Most often, men think about penis enlargement for psychological reasons. The pressure of socio-cultural factors or negative experiences of intimacy encourage representatives of the stronger sex to seek help from a clinic.
Note that in most cases, dissatisfaction with the size of the penis is successfully resolved with psychotherapy. However, there are also medical indications for such an operation. The feasibility of the procedure is determined by the doctor based on the examination and medical history, after which he makes recommendations to the patient.
As for the normal length of the penis, there are no clear answers to this question. Much depends on measurement methods, racial differences, and other factors. For example, for Europeans it is 12-18 centimeters in an erect state. In this case, the measurement should be taken from the pubic bone, as the folds of fat around the penis make it visually smaller.
A reason to consult a doctor about the enlargement of your penis can be a size smaller than 12 cm, as well as a change in its shape. In addition to lengthening surgery, penis thickening is also practiced. Such results are achieved in different ways, which will be discussed below.
Types of operations
Modern plastic surgery has several methods of penis enlargement. Doctors often use combined methods, including surgical intervention and the use of special devices - extenders. The latter are installed on the penis and help to extend it in length. Let's look at the most common penile enlargement surgeries that are practiced in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement surgeries. The essence of this intervention is the cutting of the ligaments that support the penis (ligamentum suspensorium penis).
The ligaments that hold the penis go deep into the pelvis and attach to the pelvic bones. If you cut them, the penis lengthens by 3-5 centimeters. This is achieved with the help of an extender, which is prescribed to a man after surgery. At the same time, the protocols exist without the use of additional equipment. The choice of technique is determined by the doctor based on the indications and the skills of the clinic.
Initially, the division of the suspensory ligaments was performed through the pubic bone. However, after such an operation the patient is left with visible scars. A more modern method is access through a small incision in the scrotum. This procedure takes only 15-20 minutes, and rehabilitation takes no more than 14 days. The procedure is completed by applying absorbable suture material.
In fact, this surgical intervention does not add a single millimeter to the penis. The operation only redistributes its length, pulling the perineal part of the reproductive organ.
Lipofilling
Increasing the thickness of the penis can be achieved through lipofilling. For this, the patient's adipose tissue is used, which is transplanted subcutaneously into the penis. One of the advantages of using your own tissue is that there is no rejection reaction from the immune system.
This operation is performed under general anesthesia. In the first stage, adipose tissue accumulates. Incisions are made in the patient's thighs or abdomen, through which a certain amount of fat is removed using a syringe. The fatty mass is then cleaned of blood impurities and placed in a thin layer under the skin of the penis through microscopic punctures.
At the end of the operation, plaster is applied to the puncture sites.This procedure increases the thickness of the penis by about 0. 5-1. 5 cm.
Surgical thickening
Increasing the diameter of the penis is also possible through muscle tissue transplantation. A muscle flap is taken from the patient's abdomen or armpit and placed around the genitals.
This operation is considered complex and is associated with postoperative complications. In particular, the probability of the appearance of a hernia is high.
Hyaluronic acid injections
Many clinics practice penis enlargement with hyaluronic acid injections. This component has long been used for contouring, including the genitals. Fillers with hyaluronic acid soften wrinkles, making the skin elastic. The substance combines well with fabrics and does not cause rejection or allergic reaction.
When inserted into the penis, hyaluronic acid is evenly distributed over the entire surface, thus achieving a proportional expansion of the organ. If necessary, only the head can be enlarged separately.
This procedure does not require a hospital stay. At the same time, the technique has its disadvantages. So, unlike surgical methods of penis enlargement, the effect of hyaluronic acid is temporary. After about 12-18 months, the substance is completely absorbed, after which the procedure can be repeated.
Advantages of ligamentotomy
Among the existing surgical methods for penis enlargement, doctors prefer ligamentotomy. This technique is considered safer and less traumatic for the patient. Here are the main advantages of this operation:
- The intervention does not require general anesthesia. Local anesthesia is sufficient to eliminate pain.
- The man spends only 2-3 days in the clinic.
- Rehabilitation after surgery lasts only 2 weeks. Intimate life can resume after 1-1, 5 months. In this case, the first contacts may be accompanied by discomfort, but this passes quickly. Otherwise, you should consult a doctor.
- Unlike other methods of penis enlargement, the reproductive organ itself is not subjected to any traumatic effect. The operation is performed only on the ligaments.
- In addition to elongation, this intervention also partially eliminates other defects, such as curvature.
The disadvantages of the method include the inability to accurately determine the effect of the operation in advance. It all depends on the individual characteristics of the person. In some patients, the size of the reproductive organ increases by 4-5 cm, and in others - by 2-3. Another consequence of penis enlargement is a change in the angle of erection. However, this does not affect the hardness of the erectile organ in any way.
Indications for ligamentotomy
There are both aesthetic and medical indications for penile enlargement surgery. The latter include:
- Peyronie's disease is a pathological curvature of the penis that occurs due to fibrosis in the area of the corpora cavernosa;
- The length of the penis is very short (micropenis);
- compression of cavernous bodies due to their replacement with connective tissue.
Often this operation is performed for aesthetic and/or psychological reasons:
- a man's desire to increase self-esteem and attractiveness;
- getting rid of worries and psychological complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of one's genitals.
Diagnosing
Before undergoing surgery for penis enlargement, diagnostics are performed, which include:
- consultations with an andrologist (or urologist) and a plastic surgeon;
- consultation with a psychotherapist (if necessary);
- UAC;
- blood chemistry;
- blood test for infections - HIV, syphilis, hepatitis virus;
- consultation with an anesthesiologist;
- ECG;
- other types of studies (at the doctor's discretion).
Some of these contraindications are temporary. After their elimination, the procedure can be carried out.
Contraindications
Plastic surgery for penis enlargement is contraindicated if:
- under 18 years old (genital organs are still developing);
- serious diseases of internal organs;
- acute inflammatory processes in the genitourinary system;
- blood coagulation disorders;
- arterial hypertension;
- erectile dysfunction;
- mental illness;
- malignant neoplasms;
- severe pathologies of the cardiovascular system;
- endocrine pathologies;
- local infectious and/or purulent foci.
Possible complications
Immediately after surgical correction, swelling and hematoma form in the intervention area, which lasts for several days. Such postoperative complications are normal and disappear within a few days. In very rare cases, bleeding and suppuration of stitches after surgery are possible.
Recovery period
The first days after the operation, the patient is prescribed painkillers and antibiotics (to avoid infectious complications). Every 2 days you have to go to the dressing clinic. If non-absorbable sutures are placed in the wound, they are removed after 14 days.
To consolidate the result after ligament cutting surgery, the man is advised to use an extender for 2-4 months. The device should be worn for several hours a day and removed at night.
If the extender is not worn, the operation may be useless. The fact is that the cruciate ligament grows together, pulling the reproductive organ to its original position.
What determines the outcome of penis enlargement?
First of all, the result of the surgical intervention depends on the individual physiological characteristics of the patient. In particular, this is the length of the perineal part of the penis (which can be stretched when the ligaments cross), as well as the elasticity of the tissue.
Much depends on the skills of the clinic, the experience of the doctors, as well as the man's compliance with the recommendations. Remember that if you follow the medical instructions, the effect lasts for life.