penis enlargement

According to research, many men are unhappy with the size of their penis and experience psychological or physical discomfort as a result. This leads to sexual problems, hesitation in communicating with women and the development of various complexes. The desire to gain confidence and a harmonious intimate life compels men to seek help from doctors. There are many techniques to eliminate this flaw and make you feel like a mature person. These include non-surgical treatments and surgical interventions. With the help of surgery, you can restore the penis after an injury or eliminate congenital anomalies.

How to achieve the effect

In modern medicine, there are many ways to enlarge the penis. Plastic surgery can alter individual parts and abilities of manhood or reconstruct it as an entire organ. The result of the surgery was not only an improvement in external form, but also preservation of all its functions.All known surgical procedures aimed at changing the size of the penis are intended to increase its length or thickness. In order to lengthen the penis, a ligamentotomy (dissection of the suspensory ligament of the penis) is performed. The following techniques are used to increase the size and thickness of the penis:

• Penile prosthesis (implantation of a prosthesis into the reproductive organ);
• lipoplasty (the introduction of one's own fat cells into the internal tissue of an organ);
• Introducing a collagen matrix (capsules that stimulate the production of your own connective tissue);
• Installation of a gel implant (between skin and penile shaft);
• microsurgical muscle transplantation (transplantation of muscle tissue and formation of organs);
• Injection of hyaluronic acid (to replace missing volume).

Therefore, by seeking help from experts, a person can:

• Restore or preserve penile function;
• to give aesthetic form;
• Eliminates defects following disease, developmental abnormalities and injury.

There are also non-surgical penis enlargement methods using a variety of equipment and exercises. Extenders, expanders, stretchers and vacuum pumps have become particularly popular. However, doctors warn that using them alone to stretch the penis not only fails to achieve the desired effect, but also causes damage to the corpus cavernosum, tunica albuginea, nerves and blood vessels, and even causes erectile dysfunction.Exercising to enlarge your penis is also ineffective. They are massage movements in the form of stretching, squeezing and rotating. There are no studies showing they have any benefit. Additionally, stretching exercises on the organ may cause erectile dysfunction, damage to blood vessels, bruising and swelling of the penile area.

Indications for penis enlargement

Many men tend to underestimate the size of their reproductive organs. It is believed that the normal length in the erect state is 12-18 cm and the diameter is 3-3. 5 cm. The average male length is 15. 7 cm. A penis smaller than 9 centimeters is considered micropenis, and a penis smaller than 2 centimeters is considered micropenis. Considered a small penis.If you have any concerns or dissatisfaction with yourself, you should see your doctor, who will recommend one of the options of conservative treatment or surgical intervention, depending on the case. The procedure can be performed both for cosmetic corrective purposes and for medical reasons, including:

• micropenis and micropenis;
• Congenital anomalies of the urethra;
• Injury to penis;
• Traumatic amputation;
• Deformations caused by disease;
• Eliminate the impact of surgery on male reproductive organs;
• erectile dysfunction;
• Difficulty urinating;
• Gender change.

Contraindications

The main requirement before surgery is to assess your general health and identify possible contraindications. Surgical correction is not suitable in the following situations:

• Are younger than 18 years old;
• coagulopathy;
• acute infection;
• sexually transmitted infections;
• diabetes;
• mental illness;
• Chronic diseases with severe pathology.

Prepare for penis enlargement

Once a man decides to adjust his penis size, the question arises: which doctor should he consult? Penis enlargement surgery is one of the areas of plastic and reconstructive surgery and urology. Plastic surgeons who specialize in urology or andrology deal with changes in the size and shape of male reproductive organs. You need to consult the surgeon before surgery. The doctor will recommend the type of intervention necessary based on the indications. This can be a complete repair of the penis (total phalloplasty) or a partial repair of the penis, changing its shape or size.To avoid complications, the doctor will conduct a thorough examination. A list of instruments and laboratory research methods includes:

• Fluorography;
• electrocardiogram;
• General blood analysis;
• blood chemistry;
• coagulation chart;
• Blood tests for HIV, syphilis, and hepatitis;
• General urinalysis;
• Urethral smear to detect infectious agents.

After checking and ruling out all possible contraindications, the doctor sets a date for the surgery. When surgery is performed under general anesthesia, the anesthetist must be consulted and informed of any allergic reactions and any medications taken.You should stop smoking and drinking alcohol several months before surgery. During the preparation phase, you need to stick to a light diet. Pubic hair was shaved 8 hours before intervention. If surgery is planned to be performed under general anesthesia, at least 8 hours must have passed since the last meal or fluid.However, surgical correction is not always necessary. If a man wishes to enlarge his penis for aesthetic purposes, his doctor may recommend a non-surgical method - hyaluronic acid injections, which require no special preparation.

Penis enlargement surgery

There are different types of surgeries that can change the size of the penis. They all have their own indications, advantages and disadvantages.

Ligamentotomy

Lipotomy is the most popular type of penis enlargement surgery. The procedure is performed under general anesthesia and lasts 30 minutes to 1 hour. A small incision is made on the front surface of the scrotum. Through it, the suspensory ligament that connects the genitals to the pubic bone is partially divided. Thereafter, the penis lengthens to 2-3 cm due to the release of its inner (hidden) part. Typically this surgery is performed at the request of men; it does not help with erectile dysfunction.

penile prosthesis

Penile implants are used to treat impotence or for complete plastic surgery when removing the penis or changing gender. Prostheses are available in rigid and semi-rigid, two-part and three-part varieties. Rigid prostheses are silicone tubes implanted in the corpus cavernosum. They provide a sustained erection, but this isn't always convenient. Semi-rigid (plastic) prostheses have a special design and have plastic memory. Before intercourse, the prosthesis stretches, moving the penis from a hanging position to an upright position and then flexes again. More physiologically appropriate are two- and three-component inflatable prostheses and self-inflating prostheses. They are a system of reservoirs and tubes. By pressing on the scrotum, a special pump is activated that fills the hollow prosthesis with air or liquid from a hidden reservoir. The three-piece penile implant more accurately reproduces natural erections.The surgery is performed under spinal or general anesthesia. Its duration is approximately 1 hour. The location of the incision depends on the type of prosthesis - along the coronal sulcus (at the junction of the glans penis and penile shaft), in the scrotum or under the pubic bone. Parallel channels are created between the base of the penis and the skin, and the prosthesis is inserted. They increase the thickness of the penis by up to 50-70%.

fat filling

This surgery is performed more for aesthetic purposes. With the help of fat filling, the penis can be made uniform in shape and the thickness can be increased by 2-3 cm. Due to the increased gravity when the organ thickens, the length in the non-erected state will also increase.Local anesthesia is often used to relieve pain. Fat tissue is harvested from a man's pubic area, abdomen, thighs or buttocks and injected with microneedles along the shaft of the reproductive organ. The surgery lasts 1 hour. If necessary, patients can stay in the clinic overnight.

Introduction to collagen matrix

To enlarge the penis for aesthetic reasons, special absorbable capsules (collagen matrix) are introduced into the penis, stimulating the organ to produce its own connective tissue.To do this, 50 ml of blood is drawn from a vein on the day of surgery to obtain stem cells, which are then seeded on a matrix. Thereafter, under general anesthesia, a circular incision is made along the edge of the glans penis and a collagen matrix is placed under the skin of the penis. It consists of two cylinders with an incision in the urethra. Within 3-6 months, the matrix breaks down, but its own connective tissue forms in its place, so the increased size of the organ is retained forever. Penile diameter may increase by 1-1. 5 cm, and the effect of using a matrix depends largely on the patient's individual characteristics.

Installation of Gel Implants

Gel silicone implants are installed under the skin along the sides of the penis. With their help, the thickness of the reproductive organs can be increased to 1. 5 cm, and the operation takes place under general anesthesia for 1 hour. These implants do not cause rejection or allergic reactions; even if the shell ruptures, they are unlikely to penetrate the shell. It can be removed if necessary.

microsurgical muscle transplantation

Microsurgical muscle grafting is performed for aesthetic and medical reasons. Surgery is required for medical reasons if there are consequences such as damage, congenital pathology, previous disease of the penis, micropenis, gender reassignment due to hermaphroditism, etc.The procedure is considered a complex surgical procedure that takes several hours under general anesthesia. Muscle tissue from the chest or abdomen is used as a graft. The muscle flap is sutured to the penile tissue, and blood vessels and nerves are sutured.Total phalloplasty is used if the penis has been removed due to tumors or traumatic amputation. In this case, the organ is created from scratch. This operation is also used for gender reassignment. For this purpose, skin flaps and nerves are usually removed from the dorsal area and the penis is formed according to the model. Its size will depend on the patient's wishes. Choose an attachment point on the pubic bone and suture the muscle there. After stabilizing the penis, doctors use microsurgery to connect veins, arteries and nerves. Subsequently, the surgical wound is sutured and the function of the nervous and circulatory systems is checked. The result is a penis that looks and functions like the unoperated organ.

Hyaluronic acid injection

There is another non-surgical method of penis enlargement – hyaluronic acid injections. The drug is easy to administer, distributes well in tissues, and compensates for missing volume. This method can increase the length of the organ by 1-3 cm and the thickness by 3-5 cm. The surgery is performed under local anesthesia and lasts 10 minutes. The hyaluronic acid-based preparation is injected under the skin of the penis using a fine needle. It biodegrades over time. Results typically last up to a year. The process can then be repeated. Hyaluronic acid injections are also used to enlarge the glans. This process is indicated if the diameter of the head is equal to or smaller than the diameter of the barrel. To do this, 2-5 ml of hyaluronic acid gel is injected under the scalp under local anesthesia.

Frenulumen - Frenuloplasty

In some cases, men have a shorter frenulum (the area between the glans penis and foreskin). This may cause discomfort or pain during sex. To eliminate this problem, a frenuloplasty is performed. The surgery is performed on an outpatient basis under local anesthesia. A transverse incision is made in the frenulum using a scalpel or laser knife and then sutured longitudinally using self-absorbing sutures. This process takes 15-20 minutes.

after surgery

The duration of the recovery period depends on the amount and type of surgery.After ligament incision, the patient needs to be observed in the hospital for 2-3 days. The stitches were removed after 2 weeks. After surgery, physical and sexual activity will need to be restricted for 1 month. To achieve better results, a stretcher (or extender) must be worn for 6 months after surgery. Its purpose is to prevent repair of the cut portion of the ligament. An extender is a special stretching device that is individually made for each patient. Must be used 6-8 hours a day for 2-6 months. It does not cause any particular inconvenience when worn. In this case, the length of the penis increases to 3-5 cm, remains constant and does not change over time. The final result depends on the individual characteristics of the body. To avoid complications while wearing an extender, your doctor's recommendations must be strictly followed.Penile implants are considered a minimally invasive procedure with a short recovery period. After surgery, the patient needs to stay in the hospital for 1 day. Recommended rest period: 1. 5-2 months.The recovery period after lipofilling takes approximately 1 month. The surgery is less invasive, recovery is quick, and there are no complications. To avoid damage to the transplanted fat cells after surgery, it is recommended to limit sexual activity for 2 months. Physical activity should be postponed for 1 month.The postoperative time after the introduction of the collagen matrix is 2-3 months. The patient is still under observation in the hospital for 1 day. Sexual contact is limited throughout the period of matrix resorption.After installation of the gel implant, the patient remained under observation for an additional 1 day in the hospital. Sexual and physical activity is allowed after 1 month.The recovery period after micromuscle transplantation lasts 2 months. After surgery, you need to be observed in the hospital for 2 weeks. Physical activity and sex life are restricted for 2 months. Urinating can only be done with the help of a catheter installed in the bladder. For total phalloplasty, the recovery period takes six months. During this time, the urination process begins and the erection is restored.After hyaluronic acid injections, close contact should be limited to 3-4 weeks. No saunas or hot baths for two weeks.The recovery period after frenuloplasty takes 1 month. During this period, sexual intercourse should be avoided.In some cases, complications may occur if you don't follow your doctor's advice. You should not delay visiting a clinic if you develop suspicious symptoms. Possible complications after phalloplasty:

• Narrowing of the urethra;
• Violation of the innervation of the penis;
• erectile dysfunction;
• Penis shrinkage;
• inflammation;
• bleeding;
• tissue scarring and deformation;
• Transplant rejection.