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Real permanent penis enlargement by ligamentotomy surgery

Recently, penis enlargement operations have become more and more popular. The male enhancement effect becomes possible thanks to an outpatient procedure, which lasts no more than an hour and a half and is carried out under local anesthesia. The patient can go home immediately after the operation. He will have to see his doctor for another month. Often, many men do not need any surgery. Patients suffering from micropenis syndrome or penile dysmorphophobia only need psychotherapy. Sometimes men just think they have a small penis.

To solve a delicate problem, various drugs for organ enlargement recommended by a doctor are quite suitable. They can be purchased without problem on the Internet or in pharmacies. However, there are cases where the limb still needs to be enlarged:

  • medical problem (hypospadias, epispadias, cavernous fibrosis, micropenis, consequences of injury, Peyronie's disease);
  • functional problem (the penis has lost its elasticity, the subcutaneous fatty layer has increased, the penis is hidden or webbed).

To understand the nature of these disorders, you can look at photos in medical sources.

Surgical penis enlargement: all the advantages and disadvantages

To understand the principle of surgery aimed at enlarging the male penis, it is necessary to refer to information on the anatomical structure of this organ. Thus, the penis is supported by the pelvic region and is attached to it by a special ligament called a ligament. The purpose of surgery is to modify the size of this ligament, which makes it possible to increase the size of the penis.

penis structure

It seems that this technique makes it possible to resolve multiple problems linked to the small size of the virility (physical and psychological). However, certain risk factors for such manipulation must be taken into account:

  • The possibility of injury to the patient or infection of his body during the operation.
  • If the ligament ligament is too short, the intervention will not bring the expected effect.
  • A penis that is not supported by a ligament is hypermobile. In addition, the removal of the ligament leads to the fact that during an erection the penis will be directed downward, and not forward or upward, as is usually the case.
  • A specialist is not able to completely predict the results of the manipulation, since much depends on the patient's body and its compliance with the rules of the rehabilitation period.

Indications for ligamentotomy

Since penis enlargement surgery is a plastic procedure, there are no strict and categorical indications for its implementation. However, in some cases it is simply necessary to perform genital enlargement, and the indications can be divided into two subgroups: medical and aesthetic.

Medical indications:

  • Micropenis (the so-called hidden penis).
  • Cavernous fibrosis.
  • Peyronie's disease. With this pathology, a deformation of the phallus is observed, reducing its size.

Structure of the penis
Aesthetic indications:

  • A man's desire to increase his self-esteem.
  • The desire to strengthen one's own attractiveness.
  • Penile dysmorphophobia. This condition consists of dissatisfaction with one's appearance, including the penis.

The lower limit of the dimensions of the male reproductive organ is 12 cm (including erection). A lower value may be considered grounds for ligamentotomy.

Types

By calmly rubbing their hands, urologist-surgeons carry out a whole series of cosmetic surgeries of the phallus.

Circumcision of the foreskin

This group includes reconstructive cutting of the frenulum (frenulotomy) and circumcision itself (circumcision). The operations are carried out on an outpatient basis, there are no particular difficulties in terms of technique. The process takes approximately 30 minutes. Recovery is quick and moderately painful.

Size correction

Here you can work in two directions: increasing the thickness and length. In the first case, the problem can only be solved surgically using autografts. In the second case, the doctor acts either surgically (transplantation is not necessary) or conservatively (vacuum pumps, extensions).

Such plastic surgery is demanded for micropenis and for male dissatisfaction.

Shape correction

The process is carried out using modern phallus straightening techniques. This is plastic surgery that helps poor people with Peyronie's disease, local fibrosis and congenital curvature. In case of serious anomalies, the surgeon decides to introduce synthetic prostheses.

Reconstructive restoration of the penis (phalloplasty)

The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted on the phallus. Reconstruction involves the restoration of the urethra, its aesthetics and functionality. Reconstruction is part of sex reassignment procedures, an option for men who have lost a penis after surgery, illness or injury.

Penile prostheses

A necessary step to obtain a stable artificial erection. The surgeon takes structures – synthetic prostheses – and inserts them into the trunk. They differ in how the phallus is transferred to a relaxed and excited state. We talked about procedures whose classification is very conditional. In practice, they are often combined and performed sequentially on the same operating table.

Contraindications

There are several contraindications to the genital enlargement procedure, including:

  • mental illness;
  • diabetes;
  • impaired blood clotting.

The symptoms of these pathologies can worsen after surgery to enlarge the male penis. More information about the cost of penis enlargement surgery in clinics in our country can be found in our documentation.

Progress of the operation

There are two types of penis enlargement surgery. One of them is characterized by a classic implementation, the other involves the addition of adipose tissue elements. However, according to expert opinions, lengthening of the second type is performed much less frequently than the first. Often, blood flow in the tissues is slow, which leads to various infectious complications.

Additionally, ligamentotomy is divided based on the type of access. In this regard, it is much easier for a plastic surgeon to excise the ligament located above the pubic bone. However, the procedure performed through the scrotum is considered much more painless and less dangerous. Penis enlargement surgery using this approach can take longer, involves a much larger incision, and leaves a visible scar in the pubic area. In addition, such an intervention injures the tissues and fatty tissue and makes it difficult to continue wearing the assistive device. The cost of surgery performed through the scrotum is higher, but the risk of complications is minimal, as is the appearance of postoperative scarring. A surgeon and urologist talks about the nuances of penis enlargement surgery and the postoperative period.

Ligamentotomy is performed under anesthesia (general or epidural). The total time from the start of the surgeon's manipulations to the patient's exit from anesthesia is 40-50 minutes. A bandage is applied to the area where the incision was made. It is believed that the removal of the ligament that secures the hidden inner part of the penis does not directly lead to an increase in the reproductive organ itself. The penis remains in its place, and the cut ligament is needed only for further improvement of the result using a special device - an expander. Thus, ligamentotomy is exclusively auxiliary in nature and in the future requires the indispensable use of an expander. It should also be considered that the result depends on the immediate initial length of the penis. In other words, ligamentotomy increases the size of the phallus, which is adjusted by the expander, allowing it to act inside the penis.

Which doctor should I contact?

If a decision such as penis enlargement by surgery is deliberate, hard-won and there is no turning back, the patient turns to a plastic surgery clinic.

Large clinics have a cosmetic surgery or intimate plastic surgery department. You must first meet your doctor.
If the doctor considers your arguments convincing, he will refer you to an examination and tests, for which you will also have to pay. The tests to take (there are many, so allow free time to take them all):

  • general blood test;
  • blood clotting test;
  • general urine analysis;
  • analysis of blood group and Rh factor;
  • examination for HIV infection, hepatitis B and C;
  • blood test for RW;
  • ECG.

In addition to the surgeon, you will need to consult a urologist and an andrologist. After receiving the results of the examination, the plastic surgeon concludes about the absence or presence of contraindications. And only then do they carry out plastic penis enlargement or not.

Rehabilitation

The day after the ligamentotomy, a special device called a stretcher is applied to the operated organ. Unlike the expander, it is used continuously until the stitches are completely removed after 12 to 14 days. During the first three weeks after penis enlargement surgery, a man should follow the following recommendations:

  • Refusal of sex, sports and intense physical activity.
  • Always carry a stretcher or special weight - this method does not allow the penis to return to its original position.
  • Once the scar has formed (after approximately 1 to 2 months), stretching of the phallus continues using an expander and lasts up to six months.

The duration of use of the extender gradually increases. The first tangible and visually traceable results can be observed six months after the operation.

Recommendations for using the repeater

After a ligamentotomy, the extender is placed on the penis to avoid pain and discomfort. An additional function of this device is to ensure the necessary tension of the muscles and ligaments of the penis. In place of the cut ligament, new areas consisting of connective tissue are formed. Their future size depends largely on compliance with recommendations in the postoperative period, including the systematic wearing of an extender. In order for the device to work correctly and produce maximum effect, you should take into account some tips for its use:

  • The extender is placed on the penis only during the day; it must be removed at night.
  • Initially, the device is worn for 1. 5 to 2 hours a day. Gradually the time increases to 5-6 hours.
  • The expander is worn until a new ligament forms and takes its place to replace the severed ligament. Typically, it takes 3 to 7 months.

Modern extension cords are made of latex or hypoallergenic plastic. For this reason, they are comfortable, practical and almost invisible to wear.

Penis enlargement techniques

There are several ways to increase male enhancement. Each of them involves the use of different implants, which are a material made of cavernous tissue. It is attached to the base of the penis using special cavernous rods, which:

  • during an erection, they will fill with blood;
  • will increase the size of the organ.

Another technique involves enlarging the penis by "rolling" skin tissue taken from other locations, such as the buttocks. Such operations are quite simple and the probability that there will be an unsuccessful result after them is negligible. The skin that covers the penis is unique in nature. Unlike all appendages, this piece of skin is not connected at all by nerve endings to the body of the genital organ. Thanks to this, surgeons master this technique to perfection. By the way, the examinations after ligamentotomy are very good and patients note an enlargement of the penis. Sometimes the doctor transplants tissue as well as bundles of blood vessels, then:

  • they merge with the native vessels;
  • there is an additional enlargement of the penis.

This type of operation will enlarge the organ by up to 1 cm. When a man wants better results, he resorts to microsurgery. This type of intervention is very similar to the technology described above. However, in this case, not only skin, but also muscle tissue is transplanted.

This technique will allow you to obtain a relatively large phallus size, but at the same time the risk of complications after surgery increases.

Possible complications

A qualified specialist who has performed penis enlargement operation, by his professional actions, negates all risks of possible problems after ligamentotomy. In extremely rare isolated cases, the following complications are observed after such an intervention:

  • bleeding;
  • deformity of the penis (it can also straighten at an atypical angle or partially rise);
  • suppuration of the suture placed after surgery;
  • testicular infection;
  • development of scars and adhesions;
  • unstable erection;
  • impaired sensitivity of the scrotum or penis.

Most specialists in the field of urology consider ligamentotomy to be a completely safe procedure. At the same time, the absence of possible problems is noted both during the operation and during the rehabilitation period.

Benefits of Penis Correction Surgery

The main benefits of penis enlargement surgery include:

  • Long-lasting effect.
  • Relatively quick rehabilitation.
  • The possibility of increasing the penis not only in length, but also in thickness.
  • The possibility of simultaneously eliminating pathologies or defects of the penis (acquired and congenital).
  • No negative impact on reproductive function and the quality of male potency.
  • Short duration of the operation.

Glans plastic surgery without and with sutures

Glans plastic surgery is the most common surgical procedure in the male genital area. These include:

  • Circumcision is the removal of narrowing of the foreskin through circumcision. This simple manipulation helps prevent a large number of problems related to phimosis. Depending on clinical indications, a form of total or partial circumcision is chosen. In many countries around the world, this procedure is performed for hygienic or religious purposes. Penile plastic surgery without sutures for phimosis is necessary to ensure complete cleansing of the head of the penis in a natural way. If the foreskin is narrowed, smegma accumulates underneath, which provides an excellent breeding ground for pathogenic microflora. Untimely solution to the problem leads to constant inflammation and scarring not only on the surface of the penis, but also inside the urethra.
  • Another common problem that can be fixed with a simple surgical procedure is frenulum. This feature of the organ not only causes pain and discomfort, but can also cause dangerous bleeding due to its rupture. The frenulum lengthening operation is performed under local anesthesia and lasts approximately 20 minutes. The procedure involves applying transverse notches to the frenulum, stretching it to its normal size and applying cosmetic sutures. The complete recovery process takes 2 weeks.

Features of penis straightening operation

A more complex procedure is penis straightening surgery. There are three different techniques that can correct penile deviation. They all start by removing the foreskin and cutting the skin along the coronal sulcus, approximately 5mm from the glans. Some doctors do not use circumcision. This is necessary to be able to release the tunica albuginea from the shaft of the penis to its base.

After that, they begin to straighten the phallus using one of the methods.

  • Shortening of the tunica albuginea of the penis on the side opposite the curvature, followed by its fixation. This technique has several varieties. If it is necessary to straighten the penis by 30-45°, folds are applied using non-absorbable sutures. If the gap is greater than 45, an elliptical excision is used. Since the procedure leads to a reduction of the organ by 0. 5-2 cm, this type of operation is only suitable for men with a fairly large penis.
  • Lengthening of the tunica albuginea of the corpora cavernosa on the side of the curvature using biological material (skin or vein of the patient). This method allows in most cases to maintain the original size of the phallus, and sometimes to increase its size.
  • Straightening of the penis by insertion of a prosthesis. This method is more often used in men suffering from incurable erectile dysfunction, which allows you to get rid of two problems at once.

Having decided to correct the deformation of your manhood or change its appearance, you need to know the options offered by modern surgery to solve the problem, study the reviews of a specific clinic and make sure that the asking price is adequate.

When can the results of the operation be evaluated?

The result of the intervention can only be assessed after complete healing of the tissues, removal of the sutures (if artificial threads were used) and subsidence of the edema:

  • After the introduction of hyaluronic acid, the enlarging effect is visible after 4 days, when the characteristic swelling disappears by itself.
  • Lipofilling is an intervention that involves quickly achieving an effect (from the point of view of the fact that it is an invasive procedure). The result is visible after 2 weeks.
  • The success of the ligamentotomy can only be assessed after 2 months (this is the average time).
  • Microsurgical muscle transplantation involves a recovery period of 3 weeks. It is after this period that you will be able to determine how successful the procedure was.
  • After penile prostheses, you can only evaluate the effect after 2-3 weeks.

Only average recovery periods are shown. In general, regeneration after surgery depends on the individual properties of the skin and the condition of the body.

Preparation for plastic surgery

The first step is a personal meeting with the surgeon, a history taking and a mandatory interview. All interesting facts related to mental and physical health will be taken away from you. Along with this, you will have to undergo a series of consultations with an endocrinologist, andrologist - urologist, therapist, cardiologist.

When does a good doctor refuse surgery? - only if there are problems of a psychogenic nature. You can resolve them yourself or with a doctor. However, the intervention is still carried out in 99. 9% of cases. This will happen on day X:

  • you will not be allowed to drink - splashing liquid into the stomach can lead to complications when submerged under anesthesia. We advise you to respect this rule and endure thirst to the end;
  • without any shyness, the nurse will shave his pubis;
  • for control, they will analyze the blood for sugar and hemoglobin;
  • an anesthetist and a surgeon will come for a friendly word and a final farewell word;
  • the doctor will make a mark on the thigh - it will indicate the length of the phallus before the operation. You can then check how many centimeters your best friend has gained.

Postoperative period

We would like to warn you that the operation is only the beginning. After the procedure, it will take maximum courage to go through the recovery phase. The process takes about six months, but preparation for sex will occur in two weeks.

To secure the result, you will need to:

  • regularly make dressings, disinfect, smear the penis with ointments;
  • put in an extension cord - the appliance is used at least 8 hours a day. It will be worn immediately after surgery. This will eliminate excessive scarring and the possibility of curvature.

Rehabilitation period

The recovery period after surgery depends on individual characteristics, the chosen method, the traumatic nature of the intervention and the initial parameter of the organ. Reviews of surgical penis enlargement by injection indicate a quick recovery period of several days, a rare occurrence of hematomas and injuries and the absence of discomfort.

During the process of tissue regeneration after radical approaches, the patient must regularly change dressings in the treatment room to maintain personal hygiene. At this time, abstinence from sexual contact is required, as well as limitation of physical activity. It is imperative to use loose cotton clothing or special compression garments, as recommended by the doctor.

In the first days after visiting the clinic, the patient should take antibiotics prescribed by the doctor, which will help prevent inflammatory processes, avoid purulent abscesses and other life-threatening complications.

When should you have genital surgery?

Our genital surgeons explained that size correction surgery is considered plastic surgery. This means that it cannot be recommended, prescribed or indicated. First of all, it is made to those who wish it!

Iron surgical indications:

  • microphalia
    – congenital underdevelopment. Such a penis does not exceed 10 cm when erect. This fact only evokes sympathy from doctors. From a medical point of view, the man is in good health, he can urinate and his penis does not affect his life expectancy. In fact, the reason for the event always remains the will of the owner himself;
  • reduction due to damage and injury
    - anything can happen in life, even a Kamaz member who has moved.

Possible risks and complications

The most common side effects include:

  • The appearance of hematomas and bruises on the skin and mucous membranes (small bruises occur even with injections; as a rule, they disappear on their own after a few days).
  • Injuries to the corpora cavernosa, damage to blood vessels, which can lead to unstable erections and total impotence.
  • Painful urination and erection during the first few weeks.
  • Impaired sensitivity of the head, resulting in weak sensations during orgasm.
  • Premature ejaculation.
  • In rare cases, violation of the normal anatomical shape of the penis (due to unqualified actions of the surgeon).

Please note: to prevent most of these complications, it is necessary to take a responsible approach to choosing a specialist. Entrust your health only to renowned doctors who regularly improve their qualifications and receive positive reviews from other patients.