Penis enlargement surgeries have gained popularity in recent times. According to global statistics, 80 to 85% of the strong half of humanity have some problem associated with a small penis size.
To take such a risky measure, a man should know everything in advance about all the pros and cons of methods of correcting the genital organ, and be patient before the operation.
Indications for penis enlargement operations
The problem is psychological in nature, and the doctor will first try to dissuade a man from this kind of procedure in any way.
The indications are divided into 3 groups:
| Surgical indications | What diseases is carried out |
|---|---|
| Medical | micropenis, hypospadias (abnormal development of the penis), consequences of trauma, congenital malformation of the urethra, thickening of organic tissues, curvature of the penis due to fibrotic changes (Peyronie's disease) |
| Functional | membranous penis, large amount of subcutaneous fat, hidden penis, buried penis |
| Aesthetic | dysmorphic disorder of the penis (dissatisfaction with the size, shape, appearance of the penis). |
Contraindications
Reasons why the operation is contraindicated:
- inflammatory diseases of the genitourinary system;
- under 18;
- poor blood clotting;
- the presence of diseases identified after the investigation;
- Diabetes;
- sexually transmitted diseases;
- open sores visible on the genitals;
- tumor neoplasms;
- mental disorders.
Penis lengthening correction methods
Before the operation, it is necessary for the surgeon to study the structural features of the organ, and if all the indicators are normal, he proceeds to further manipulations. In the evening, the day before the operation, a cleansing enema is performed. In the morning, before the upcoming correction, you should stop eating and drinking.
The augmentation operations are subdivided into 2 directions:
- surgical interventions to increase the length of the penis;
- measures to increase the volume of the penis.
Increase the length of the penis
After operations by any of the methods, it is necessary to refrain from sexual intercourse, physical activity, go to the sauna, stop drinking alcohol and smoking. One of the corrections for penile lengthening is ligamentotomy. The goal of this operation is to cut the ligament that anchors the inside of the penis by the bones of the pelvis. Ligamentotomy is needed to improve the results of organ enlargement after wearing a stent - a device that fixes the penis in a certain position and distributes it lengthwise.
The ligamentotomy is an auxiliary manipulation, without further use of the stent it loses its meaning.
Operational access can be:
- through the scrotum;
- pubis.
The surgeon makes an incision in the scrotum or the pubis, depending on the operative access. Then the ligament is incised and the penis is removed, giving it the desired length and fixed in the correct position. There is an improved surgical method using the fatty tissue of the patient. The free space under the ligament is filled with fat, and the blood supply to the postoperative wound area is improved. This leads to faster healing and recovery of the patient.
After the operation, it is mandatory to use an extension cord. Wearing the device should be started from 2 hours a day, gradually increasing the time of use up to 6 hours, within 3 to 6 months.
Particular attention should be paid to wearing underwear when using the extension cord. Briefs and pants must be loose. Sexual rest is necessary for the first week after surgery.
Volume increase
The challenge of penis enlargement surgery is to create an extra layer between the skin and the corpora cavernosa. Depending on the implanted material, the following operations can be distinguished:
- lipofilling - the introduction of the patient's fat under the skin of the penis;
- microsurgical muscle transplantation - transplantation of the patient's tissue into the subcutaneous space of the penis;
- falloprothetics - the use of special prostheses in order to restore the erectile function of the organ.
Lipofilling
In such an operation, fatty tissue is pumped out and treated with special substances, and then injected into the subcutaneous area of the penis. In the process, if there is no rejection of fat cells or other inflammatory changes, new tissue becomes part of the penis. After the operation, the volume of the organ will increase by 2 cm. For a month after discharge, it is recommended to exclude sexual intercourse.
Microsurgical muscle transplantation
Microsurgical muscle transplantation is an expensive innovation in penis enlargement. The operation is performed under general anesthesia and lasts about 3 hours. The surgeon makes an incision in the organ in a circle and pulls it down like a sock. Then he cuts off small areas of skin taken from the abdominal area beforehand. A penis is wrapped in a flap of skin, the foreskin is put in place, and sutures are applied. The volume of the enlarged organ after the operation is 4 cm. The patient is on the ward for the first 5 days. Painful sensations may persist for another 15 days after surgery, so you should monitor your general well-being.
Falloprosthetics
It is carried out strictly according to medical indications and is used in situations where a man has an injury to the penis or is unable to have sexual contact. And also the operative method is used during sex change. The operation is performed under general anesthesia. The ablation of the cavernous bodies is carried out by bougienage and placement of semi-rigid prostheses. For 2- or 3-piece prostheses, an incision is made in the scrotum and a pump is inserted. When installing an inflatable implant, an incision is made in the lower abdominal region and the reservoir is placed behind the pubic bone.
The positive effect after surgery can be achieved by fulfilling the following conditions:
- strict bed rest for the first 2 days;
- obligatory oral antibiotics for 5 days;
- hospital treatment for 4 days, in the absence of contraindications, rehabilitation is prescribed at home;
- refusal of sexual intercourse for 7 weeks;
- after resuming intercourse, you should consult a doctor for further recommendations.
Postoperative complications
The risks of possible complications may increase if mistakes were made during the surgery or if the man did not properly address the recommendations during the period of convalescence and rehabilitation.
There are 2 groups of complications: non-specific and specific.
First group:
- intestinal paresis with transperitoneal access;
- pulmonary embolism;
- complications after anesthesia - headache in SMA.
Second group:
- necrosis of the material obtained;
- changes in erectile function;
- curvature of the penis;
- violation of the angle of erection;
- uneven resorption of fat mass.
Advantages and disadvantages of operations
Each of the methods of surgical penis enlargement has positive and negative sides.
Benefits of ligamentotomy:
- nothing is implanted in the skin compared to falloprothetics;
- during the rehabilitation period, you need to wear an extension cord, which will not interfere with the man;
- in most cases the result is positive.
Cons: Improper wearing and application of the expander will lead to negative results during the rehabilitation period.
With lipofilling, the advantages are:
- the use of the fatty tissue of the person himself;
- low percentage of rejection of donor material.
Disadvantages:
- in the process, fat cells are absorbed, the procedure should be repeated 3-4 times every six months;
- the use of synthetic components that can lead to inflammatory processes.
The advantages of microsurgical muscle transplantation are:
- the skin takes root well;
- slower resorption of fat cells compared to lipofilling;
- quick and visible effect after surgery.
Negative factors include:
- due to a violation of the blood supply, there may be a possibility of rejection of the transplanted tissue;
- pain for the first 2-3 weeks.
The advantages of the falloprosthesis are:
- the ability to restore the sexual function of the organ;
- the ability to lead an active sex life.
Disadvantages:
- is a great injury to the life of the patient;
- inability to perform surgery if chronic diseases are present;
- a significant increase in the negative result with previously conducted vascular operations on the penis.
When performing surgeries to increase the penis, first of all you need to choose the right clinic, a highly qualified specialist and familiarize yourself with the necessary information regarding the chosen method.