After trying all methods: from pills and creams to extreme NUP, men dissatisfied with the size of their genitals decide that penile enlargement surgery is the only possible solution.
We will consider all types of surgical interventions in the intimate male sphere, find out the approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- has an average size that suits him and his partner perfectly;
- has a normal medium or large size, but would like to have an even larger one;
- has a small penis and would like to enlarge it (remember that the lower limit of the normal length of an erect penis is considered to be 7 cm);
- there are consequences of penile injury or disease.
Penis enlargement by surgery is performed both for medical reasons and for the purpose of cosmetic correction of the appearance
- 3 Indications for surgery
- 4 Possible complications
- 5 Recovery
- 6 Which clinics offer augmentation services?
- 7 How much does the operation cost?
- 8 Reviews after surgery
Indications
In order to perform an operation for penis enlargement, only a man's desire is not enough. It is necessary to undergo an examination by a urologist or andrologist, during which a judgment is made about the size and shape of the penis.
An anomaly associated with insufficient length of the organ is called micropenis. It occurs as a result of a lack of pituitary hormones. When evaluating the parameters of the penis, its size in the erect state is taken into account.
Other indications include:
- congenital pathologies of the structure of the penis;
- dysfunction occurring against the background of complex fibrosis;
- organ injury;
- an erect penis less than 12 cm in length;
- inability to have sex;
- Peyronie's disease or pathological curvature of the penis.
Male prejudice: the root causes of size dissatisfaction
The desire to improve the parameters of the penis is 90% related to dissatisfaction in the intimate sphere. For example, if a man were taught that the size of his penis directly determines his sexual viability. Regular comparison of the organ or the partner's dissatisfaction with intimacy with her leads to an improvement in the parameters of the penis. In addition, the woman associates factor 2 with the miniature size of the man's penis, which is not always the reason for a low quality of sex life.
What doctors say about penis enlargement:
In our country, a huge number of men are not satisfied with the size of their penis, I tell you as a doctor. It's a sensitive issue that isn't usually discussed openly, but I run into complaints like this all the time.
In general, various exercises for penis enlargement have existed for a long time, but, alas, they require a colossal amount of time and, oddly enough, do not work. There is a more radical solution - surgical intervention, but operations cost a lot of money and not everyone will decide on such a step.
Penile prosthesis
The outcome of penile enlargement surgery by prosthetics depends on the type of implant used. Extending the penis with this method is considered difficult.
In rare cases, hard prostheses are used. Most often, inflatable or plastic implants are placed. The operation is performed under general anesthesia. The prosthesis is placed through an incision in the area of the spongy bodies.
Implants are made of different materials, but always hypoallergenic.
This type of operation is performed only for medical reasons when the underdevelopment of the penis is accompanied by sexual dysfunction. How much such an operation for penis enlargement costs depends on the material used, the complexity of the pathology and other factors. Penile prosthesis is not available to everyone.
Contraindications for surgery
The specialist does not enlarge the reproductive organ invasively if the patient:
- Low blood clotting.
- Oncological processes in the urogenital system.
- Cardiac dysfunction.
- Allergy to any substances used for anesthesia.
- Bronchial asthma.
- Diabetes.
Additional contraindications - presence of severe mental disorders (schizophrenia, epilepsy); tendency to develop colloid scars; purulent processes in the groin area.
Ligamentotomy
Surgery begins with the administration of anesthesia. For ligamentotomy, general anesthesia or spinal anesthesia is used. The next step is to cut and suspend the penile ligament that holds the organ while it is deep in the pelvis.
The process of penis enlargement is carried out by releasing the inner part of this ligament. After exposing the hidden part of the penis, the wound is sutured.
The desired effect of enlargement is not achieved immediately, but after some time. It is facilitated by activities that involve the use of a dilator during the rehabilitation period.
Existing methods
There are many methods of penis enlargement, but most of them are non-surgical.
Operations are divided into areas: lengthening or thickening.
Penis enlargement surgeries:
- Ligamentotomy;
- Penile prosthesis.
And the group of operations to thicken the penis includes:
- Lipofilling;
- Introduction of polymeric materials;
- Muscle transplantation;
- Hyaluronic acid injections.
Lipofilling
The operation begins with placing the patient under general anesthesia. Biomaterial is initially collected from the area where it is most abundant. After that, the process of purification of the obtained material is carried out. The next step is to insert it into the genital organ using a special needle.
The injection sites are thoroughly disinfected with an antiseptic. A sterile dressing is applied to the genital organ. In total, the procedure lasts no more than an hour.
The main advantage of lipofilling is the use of own biomaterial. The use of artificial implants can cause an allergic reaction to foreign materials.
After choosing the appropriate option, men calmly proceed to search for a medical facility.They focus not only on the price, but look at the reviews of the organization and the specialist they contact.
Surgery is not always the right methodthey resort to it as a last resort!If your penis is more than 8 cm, we recommend considering options for stretching the tissues of the organ:
- Extender or stretcher;
- Hanging loads;
- Exercise or jelqing;
- Massage;
- Vacuum pumps.
For the resultWe recommend combining the above methods with the use of ointments, creams, gels or sprays, and in addition to using foods and herbs for penis growth.
Hyaluronic acid injections
Hyaluronic acid is widespread not only in cosmetology, but also in plastic surgery. The procedure is quick and hassle-free. Hyaluronic acid is injected into the penis. On average, the effect lasts one year.
Injections are made only by a specialist, you cannot self-medicate!
Which doctor should I contact?
If such a decision as penis enlargement by surgery is conscious, hard-won and there is no going back, the patient turns toin the plastic surgery clinic.
In large clinics, there are departments for aesthetic surgery or intimate plastic surgery. First you need to meet your doctor, in advancethe consultation is not very expensive.
If the doctor finds your arguments convincing, he will refer you toreview and testing, for which, by the way, you will have to pay.
Tests to do (there are quite a few of them, so take some free time to do them all):
- general blood analysis;
- blood clotting test;
- general analysis of urine;
- blood group and Rh factor analysis;
- testing for HIV infection, hepatitis B and C;
- blood test for RW;
- EKG.
In addition to the surgeon, you will needconsult withurologist and andrologist.
After receiving the results of the examination, the plastic surgeon doesconclusionabout the absence or presence of contraindications. And only after that they do plastic penis enlargement or not.
Preparatory stage
Before the operation, you must go through preparatory procedures. They help to avoid the adverse reactions of the body and to choose the most appropriate method of intervention.
The preparatory stage includes the following diagnostic procedures:
- Doppler ultrasound examination;
- general clinical blood test;
- tests to detect sexually transmitted infections;
- blood chemistry;
- EKG;
- review by specialists from a narrow profile.
In addition, studies are conducted to exclude the possibility of developing an allergic reaction to anesthetics and materials implanted under the skin. They will help to avoid unexpected complications during the operation.
2 days before the due date, the man should limit his fluid intake. It is also recommended to stop smoking and drinking alcoholic beverages.
Rehabilitation period: doctor's advice
For tissue recovery after surgery, the following is contraindicated:
- Lift heavy objects (this can cause bleeding and thread disintegration).
- Drink alcohol, smoke (intoxication of the body after anesthesia causes numerous complications).
- Eat heavy food. The diet should be light so as not to overload the bowels, as constipation will increase the pain in the wound.
- Super cooling. After surgery, immunity decreases. Therefore, exposure to drafts and low temperatures can lead to illness.
Immediately after the operation, a catheter is installed in the patient's urethra (through which urination takes place). During the patient's stay in the ward, his care (washing, antiseptic treatment) is provided by the staff. At the time of discharge from the clinic, the urethral catheter was removed and the man urinated on his own. At home, the patient should perform intimate hygiene after each visit to the toilet. This way you will avoid infection of the operated organ.
Postoperative period
After ligamentotomy, the patient remains in the hospital for 24 hours. The doctor's task is to explain how to use an expander that helps to increase the parameters of the penis. The device is worn for 2 hours a day. In the future, the wearing time increases.
Antibiotics and painkillers are needed in the postoperative period. To speed up the healing rate of the sutures, physical activity and sexual contact should be avoided.
It usually takes up to 3 weeks for the organ to fully recover. It is also necessary to ensure the cleanliness of the genitals. It is important to avoid wearing tight underwear. Pressing the genital organ contributes to the divergence of the stitches.
The undoubted advantage of surgery is long-term results - literally until the end of life, while therapy requires constant repetition of the course of treatment, and the results of surgical intervention become less impressive over time.
Since penile prosthesis is difficult to perform, the postoperative period is longer. For 2 days after the operation, the patient remains in bed. Then short walks and independent movements around the hospital are allowed.
After 10 days, physical activity increases. The total duration of the rehabilitation period is 1 month.
Recovery
The longest recovery period is observed after phalloplasty. The hospital stay reaches 2 weeks. For 2 months, physical activity and sexual life are limited. This also applies to lipofilling. The remaining interventions allow sexual activity after 2 weeks.
- Hyaluronic acid injections - visiting a sauna and taking hot baths is limited.
- Ligamentotomy requires wearing an extender.
- Moderate pain is relieved by taking nonsteroidal anti-inflammatory drugs.
Possible complications
Any type of surgery involves certain risks. The operation may lead to the development of complications.
These include the following:
- scar formation;
- tissue necrosis;
- bleeding in the area of the stitches;
- thrombosis;
- erectile dysfunction;
- increase in body temperature;
- nervous disorders due to past experiences;
- wound infection;
- reduced sensitivity of the genital organ.
Correct work ensures the absence of scars and scars on the genital organ. Erectile function in this case is not suppressed. Difficulties arise if the operation is performed poorly.
Indications for penis enlargement surgery
Experts identify the following indications for penis enlargement:
- Micropenis syndrome.
- Distortion of the reproductive organ.
- The desire to improve your sexual performance.
- The need to increase self-esteem (if, due to the small size of the penis, the man cannot satisfy his partner).
If the genital organ is deformed due to injury, surgical enlargement will help get rid of this problem. Surgical intervention is also suitable for men whose penis is small due to hormonal problems and diabetes.
Be careful! Most penis enlargement exercises are dangerous for men because. . . different types of sprains have an extremely negative effect on potency.
How much does the surgery cost?
You can find out how much penile enlargement surgery costs at the medical facility of your choice. The price policy depends on the prestige of the clinic and the qualifications of the surgeons. The type of surgical intervention is also important.
You should focus on the following data:
- The price of the operation to enlarge the penis using a penile prosthesis ranges from 180 to 250, 000 rubles.
- The cost of ligamentotomy is 12-85 thousand rubles.
- When using implants, the final price depends on the material. The operation can be performed at a cost of 40 to 280, 000 rubles.
- Muscle transplantation will cost 150-250 thousand rubles.
The operation is performed not only in private clinics, but also in public medical institutions.
How to choose a clinic for surgery?
The most important criterion for choosing a clinic is the surgeon's qualifications
First of all, when choosing a plastic surgery clinic, attention is paid to the surgeon's qualifications, but the conditions and the environment itself are also important. Without good medical equipment, it is almost impossible to achieve an ideal result, even with experience and professional skills. The choice of clinic is also influenced by the availability of intensive care equipment.
Main criteria you should pay attention to
Work permit and license required. The documents state:
- Name of the clinic.
- Legal address.
- Condition of the medical facility.
- State Level Accreditations.
- State signature and seal.
The success of the operation largely depends on the technical equipment. Once you know what kind of equipment the clinic has, it is important not to forget to check the availability of resuscitation equipment to provide emergency care.
A friendly environment in the clinic is important. It is important that the patient feels intuitively comfortable in it. A team of specialists must inspire confidence in the coherence of their work.
Pre-procedure examination and post-operative monitoring are carried out directly by the clinic staff.
In the contract drawn up between the clinic and the patient, the responsibilities of both parties and the degree of responsibility for the actions taken should be specified.
It would be nice to hear the opinions of people who have used the clinic's services. Find out how their ligamentotomy went. Patient reviews often play a crucial role.
If at least one of the points is in doubt, it is worth looking for another clinic with a more reliable reputation.
Alternative extension methods
Ligamentotomy is not the only surgical method to increase the length of the penis. There are also alternative methods.
V-Y-plasty
The essence of the operation is to create a narrowing skin defect in the pubic area (above the root of the penis). First, a V-shaped incision is made, which is sutured to a Y. During the operation, the sling and suspensory ligaments are cut. As a result, the penis visually becomes larger due to its elevation above the scrotum.
Complications in the form of suppuration, formation of rough scars and folds are possible. In addition, the latter can manifest themselves in the long term.
Perovich's method
The method is named after Professor Sava V. Perovic, who developed it. During the operation, the penis is literally dissected into parts: the head is cut from the thickness of the cavernous bodies and spongy tissue, and the neurovascular bundle is mobilized. Then, particles of cartilage or synthetic materials are implanted into the resulting space between the head and the porous bodies.As a result of stretching the nerves and spongy body, the length of the penis increases by 2. 5-5 cm.
As for complications, subsequent formation of a scar and too high mobility of the head (granuloptosis) is possible. The implanted cartilage gradually dissolves, so the initial result will deteriorate. Synthetic implants can fail.
Operation Shteplev
The essence of the operation is to introduce implants of greater length into the corpora cavernosa than the tunica albuginea allows. To stretch it, several incisions are made on it.With a conventional penile prosthesis, only the rigidity of the penis is ensured, but with the Shteplev operation, it is lengthened by approximately 2 cm. The implants are placed through a circular incision 10 mm from the coronary groove.
Prostheses of greater length but smaller diameter are used for installation. Thus, their surface is covered with cavernous tissue, which significantly accelerates healing.
What happens during surgery?
A man who has decided to modify his most intimate area goes and makes an appointment at the appropriate clinic and gets his intimate area in order. Read more about shaving your private area here.
The first thing he cares about is how big his cock will get. In this case, doctors say thatcan be extended to a maximum of 5 centimeters. The second most popular question is whether it will get wider. The size of the new, modified manhood will depend on the type of surgery that was performed.
How is the genital procedure performed?
If your doctor is an experienced and licensed genital surgeon, the main stage will last no more than 30-35 minutes.
It looks like that:
- the patient is placed under general anesthesia;
- the entire genital area, at the same time the stomach, legs are generously disinfected with iodine;
- the doctor cold-bloodedly plunges a scalpel into the penis;
- the incision is made on the scrotum, just along the dark line - the natural median seam. If you rotate the phallus, you will see it with the naked eye. By the way, after healing, the scar is masked along the line and becomes invisible even on closer examination;
- Cavernous bodies are shifted to the side - this is how the doctor finds an exit to the periosteum. The ligament that attaches the phallus to the pubic bone is located in this place. The thing is, about a third of the actual length is sitting here. These intestines are removed;
- the doctor estimates how long the penis is by focusing on the scar. If everything is fine, the incision is sutured. On average, the length increases by 3 cm.
The length of the penis after the operation in a relaxed state will remain unchanged. Don't expect everything to hang impressively.You will see the full effect in the erection. The tunica albuginea is to blame for this. It includes bodies that fill with blood when excited.
Possible risks and side effects
Possible complications of surgical interventions:
- bleedingA consequence of damage to large vessels (if the symptom occurred during surgery) or weight lifting (if it occurred during the recovery period).
- Nerve damage during tissue dissection.
- Formation of a large scar (due to the individual characteristics of the skin or careless work of the surgeon).
- Hematomas (hemorrhages of varying severity).
- Inflammation of the surgical wound (due to the penetration of pathogenic microflora into it).
The risk associated with unsuccessful surgical enlargement of the penis is impotence, erectile dysfunction.
prices
The price for penis enlargement has no clear limits. This is due to the fact that plastic surgery changes the thickness and length parameters or has a complex effect. The cost of the procedures varies. Depends:
We suggest you read: Mandatory rules for communicating with men
- Technical difficulty for the surgeon;
- Clinic Policies;
- Scope of work of the specialist;
- Additional materials (implants, prostheses).
Types of surgery
Currently, there are many types of manipulations that are performed under general anesthesia or local anesthesia. Some of them are quite harmless, while others require careful preparation and examination.
Extension
With this procedure, the reproductive organ is lengthened in length, while its thickness remains unchanged.
Ligamentotomy
It is a surgical enlargement of the penis, which is a simple circumcision of the foreskin, resulting in an extension of 2 centimeters. The event is held for hygienic purposes, many claim that it prevents sexually transmitted diseases, including infectious pathologies. The method takes about 15 minutes and can be performed at any age under local anesthesia.
Thickening
With this approach, the reproductive organ increases its volume, which is also important for full and lively sexual intercourse. The techniques mainly involve special injections that are considered minimally invasive.
Lipofilling
The procedure involves inserting the patient's fat cells, processed and purified in specialized equipment, into the shaft of the penis with a thin needle.The effect lasts for several months, after which the injected tissues dissolve on their own.The operation is painless, if necessary, local anesthesia is used in the form of ointments and injections. In practice, no rehabilitation is required.
Microsurgical muscle transplantation
In this approach, the specialist takes tissue from the muscles of the patient's back or armpit, then implants it in the genital organ, then restores the normal functioning of the nerve endings. This is a complex method that is expensive, but as a result of competent work, it is possible to obtain an enlarged and sensitive organ to stimulation.
Important: before choosing a specific technology, be sure to consult a doctor and undergo a comprehensive diagnosis.