The normal size of an erect penis is considered to be 11 to 19 centimeters. A penis with a length of less than 10 cm is considered small, and less than 5 cm is considered a micropenis (this is an anatomical pathology). In case of deviations from the norm that interfere with normal life, plastic surgery is recommended to the man. A man with a normal penis size can also resort to the operation - although there is no need, there are no prohibitions for this, and the owner of the penis decides everything. In this article, we will tell you how it is performed, how much does penis enlargement surgery cost, what reviews are left by men who decide to surgically change the size.
Changing the size of the penis by ligamentotomy
Now the main operation is penis lengthening by the method of ligamentotomy. At the same time, the penis itself does not actually change in size, but visually it looks longer, since there is a redistribution of centimeters to the visible part. This operation was first performed in 1990.
The surgical enlargement of the penis takes place according to the following scheme:
- The surgeon cuts the ligaments at the base of the penis.
- It frees the corpora cavernosa to where the arteries enter them.
- Fixes the corpora cavernosa 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 3-5 cm longer.
There are several types of surgical operations depending on the location of the incision (it is possible to achieve penis enlargement through a suprapubic, scrotal, subcoronal incision). Which type will be chosen depends on the morphological features of the man's penis - it is determined after consultation with a plastic surgeon.
This does not mean that penis enlargement by surgery is a simple and painless procedure. Plastic augmentation surgery is performed only under general anesthesia. If the patient has contraindications for anesthesia, then this operation will not be performed.
You should also remember that a few 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 expander options that can be worn with the combined method of penis enlargement.
"Does penis enlargement with surgery hurt, 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 it the man will have to endure pain (lasts several days), and thendiscomfort due to an uncomfortable, unusual condition. Ideally, the healing process takes at least two to three weeks. After removing the staples or expander, slight discomfort is also possible, after which everything returns to normal.
Insertion of the prosthesis into the organ
Another type of penile enlargement surgery is insertion of a prosthesis through a transverse albugineal incision (this penile enlargement surgery is also called a corporotomy). The enlargement of the penis is due to the fact that a prosthesis of obviously greater length is placed in the intracavernous space. This leads to stretching of the penile skin. To enhance the effect, mechanical stretching of the penile tissues (using an expander) is performed in addition to the penis enlargement surgery.
Different "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 placed through a small incision in the groin. The entire procedure takes place under local anesthesia.
Recovery after such an operation takes several weeks. A person can walk and sit after 4-5 days, but the erection will be restored only after 1-2 months.
The introduction of a silicone implant has a drawback - it may not take root after the operation. To avoid this, surgical augmentation can be ordered, in which fat is pumped 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 reduces the risk of inflammation to a minimum. After placement, it does not move (the fat implant is stable), and it also looks the most natural.
Penis enlargement using a surgical method with the help of a certain amount of fatty tissue has another plus - recovery after the operation takes about 5-6 days, and its results are visible immediately. According to doctors, the operation allows you to increase the size of the penis up to 40% - and this can be both an operation to thicken the penis and an operation to change the length.
The downside is that some of the fat cells dissolve after a year or two and the skin begins to gather from stretching and cavities. This is not very pretty - you will have to do additional cosmetic surgery to pump out new fat or cut away the sagging skin.
Changing the size of the penis according to the Perovich method
Penis enlargement surgery using the Sava Perovic method is a complex procedure, but it allows you to achieve quite tangible changes in the size of a man's penis. Penis enlargement surgery is performed under general anesthesia. The scheme of the procedure is as follows:
- The surgeon performs a cardinal division of the organ into its component parts - the doctor surgically separates the cavernous bodies along the entire length of the pendulous part of the male penis (from the spongy body to the glans penis).
- Pieces of male costal cartilage are placed between the corpora cavernosa and the head, or an artificial (silicone or helium) prosthesis is placed.
- As a result, the elements of the penis are lengthened to the desired size (maximum - up to 7 centimeters).
It is worth doing this enlargement operation, only after carefully weighing the pros and cons, it will be impossible to return the previous state of the penis after the operation. It is also worth preparing for a long recovery period. For example, a full erection after surgery will return only after 2-3 months.
Lipofilling of male dignity
Male penile lipofilling is a microsurgical non-invasive procedure that does not require open incisions. This penile enlargement surgery involves a step-by-step subcutaneous injection of the patient's own tissue. It is not used to increase the length - with it you can only correct the diameter of the penis (by 5-15 millimeters). The material required for the procedure is extracted by liposuction from the places of its excessive deposition in the man's body: in the suprapubic area, on the thighs, abdomen, buttocks.
Since this is not actually penile thickening surgery, but rather a cosmetic procedure, recovery is quick. A person stays in the hospital for only one day, after which he is discharged, but the patient must refrain from sexual contact for 4-5 weeks.
The downside of the procedure is that, as with fat grafting, the result will not be permanent. The tissue injected into the penis during this procedure tends to dissolve. You will need to repeat the injections every two to three years.
Transplantation of muscle tissue from the abdomen
There is another type of surgery that can be used to enlarge the penis - a muscle flap transplant. A part of the rectus abdominis muscle of a man with fragments of the vascular system adjacent to it is used as the starting material. During the operation, the muscle is retracted to the penis, where it is fixed to its natural tissues.
Summarize. In the article, we have listed the main methods of increasing the penis surgically. Many men think about it, but they must remember that augmentation operations can be successful and complications can occur, so you need to weigh the pros and cons before lying on the surgeon's table. In half of the cases, no surgery is required, and the size of the man is normal (the desire to lengthen or increase the thickness is just a whim). However, the doctors in their reviews are unanimous: the operations should be carried out only according to a doctor's prescription - but still the man makes the final decision on surgical enlargement of the penis.
Features of penile operations
According to statistics, about 80% of men think about penis surgery, wanting to enlarge this organ. But as a rule, everything is limited to wishes, becausein general, the representatives of the stronger sex are quite satisfied with what nature has given them. Much less often you can meet those who want to reduce the size of the manhood due to discomfort in sex life or some other points, becausespecial rings are used to correct excessive volumes during sex, and there are also slimming underwear.
Prerequisites for operations
Today, the operation may have the following indications:
- Various types of erectile dysfunction associated with distortion of the organs (Peyronie's syndrome), vascular diseases or metabolic disorders.
- Correction of the results of a previous surgical intervention.
- Cavernous fibrosis (proliferation of connective tissue inside the cavernous bodies of the organ).
- Improper development of the genital organs.
- Change gender to the opposite.
- A consequence of surgical intervention during operations (on the prostate, bladder or rectum).
The most common male penile surgeries involve lengthening the frenulum. The frenulum is a fold of skin between the foreskin and the head of the 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 problems with premature ejaculation. However, this problem is solved quite easily and quickly by plastic surgery, when the patient lengthens the frenulum to a normal size under local anesthesia in 15-20 minutes with the formation of cosmetic sutures that do not need to be removed. Full recovery after surgery is about 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, damage to which can cause bleeding, doctors recommend that you go to the surgeon immediately when it breaks, so that there is no improper fusion, which will lead toto 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, which covers the head, is removed and remains completely open or partially closed. This penile surgery is very ancient, originating in eastern countries with hot climates and few water resources. It helps prevent penile cancer, improves hygiene, reduces tenfold the risk of cystitis and pyelonephritis in boys and reduces the risk of sexually transmitted diseases.
Circumcision helps reduce the chance of cervical cancer in the partner of a circumcised man. the risk of transmission of papilloma virus types 16 and 18, which are the basis of the appearance of this disease, is reduced. The procedure is performed under local anesthesia or general anesthesia (adolescent age), sutured (usually with absorbable sutures, so the sutures are not removed). The operated person comes for a few bandages, returns to sexual activity after two to three weeks.
penis enlargement surgery
An operation on the genitals to increase it is resorted to if a person at room temperature and certain methods of stretching the organ has a length of no more than 2 cm, 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 somewhere around 11-12 cm in a state of erection).
It is possible to increase the size of the penis with the help of vacuum devices (they are worn 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. The surgical intervention is based on the fact that the man cuts the ligament that attaches the organ to the pubic bone and expands the inner part of the penis. It is performed under general anesthesia, takes up to an hour, the recovery period lasts up to 5 weeks. Almost always, in addition to the operation, subsequent stretching of vacuum devices is recommended in order to further build up the tissues.
The optimal form of penis surgery to enlarge it today is ligamentotomy with scrotal access, which is a little more complicated than the classic one and allows you to minimize complications, reduce the time the patient remains under anesthesia, and startto apply vacuum stretching immediately after surgery. However, it should be borne in mind that the 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 a state of erection, but increases only by 1-2 cm at rest, due to dissection of the ligament, the base of the penis becomes ultra-mobile, the angle of erection changes to a smaller one. That is why you should think many times about the expediency of the operation before going under the surgeon's knife.
In some cases, a man's penis appears short due to a large pubic fat fold. Here, plastic surgery of the pubis is performed with simultaneous liposuction, but positive results can also be achieved as a result of losing weight during sports. In addition to lengthening the penis, you can also make it thicker with a surgical scalpel. In this case, the patient can have tissue transplanted from his latissimus dorsi muscle, autofat inserted along the shaft of the penis, taken from the pubic area by liposuction, tissue flaps from the gluteal fold implanted under the skin of the penis along hisalong the entire length, etc. The ban on sexual activity after such manipulation lasts for two months.
A number of operations are 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 result of thickening, minimal complications, no need for additional incisions to collect own elements 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 dressing room, and in the absence of complications, the stitches are removed after 12-14 days.
penile prosthesis
To restore the firmness (elasticity) of the penis, penile prosthesis surgery will be necessary in some cases. This 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, an injection pump is introduced into the scrotum, and behind the pubis there is a reservoir (with sterile water) that is connected to the rest of the system by tubes. The prosthesis does not in any way affect sensitivity, ejaculation or the feeling of orgasm, on the contrary, it allows for numerous sexual contacts, and most women may not even notice the presence of a prosthesis if they do not know about it.
There are more operations on the penis with placement of semi-rigid prostheses, becausesuch mechanisms are very reliable and cheap, and after the act the genital organ can simply go down to the bottom position. However, they give users a number of inconveniences due to a permanent erection.
Vein and artery operations
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 venous occlusion, venous drainage of blood flow from the cavernous bodies of the penis is performed under local anesthesia. In addition, as a rule, in young people who have been injured, artery surgery is performed, aimed at 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 it should be handled carefully, trusting surgical intervention only to qualified specialists.