The normal size of the erect penis is considered to be 11 to 19 centimeters. A penis less than 10 centimeters in length is considered small, and less than 5 cm is considered a micropenis (this is an anatomical pathology). With deviations from the norm that interfere with normal life, a man is recommended plastic surgery. A man with normal masculine dimensions can also resort to the operation, although it is not necessary, there are also no prohibitions, and the owner of the penis decides everything. In this article we will tell you how it is carried out, how much does penis enlargement surgery cost, and what opinions are left by men who decide on surgical size change.
Change in penis size by ligamentotomy
Now the main operation is to lengthen the penis using the ligamentotomy method. At the same time, the penis itself does not, in fact, change in size, but visually it seems longer, since there is a redistribution of centimeters to the visible part. This operation was first performed in 1990.
Surgical enlargement of the penis occurs according to the following scheme:
- The surgeon cuts the ligaments at the base of the penis.
- It releases the corpora cavernosa to the point where the arteries penetrate into them.
- It fixes the cavernous bodies in a changed position at the level of the severed ligaments.
- After the surgical sutures are removed and the swelling subsides, the penis will appear 3 to 5 cm longer.
There are several types of surgical operation depending on the location of the incision (it is possible to achieve penis enlargement through suprapubic, scrotal, subcoronary incision). The type to be chosen depends on the morphological characteristics of the man's penis; is determined after consultation with a plastic surgeon.
This is not to say that surgical penis enlargement is a simple and painless procedure. Plastic augmentation surgery is performed only under general anesthesia. If the patient has contraindications to anesthesia, this operation will not be performed.
You also need to remember that a couple of months after the operation, the penis will need to be fixed with bandages or a plastic expander so that the ligaments remember the new position. The photo shows one of the options for the expander that can be used with the combined method of penis enlargement.
"Does it hurt to lengthen the penis with an operation, will there be consequences? "many men ask. Read the reviews and make sure that the surgical procedure is not pleasant. The operation itself, as already mentioned, is performed under anesthesia, but after that the man will have to endure pain (it lasts a couple of days), and then discomfort due to an uncomfortable and unusual condition. Ideally, the healing process takes at least two to three weeks. After removing the clamps or the expander, a slight discomfort is also possible, then everything returns to normal.
Introduction of the prosthesis in the organ.
Another type of penile enlargement surgery is the placement of a prosthesis through a transverse albugineal incision (this penile enlargement operation is also called a corporotomy). The enlargement of the penis occurs because a prosthesis of obviously greater length is placed in the intracavernosal space. This leads to stretching of the penile skin. To enhance the effect, in addition to the penis enlargement operation, a mechanical stretching of the penile tissues is performed (using an expander).
Various "parts" can be used as an implant. For example, many clinics now use a silicone implant that increases the length of the penis by 5 centimeters. The implant is inserted through a small incision in the groin. The entire procedure is performed under local anesthesia.
Recovery after such an operation takes several weeks. A man can walk and sit in 4-5 days, but the erection will return only after 1-2 months.
The introduction of a silicone implant has a disadvantage - it may not take root after the operation. To avoid this, a surgical augmentation may be ordered, in which fat is pumped out instead of an artificial implant. Adipose tissue is considered the most natural and safest type of penile filler. It is 100% compatible with male tissues, which minimizes the risk of inflammation. After insertion, it does not move (the fat implant is stable), moreover, it looks more natural.
Penis enlargement by a surgical method with the help of a certain amount of adipose tissue has another advantage: recovery after surgery takes about 5-6 days, and its results are immediately visible. According to doctors, the operation allows you to increase the size of the penis by up to 40%, and this can be both an operation to thicken the penis, and an operation to change the length.
The disadvantage is that part of the fat cells dissolves after a year or two, and the skin begins to accumulate due to stretching and the formation of voids. This is not very beautiful - you will have to do an additional cosmetic operation to pump out new fat or cut loose skin.
Change the size of the penis according to the Perovich method
Operations to increase the penis according to the Savva Perovich method are a complex procedure, but they allow you to achieve quite tangible changes in the size of a man's penis. Penis enlargement surgery is performed under general anesthesia. The outline of the procedure is as follows:
- The surgeon performs a cardinal division of the organ into its constituent parts: the doctor surgically separates the corpora cavernosa along the entire length of the hanging part of the male penis (from the corpus spongiosum to the glans).
- Pieces of a man's costal cartilage are placed between the corpora cavernosa and the head, or an artificial prosthesis (silicone or helium) is inserted.
- As a result, the elements of the penis are lengthened to the desired size (maximum - up to 7 centimeters).
It is worth carrying out this enlargement operation, only after carefully weighing the pros and cons, it will be impossible to return the former state of the penis after surgery. It is also worth preparing for a long recovery period. For example, a full erection after surgery will return on its own after 2-3 months.
Male Dignity Lipofilling
Lipofilling of a male penis is a non-invasive microsurgical procedure that does not require open incisions. This penis enlargement surgery is a staged subcutaneous injection of the patient's own tissue. It is not used to increase the length; with its help, you can only correct the diameter of the penis (from 5 to 15 millimeters). The material required for the procedure is removed by liposuction from the places of its excessive deposition in a man's body: in the suprapubic zone, on the hips, abdomen, buttocks.
Since this is not really a penile enlargement operation, but rather a cosmetic procedure, recovery is quick. A man stays in the hospital for only one day and is then discharged, but the patient will have to refrain from sexual intercourse for 4-5 weeks.
The disadvantage of the procedure is that, as with fat implantation, the result will not be eternal. The tissue injected into the penis during this procedure tends to dissolve. You will need to repeat the injections every two to three years.
Abdominal muscle tissue transplant
There is another type of surgery that can be used to enlarge the penis: a muscle flap transplant. As starting material, a part of the rectus abdominis muscle of a man with fragments of the adjacent vascular system is used. During the operation, the muscle is retracted into the penis, where it is attached to its natural tissues.
Resume. In the article, we have listed the main methods of enlarging the penis surgically. Many men think about this, but they must remember that augmentation operations can be successful and complications can occur, so weigh the pros and cons before lying down on the surgeon's table. In half of the cases, surgery is not required and the size of the man is normal (the desire to lengthen or increase the thickness is just a whim). Still, doctors in their reviews are unanimous: operations should be performed only according to medical prescriptions, but it is still a man who makes the final decision on surgical penis enlargement.
Features of operations on the penis
According to statistics, about 80% of men think about penile surgery, wanting to enlarge this organ. But as a rule, everything is limited to wishes, because. basically, the representatives of the stronger sex are quite satisfied with what nature gives them. Much less often, you can meet those who want to reduce the size of the manhood due to inconvenience in sexual life or other points, because. special rings are used to correct excessive volumes during sexual intercourse, and there are also slimming underwear.
Prerequisites for operations
Today, surgery may have the following indications:
- Various types of erectile dysfunction associated with organ curvature (Peyronie's syndrome), vascular diseases or metabolic disorders.
- Correction of the results of the previous surgical intervention.
- Cavernous fibrosis (proliferation of connective tissues within the cavernous bodies of the organ).
- Incorrect development of the genital organs.
- Change of sex to the opposite.
- A consequence of surgical intervention during operations (on the prostate, bladder or rectum).
The most common surgeries on the male penis consist of lengthening the frenulum. The frenulum is a fold of skin between the foreskin and the glans penis and is usually long enough to allow optimal mobility of the foreskin. However, as a result of trauma or congenital pathology, the size of this element may be insufficient, which causes pain during erection or premature ejaculation problems. However, this problem is quite easily and quickly solved by plastic surgery, when the patient's frenulum is lengthened to normal size under local anesthesia in 15-20 minutes with the formation of cosmetic sutures that do not need to be removed. Full recovery time after surgery is approximately 5-7 days.
Since the shortening of the frenulum can occur as a result of its rupture and a large blood vessel passes through it, the damage of which can cause bleeding, doctors recommend immediately going to the surgeon when it breaks so that there is no incorrect fusion. which will result in scars.
circumcision operations
Circumcision is also a simple surgical intervention - circumcision of the foreskin. The essence of the operation is that part of the skin of the penis covering the head is removed and remains completely open or partially closed. This operation on the penis is very old, originating in Eastern countries with a hot climate and scarce water resources. It helps prevent penile cancer, improve hygiene, reduce tenfold the risk of cystitis and pyelonephritis in children, and reduce the risk of transmission of sexually transmitted diseases.
Circumcision helps reduce the chance of cervical cancer in the partner of a circumcised man. the risk of transmission of papillomavirus type 16 and 18, which are the basis for the appearance of this disease, is reduced. The procedure is performed under local anesthesia or general anesthesia (adolescence), with sutures (usually with absorbable threads, so the sutures are not removed). The operated person comes for a couple of bandages, returns to sexual activity in two or three weeks.
penis enlargement surgery
An operation on the genital organ is resorted to to increase it if a man at room temperature and certain methods of stretching the organ is no more than 2 cm in length, which creates problems for normal sexual function in an erect state. If the penis in an erect state reaches a size of up to 9. 5 cm, then it belongs to the group of small organs that are considered the norm (for example, in Asia, the size of the penis in men on average reaches about 11- 12 cm in the state of erection).
It is possible to increase the size of the penis with the help of vacuum devices (they are used constantly, for a long time to stretch the penis), external stretching devices that work on the same principle as vacuum devices, and through a surgical operation. . Surgical intervention is based on the fact that a man cuts the ligament that attaches the organ to the pubic bone and extends the inner part of the penis. It is performed under general anesthesia, lasts up to an hour, the recovery period lasts up to 5 weeks. Almost always, in addition to the operation, subsequent stretching on vacuum devices is recommended to build more tissues.
The optimal form of surgery on the penis to enlarge it today is ligamentotomy with scrotal access, which is somewhat more complicated than the classic one and allows minimizing complications, reducing anesthesia time and beginning to apply vacuum stretching. immediately after the operation. However, it should be borne in mind that an increase in length in this case can reach a maximum of 3-5 cm in the best case, often the organ does not lengthen in an erect state, but increases only 1-2 cm. at rest, due to dissection of the ligament, the base of the penis becomes ultramobile, the angle of erection changes to a smaller one. Therefore, you should think many times about the appropriateness of the operation before going under the surgeon's knife.
In some cases, a man's penis appears short due to a large fold of pubic fat. Here, pubic plastic surgery is performed with simultaneous liposuction, although positive results can also be achieved as a result of weight loss during sports. In addition to lengthening the penis, you can also thicken it with a surgical scalpel. In this case, the patient may have latissimus dorsi muscle tissue transplanted, autofat inserted along the shaft of the penis, removed from the pubic region by liposuction, gluteal fold tissue flaps placed under the penile skin along of its full length, etc. The ban on sexual activity after such manipulation lasts for two months.
A certain number of operations is performed with the introduction of artificial local implants of the shell or helium type, similar to those used for breast augmentation in women. This method is good for a more stable thickening result, minimal complications, no need for additional incisions to collect your own items for implantation. Surgeons believe that it is possible to increase the diameter of the male genital organ by an average of 0. 5-1 cm, higher figures are unreliable and mislead potential customers.
After surgery, pain medication is usually not needed the next day. Every 2-3 days the patient visits the locker room, and in the absence of complications, the stitches are removed after 12-14 days.
penis prosthesis
To restore the rigidity (elasticity) of the penis, in some cases, a penile prosthesis operation will be required. It is the implantation of inflatable or semi-rigid prostheses in the male genital area. When installing inflatable options, inflatable cylinders are introduced into the corpora cavernosa, a pump for injection is introduced into the scrotum, and behind the pubis there is a reservoir (with sterile water), which is connected to the rest of the system by tubes. The prosthesis does not affect sensitivity, ejaculation or orgasmic sensation in any way, on the contrary, it allows numerous sexual intercourse, and most women may not even notice the presence of a prosthesis if they are not aware of it.
There are more operations on the penis with the installation of semi-rigid prostheses, because. such mechanisms are very reliable and inexpensive, and after the act, the sexual organ can simply be lowered to the lowest position. However, they give users a number of inconveniences due to constant erection.
Operations on veins and arteries
Erectile dysfunction is also treated with penile surgeries based on correcting the condition of the blood vessels or veins. For example, in X-ray vascular vein occlusion, venous drainage of blood flow from the cavernous bodies of the penis is performed under local anesthesia. In addition, as a rule, for young people who have suffered injuries, surgery is performed on the arteries, with the aim of increasing blood flow to the cavernous bodies of the penis.
Surgeons draw men's attention to the fact that they have only one genital organ and must handle it carefully, entrusting surgical intervention only to qualified specialists.