The penis is traditionally considered a symbol of masculine strength, so its size has always been a concern for men. Many people still believe that the big penis is a major sign of sexual and sexual superiority. Normally, the length of the penis at rest is 7-13 cm, in the case of an erection it reaches 12-20 cm. If the size of the penis is less than 12 cm, it is considered a small penis, and if it is less than 2-3 cm long, it is considered a micropenis.
Insufficient penis length very often leads to a decrease in a man’s self-esteem and, in some cases, to serious problems in intimate life (even to the complete impossibility of sexual intercourse).
To solve this delicate problem, surgeons recommend a ligament isomy - surgery to lengthen the penis.
Penis enlargement consists of two stages:
- Stage 1 - surgery (ligamentotomy). During surgery, the urologist cuts the penile ligament.
- Stage 2 - use the expander for at least 2-3 hours a day for 4-6 months.
Indications
The small penis usually does not impair function and does not lead to infertility. In such cases, the operation of the penis enlargement is performed only at the request of the man and for aesthetic reasons. Disorders of the development of an organ (such as micropenis) undergo medical ligamentotomy.
Contraindications
Penis lengthening surgery, like any surgical procedure, has several contraindications: bleeding disorders, cancer, diabetes mellitus, infectious and inflammatory processes in the body, and so on.
The possibility of surgery is determined by the doctor based on the results of the preoperative examination.
Preparing for ligamentotomy
To rule out contraindications to surgery, preoperative preparation is required (perhaps with us or at a location that is convenient for the patient):
- clinical blood test;
- general urine analysis;
- 4 mandatory tests (syphilis, HIV, hepatitis B, C);
- biochemical blood test (glucose, AST, ALT, creatinine, total bilirubin);
- No. 1coagulogram;
- ECG (in patients over 45 years of age or with chronic heart disease before intravenous anesthesia).
In some cases, it may also be necessary to conclude from a specialist (such as an endocrinologist) if diabetes is suspected.
The course of the surgical procedure
Surgery can be performed under local anesthesia or intravenous combined anesthesia. The second option is used much more often to rule out discomfort during ligamentotomy.
The essence of the surgery is to lengthen the penis by cutting the ligament and redistributing the length of the penis to increase the hanging part.
During the operation, the surgeon cuts the suspension tape of the penis, which is used to hold part of the penis in the body. The operation can be performed with a scrotum or vulvar approach. The duration of all stages of the operation is usually 30 to 60 minutes.
The result of the operation
As a result of ligamentotomy, the length of the hanging part of the penis increases by 3-5 cm. The end result depends on the anatomical characteristics of the patient's physique (the size of the latent part of the penis) and the physiological properties (extensibility and elasticity of the tissues). To achieve maximum results after surgery, it is necessary to wear an extension for 2-3 hours a day for 4-6 months.
Characteristics of the rehabilitation period
Penis extension surgery is considered minimally invasive, the patient is supervised by medical staff for several hours after the surgery, and then can leave the clinic on their own.
Prior to discharge, urologists make all necessary recommendations for prolonged wear to improve the outcome of the surgery, as well as for genital care, bandages, and follow-up. The rehabilitation period after ligamentotomy is only 2-3 weeks. After this time, the wound heals completely and the postoperative suture becomes completely invisible.
The most common questions about plastic surgery in relation to penis enlargement surgery are:
How much does the length of the penis increase after ligamentotomy?
The outcome of the surgery depends directly on the anatomical and physiological characteristics of the man. After surgery and wearing an extension for 2-3 hours a day, the length of the penis increases by an average of 3-5 cm in both rest and sexual arousal.
How long should you abstain from sexual intercourse after surgery?
Because of the tissue trauma, intercourse can be painful for several days. The wound will heal completely after 2-3 weeks, after which the man can continue having sex.
Can reproductive problems occur after ligamentotomy?
There are no side effects in the form of potency or impairment of male reproductive function after surgery, as the anatomical structures responsible for erection are not affected by the surgeon during ligamentotomy.
How much does a ligamentotomy cost?
The cost of a ligamentotomy varies from clinic to clinic, depending on various factors.
The total cost of a penis enlargement consists of:
- Primary consultation with a urologist;
- Pre-operative analyzes;
- Surgery - Ligamentotomy;
- Anesthesia (local anesthesia or intravenous anesthesia);
- Extender (purchased by the patient independently, taking into account the recommendations of the urologist).
- Postoperative visit to a urologist (2-3 visits).
The final cost of penis enlargement surgery can only be told by a doctor after consultation and examination.