The normal size of an erect penis is 11-19 centimeters. A penis shorter than 10 centimeters is considered small, and a penis shorter than 5 cm is considered a micropenis (this is an anatomical pathology). With deviations from the norm, which interfere with normal life, the man is recommended plastic surgery. A man with normal male dimensions can also resort to the operation - although it is not necessary, there are no prohibitions, and everything is decided by the owner of the penis. In this article, we will tell you how it is performed, how much penis enlargement surgery costs, and what opinions are left by men who decide to undergo surgical resizing.
Changing the size of the penis by ligamentotomy
Now the main operation is the lengthening of the penis using the ligamentotomy method. At the same time, the size of the penis itself does not actually change, but it visually seems longer, as a centimeter redistribution takes place towards the visible part. This operation was first performed in 1990.
The surgical enlargement of the penis is carried out according to the following scheme:
- The surgeon cuts the ligaments at the base of the penis.
- It frees the corpora cavernosa to the point where the arteries enter them.
- Fixes the corpora cavernosa in a changed position at the level of the cut ligaments.
- After the surgical sutures are removed and the swelling subsides, the penis will be 3-5 cm longer.
There are several types of surgical intervention depending on the location of the incision (penis enlargement can be achieved through suprapubic, scrotal, subcoronary incisions). Which type is chosen depends on the morphological characteristics of the man's penis - this is determined after consultation with the plastic surgeon.
This does not mean that penis enlargement surgery is a simple and painless procedure. Plastic augmentation surgery is only performed under general anesthesia. If the patient has a contraindication to anesthesia, then this operation is not performed.
It should also be remembered that a few months after the operation, the penis must be fixed with a bandage or a plastic expander so that the ligaments remember the new position. The picture shows one of the options for the expander that can be worn with the combined method of penis enlargement.
"It hurts to lengthen the penis with surgery, will there be consequences? "many men ask. Read the reviews and make sure that the surgical procedure is not pleasant. The surgery itself, as already mentioned, is done under anesthesia, but after that the man has to endure pain (lasts a couple of days), and then unpleasant, unusualdiscomfort due to the condition. Ideally, the healing process will take at least two to three weeks. After the clamps or expander is removed, there may be some mild discomfort, and then everything will be back to normal.
Insertion of the prosthesis into the organ
Another type of penis enlargement surgery is insertion of the prosthesis through a transverse incision in the albuginea (this penis enlargement surgery is also called a corporotomy). The enlargement of the penis is due to the fact that an obviously longer prosthesis is inserted into the intracavernous space. This leads to stretching of the penile skin. In order to enhance the effect, in addition to the operation to enlarge the penis, the tissues of the penis are also mechanically stretched (with the help of an expander).
Various "parts" can be used as implants. For example, many clinics now use silicone implants that increase 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 surgery takes several weeks. A man can walk and sit within 4-5 days, but the erection returns only after 1-2 months.
There is also a downside to the introduction of a silicone implant - it may not be able to take root after the operation. To avoid this, surgical augmentation can be ordered, in which fat is pumped in instead of an artificial implant. Adipose tissue is the most natural and safest type of penile filler. It is 100% compatible with male tissue, which minimizes the risk of inflammation. It does not move after insertion (the fat implant is stable), and it also looks the most natural.
The surgical enlargement of the penis with the help of a certain amount of fatty tissue has additional advantages - recovery after the operation takes about 5-6 days, and the result is immediately visible. According to the doctors, the surgery allows to increase the size of the penis by up to 40% - it can be a surgery to thicken and change the length of the penis at the same time.
The downside is that some of the fat cells dissolve after a year or two, and the skin begins to accumulate due to stretching and cavities. It's not very pretty - you have to have an additional cosmetic procedure to pump in new fat or cut away the sagging skin.
Changing the size of the penis according to the Perovich method
Operations aimed at increasing the penis with the method of Savva Perovich is a complex procedure, but it allows you to achieve tangible changes in the size of the male penis. Penis enlargement surgery is performed under general anesthesia. The scheme of the procedure is as follows:
- The surgeon cardinally divides 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 spongy body to the glans penis).
- Pieces of a man's rib cartilage are placed between the cavernous bodies and the head, or an artificial (silicone or helium) prosthesis is inserted.
- 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 careful consideration of the advantages and disadvantages, it is impossible to restore the penis to its previous state after surgery. It is also worth preparing for a long recovery period. For example, a full erection after surgery returns only after 2-3 months.
Lipophilization of male dignity
Lipofilling of the male penis is a microsurgical, non-invasive procedure that does not require open incisions. This penile enlargement surgery involves the intermittent subcutaneous injection of the patient's own tissue. It is not used to increase the length - it can only be used to correct the diameter of the penis (by 5-15 millimeters). The material required for the procedure is extracted by liposuction from places of excessive deposition in the male body: in the suprapubic zone, hips, abdomen, buttocks.
Since this is actually not a penis enlargement surgery, 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 must abstain from sex for 4-5 weeks.
The disadvantage of the procedure is that, like fat grafting, the result will not last forever. During the procedure, the tissue injected into the penis tends to dissolve. You will need to repeat the injections every two to three years.
Transplantation of muscle tissue from the abdominal cavity
There is another type of surgery that can be used to enlarge the penis - the muscle flap transplant. As a starting material, a part of the rectus abdominis muscle of a man is used, next to which there are fragments of the vascular system. During the operation, the muscle is pulled back towards the penis, where it is attached to the natural tissues.
Summarize. In the article, we listed the main methods of surgically enlarging the penis. Many men are thinking about this, but they must remember that augmentation surgeries can be successful and complications can occur, so you need to weigh the pros and cons before getting on the surgeon's table. In half of the cases, no surgery is needed and the man's size is normal (lengthening or increasing the thickness is just a whim). Despite this, the doctors' opinions are unanimous: the operation should only be performed according to medical prescription - but the man still decides on surgical penis enlargement.
Characteristics of operations on the penis
According to statistics, about 80% of men think about penile surgery to make this organ bigger. But in general, everything is limited to desires, because. basically, representatives of the stronger sex are quite satisfied with what nature has given them. It is much less common to meet people who want to reduce the size of their manhood due to the discomfort of sex life or other points, because. special rings are used to correct the excessive amount that occurs during sex, 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 tissue in the cavernous body of the organ).
- Improper development of the genitals.
- Gender change is the opposite.
- A consequence of surgical intervention during operations (prostate, bladder or rectum).
Among the most common operations on the male penis is frenulum lengthening. The frenulum is a fold of skin between the foreskin and 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, causing pain during erection or problems with premature ejaculation. However, this problem can be solved quite easily and quickly with plastic surgery, when the patient is lengthened to normal size in 15-20 minutes under local anesthesia, by creating cosmetic sutures to be removed. The total recovery time after surgery is about 5-7 days.
Because the frenulum can be shortened as a result of its rupture, and a large blood vessel passes through it, the damage of which can cause bleeding, so doctors recommend that you consult a surgeon immediately when it breaks, so that it does not fuse incorrectly, resulting in scars.
Circumcision operations
Circumcision is also a simple surgical procedure - circumcision of the foreskin. The essence of the operation is to remove part of the skin covering the head of the penis, leaving it completely open or partially closed. This penile surgery is very ancient, originating from eastern countries with warm climates and little water resources. It helps prevent penile cancer, improves hygiene, reduces the risk of cystitis and pyelonephritis tenfold in boys, and reduces the risk of sexually transmitted diseases.
Circumcision makes it possible to reduce the chance of cervical cancer in the partner of a circumcised man. the risk of transmission of papillomavirus types 16 and 18, which are the basis for the development of the disease, decreases. The procedure is performed under local anesthesia or general anesthesia (in adolescence), with sutures (usually with absorbable threads, so the sutures are not removed). The operated couple comes for dressings and returns to sexual life after two or three weeks.
penis enlargement surgery
Surgery to enlarge the genital organ should be performed when a man at room temperature and certain methods of stretching the organ does not exceed 2 cm, which causes problems with normal sexual function in erection. If the penis reaches 9. 5 cm in erection, it belongs to the group of small organs, which are considered the norm (for example, in Asia, the penis size of men reaches 11 on average). 12 cm when erect).
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), with external stretching devices that work on the same principle as vacuum devices, and with surgical intervention. The surgical intervention is based on the fact that a 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 no more than an hour, and the recovery period lasts no more than 5 weeks. Post-stretching on vacuum devices is almost always recommended in addition to surgery in order to further build up the tissues.
In order to enlarge the penis, the optimal form of surgery for the penis today is scrotal access ligamentotomy, which is somewhat more complicated than the classical one and allows to minimize complications, reduce the patient's anesthesia time, and use vacuum stretching. immediately after surgery. However, it should be borne in mind that the increase in length in this case can reach 3-5 cm in the best case, often the organ does not stretch in the erection state, but only grows by 1-2 cm. at rest, due to dissection of the ligament, the base of the penis becomes ultra-mobile, the angle of erection becomes smaller. That's why you have to think about the appropriateness of the operation many times 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, labiaplasty 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 make it thicker with a surgical scalpel. In this case, the patient can have tissue transplanted from the back muscle, autofat inserted along the axis of the penis, liposuction removed from the pubic area, and tissue flaps from the gluteal fold implanted under the skin of the penis along it. in full length etc. The ban on sexual activity lasts for two months after such manipulation.
A certain amount of surgery is performed by inserting 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 elements for implantation. Surgeons believe that the diameter of the male genital organ can be increased by an average of 0. 5-1 cm, higher numbers are unreliable and mislead potential customers.
Painkillers are usually not needed the day after surgery. The patient visits the dressing room every 2-3 days, and if there are no complications, the stitches are removed after 12-14 days.
penis prosthesis
In some cases, penile prosthesis surgery will be necessary to restore the stiffness (flexibility) of the penis. Implantation of inflatable or semi-rigid prostheses in the male genital area. When installing inflatable options, inflatable cylinders are inserted into the cavernous bodies, an injection pump is introduced into the scrotum, and behind the vulva there is a tank (with sterile water) connected by tubes to the rest of the system. The prosthesis does not in any way affect sensitivity, ejaculation or the feeling of orgasm, on the contrary, it allows many sexual intercourses, and most women do not even notice the presence of the prosthesis if they do not know about it.
There are more penile surgeries with the installation of semi-rigid prostheses, because. such mechanisms are very reliable and cheap, and after the act, the genital organ can simply be lowered into the lower position. However, due to the constant erection, they cause many inconveniences to the users.
Operations on veins and arteries
Erectile dysfunction is also treated with penile surgery based on the correction of the condition of blood vessels or veins. For example, in the case of X-ray vascular vein occlusion, venous drainage of blood from the corpora cavernosa of the penis is performed under local anesthesia. In addition, surgery is usually performed on the arteries in injured young men to increase blood flow in the corpora cavernosa of the penis.
Surgeons draw men's attention to the fact that they only have one genital organ, which should be handled with care, entrusting surgical intervention only to qualified professionals.