Having tried all methods: from tablets and creams to extreme NUP, men, dissatisfied with the size of their genitals, decide that penis enlargement surgery is the only possible solution.
We will consider all types of surgical interventions in the intimate male sphere, find out approximate prices and clinics where such operations are performed.
Men are divided into several categories:
- they have an average size, which fully suits him and his partner;
- has a normal medium or large size, but would like to have an even larger size;
- he has a small penis and wants to enlarge it (remember that the lower limit of the normal length of the erect penis is considered to be 7 cm);
- there are consequences of penile injury or disease.
Penis enlargement by surgical procedure is performed both for medical reasons and for the purpose of cosmetic correction of 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
A man's desire alone is not enough for penis enlargement surgery. It is necessary to undergo an examination by a urologist or andrologist, during which a decision is made about the size and shape of the penis.
Anomaly associated with insufficient organ length is called micropenis. It occurs as a result of a lack of pituitary hormones. When evaluating the parameters of the penis, its size in erection is taken into account.
Other indications include:
- congenital pathologies of the structure of the penis;
- dysfunction arising in the background of severe fibrosis;
- organ injury;
- penis length in erection less than 12 cm;
- inability to have sex;
- Peyronie's disease or pathological curvature of the penis.
Male prejudices: the main reasons for dissatisfaction with one's size
The desire to improve the parameters of the penis is 90% related to dissatisfaction in the intimate sphere. For example, if a man is taught that the size of his penis directly determines his sexual viability. Regular comparison of organs or the partner's dissatisfaction with intimacy with her encourages the improvement of the parameters of the penis. Moreover, a woman associates factor 2 with the miniature size of a man's penis, which does not always cause a low quality of sexual life.
What doctors say about penis enlargement:
In our country, a large number of men are not satisfied with the size of their penis, I tell you as a doctor. This is a sensitive issue that isn't usually discussed openly, but I see such complaints all the time.
In general, various exercises for penis enlargement have been around for a long time, but unfortunately, they require a colossal amount of time and, strangely enough, do not work. There is a more radical solution - surgical intervention, but operations cost a lot of money and not everyone will decide to take such a step.
Penis prosthetics
The outcome of penis enlargement surgery with the help of prosthetics depends on the type of implant used. Extending the penis with this method is considered difficult.
In rare cases, rigid prostheses are used. Most often, inflatable or plastic implants are installed. The operation is performed under general anesthesia. The prosthesis is installed through an incision in the area of the spongy bodies.
Implants are made of different materials, but they are always hypoallergenic.
This type of operation is performed only for medical reasons, when underdevelopment of the penis is accompanied by sexual dysfunction. How much such a penis enlargement operation costs depends on the material used, the complexity of the pathology and other factors. Penis prosthetics are not available to everyone.
Contraindications for surgery
The specialist does not invasively enlarge the reproductive organ if the patient:
- Low blood clotting.
- Oncological processes in the urogenital system.
- Cardiac dysfunction.
- Allergy to all substances used for anesthesia.
- Bronchial asthma.
- Diabetes.
Additional contraindications - presence of severe mental disorders (schizophrenia, epilepsy); tendency to the formation of colloidal scars; purulent processes in the groin area.
Ligamentotomy
The operation begins with the administration of an anesthetic. For ligamentotomy, general anesthesia or spinal anesthesia is used. The next step is to cross and suspend the penile ligament, which holds the organ while it is deep in the pelvis.
The process of penis enlargement is performed by loosening the inner part of this ligament. After revealing the hidden part of the penis, the wound is sutured.
The desired effect of the increase is not achieved immediately, but after some time. It is enhanced by activities that include the use of extenders during the rehabilitation period.
Existing methods
There are many methods of penis enlargement, but most of them are non-surgical options.
Operations are divided into areas: lengthening or thickening.
Penis enlargement operations:
- Ligamentotomy;
- Penis prosthetics.
And the group of operations for penis enlargement includes:
- Lipofilling;
- Introduction of polymeric materials;
- Muscle transplantation;
- Hyaluronic acid injections.
Lipofilling
The operation begins by putting the patient under general anesthesia. In the beginning, biomaterial is collected from the area where it is most abundant. Then the process of purifying the obtained material is carried out. The next step is insertion into the genital organ using a special needle.
The injection sites are thoroughly disinfected with an antiseptic. A sterile bandage is placed on the genital organ. In total, the procedure takes no more than an hour.
The main advantage of lipofilling is the use of one's own biomaterial. The use of artificial implants can cause an allergic reaction to foreign materials.
After choosing the appropriate option, the men calmly move on to the search for a medical facility.They don't just focus on price, they also look at reviews about the organization and the professional they are dealing with.
Surgery is not always the right methodthey resort to it as a last resort!If your penis is larger than 8 cm, we recommend that you consider the possibility of stretching the tissue of the organ:
- Extender or Stretcher;
- Hanging loads;
- Exercising or jelking;
- Massage;
- Vacuum pumps.
For the resultWe recommend combining the mentioned methods with the use of ointments, creams, gels or sprays, and as a supplement, use food and herbs for penis growth.
Hyaluronic acid injections
Hyaluronic acid has become widespread not only in cosmetology, but also in plastic surgery. The procedure is quick and without problems. Hyaluronic acid is injected into the penis. On average, the effect lasts a year.
Injections are given only by a specialist, you cannot self-medicate!
Which doctor should I contact?
If such a decision as penis enlargement through surgery is deliberate, difficult to obtain and there is no return, the patient turnsto the plastic surgery clinic.
Large clinics have a department for cosmetic surgery or intimate plastic surgery. First you need to meet with your doctor, preliminarilyconsultations are not expensive.
If the doctor finds your arguments convincing, he will refer youinspection and testing, for which you will have to pay otherwise.
Tests to do (there are a lot of them, so take some free time to do them all):
- general blood analysis;
- blood clotting test;
- general urinalysis;
- blood group and Rh factor analysis;
- screening for HIV infection, hepatitis B and C;
- blood test for RW;
- EKG.
In addition to the surgeon, you will needto consult withurologist and andrologist.
After receiving the results of the examination, the plastic surgeon makesconclusionon the absence or presence of contraindications. And only then do they do plastic penis enlargement or not.
Preparation phase
Before the operation, you must go through preparatory procedures. They help in avoiding unwanted body reactions and choosing the most appropriate way of intervention.
The preparatory phase includes the following diagnostic procedures:
- ultrasound examination with doppler;
- general clinical blood test;
- research to detect sexually transmitted infections;
- blood chemistry;
- EKG;
- examination by narrow-profile specialists.
In addition, studies are being conducted to rule out 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 scheduled date, a man should limit his fluid intake. It is also recommended to stop smoking and drinking alcoholic beverages.
Rehabilitation period: doctor's advice
The following are contraindicated for tissue restoration after surgery:
- Lift heavy objects (this can cause bleeding and unraveling of stitches).
- Drink alcohol, smoke (intoxication of the body after anesthesia causes multiple complications).
- Eat heavy food. The diet should be light so as not to overload the intestines, because constipation will increase the pain in the wound.
- Super cool. After surgery, immunity is reduced. Therefore, exposure to drafts and low temperatures can lead to illness.
Immediately after the operation, a catheter is inserted into the patient's urethra (through which urination occurs). During the patient's stay in the ward, his care (washing, antiseptic treatment) is provided by the staff. Upon discharge from the clinic, the urethral catheter is removed, and the man urinates on his own. At home, the patient should perform intimate hygiene after each visit to the toilet. This will avoid infection of the operated organ.
Postoperative period
After ligamentotomy, the patient stays in the hospital for 24 hours. The doctor's task is to explain how to use an extender that helps in increasing the parameters of the penis. The appliance is worn for 2 hours a day. In the future, the wearing time increases.
Antibiotics and painkillers are needed in the postoperative period. In order to speed up the healing of the stitches, 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. Compression of the genital organ contributes to the divergence of the sutures.
The undoubted advantage of surgery is long-term results - literally for the rest of your life, while therapy requires constant repetition of the course of treatment, and the results of surgical intervention become less and less impressive over time.
Since penile prosthetics are difficult to perform, the postoperative period is longer. Two days after the operation, the patient remains in bed. Short walks and independent movement around the hospital are then allowed.
After 10 days, physical activity increases. The total duration of the rehabilitation period is 1 month.
Recovery
The longest recovery period is recorded after phalloplasty. The hospital stay lasts 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 - going to the sauna and taking a warm bath is limited.
- Ligamentotomy requires wearing an extender.
- Moderate pain is relieved by taking non-steroidal anti-inflammatory drugs.
Possible complications
Every type of surgery involves certain risks. The operation can lead to the development of complications.
This includes the following:
- formation of scars;
- tissue necrosis;
- bleeding in the suture area;
- thrombosis;
- erectile dysfunction;
- increase in body temperature;
- nervous disorders due to past experiences;
- wound infection;
- reduced sensitivity of the genital organ.
Proper work ensures the absence of scars and scars on the genital organ. Erectile function is not suppressed in this case. Difficulties arise if the operation is performed poorly.
Indications for penis enlargement surgery
Experts identify the following indications for penis enlargement:
- Micropenis syndrome.
- Curvature of the reproductive organ.
- The desire to improve your sexual performance.
- The need to increase self-confidence (if a man cannot satisfy his partner due to the small size of his penis).
If the genital organ is deformed due to injury, surgical enlargement will help to 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. . . various types of sprains have an extremely negative effect on potency.
How much does the surgery cost?
You can find out how much penis enlargement surgery costs at the selected medical facility. The price policy depends on the prestige of the clinic and the qualifications of the surgeon. The type of surgical intervention is also important.
You should focus on the following data:
- The price of penis enlargement surgery with a penile prosthesis varies from 180 to 250 thousand rubles.
- The price of ligamentotomy is 12-85 thousand rubles.
- When using implants, the final price depends on the material. The operation can be performed at a price of 40 to 280 thousand rubles.
- Muscle transplantation will cost 150-250 thousand rubles.
The operation is performed not only in private clinics, but also in public health institutions.
How to choose a clinic for surgery?
The most important criterion for choosing a clinic is the surgeon's qualification
First of all, when choosing a clinic for plastic surgery, the surgeon's qualifications are taken into account, but the conditions and the environment 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 equipment for intensive care.
The main criteria to pay attention to
Work permit and license required. The documents state:
- Name of the clinic.
- Legal address.
- Status of medical institution.
- State level of accreditation.
- State signature and seal.
The success of the operation largely depends on the technical equipment. After you have found out what 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 intuitively feels comfortable in it. A team of experts must instill confidence in the coherence of their work.
Examination before the procedure and observation after the operation are performed directly by the clinic staff.
The agreement drawn up between the clinic and the patient must specify the responsibilities of both parties and the degree of responsibility for the actions taken.
It would be nice to hear the opinions of people who have used the services of the clinic. Find out how their ligamentotomy went. Patient reviews often play a decisive role.
If at least one of the points is questionable, it is worth looking for another clinic with a more reliable reputation.
Alternative extension methods
Ligamentotomy is not the only surgical method for increasing the length of the penis. There are also alternative methods.
V-Y-plasty
The essence of the operation is the creation of 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 belt 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 wrinkles are possible. Moreover, the latter can manifest in the long term.
Perović's method
The method was named after Professor Sava V. Perović, who developed it. During the operation, the penis is literally dismembered: the head is cut from the thickness of the cavernous body 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 the stretching of the nerves and spongy body, the length of the penis increases by 2. 5-5 cm.
As for complications, the subsequent formation of scar tissue and excessive mobility of the head (granuloptosis) are possible. The embedded cartilage gradually dissolves, so the initial result will deteriorate. Synthetic implants can fail.
Operation Shcheplev
The essence of the operation is the introduction of a longer implant into the corpora cavernosa than the tunica albuginea allows. In order to stretch it, several cuts are made on it.With a conventional penile prosthesis, only the hardness of the penis is ensured, but with the Shcheplev operation, it is lengthened by approximately 2 cm.. Implants are inserted through a circular incision 10 mm from the coronary groove.
Prostheses of longer 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 zone goes and makes an appointment at the appropriate clinic and gets his intimate area in order. Read more about shaving the intimate area here.
The first thing he worries about is how big his penis will get. In this case, that's what the doctors sayit can be extended up to a maximum of 5 centimeters. The second most popular question is whether it will become wider. The size of the new, modified manhood will depend on what kind of surgery is performed.
How is the procedure performed on the genital organ?
If your doctor is an experienced and licensed genital surgeon, the main stage will take no more than 30-35 minutes.
looks like this:
- the patient is placed under general anesthesia;
- the entire genital area, at the same time the abdomen, the legs are generously disinfected with iodine;
- the doctor coldly cuts the scalpel into the penis;
- the incision is made on the scrotum, exactly along the dark line – the natural median seam. If you twist 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 after closer inspection;
- Cavernous bodies move 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 point is that about a third of the actual length is here. These intestines are pulled out;
- the doctor estimates how long the penis is, focusing on the mark. If everything is in order, the incision is sutured. On average, the length increases by 3 cm.
The length of the penis after the operation in a resting state will remain unchanged. Don't expect everything to hang impressively.You will see the whole effect in an erection. The tunica albuginea is to blame for that. Covers bodies that fill with blood when excited.
Possible risks and side effects
Potential complications of surgical interventions:
- Bleeding. The consequence of damage to large blood vessels (if the symptom appeared during surgery) or weight lifting (if it appeared during the recovery period).
- Nerve damage during tissue dissection.
- Formation of a large scar (due to individual characteristics of the skin or careless work of the surgeon).
- Hematomas (hemorrhages of varying severity).
- Inflammation of the surgical wound (due to the entry of pathogenic microflora into it).
The risk associated with unsuccessful surgical enlargement of the penis is impotence, erectile dysfunction.
Prices
The price of penis enlargement has no clear limits. This is due to the fact that plastic surgery changes parameters of thickness and length or has a complex effect. The cost of the procedures varies. Depends on:
We suggest you read: Mandatory rules for communication with men
- Technical difficulties for the surgeon;
- Clinic policies;
- The specialist's scope of work;
- Additional materials (implants, prostheses).
Types of operations
Currently, there are many types of manipulations that are performed under general or local anesthesia. Some of them are quite harmless, while others require careful preparation and examination.
Elongation
With this procedure, the length of the reproductive organ is extended, while its thickness remains unchanged.
Ligamentotomy
This is a surgical enlargement of the penis, which is a simple circumcision of the foreskin, resulting in an enlargement of 2 centimeters. The event is held for hygienic purposes, many claim that it prevents sexually transmitted diseases, including infectious pathologies. The method takes approximately 15 minutes and can be performed at any age under local anesthesia.
Thickening
With this approach, the reproductive organ increases in volume, which is also important for a full and lively sexual relationship. The techniques generally involve special injections, which 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 recede on their own.The operation is painless, if necessary, local anesthesia in the form of ointments and injections is used. Rehabilitation is practically not required.
Microsurgical muscle transplantation
With this approach, the specialist takes tissue from the patient's back muscles or armpits, after which he implants them in the genital organ, and 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 get an enlarged and sensitive organ.
Important: before choosing a particular technology, be sure to consult a doctor and undergo a comprehensive diagnosis.