According to research, many men are dissatisfied with the size of their penis and feel psychological or physical discomfort because of this. This leads to problems of a sexual nature, indecision in communication 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 surgeries, you can restore the penis after injury or eliminate birth defects.
How to achieve efficiency
In modern medicine, there are many different ways to enlarge the penis. Cosmetic surgery can change individual parts and abilities of a man or reconstruct it into a complete organ. The result of the operation is to achieve not only an improvement in appearance, but also the preservation of all its functions.
All known surgical interventions aimed at changing penis size are aimed at increasing its length or thickness. To lengthen the penis, a ligamentectomy is performed (cutting the penile suspensory ligament). The following techniques are used to increase the volume and thickness of the penis:
penile prosthesis (implantation of a prosthesis into the body of the genital organ);
lipofilling (inserting one's own fat cells into the internal tissues of the organ);
introduction of collagen matrix (capsule that stimulates your own connective tissue production);
installation of gel implants (between the skin and shaft of the penis);
microsurgical muscle transplantation (transplantation of muscle tissue with the formation of an organ);
hyaluronic acid injection (replenishment of missing volume).
As a result, by turning to a specialist for help, a man receives:
restore or preserve penile function;
give aesthetic form;
Eliminates defects following disease, developmental defects, and trauma.
There are also non-surgical methods of penis enlargement using various devices and exercises. Stretchers, dilators, straighteners and vacuum pumps are becoming especially popular. However, doctors warn that independent use to lengthen the penis not only does not bring the desired results, but also causes damage to the corpora cavernosa, tunica albuginea, nerves and blood vessels, as well aserectile dysfunction.
Increasing penis size with exercises is also ineffective. These are massage movements in the form of stretching, tightening and rotating. No studies have shown any benefit from them. Furthermore, the use of organ stretching exercises can lead to erectile dysfunction and damage to blood vessels, bruising and swelling in the penile area.
Signs of increased penis size
Many men tend to underestimate the size of their reproductive organs. It is believed that its normal length in an erect state is between 12-18 cm, diameter is 3-3. 5 cm, the average length in men is 15. 7 cm, the penis is less than 9 cmconsidered small and less than 2 cm. considered a micropenis.
If you have any doubts or dissatisfaction with yourself, you should see a doctor who, depending on the specific situation, will recommend one of the methods of conservative procedures or surgical intervention. This operation can be performed for both cosmetic correction purposes and for medical reasons, including:
small penis and micropenis;
Congenital defects of the urethra;
penile injury;
amputation due to trauma;
deformity due to illness;
eliminates the consequences of operations on male genital organs;
erectile dysfunction;
difficulty urinating;
change gender.
Contraindicated
The main requirement before surgery is to assess your general health and identify possible contraindications. Corrective surgery is not performed in the following cases:
age under 18 years old;
blood clotting disorders;
acute infection;
sexually transmitted diseases;
diabetes;
mental illness;
chronic illness with severe pathology.
Prepare for penis enlargement
When a man decides to correct the size of his penis, the question is: which doctor should he consult? Penis enlargement surgery is one of the fields of cosmetic and urological reconstructive surgery. Plastic surgeons specializing in urology or andrology deal with the problems of changing the size and shape of the male genitalia. Before surgery, consultation with a surgeon is required. Your doctor will recommend the type of intervention needed, depending on the indication. This can be a complete restoration of the penis (total phalloplasty) or a partial restoration of the penis, changing its shape or size.
To avoid complications, the doctor prescribes a thorough examination. The list of laboratory research methods and tools includes:
Fluorescent;
ECG;
general blood analysis;
blood chemistry;
coagulation;
blood tests for HIV, syphilis, hepatitis;
General urinalysis;
a smear from the urethra to detect infectious agents.
After examining and excluding all possible contraindications, the doctor sets the date of surgery. When performing surgery under general anesthesia, a consultation with an anesthesiologist is required, who must be informed about the presence of an allergic reaction 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 was shaved. If an operation is planned under general anesthesia, at least 8 hours must pass after the last meal or liquid.
However, corrective surgery is not always necessary. If a man wants to enlarge the penis for cosmetic purposes, the doctor may recommend non-surgical methods - hyaluronic acid injections without special preparation.
Perform penis enlargement
There are different types of surgery to change penis size. Each of them has its own indications, advantages and disadvantages.
Cut the ligament
Ligamentectomy is the most common 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 of the scrotum. Through this, the ligaments that suspend the genitals from the pubic bone are partially divided. After that, the penis lengthens by 2-3 cm as the internal (hidden) part is released. Usually, the surgery is performed at the man's request, it will not help erectile dysfunction.
Dildo
Penile prostheses are used to treat impotence or for complete cosmetic surgery purposes when removing the penis or changing gender. Prosthetics come in rigid and semi-rigid, two- and three-component types. 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 plastic memory. Before sexual intercourse, the prosthesis is stretched, moving the penis from a hanging position to an erect state, then bending again.
More physiological are two- and three-component inflatable and self-inflating prostheses. They are a system of tanks and pipes. By pressing on the scrotum, a special pump is activated, which fills the hollow prosthesis with air or fluid from a hidden reservoir. The three-piece dildo more accurately replicates a natural erection.
The operation is performed under spinal anesthesia or general anesthesia. Its duration is about 1 hour. The location of the incision depends on the type of prosthesis - along the coronal groove (at the junction of the head and shaft of the penis), in the scrotum or under the pubic bone. Parallel channels are formed between the shaft and the skin to the base of the penis and the prostheses are inserted. They increase the thickness of the penis by up to 50-70%.
Liposuction
This operation is done more for aesthetic purposes. With the help of lipofill, you can even out the shape and increase the thickness of the penis by 2-3 cm. Due to the increase in gravity as the organ thickens, its length in the non-erect state also increasesgo up.
Local anesthesia is often used to relieve pain. Adipose tissue is taken from the man's pubic area, abdomen, thighs or buttocks and injected along the axis of the genitals using a microneedle. The surgery lasted for 1 hour. If necessary, the patient can be left in the clinic overnight.
Introducing the collagen matrix
For cosmetic reasons, aimed at increasing size, capsules with special absorbing properties (collagen matrix) are inserted into the penis, which stimulate the organ to produce its own connective tissue.
To do this, on the day of surgery, blood is taken from a vein in an amount of 50 ml to obtain stem cells, which are then transplanted into a matrix. Then, 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 site of the urethra. Within 3-6 months, the matrix dissolves, but its own connective tissue forms in its place, so the increased size of the organ remains forever. Penis diameter can increase by 1-1. 5 cm. The effectiveness of using the matrix largely depends on the individual characteristics of the patient.
Install the implant gel
Silicone gel implants are placed under the skin along the lateral surface of the penis. With their help, it is possible to increase the thickness of the genital organs to 1. 5 cm. The operation is performed under general anesthesia for 1 hour. These implants do not cause rejection or allergic reactions, they cannot penetrate the shell, even if it ruptures. If necessary, they can be removed.
Microsurgical muscle implantation
Microsurgical muscle implants are performed for cosmetic and medical reasons. For medical reasons, surgery is performed if there are consequences of trauma, 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 for 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, and the blood vessels and nerves are sutured.
In cases of penectomy due to cancer or amputation due to trauma, total phalloplasty is used. In this case, the organ is created from scratch. This operation is also used for gender reassignment. To do this, people often take a flap of skin and nerves from the back and shape the penis according to the model. Its size will depend on the patient's wishes. A point for its attachment is chosen on the pubic bone, where the muscles are sutured. After fixing the penis, the doctor will perform microsurgery to connect the veins, arteries and nerves. Then, the surgical wound is sutured and the function of the nervous and circulatory systems is tested. The result is a penis that looks and functions similar to an organ that has not undergone surgery.
hyaluronic acid injections
There is another non-surgical method of penis enlargement - hyaluronic acid injections. The drug is easily used, well distributed into tissues and makes up for the missing amount of drug. 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. Effects usually last up to a year. Then the procedure can be repeated.
Hyaluronic acid injections are also used to enlarge the glans of the 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.
Frenuloplasty - frenuloplasty
In some cases, men have a short frenulum (the area between the head of the penis and the foreskin). This can cause discomfort or pain during sex. 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 horizontal incision and then sutured vertically with absorbable sutures. The procedure takes 15-20 minutes.
After the procedure
The duration of the recovery period depends on the volume and type of surgery.
After cutting the ligament, the patient remains monitored at the hospital for 2-3 days. The stitches are removed after 2 weeks. After surgery, you need to limit physical activity and sexual activity for 1 month. To achieve better results, you must wear a stretcher (or stretcher) for 6 months after surgery. It is designed to prevent repair of the torn ligament. A stretcher is a special stretching device made specifically for each patient. It must be used for a maximum of 6-8 hours per day for 2-6 months. It does not cause any special inconvenience when worn. In this case, the length of the penis increases by 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 eyelash extensions, you must strictly follow your doctor's recommendations.
Penile restoration is considered a minimally invasive surgery with a short recovery time. After surgery, the patient stayed in the hospital for 1 day. It is recommended to take a break from sex for 1. 5-2 months.
Recovery time after liposuction takes about 1 month. The surgery causes little trauma, so recovery time is quick and there are no complications. To avoid damage to transplanted fat cells after surgery, sexual activity should be limited for 2 months. Sports activities should be postponed for 1 month.
The postoperative period after the insertion of the collagen matrix is 2-3 months. The patient was monitored at the hospital for another day. Sexual intercourse is limited during the entire period of matrix resorption.
After gel implantation, the patient was monitored at the hospital for another day. Sexual activity and physical activity are allowed after 1 month.
Recovery time after microsurgical muscle transplantation lasts 2 months. After surgery, hospital monitoring is required for 2 weeks. Physical activity and sexual life are restricted for 2 months. Urinating is allowed only with the help of a catheter inserted into the bladder. With full blepharoplasty, recovery takes six months. During this time, urination begins and erection is restored.
After hyaluronic acid injection, limit intimate contact for 3-4 weeks. You must limit visits to saunas and hot baths for 2 weeks.
Recovery time after frenuloplasty surgery takes 1 month. During this time you should abstain from sex.
In some cases, if you do not follow your doctor's recommendations, complications may occur. At the first suspicious symptoms, you should not delay going to the clinic. Complications that can occur after plastic surgery:
narrowing of the urethra;
violation of the innervation of the penis;
erectile dysfunction;
penis reduction;
inflammation;
bleeding;
tissue scarring and deformity;
Refuse transplant.