexual intercourse, the prosthesis is extended, moving the penis from a hanging position to an erect state, and then bent again.
More physiological are two- and three-component inflatable and self-inflating prostheses. They are a system of reservoirs and tubes. By pressing on the scrotum, a special pump is activated, which fills the hollow prosthesis with air or liquid from a hidden reservoir. A three-piece penis prosthesis more accurately reproduces a natural erection.
The operation is performed under spinal or general anesthesia. Its duration is about 1 hour. The location of the incision depends on the type of prosthesis - along the coronary sulcus (at the junction of the head and shaft of the penis), in the scrotum or under the pubis. Parallel channels are formed between the shaft and the skin to the root of the penis and prostheses are inserted. They increase the thickness of the penis up to 50-70%.
Lipofilling
This operation is performed more for aesthetic purposes. With the help of lipofilling, you can even out the shape and increase the thickness of the penis by 2-3 cm. Due to the increase in gravity when the organ thickens, its length in the non-erect state also increases.
Local anesthesia is usually used for pain relief. Adipose tissue is taken from the man's pubic area, abdomen, thighs or buttocks and injected along the shaft of the genital organ with a microneedle. The operation lasts for 1 hour. If necessary, the patient can be left in the clinic overnight.
Introduction of collagen matrix
For aesthetic reasons, for the purpose of enlargement, special absorbable capsules (collagen matrix) are introduced into the penis, which stimulate the organ’s production of its own connective tissue.
To do this, on the day of the operation, blood is drawn from a vein in an amount of 50 ml to obtain stem cells, which are then planted on a matrix. After this, under general anesthesia, a circular incision is made along the edge of the head of the penis and a collagen matrix is placed under the skin of the penis. It consists of two cylinders with a cutout at the location of the urethra. Within 3-6 months, the matrix resolves, but its own connective tissue forms in its place, so the increased size of the organ remains forever. The diameter of the penis may increase by 1-1. 5 cm. The effect of using matrices largely depends on the individual characteristics of the patient.
Installation of gel implants
Gel silicone implants are installed under the skin along the lateral surfaces of the penis. With their help, it is possible to increase the thickness of the genital organ up to 1. 5 cm. The operation is performed under general anesthesia for 1 hour. These implants do not cause rejection or allergic reactions; it is impossible for them to penetrate the shell, even if it ruptures. If necessary, they can be removed.
Microsurgical muscle transplantation
Microsurgical muscle transplantation is performed for aesthetic and medical reasons. For medical reasons, the operation is performed if there are consequences of injury, congenital pathology, previous diseases of the penis, micropenis, gender reassignment due to hermaphroditism.
This operation is considered a complex surgical procedure and is performed under general anesthesia over several hours. Muscle tissue from the chest or abdomen is used as a graft. The muscle flap is sutured to the tissues of the penis, the vessels and nerves are sutured.
In case of removal of the penis due to oncology or traumatic amputation, total phalloplasty is used. In this case, the organ is created from scratch. This operation is also used for gender reassignment. To do this, usually a skin flap and a nerve are taken from the back area, and the penis is formed according to the pattern. Its size will depend on the wishes of the patient. A point for its attachment is selected on the pubis, to which the muscles are sewn. After fixing the penis, the doctor microsurgically connects the veins, arteries and nerve. Subsequently, the surgical wound is sutured and the functioning of the nerve and circulatory system is checked. The result is a penis that is similar in appearance and function to an organ that has not undergone surgery.
Hyaluronic acid injections
There is another non-surgical method for penis enlargement - injections of hyaluronic acid. The drug is easily administered, is well distributed in tissues and compensates for the missing volume. This method allows you to increase the length of the organ by 1-3 cm and thickness by 3-5 cm. The procedure is performed under local anesthesia and lasts 10 minutes. Using a thin needle, a preparation based on hyaluronic acid is injected under the skin of the penis. Over time, its biological degradation occurs. The effect usually lasts up to a year. Then the procedure can be repeated.
Hyaluronic acid injections are also used to enlarge the glans penis. This procedure is indicated if the diameter of the head is equal to or less than the diameter of the barrel. To do this, under local anesthesia, 2-5 ml of hyaluronic acid gel is injected under the scalp.
Frenum lengthening - frenuloplasty
In some cases, men have a short frenulum (the area between the head of the penis and the foreskin). This may create discomfort or cause pain during sexual intercourse. To eliminate this problem, frenuloplasty is performed. This operation is performed under local anesthesia on an outpatient basis. Using a scalpel or laser knife, the frenulum is cut with a transverse incision and then sutured longitudinally using self-absorbing threads. The procedure takes 15-20 minutes.
After the procedure
The duration of the recovery period depends on the volume and type of surgery.
After ligamentotomy, the patient remains under observation in the hospital for 2-3 days. The stitches are removed after 2 weeks. After surgery, it is necessary to limit physical activity and sexual activity for 1 month. To achieve greater effect, you must wear a stretcher (or extender) for 6 months after surgery. It is designed to prevent repair of the cut portion of the ligament. An extender is a special stretching device that is made individually for each patient. It must be used up to 6-8 hours a day for 2-6 months. It does not cause any particular inconvenience when worn. In this case, the length of the penis increases to 3-5 cm, it remains constant and does not change over time. The final result depends on the individual characteristics of the body. To avoid complications when wearing an extender, you must strictly adhere to the recommendations of doctors.
Penile prosthesis is considered a minimally invasive operation with a short rehabilitation period. After the operation, the patient remains in the hospital for 1 day. Sexual rest is recommended for 1. 5-2 months.
The rehabilitation period after lipofilling takes about 1 month. The operation is low-traumatic, so the recovery period is quick and without complications. To avoid damage to the transplanted fat cells after surgery, it is recommended to limit sexual activity for 2 months. Sports activities should be postponed for 1 month.
The postoperative period after the introduction of the collagen matrix is 2-3 months. The patient is under observation in the hospital for another 1 day. Sexual contacts are limited for the entire period of matrix resorption.
After installation of gel implants, the patient is observed in the hospital for another 1 day. Sexual activity and physical activity are allowed after 1 month.
The recovery period after microsurgical muscle transplantation lasts 2 months. After the operation, it is necessary to remain under observation in the hospital for 2 weeks. Physical activity and sex life are limited for 2 months. Urination is allowed only with the help of a catheter installed in the bladder. With total phalloplasty, the rehabilitation period takes six months. During this time, the process of urination begins and an erection is restored.
After injections of hyaluronic acid, intimate contact is limited for 3-4 weeks. You must refrain from visiting the sauna and taking hot baths for 2 weeks.
The rehabilitation period after frenuloplasty takes 1 month. During this period, you should abstain from sexual intercourse.
In some cases, if you do not follow your doctor's recommendations, complications may occur. At the first suspicious symptoms, you should not postpone your visit to the clinic. Possible complications after phalloplasty:
narrowing of the urethra;
violation of the innervation of the penis;
erectile dysfunction;
reduction of the penis;
inflammation;
bleeding;
tissue scarring and deformation;
graft rejection.