There are two types of penis enlargement surgeries: some increase length, others increase thickness. Consider each of the types for expediency, effectiveness and danger to the patient's body. Particular attention is paid to the rehabilitation period in the article, since the consolidation of the results of surgical intervention depends on rehabilitation.
Lengthening, ligamentotomy
Operations to increase the length of the penis - ligamentotomy. The suspensory ligament is severed, after which the penis must be kept stretched during the rehabilitation period, otherwise the ligament may fuse in its original position. The penis is held taut with an elastic stretcher. As a result, the angle between the penis and the uterus opens (increases). Also, the inside of the penis is withdrawn a little and it takes root in a new position.
If you follow the recommendations during the rehabilitation period, you can achieve a penis lengthening of 1-2 cm. If without surgery it is guaranteed to achieve an increase of up to 3 cm, which is confirmed by the results of an international study , then with surgery it will be up to 4-5 cm, but with certain risks.
Indications
The main indication is the patient's desire to improve aesthetic performance.
Estimated Feasibility:
- with an erection length of up to 10-12 cm - there are medical indications,
- at 12-15 - carried out at the request of the patient,
- more than 16 - it does not make much sense.
Analyzes
Before surgery, only a testosterone test is usually required. The rest of the necessary studies will be carried out in the clinic immediately before the operation. However, please check with your surgeon. Talk to a doctor. Thus, you will understand how competent and adequate the specialist is. If you cannot get full information from him, the person is already reluctant to communicate, think about what will happen if there is a complication - you will have to solve the problems on your own.
Contraindications
The contraindications are:
- skin diseases in the operation area,
- diseases of the genitourinary system,
- urological diseases,
- inflammation of the urethra and other similar problems.
In addition, most likely, you will have to undergo a psychological consultation: if abnormalities are detected, they may become a contraindication.
Operation cost
Inspections and dressings are free.
You can find out the cost of penis enlargement surgery in your city by contacting a medical institution directly.
Types of ligamentotomy
Ligamentotomy is performed either via the pubis or via the scrotal route. The ligament is cut through the incision.
Pubic access is an outdated method of operation, after which a fairly noticeable scar remains. This operation takes longer, which increases the risk of infection and prolongs the patient's stay under anesthesia.
A newer technique is scrotal access ligamentotomy: an incision is made on the scrotum and through it access to the ligament is opened. Ligamentotomy through scrotal access reduces operation time from 1-1. 5 hours (standard ligamentotomy) to 20-30 minutes. The scar on the scrotum is almost invisible. The less tissue damage, the shorter the rehabilitation period.
A side effect of ligamentotomy is a change in erection angle. An erect penis will not point forward and up, but forward and down. The operation should not affect the level of erection.
Rehabilitation
In ligamentotomy, the rehabilitation period is extremely important. The supporting ligament is crossed. To prevent the ligament from fusing in its original position, the penis must be kept stretched during the rehabilitation period. For this, a stretcher is used - a stretcher based on an elastic belt. As a result, the angle between the penis and the uterus opens (increases). Further, the inside of the penis is withdrawn a little, after which it takes root in a new position. If you do not fix the penis in the correct position, it will gradually retract and return to its original place.
The stretcher is worn several hours a day at maximum traction. The device will not put pressure on the seam, it is compact, invisible under clothes, you can wear it outside the house. You can start using it in the early postoperative period, which helps to eliminate seam divergence and scar formation.
The result of the operation is frozen and improved for several months. But the first or second week will be critical. If the patient does not apply the stretcher in these first days, then the ligamentotomy will be useless.
After the operation, stress and pain are possible. If you do not familiarize yourself with the stretcher and expander in advance, do not choose a convenient option for carrying the devices, do not adapt to wearing them, then it will be extremely problematic to experiment after the operation. Patients very often refuse to wear devices because of this or wear them for an insufficient amount of time.
The stretcher should be worn for the first 3 weeks, then gradually connect the extension, depending on how you feel. Postoperative wearing of an extension cord improves the result. After a ligamentotomy, the extender stretches the outer and inner parts of the penis. At this time, you can already have sex. Your doctor should be more specific about this and other precautions after surgery.
Often you can hear complaints that the operation did not work out. These are only cases when the patient did not follow the above recommendations.
Ask the surgeon what type of rehabilitation program he plans. If there is no postoperative wearing of a stretcher, then it is also better to refuse.
Which expander to choose for ligamentotomy
The expander is an alternative to surgery. Without resorting to a scalpel, it is possible to increase the length of the organ up to 3-4 cm, but in this article we will consider the expander as a method used in postoperative therapy. A cheap device from a sex shop will not work for these purposes. It must meet several requirements:
- Comes with an elastic stretcher strap.
- The extender should be comfortable to leave it on for 1. 5-2 hours straight.
An extension from a German manufacturer is ideal. The set includes an elastic waistband to wear after surgery. The attachment of the extender to the penis is vacuum adhesive. This type of attachment is the most comfortable of those that exist and allows you to wear an extender or a stretcher for up to 3 hours at a stretch. Long periods of wear are required for the penis to settle into a new position.
After the penis transplant period, you can continue to wear the extender, getting additional result due to penis growth. Therefore, if you are considering surgery, start training with the front expander.
It is the only extender in which the accessory does not come into contact with the hard parts of the penis. It has several modifications: an extension on bars, on an elastic belt, a stretcher, and with weights - a hanger.
Thickness increase
Increasing penis thickness is not easy. Unlike ligamentotomy, thickening operations are complex and can lead to side effects.
One of the most popular is the transplantation of a patient's flap of fat under the skin of the penis. At the same time, the volume increases by 1-1. 5 cm, but there is still a risk of rejection of fatty tissue, even if it is your own tissue. In addition, the fats will be gradually and above all unevenly absorbed. Therefore, a tuberosity may appear on the surface of the organ.
Transferring a section of muscle tissue under the skin of the penis, where the shaft wraps around a muscle flap, is another method. Transferring a muscle to the penis is a complicated and expensive manipulation, and threatens with complications, even if it is performed perfectly. Necrosis and ischemia of the muscle flap are complications that occur in a number of cases. Then, to save the patient's life, the flap is removed urgently. The muscle section for transplantation is taken from the back. Many doctors think it hurts posture because the muscles support the bones and there is nothing to offset the graft site.
The third popular method is the introduction of hyaluronic acid under the skin of the penis. This is a special gel that can give body thickness. The gel is injected quickly. The cost of this operation is low compared to other surgical methods. Most often performed by a cosmetologist. After a year, the acid subsides and the procedure must be repeated. Often the injected gel is collected in small pieces and encapsulated. Seals are felt on the penis, the skin relief becomes uneven.
The three types of surgery can give approximately the same side effects: weakening of the erection, reduction of the sensitivity of the head, curvature of the penis. Also, after either procedure, the organ may retain an unnatural swollen appearance for a very long time.
Any operation is a risk. There are fewer and fewer risky interventions. Ligamentotomy is relatively safe and effective when worn with an extender. Thickening operations are more dangerous and usually have a temporary effect.
It's never too late to go under the knife. Try non-surgical penis enlargement methods.