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Real permanent penis enlargement with ligamentotomy surgery

Recently, penis enlargement surgeries have become more and more popular. The effect of male enhancement is made possible thanks to an outpatient procedure that lasts up to one and a half hours and is performed under local anesthesia. The patient can go home immediately after the operation. You should consult your doctor for another month. Many men often do not need surgery at all. Patients with micropenis syndrome or penile dysmorphophobia need only a course of psychotherapy. Sometimes men just think their penises are small.

To solve a delicate problem, the various drugs recommended by the doctor for organ enlargement are quite suitable. They can be purchased online or at a pharmacy without any problems. However, there are cases where the member still needs to be expanded:

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

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

Surgical enlargement of the penis: all the pros and cons

To understand the principle of surgery to enlarge the male penis, read information about the anatomical structure of the organ. Thus, the penis is supported in the pelvic region and connected to it by a special ligament called the ligament. The essence of the operation is to change the size of the ligament, which makes it possible to increase the size of the penis.

penis structure

This technique seems to make it possible to solve many problems (physical and psychological) that arise due to the small size of the manhood. However, some risk factors of such manipulation should be considered:

  • The possibility of injury to the patient or infection in the body during the operation.
  • If the ligament is too short, the intervention will not have the expected effect.
  • A penis that is not supported by tape is hypermobile. In addition, the compression of the ligament results in the fact that during erection, the penis is directed downward, and not forward or upward, as usual.
  • The specialist cannot fully predict the results of the manipulation, as a lot depends on the patient's body and 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 enlarge the genitals, 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, deformation of the phallus can be observed, reducing its size.

The structure of the penis
Aesthetic indications:

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

The lower limit of the size of the male genital organ is 12 cm (including the erection). A smaller value can be considered a reason for ligamentotomy.

Types

The urologist-surgeons quietly rub their hands together and perform a series of plastic surgeries on the phallus.

Circumcision of the foreskin

This group includes reconstructive cutting of the frenulum (frenulotomy) and circumcision itself (circumcision). The surgeries are performed on an outpatient basis, technically there are no particular difficulties. The process takes about 30 minutes. Recovery is quick and moderately painful.

Size correction

Here you can work in two directions - by increasing thickness and length. In the first case, the problem can only be solved surgically, with the help of an autograft. In the second, the doctor acts either surgically (transplantation is not necessary) or conservatively (vacuum pumps, extensions).

Such plastic surgery requires a micropenis and a person's own dissatisfaction.

Shape correction

The procedure is performed using modern techniques to straighten the phallus. It is a plastic surgery that helps poor people with Peyronie's disease, local fibrosis and congenital curvature. In case of severe abnormalities, the surgeon decides to introduce synthetic prostheses.

Reconstructive restoration of the penis (phaloplasty)

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

Penis prosthesis

A necessary step to achieve a stable artificial erection. The surgeon takes structures - synthetic prostheses - and inserts them into the trunk. They differ in how the phallus is relaxed and excited. We talked about procedures, the classification of which is very conditional. In practice, they are often combined with each other and performed consecutively on the same operating table.

Contraindications

There are many contraindications to genital enlargement, including:

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

The symptoms of these pathologies may worsen after surgery to enlarge the male penis. You can find more information about how much penis enlargement surgery costs in our country's clinics in our material.

Operation progress

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

In addition, ligamentotomy is divided according to the type of access. In this regard, it is much easier for the plastic surgeon to cut the ligament above the pubic bone. However, the intervention through the scrotum is much more painless and less dangerous. Penile enlargement surgery performed using this approach can take longer, involve a much larger incision, and leave a noticeable scar on the vulva. In addition, such an intervention damages the tissues and fatty tissues and makes it difficult to continue wearing the aid. The cost of surgery through the scrotum is higher, but the risk of complications is minimal, as is the occurrence of postoperative scars. A surgeon and a urologist discuss the nuances of penile enlargement surgery and the postoperative period.

Ligamentotomy is performed under anesthesia (general or epidural). It takes a total of 40-50 minutes from the beginning of the surgeon's manipulations until the patient recovers from anesthesia. A bandage is applied to the incision site. It is believed that the removal of the tape that secures the hidden inner part of the penis does not directly lead to the growth of the reproductive organ itself. The penis remains in place, and the cut tape is only needed to improve the result later with the help of a special tool - an extender. Thus, the ligamentotomy is only auxiliary and necessitates the use of an indispensable extender in the future. It is also worth considering that the result depends on the immediate initial length of the penis. In other words, the ligamentotomy helps to increase the size of the phallus, which is adjusted by the expander, allowing it to work inside the penis.

Which doctor should I see?

If a decision such as surgical enlargement of the penis is considered, difficult to make, and there is no way back, the patient turns to a plastic surgery clinic.

Large clinics have an aesthetic or intimate plastic department. First, you need to see your doctor.
If the doctor considers his arguments convincing, he refers to examination and tests, for which you have to pay otherwise. Tests to complete (there are quite a few of them, so take some time to complete them all:

  • general blood test;
  • blood clotting test;
  • general urinalysis;
  • blood group and Rh factor analysis;
  • Testing for HIV infection, hepatitis B and C;
  • blood test for RW;
  • EKG.

In addition to the surgeon, you should also consult a urologist and an andrologist. After receiving the test results, the plastic surgeon draws a conclusion about the absence or presence of contraindications. And only then do they do plastic penis enlargement or not.

Rehabilitation

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

  • Refusal of sex, sports and intense physical activity.
  • Always wearing a stretcher or a special weight - this method does not allow the penis to return to its original position.
  • After the formation of the scar (after about 1-2 months), the stretching of the phallus continues with the help of an extension and lasts for six months.

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

Recommendations for using the extension cord

After the ligamentotomy, the extender is placed on the penis to avoid pain and discomfort. An additional function of this device is to provide the necessary tension to the muscles and ligaments of the penis. New areas of connective tissue are formed in place of the severed ligament. Their future size largely depends on compliance with the recommendations for the postoperative period, including the systematic wearing of the extender. In order for the device to work properly and have maximum effect, you should consider some tips for its use:

  • The extension should only be placed on the penis during the day and removed at night.
  • At first, the device is worn for 1. 5-2 hours a day. The time gradually increases to 5-6 hours.
  • The extender is worn until a new band forms and takes its place to replace the cut band. This usually takes 3-7 months.

Modern extensions are made of latex or hypoallergenic plastic. This makes them comfortable, practical and almost invisible.

Penis enlargement techniques

There are many ways to increase your virility. Each of them involves the use of different implants, which are materials composed of cavernous tissue. It is attached to the base of the penis using special cavernous rods, which:

  • they fill with blood during erection;
  • increases the size of the organ.

Another technique is to enlarge the penis by "rolling" skin tissue taken from other places, for example, from the bottom. Such operations are quite simple, and the probability of failure after them is negligible. The skin covering the penis is unique in nature. Unlike all skin surfaces, thisa piece of skin is not connected by nerve endings to the body of the genital organ at all. Thanks to this, surgeons have perfectly mastered this technique. By the way, the reviews after ligamentotomy are very good, and patients notice an increase in the penis. It happens that the doctor transplants tissue together with bundles of blood vessels, then:

  • they fuse with native blood vessels;
  • further growth is seen in the penis.

With the help of this type of surgery, the organ is enlarged by up to 1 cm. If a man wants a bigger result, he resorts to microsurgery. This type of intervention is very similar to the technology described above. In this case, however, not only skin but also muscle tissue is transplanted.

This technique helps to achieve a relatively large size of the phallus, but at the same time, the likelihood of postoperative complications increases.

Possible complications

A qualified specialist, who has performed penis enlargement surgery, excludes all risks of possible problems after ligamentotomy with his professional activity. In extremely rare, isolated cases, the following complications can be observed after such an intervention:

  • bleeding;
  • deformation of the penis (can be straightened at an atypical angle or partially raised);
  • suppuration of the suture placed after surgery;
  • testicular infection;
  • formation of scars and adhesions;
  • unstable erection;
  • reduced sensitivity of the scrotum or penis.

Ligamentotomy is considered by most urologists to be a completely safe procedure. At the same time, the absence of possible problems can be observed both during the surgery and during the rehabilitation period.

Advantages of penile correction surgery

The main advantages of penis enlargement surgery are:

  • Long lasting effect.
  • Relatively fast rehabilitation.
  • The possibility of increasing the penis not only in length, but also in thickness.
  • The possibility of simultaneous elimination of penile pathologies or defects (both acquired and congenital).
  • It has no negative effect on reproductive function and the quality of male potency.
  • Short duration of the operation.

Plastic surgery of the glans penis without sutures and with sutures

Plastic surgery of the glans penis is the most popular surgical intervention in the field of male genitalia. These include:

  • Circumcision is the removal of the foreskin by circumcision. This simple manipulation makes it possible to prevent many problems associated with phimosis. Depending on the clinical indications, a full or partial form of circumcision is chosen. In many countries around the world, this procedure is performed for hygienic or religious purposes. Plastic surgery of the penis without sutures for phimosis is necessary to completely clean the head of the penis in a natural way. If the foreskin is narrowed, smegma accumulates under it, which is an excellent breeding ground for pathogenic microflora. Resolving the problem prematurely leads to permanent inflammation and scarring not only on the surface of the penis, but also inside the urethra.
  • Another common problem that can be solved with simple surgery is the frenulum. This feature of the organ not only causes pain and discomfort, but can also cause dangerous bleeding due to its rupture. Frenulum lengthening surgery is performed under local anesthesia and takes about 20 minutes. During the procedure, transverse incisions are made on the frenulum, stretched to normal size and cosmetic sutures are applied. The entire healing process takes 2 weeks.

Characteristics of the penile erection operation

A more complicated procedure is penile straightening surgery. There are three different techniques that can be used to correct penile misalignment. Each begins by removing the foreskin and cutting the skin along the coronal sulcus, approximately 5 mm from the glans. Some doctors do not use circumcision. This is necessary so that the tunica albuginea of the penis shaft can be released 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 to the curvature, then fixation. There are several types of this technique. If it is necessary to straighten the penis by 30-45°, the folds should be applied with non-absorbable sutures. If the deviation is greater than 45, an elliptical cut is used. Since the procedure leads to a reduction of the organ by 0. 5-2 cm, this type of surgery is only suitable for men with fairly large penises.
  • Lengthening of the tunica albuginea of the corpora cavernosa on the side of the curvature using biological material (the patient's own skin or vein). In most cases, this method makes it possible to leave the original size of the phallus, and sometimes to increase its size.
  • Penis straightening by inserting a prosthesis. This method is more often used in men with intractable erectile dysfunction, which allows you to get rid of two problems at once.

After you have decided to correct the deformation of the manhood or change its appearance, you should find out what options modern surgery offers to solve the problem, study the opinion of a particular clinic, and make sure that the requested price is appropriate.

When can the results of the surgery be evaluated?

The result of the intervention can only be evaluated after the tissues have completely healed, the sutures have been removed (if synthetic fibers are used) and the edema has subsided:

  • After the introduction of hyaluronic acid, the enlargement can be seen 4 days later, when the characteristic swelling disappears by itself.
  • Lipofilling is an intervention that means achieving the effect quickly (from the point of view that it is an invasive procedure). The result is noticeable within 2 weeks.
  • The success of the ligamentotomy can only be evaluated after 2 months (this is the average period).
  • Microsurgical muscle transplantation involves a 3-week recovery period. After this period, you can determine whether the procedure has been successfully completed.
  • You can evaluate the effect only after 2-3 weeks after the penile prosthesis.

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

Preparation for plastic surgery

The first stage is personal acquaintance with the surgeon, anamnesis collection and the mandatory interview. All the interesting facts about mental and physical health will be extracted from you. Along with this, you need to carry out a series of consultations with an endocrinologist, andrologist - urologist, therapist, cardiologist.

When does a good doctor refuse surgery? - only in case of psychogenic problems. You can solve them on your own or with a doctor. However, the intervention still takes place in 99. 9% of cases. This will happen on X day:

  • do not drink - liquid splashed into the stomach can cause complications if you are under anesthesia. We advise you to observe this rule and endure thirst to the end;
  • without any shyness, the nurse shaves her pubic area;
  • blood is checked for sugar and hemoglobin levels for control purposes;
  • an anesthesiologist and a surgeon come for a friendly word and a final farewell;
  • the doctor leaves a mark on the thigh - indicating the length of the phallus before the operation. Then you can 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 intervention, maximum courage will be required during the recovery phase. The process takes about six months, but readiness for sex occurs after two weeks.

To ensure the result, you need to do the following:

  • regularly apply bandages, disinfect, lubricate the penis with ointments;
  • put an extension cord on it - the device is used for at least 8 hours a day. It should be worn immediately after surgery. This eliminates excessive scarring and the possibility of curvature.

Rehabilitation period

The recovery period after surgical intervention depends on individual characteristics, the chosen method, the traumatic nature of the procedure and the initial parameters of the organ. Reviews about the surgical enlargement of the penis with injections indicate a quick recovery period of several days, rarely the occurrence of hematomas and injuries, as well as the absence of discomfort.

During tissue regeneration after radical treatments, the patient must regularly change the dressing in the treatment room in order to maintain personal hygiene. During this time, it is necessary to refrain from sexual intercourse and limit physical activity. Depending on the doctor's recommendation, loose cotton or special compression clothing must be used.

In the first days after visiting the clinic, the patient must take antibiotics as prescribed by the doctor, this helps to prevent inflammatory processes, to avoid purulent abscesses and other life-threatening complications.

When should genital surgery be performed?

Our gender 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 implemented for those who want it!

Indications of iron for surgery:

  • microphallia
    – congenital underdevelopment. Such a penis in an erect state does not exceed 10 cm. This fact only causes sympathy among doctors. From a medical point of view, the man is healthy, he can urinate, and his penis has no effect on his life expectancy. In fact, the cause of the event always remains the desire of the owner himself;
  • damage and reduction due to injury
    - anything can happen in life, even a displaced Kamaz member.

Possible risks and complications

The most common side effects are:

  • Occurrence of hematomas and bruises on the skin and mucous membranes (small bruises occur even with injections; they usually go away on their own after a few days).
  • Damage to the corpora cavernosa, damage to blood vessels, which can lead to unstable erection and complete impotence.
  • Painful urination and erection in the first weeks.
  • Impaired sensitivity of the head, which leads to weak sensations during orgasm.
  • Premature ejaculation.
  • In rare cases, violation of the normal anatomical shape of the penis (due to unskilled actions of the surgeon).

Attention: in order to prevent most of these complications, a responsible approach to the selection of a specialist should be used. Trust your health only to well-known doctors who regularly improve their training and have positive feedback from other patients.