There are two types of penile enlargement surgeries: some increase length, others increase thickness. Consider each of the types for suitability, effectiveness and risk to the patient's body. Special attention is paid to the rehabilitation period in the article, since consolidation of the results of surgical intervention depends on rehabilitation.
Extension, ligamentotomy
Operations to increase the length of the penis - ligamentotomy. The suspensory ligament is cut, after which the penis must be kept stretched during the rehabilitation period, otherwise the ligament may melt back to its original position. The penis is kept taut with an elastic stretcher. As a result, the angle between the penis and the uterus opens (increases). Also, the inner part of the penis retracts slightly and takes root in a new position.
If you follow the recommendations during the rehabilitation period, you can get an extension of the penis from 1 to 2 cm. If without surgery, an increase of up to 3 cm is guaranteed, 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 indicator is the patient's desire to improve aesthetic performance.
Estimated feasibility:
- with an erection length of up to 10-12 cm - there are medical indications,
- at 12-15 - performed at the request of the patient,
- more than 16 - does not 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. Talk to a doctor. This is how 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 case of some kind of complication - you will have to solve the problems yourself.
Contraindications
Contraindications are:
- skin diseases in the surgical area,
- diseases of the genitourinary system,
- urological diseases,
- inflammation of the urethra and other similar problems.
Also, most likely, you will have to undergo a psychological consultation: if abnormalities are detected, they may become a contraindication.
Cost of operation
Inspections and clothing are free.
You can find out how much penile enlargement surgery costs in your city by contacting a medical facility directly.
Types of ligamentotomy
Ligamentotomy is performed either through pubic or scrotal access. The ligament is cut through the incision.
Public access is an outdated method of operation, which leaves quite a visible scar. This operation takes longer, which increases the risk of infection and prolongs the patient's stay under anesthesia.
A newer technique is ligamentotomy through scrotal access: an incision is made in the scrotum and through it access to the ligament is opened. Ligamentotomy through scrotal access reduces the operation time from 1-1. 5 hours (standard ligamentotomy) to 20-30 minutes. The mark on the scrotum is almost invisible. Fewer tissues are damaged, the rehabilitation period is shorter.
A side effect of ligamentotomy is a change in the angle of erection. The erect penis will not point forward and up, but forward and down. The operation should not affect the level of erection.
reHabiLitatiON
In ligamentotomy, the rehabilitation period is extremely important. The supporting ligament is cruciate. To prevent the ligament from melting back to its original position, the penis should be kept stretched 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 uterus opens (increases). Also, the inner part of the penis retracts a little, after which it takes root in a new position. If you do not adjust the penis in the right position, it will gradually retract and take its original place.
The stretcher is worn for several hours a day with maximum traction. The device will not put pressure on the seam, it is compact, invisible under clothes, you can wear it outside the house. You can start using it in the early postoperative period, which helps eliminate suture divergence and scar formation.
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 surgery, stress and pain are possible. If you do not familiarize yourself with the stretcher and extender in advance, do not choose a suitable option for wearing the equipment, do not adapt to wearing them, then it will be extremely problematic to experiment after the operation. Patients very often refuse to wear appliances because of this or wear them for an insufficient amount of time.
The stretcher should be worn for the first 3 weeks, then gradually attach the extender, following your feelings. Postoperative wearing of an extender improves the outcome. After a ligamentotomy, the extensor 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 post-operative precautions.
You can often hear complaints that the operation did not work. These are the only cases where the patient has not followed the above recommendations.
Ask the surgeon what rehabilitation program he plans. If there is no postoperative stretcher dressing on it, it is also better to refuse.
Which extender to choose for ligamentotomy
The expander is an alternative to surgery. Without using 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 extension should be comfortable so that it can be left for 1. 5-2 hours in a row.
An extender from a German manufacturer is ideal. The kit includes an elastic stretcher strap to wear after surgery. The attachment of the extender to the penis is vacuum-glued. This type of fastening 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 wearing periods are necessary for the penis to settle into a new position.
After the penile transplant period, 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. There are several modifications: an extension on the 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 surgeries are complex and can come with side effects.
One of the most popular is to transplant a patient's fat 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 tissue. In addition, the fat will be absorbed gradually and, most importantly, unevenly. Therefore, tuberosity can appear on the surface of the organ.
Transferring a piece of muscle tissue under the skin of the penis, where the shaft is wrapped 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. Muscle flap necrosis and ischemia 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 the posture, since the muscles support the bones, and the transplant 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 add thickness to the body. The gel is injected quickly. The cost of this operation is low compared to other surgical methods. It is most often performed by a cosmetologist. After a year, the acid is resolved and the procedure must be repeated. Often, the injected gel is collected into small lumps and encapsulated. Seals are felt on the penis, the relief of the skin becomes uneven.
All three types of operations can give approximately the same side effects: weakening of the erection, decreased sensitivity of the head, curvature of the penis. In addition, after any intervention, the body can retain an unnatural swollen appearance for a very long time.
Every operation is a risk. There are more and more dangerous interventions. Ligamentotomy is relatively safe and effective when used with an extender. Weight loss surgeries are more risky and usually have a temporary effect.
It's never too late to go under the scalpel. Try non-surgical methods of penis enlargement.