After trying all methods: from pills and creams to extreme NUP, men, dissatisfied with the size of their genitals, decide that penis enlargement surgery is the only possible solution.
We will consider all types of surgical interventions in the intimate male sphere, find out the estimated prices and clinics where such operations are carried out.
![penis enlargement surgery](/images/articles/788/penis%20enlargement%20surgery.jpg)
Men are divided into several categories:
- has an average size, which really suits him and his partner;
- have a normal medium or large size, but would like to have a larger size;
- have a small penis and want to enlarge it (remember that the lower limit of the normal length of an erect penis is considered to be 7 cm);
- there is a result of injury or disease on the penis.
Surgical enlargement of the penis is performed for medical reasons and for the purpose of cosmetic correction of appearance
- 3 Indications for surgery
- 4 Possible complications
- 5 Restoration
- 6 Which clinics offer augmentation services?
- 7 How much does it cost to operate?
- 8 Comments after surgery
Guidance
To perform penis enlargement surgery, male desire alone is not enough. It is necessary to undergo an examination by a urologist or andrologist, where a decision is made about the size and shape of the penis.
Anomalies associated with insufficient organ length are called micropenis. It occurs due to lack of pituitary hormones. When evaluating the parameters of the penis, its size in an upright position is taken into account.
Other indications include:
- congenital pathology of the structure of the penis;
- dysfunction arising against the background of complicated fibrosis;
- organ injury;
- erect penis length less than 12 cm;
- inability to have sex;
- Peyronie's disease or pathological curvature of the penis.
![structure of genital organs](/images/articles/788/structure%20of%20genital%20organs.jpg)
Male prejudice: the main reason for dissatisfaction with one's size
The desire to improve the parameters of the penis is 90% associated with dissatisfaction in the intimate sphere. For example, if a man is taught that the size of his penis directly determines his sexual stamina. Constant comparison of the organ or partner's dissatisfaction with intimacy with it prompts an increase in penile parameters. Moreover, the woman associated factor 2 with the small size of the male penis, which does not always cause a low quality of sexual life.
What doctors say about penis enlargement:
In our country, a large number of men are not satisfied with the size of their penis, I tell you as a doctor. This is a sensitive issue that is not usually discussed openly, but I always come across such complaints.
In general, various exercises for penis enlargement have existed for a long time, but, unfortunately, they require a lot of time and, oddly enough, do not work. There is a more radical solution - surgical intervention, but the operation costs a lot of money, and not everyone will decide to take such a step.
![penile prosthesis for penis enlargement](/images/articles/788/penile%20prosthesis%20for%20penis%20enlargement.jpg)
Penile prosthesis
The results of surgery to enlarge the penis using prosthetics depend on the type of implant used. Extending the penis using this method is considered difficult.
Rigid prostheses are used in rare cases. Often, inflatable or plastic implants are inserted. The operation is performed under general anesthesia. The prosthesis is inserted through an incision in the spongy body area.
Implants are made of different materials, but always hypoallergenic.
This type of operation is performed only for medical reasons, when underdevelopment of the penis is accompanied by sexual dysfunction. How much such a penis enlargement operation costs depends on the material used, the complexity of the pathology and other factors. A penile prosthesis is not available to everyone.
Contraindications to surgery
Specialists do not invasively enlarge the reproductive organs if the patient:
- Low blood clotting.
- Oncological processes in the urogenital system.
- Heart dysfunction.
- Allergy to all materials used for anesthesia.
- Bronchial asthma.
- diabetes.
Additional contraindications - the presence of severe mental disorders (schizophrenia, epilepsy); tendency to build up colloid scars; purulent process in the groin area.
Ligamentotomy
The surgery begins with the administration of anesthetic. For ligamentotomy, general anesthesia or spinal anesthesia is used. The next step is to cut and suspend the penile ligament, which holds the organ while it lies deep in the pelvis.
The process of penis enlargement is done by releasing the inner part of this ligament. After exposing the hidden part of the penis, the wound is sutured.
The desired enlargement effect is not achieved immediately, but after some time. It is facilitated by activities that involve the use of extenders during the recovery period.
![ligamentotomy for penis enlargement](/images/articles/788/ligamentotomy%20for%20penis%20enlargement.jpg)
Existing methods
There are many methods for penis enlargement, but most are non-surgical options.
![reviews of penis enlargement techniques](/images/articles/788/reviews%20of%20penis%20enlargement%20techniques.jpg)
Operations are divided into areas: lengthening or thickening.
Penis enlargement surgery:
- Ligamentotomy;
- Penile prosthesis.
And the group of operations to thicken the penis includes:
- Lipofilling;
- Introduction of polymer materials;
- Muscle transplantation;
- Hyaluronic acid injection.
![lipofilling for penis growth](/images/articles/788/lipofilling%20for%20penis%20growth.jpg)
Lipofilling
The surgery begins with the patient being placed under general anesthesia. Initially, biomaterials were collected from areas where they were most abundant. Then the process of purifying the resulting material is carried out. The next step is to insert it into the genitals using a special needle.
The injection site is thoroughly disinfected with an antiseptic. A sterile dressing is used on the genitals. In total, the procedure lasts no more than an hour.
The main advantage of lipofilling is the use of your own biomaterial. The use of artificial implants can trigger allergic reactions to foreign substances.
After choosing the appropriate option, the man calmly moves in search of a medical facility.They focus not only on the price, but look at reviews about the organizations and specialists they contact.
Surgery is not always the right methodthey take it as a last resort!If your penis is more than 8 cm, we recommend considering the option to stretch the organ tissue:
- Extenders or Stretchers;
- Hanging load;
- Exercise or jelqing;
- Massage;
- Vacuum pump.
For the resultsWe recommend combining the above methods with the use of ointments, creams, gels or sprays, and in addition, use foods and herbs for penis growth.
Hyaluronic acid injection
Hyaluronic acid has become widespread not only in cosmetology, but also in plastic surgery. The procedure is quick and painless. Hyaluronic acid is injected into the penis. On average, the effect lasts for a year.
![hyaluronic acid injection](/images/articles/788/hyaluronic%20acid%20injection.jpg)
Injections are given only by specialists; you can't medicate yourself!
Which doctor should I contact?
If a decision such as surgical penile enlargement is deliberate, laborious and irreversible, patients turn toto the plastic surgery clinic.
Large clinics have departments of aesthetic surgery or intimate plastic surgery. First you need to see your doctor, earlyconsultation is not very expensive.
If the doctor finds your argument convincing, he will refer youexams and tests, which, by the way, you have to pay.
Tests to do (there are quite a few of them, so set aside some free time to take them all):
- general blood analysis;
- blood clotting tests;
- general urine analysis;
- blood group and Rh factor analysis;
- screening for HIV infection, hepatitis B and C;
- blood test for RW;
- ECG.
In addition to the surgeon, you need tonegotiating withurologist and andrologist.
After receiving the results of the examination, the plastic surgeon makesconclusionabout the absence or presence of contraindications. And then they do plastic penis enlargement or not.
Stage of preparation
Before surgery, you need to go through a preparatory procedure. They help to avoid adverse reactions of the body and choose the most suitable intervention method.
The preparation stage includes the following diagnostic procedures:
- ultrasound examination with Doppler;
- general clinical blood tests;
- research to detect sexually transmitted infections;
- blood chemistry;
- ECG;
- examination by narrow profile specialists.
In addition, studies are being conducted to exclude the possibility of allergic reactions to anesthetics and substances implanted under the skin. They will help to avoid unexpected complications during surgery.
2 days before the due date, a man should limit his fluid intake. It is also recommended to stop smoking and drinking alcoholic beverages.
Recovery period: doctor's advice
For tissue recovery after surgery, the following are contraindications:
- Lift heavy objects (this can cause bleeding and stitches to come out).
- Drink alcohol, smoke (intoxication of the body after anesthesia causes various complications).
- Eat heavy food. The diet should be light so as not to burden the intestines, because constipation will increase the pain in the wound.
- Very great. After surgery, immunity decreases. Therefore, exposure to drafts and low temperatures can lead to illness.
Immediately after the operation, a catheter is installed in the patient's urethra (urine passes through it). While the patient is in the department, his care (washing, antiseptic treatment) is provided by the staff. At the time of discharge from the clinic, the urethral catheter is removed, and the man urinates on his own. At home, the patient should perform intimate hygiene after each visit to the toilet. This will prevent infection of the operated organ.
Post-operative period
After ligamentotomy, the patient remains in the hospital for 24 hours. The doctor's job is to explain how to use an extender that helps increase the parameters of the penis. This device is used 2 hours a day. In the future, wear time increases.
In the postoperative period, antibiotics and painkillers are required. To speed up the healing rate of stitches, physical activity and sexual intercourse should be avoided.
It usually takes up to 3 weeks for the organ to fully recover. It is also necessary to ensure the cleanliness of private parts. It is important to avoid wearing tight underwear. Squeezing the genitals contributes to the difference in stitches.
![operational process](/images/articles/788/operational%20process.jpg)
The undoubted advantage of the operation is long-term results - literally until the end of life, while therapy requires constant repetition of the course of treatment, and the results of surgical intervention become less impressive over time.
Since penile prosthetics are difficult to perform, the postoperative period is longer. For 2 days after surgery, the patient remains in bed. Then short walks and free movement around the hospital are allowed.
After 10 days, physical activity increased. The total duration of the recovery period is 1 month.
![consultation with a doctor before surgery](/images/articles/788/consultation%20with%20a%20doctor%20before%20surgery.jpg)
Restoration
The longest recovery period is observed after phalloplasty. Hospital stay reaches 2 weeks. For 2 months, physical activity and sex life are limited. This also applies to lipofilling. The remaining intervention allowed sexual activity after 2 weeks.
- Hyaluronic acid injections - visits to saunas and hot baths are limited.
- Ligamentotomy requires the use of an extender.
- Moderate pain is relieved by taking non-steroidal anti-inflammatory drugs.
Possible complications
Any type of surgery involves certain risks. Surgery can lead to the development of complications.
This includes the following:
- scar formation;
- tissue necrosis;
- bleeding in the suture area;
- thrombosis;
- erectile dysfunction;
- increased body temperature;
- nervous disorders due to past experiences;
- wound infection;
- decreased sensitivity of the genital organs.
Correct operation ensures the absence of scars and scars on the genital organs. Erectile function in this case is not suppressed. Difficulties arise if the operation is done poorly.
Indications for penis enlargement surgery
Experts identify the following signs for penis enlargement:
- Micropenis syndrome.
- Curvature of the reproductive organs.
- Desire to improve your sexual performance.
- The need to increase self-confidence (if, due to the small size of the penis, a man cannot satisfy his partner).
If the genital organ is deformed due to injury, surgical enlargement will help eliminate this problem. Surgical intervention is also suitable for men whose penis size is small due to hormonal problems and diabetes.
![contraindications for penis enlargement](/images/articles/788/contraindications%20for%20penis%20enlargement.jpg)
Be careful! Most exercises for penis enlargement are dangerous for men, because. . . different types of sprains have a very negative effect on potency.
![result of penile enlargement surgery](/images/articles/788/result%20of%20penile%20enlargement%20surgery.jpg)
How much does it cost to operate?
You can find out how much penis enlargement surgery costs at your chosen medical institution. The pricing policy depends on the prestige of the clinic and the qualifications of the surgeon. The type of surgical intervention is also important.
You should focus on the following data:
- The cost of penis enlargement surgery through a penile prosthesis varies from 180 to 250 thousand rubles.
- The price for ligamentotomy is 12 – 85 thousand rubles.
- When using implants, the final cost depends on the material. The operation can be performed at a cost of 40 to 280 thousand rubles.
- Muscle transplantation will cost 150-250 thousand rubles.
This operation is carried out not only in private clinics, but also in public medical institutions.
![How much you can enlarge your penis](/images/articles/788/How%20much%20you%20can%20enlarge%20your%20penis.jpg)
How to choose a clinic for surgery?
The most important criterion for choosing a clinic is the qualifications of the surgeon
![choose a clinic for surgery](/images/articles/788/choose%20a%20clinic%20for%20surgery.jpg)
First of all, when choosing a clinic for plastic surgery, attention is paid to the qualifications of the surgeon, but the situation and the environment itself are also important. Without good medical equipment, it is almost impossible to achieve ideal results, even with professional experience and skills. The choice of clinic is also influenced by the availability of intensive care equipment.
The main criteria to pay attention to
Permission to operate and license required. The document states:
- Clinic name.
- A valid address.
- Status of medical facilities.
- state level Accreditation.
- State-issued signature and seal.
The success of the operation largely depends on the technical equipment. After knowing the type of equipment available in the clinic, it is important not to forget to check the availability of resuscitation equipment to provide emergency care.
A friendly environment in the clinic is important. It is important for the patient to intuitively feel comfortable in it. A team of experts must inspire confidence in the coherence of their work.
Pre-procedure examination and post-operative observation are carried out directly by the clinic staff.
The agreement drawn up between the clinic and the patient must specify the responsibilities of both parties and the extent of responsibility for the actions taken.
It's great to hear the opinions of people who have used the clinic's services. Find out how their ligamentotomy happens. Patient reviews often play a decisive role.
If at least one of those things is in doubt, it is worth looking for another clinic with a more reliable reputation.
Alternative lengthening methods
Ligamentotomy is not the only surgical method to increase the length of the penis. There are also alternative methods.
V-Y-plasty
The essence of the surgery is to create a shrinking skin defect in the pubic area (above the root of the penis). First, a V-shaped incision is made, which is sutured to the Y. During the operation, the sling and suspensory ligament are cut. As a result, the penis visually becomes larger due to its height above the scrotum.
Complications in the form of suppuration, the formation of rough scars and folds are possible. Moreover, the latter may show themselves in the long run.
Perovic's method
This method is named after Professor Sava V. Perovic who developed it. During the operation, the penis is literally cut into several parts: the head is cut from the thickness of the corpora cavernosa and spongy tissue, and the neurovascular bundle is mobilized. Then, particles of cartilage or synthetic material are implanted into the resulting space between the head and the porous body.As a result of the stretching of the nerves and the corpus spongiosum, the length of the penis increases by 2. 5-5 cm.
As for complications, subsequent scar tissue formation and excessive head mobility (granuloptosis) are possible. The implanted cartilage gradually dissolves, so the initial results will be worse. Synthetic implants may fail.
Operation Shcheplev
The essence of the surgery is to introduce a longer implant into the corpora cavernosa than the tunica albuginea allows. To stretch it, several cuts are made on it.With a conventional penile prosthesis, only the hardness of the penis is ensured, but with Shcheplev's operation, it is lengthened by about 2 cm. The implant is inserted through a circular incision 10 mm from the coronary groove.
For installation, a longer but smaller diameter prosthesis is used. Therefore, the surface is covered with cavernous tissue, which speeds up healing significantly.
What happens during the operation?
A man who has decided to modify his private parts goes and makes an appointment at a suitable clinic and arranges his private parts. Read more about shaving your private area here.
The first thing he noticed was how big his penis was. In this case, the doctor said thatit can be extended to a maximum of 5 centimeters. The second most popular question is whether it will be wider. The size of the new, modified penis will depend on the type of surgery performed.
How is the procedure performed on the genitals?
If your doctor is an experienced and licensed genital surgeon, the main stage will last no more than 30-35 minutes.
![operational level](/images/articles/788/operational%20level.jpg)
It looks like this:
- the patient is placed under general anesthesia;
- the entire genital area, at the same time the abdomen, legs are generously disinfected with iodine;
- the doctor calmly cut the scalpel into the penis;
- an incision is made in the scrotum, right along the dark line - the natural midline suture. If you twist the phallus, you will see it with the naked eye. In this way, after healing, the scar is masked along the lines and becomes invisible even after a closer inspection;
- The cavernous body moves to the side - this is how the doctor finds a way out to the periosteum. The ligament that attaches the penis to the pubic bone has settled in this place. The point is that about a third of the actual length is located here. The intestine is removed;
- The doctor assesses how long the penis is, focusing on the signs. If all is well, the incision is sutured. On average, the length increases by 3 cm.
The length of the penis after surgery at rest will remain unchanged. Don't expect everything to hang spectacularly.You will see the whole effect in the erection. The tunica albuginea is to blame for this. It covers the body filled with blood when excited.
Possible risks and side effects
Potential complications of surgical intervention:
- Bleeding. As a result of damage to large vessels (if symptoms appear during surgery) or heavy lifting (if they appear during the recovery period).
- Damage to nerves during tissue surgery.
- The formation of large scars (due to individual characteristics of the skin or careless work of the surgeon).
- Hematomas (bleeding of varying severity).
- Inflammation of the surgical wound (caused by pathogenic microflora entering it).
Risks associated with unsuccessful penis enlargement surgery are impotence, erectile dysfunction.
price
![how much does it cost to operate](/images/articles/788/how%20much%20does%20it%20cost%20to%20operate.jpg)
The cost of penis enlargement has no clear limit. This is due to the fact that plastic surgery changes the parameters of thickness and length or has a complex effect. The price of the procedure varies. It depends on:
We suggest you read: Mandatory rules for communicating with men
- Technical difficulties for surgeons;
- Clinic policy;
- Scope of specialist work;
- Additional materials (implants, prostheses).
Types of surgery
Currently, there are many types of manipulations performed under general anesthesia or local anesthesia. Some of them are quite harmless, while others require careful preparation and inspection.
Extension
With this procedure, the reproductive organ is extended in length, while its thickness remains unchanged.
Ligamentotomy
This is a surgical enlargement of the penis, which is a simple circumcision of the foreskin, resulting in an extension of 2 centimeters. This event is held for hygiene purposes; many claim that it prevents STDs, including infectious pathologies. This method takes about 15 minutes and can be performed at any age under local anesthesia.
thickening
With this approach, the reproductive organs increase in volume, which is also important for full and energetic sexual intercourse. This technique mainly involves special injections, which are considered minimally invasive.
Lipofilling
The procedure involves inserting the patient's fat cells that are processed and purified in special equipment into the shaft of the penis with a thin needle.The effect lasts for several months, after which the injected tissue heals on its own.The operation is painless, if necessary, local anesthesia is used in the form of ointments and injections. Almost no recovery is required.
Microsurgical muscle transplantation
With this approach, the specialist takes tissue from the patient's back muscle or armpit, after which he implants it into the genital organ, then restores the normal function of the nerve endings. This is an expensive complex method, but as a result of efficient work it is possible to get an enlarged and sensitive stimulation organ.
Important: before choosing a particular technology, be sure to consult a doctor and undergo a comprehensive diagnosis.