Men most often think about penis enlargement for psychological reasons. Pressure from sociocultural factors or negative experiences of intimacy encourage members of the stronger sex to seek help at a clinic.
Note that in most cases, dissatisfaction with penis size can be successfully resolved with psychotherapy. However, there are also medical indications for such an operation. The doctor determines the feasibility of the procedure based on the examination and medical history, and then makes recommendations to the patient.
As for the normal length of the penis, there is no clear answer to this question. Much depends on measurement methods, racial differences, and other factors. For example, 12-18 centimeters for Europeans in an upright position. In this case, it should be measured from the pubic bone, as the folds of fat around the penis make it visually smaller.
Due to the enlargement of the manhood, it is worth consulting a doctor due to the size smaller than 12 cm, as well as the change in shape. In addition to lengthening surgery, penis enlargement is also performed. Such results can be achieved in various ways, which are discussed below.
Types of operations
Modern plastic surgery offers many methods to enlarge the penis. Doctors often use combined methods, including surgical intervention and the use of special devices - extenders. The latter are mounted on the penis and help to extend it in length. Let's take a look at the most common penis enlargement surgeries performed 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 hold the penis (ligament 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 will lengthen 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, protocols exist without the use of additional devices. The choice of technique is determined by the doctor based on the indications and capabilities of the clinic.
Initially, the suspensory ligaments were divided through the pubic bone. However, after such an operation, the patient leaves noticeable scars. A more modern method is access through a small incision in the scrotum. This procedure takes only 15-20 minutes and rehabilitation takes up to 14 days. The procedure is completed by applying an absorbable suture.
In fact, this surgical procedure does not increase the size of the penis by a single millimeter. The operation only redistributes its length, pulling out the perineal part of the reproductive organ.
Lipofilling
Increasing the thickness of the penis can be achieved using lipofilling. For this purpose, the patient's fat 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, the adipose tissue is collected. Incisions are made on the patient's thigh or abdomen, through which a certain amount of fat is removed using a syringe. The fat mass is then cleaned of blood impurities and placed under the skin of the penis in a thin layer with a microscopic puncture.
At the end of the operation, plasters are applied to the injection 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 with muscle tissue transplantation. A muscle flap is taken from the patient's abdomen or armpit and placed around the genitals.
This operation can be considered complex and is associated with postoperative complications. The probability of hernia occurrence is particularly high.
Hyaluronic acid injections
Many clinics practice penis enlargement with hyaluronic acid injections. This ingredient has long been used for contouring, including the genitals. Hyaluronic acid fillers (fillers) smooth out wrinkles and make the skin elastic. The material can be well combined with fabrics and does not cause rejection or allergic reactions.
When injected into the penis, hyaluronic acid is evenly distributed over the entire surface, thereby achieving a proportional enlargement of the organ. If necessary, only the head can be enlarged separately.
This procedure does not require a hospital stay. However, the technique also has disadvantages. So, unlike surgical methods of penis enlargement, the effect of hyaluronic acid is temporary. After about 12-18 months, the material is completely absorbed, and then the procedure can be repeated.
Advantages of ligamentotomy
Among the existing surgical methods of penis enlargement, doctors prefer ligamentotomy. This technique is considered the safest and least traumatic for the patient. Here are the main advantages of the operation:
- The procedure does not require general anesthesia. Local anesthesia is sufficient to eliminate pain.
- The man spends only 2-3 days at the clinic.
- Rehabilitation after surgery is only 2 weeks. Intimate life can be resumed after 1-1. 5 months. In this case, the first few contacts may be accompanied by an unpleasant feeling, but this will pass quickly. Otherwise, consult a doctor.
- Unlike other methods of penis enlargement, the reproductive organ itself is not exposed to any traumatic effects. The operation is performed only on tapes.
- In addition to lengthening, this intervention also partially eliminates other defects, such as curvature.
Among the disadvantages of the method is that it is not possible to determine the effect of the operation precisely in advance. It all depends on the individual characteristics of the man. In some patients, the size of the reproductive organ increases by 4-5 cm, in others by 2-3 cm. Another consequence of penis lengthening 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
Penis enlargement surgery has both aesthetic and medical indications. The latter include:
- Peyronie's disease is an abnormal curvature of the penis that occurs due to fibrosis in the area of the corpora cavernosa;
- The length of the penis is too short (micropenis);
- compaction of the corpora cavernosa due to replacement with connective tissue.
This operation is often performed for aesthetic and/or psychological reasons:
- a man's desire to increase his self-esteem and attractiveness;
- get rid of psychological discomfort and complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of the genitals.
Diagnostics
Before the penis enlargement surgery, a diagnosis is carried out, which includes:
- 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 anesthesiologist;
- EKG;
- other types of studies (based on the doctor's decision).
Some of these contraindications are temporary. After removing them, the procedure can be performed.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- Under 18 years of age (genitals are still developing);
- serious diseases of internal organs;
- acute inflammatory processes in the urogenital system;
- blood clotting disorders;
- arterial hypertension;
- erectile dysfunction;
- mental illness;
- malignant tumors;
- serious pathologies of the cardiovascular system;
- endocrine pathologies;
- local infectious and/or purulent foci.
Possible complications
Immediately after surgical correction, swelling and hematoma develop 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 postoperative sutures is possible.
Healing period
In the first days after the operation, the patient is prescribed painkillers and antibiotics (to avoid infectious complications). You have to go to the clinic every 2 days for bandages. If non-absorbable sutures were placed in the wound, they are removed after 14 days.
In order to consolidate the result after the band cutting surgery, it is recommended for the man to use an extender for 2-4 months. The device must be worn for several hours a day and then removed at night.
If the extension is not worn, the operation may be useless. The fact is that the cruciate ligament grows together and pulls the reproductive organ to its original position.
What determines the outcome of penis enlargement?
First of all, the result of surgical intervention depends on the individual physiological characteristics of the patient. This is especially the length of the perineal part of the penis (which can be stretched when the ligaments cross) and the elasticity of the tissue.
Much depends on the capabilities of the clinic, the experience of the doctors, and whether the man follows the recommendations. Remember that if you follow the doctor's instructions, the effect will last a lifetime.