The size of the penis directly affects your intimate life. Most often the problem is purely psychological. But this does not make it any less significant. If a man is not satisfied with his size, he develops complexes, sexual problems begin, and even a complete lack of sex.
In some cases, the size of the penis or erectile dysfunction makes sexual intercourse impossible. Reconstructive intimate plastic surgery will solve a number of problems in this area and raise sexual life to a qualitatively different level.
The decision to go under the knife is quite a serious step, requiring a careful approach and consultation with a surgeon or urologist.
Normal penis sizes
The size of manhood worries many men. The penis is measured according to three parameters: at rest, at maximum stretch, and in an erect state. Correctly measure at room temperature, measure along the back of the penis, from the pubis to the edge of the head.
When taking measurements, pull it out in a horizontal position. An erect penis greater than 9.5 cm in length is considered normal size. A smaller penis is considered small. The term "micropenis" means that its length is less than 2 cm.
Penis enlargement methods
In medicine, modern effective and safe methods are used to correct the size of the penis.
Urologists with experience in solving these problems will individually select the optimal method for correcting the size of the penis.
Currently, urologists have the following techniques in their arsenal:
1
Ligamentotomy - performed in the perineal area under general anesthesia. It is the intersection of part of the ligamentous apparatus of the penis. This makes it possible to visually redistribute the length of the penis in the direction of increasing its protruding part by more than 2 cm. Sometimes the postoperative use of a special device - an extender (fixator) - may be recommended to enhance the result of the operation.
2
Plastic surgery of the scrotal skin allows you to visually increase the length of the penis by freeing its area hidden under the skin of the scrotum.
3
Removing suprapubic fat allows you to open the base of the penis, hidden under the excess influx of subcutaneous fat. In fact, the size of the organ does not change, but visually it looks several centimeters longer.
4
Penis prosthetics for erectile dysfunction at the Miracle Doctor clinic are carried out using a plastic three-component inflatable endoprosthesis “Mentor” (made by Coloplast, USA). A penile prosthesis allows a man to independently regulate the degree of enlargement of the penis in an erect state.
5
Thickening of the penis. Method of enlarging the penis with hyaluronic acid due to its thickening. It consists of subcutaneous injection into the shaft of the penis of a substance that is a natural component of the human body - a filler based on hyaluronic acid. In the process, modeling of the shaft of the genital organ is performed. An immediate effect of increasing the diameter of the shaft of the penis by 2-3 centimeters is achieved.
6
Enlargement of the glans penis with fillers is the most modern and affordable non-surgical method of enlargement. Hyaluronic acid gel, injected under the skin under local anesthesia, creates a kind of frame that compacts the soft tissue. The volume of head enlargement depends on the volume of the injected drug.
7
According to individual indications, special collagen matrices consisting of hypoallergenic biofibers of animal collagen can be surgically transplanted between the glans penis and the corpus cavernosum of the penile shaft.
Ligamentotomy
Penis lengthening surgery is performed under general anesthesia. The organ is supported by ligaments, which, going deep into the pelvis, are attached to the bones. Surgically, the ligaments in the scrotum area are cut, which allows you to literally stretch the inner part of the penis, visually increasing its size by 1.5-6 cm.
Recovery period: several months, you should abstain from sexual activity for 2-3 weeks. For proper fusion of the ligaments, an extender, a special fixing device, is worn for 2-8 hours a day. Its regular use for six months allows you to increase the size of the organ by another 2-4 cm.
Advantages: the procedure takes about 40 minutes, the postoperative suture remains almost invisible, there is no discomfort after the operation, the urethra, cavernous bodies and neurovascular bundle of the penis are not injured.
Indications for the operation:
- Injuries that affected the size of the penis
- Insufficient organ size during erection,
- Congenital deformities: Peyronie's disease (curvature of the organ),
- Cavernous fibrosis.
Reviews from doctors
The effect after the procedure is observed for quite a long time. The operation does not directly lengthen the penis, it makes it visually longer; it is necessary to follow all the specialist’s recommendations after the procedure, including wearing an extender.
Patient reviews
Evgeniy, 28 years old
It was possible to enlarge the penis by as much as 5 cm, the operation was painless, the seam was invisible, there was no pain, no discomfort after the operation, no complications. Of course, I wore a stretcher for 6 months, but the results are worth it. My personal life is in full swing, there are no problems with girls, now I feel very confident.
Dmitry, 35 years old
I gained 4 cm, my wife is very happy, a new round in our intimate life. And I began to feel much more confident.
The cost of the operation is in a fairly wide range from 21,000 rubles. up to 115,000 rubles, depends on the level and prestige of the clinic.
Mechanical devices
Is it possible to increase the diameter using mechanical devices? Of course, yes, but it is worth considering that such devices will not be cheap.
- An extender is widely used, which mechanically stretches the tissues of the penis. The body fills the resulting voids through increased cell division in such areas. The principle of operation is similar to the Elizarov apparatus. The extender has a round support, a loop, a lock, a metal rod, and a thrust ring. The rod adjusts the tension force. Use the device for 7-8 hours a day. Systematic use allows you to lengthen the penis by 3-5 cm and increase the diameter by 1-1.5 cm.
- Another mechanical device is a vacuum. It is necessary to place the penis in a special pump. After an erection, blood flow increases, a rapid rush of blood occurs to areas with low pressure, which creates the conditions for penis enlargement.
- A compact device is a stretcher, which is similar in principle to an extender. There is no discomfort during use. Can be worn under underwear. Stopping blood flow from the penis occurs due to the impact of erection rings. Duration of use – no longer than 30 minutes per day. The device helps to further stimulate the penis and increase erection.
Penis thickening operations
Lipofilling
It is performed under general anesthesia. It involves transplanting your own fat cells (lipocytes), which are injected along the shaft of the genital organ under general anesthesia with a microneedle. Lipocytes are collected from areas of the body that have excess fat deposits (buttocks, thighs, abdomen).
During the recovery period, sexual rest is required for about a month.
Advantages: the procedure itself takes approximately 1 hour, since your own cells are transplanted, there is no risk of an allergic reaction or rejection of a foreign body by the body.
Indications
- Internal complexes due to the small size of the penis, leading to erectile dysfunction.
- A pathologically thin penis, or its deformation, asymmetry.
Small penis size can lead to psychological problems that become the cause of erectile dysfunction, and, consequently, lead to problems in the intimate sphere or a complete lack of relationships with the opposite sex.
Sometimes the patient has no reason to complain about the size, but he is forced to turn to minimally invasive plastic surgery to correct severe deformation or asymmetry of the organ.
Contraindications
- Immune disorders
- Inflammatory processes in the pelvis
- Sexually transmitted diseases and sexually transmitted infections
- Diabetes
- Bleeding disorder
- Purulent wounds and ulcers on the body of the penis
- Diseases of the cardiovascular system in the acute stage
Rehabilitation
For two months after the operation, sports and physical activity are excluded, and sexual rest is also recommended. This is necessary so as not to damage the transplanted fat cells.
Reviews from doctors
The procedure solves cosmetic problems, corrects deformation or asymmetry of the phallus. The risk of an allergic reaction is minimal because your own cells are transplanted. In the postoperative period, you need to abstain not only from sexual activity, but also from physical activity.
Patient reviews
Maxim, 23 years old.
I decided to undergo the procedure in order to give my penis additional volume. I became more confident, during sexual intercourse there are some sharper sensations or something, girls also like it.
Prices for the lipofilling procedure are 35,000-50,000 rubles.
What to do if you decide to make your manhood more “solid”
To get real results, it is better to seek help from doctors who perform surgeries to increase male “dignity”.
After conducting an initial examination, the specialist will be able to assess the real situation. If necessary, a decision will be made to perform a surgical operation to enlarge the penis. The surgeon must talk about the surgical technique, hospital stay, and possible complications.
The duration of the operation aimed at penis enlargement by surgical method is about 60 minutes. It is performed under anesthesia.
Microsurgical muscle transplantation
Complex microsurgical manipulation allows you to increase the penis in diameter up to 3-4 cm. For transplantation, tissue from the abdominal wall or fascia or the serratus anterior muscle from the lateral surface of the chest is used.
The covering tissues of the penis are mobilized, the flap is fixed to its tunica albuginea, the epigastric vessels of the fragment and the organ are connected to each other to ensure blood supply.
The operation under general anesthesia lasts about 3 hours; active pain relief is carried out in the postoperative period.
Indications
- Consequences of injuries
- Congenital pathology
- Previous sexual diseases
- Sex reassignment due to hermaphroditism
- Presence of a “micropenis”
The rehabilitation period is 1.5-2 months.
Penis enlargement techniques
Operating techniques
There are different methods of penis enlargement, depending on the desired effect:
- ligamentotomy - involves cutting the suspensory ligament;
- muscle tissue implantation and lipofilling;
- penile prosthetics.
Ligamentotomy is aimed at lengthening the penis.
It consists of cutting the supporting ligaments and releasing the reserve 4-6 cm of the penis.
The penis is fixed with an extender device for several months, while adhesions are formed that secure the result.
This operation should not be performed on those suffering from erectile dysfunction.
This small operation is most widespread among those wishing to increase their male dignity.
Lipofilling – in this case, it is assumed to use your own adipose tissue from the hips and buttocks. After cleansing, the fat is pumped into the penis. This way you can add up to 1 cm in girth. The procedure is not dangerous, but it must be repeated regularly - at least once a year.
Muscle tissue transplant - uses muscle tissue from the axillary fascia or abdominal wall. She wraps the penis and stitches it up. This way you can increase it up to 3-4 cm in volume.
Penile prosthetics - if in addition to small size there is sexual dysfunction, various artificial flexible implants or cartilage tissue are used. This is the most complex and expensive method of penis enlargement.
As a rule, men after surgery are satisfied with the result, but with lipofilling, adipose tissue can be distributed unevenly, and the procedure requires regular repetition.
Collagen matrix
The manipulation allows you to increase the diameter of the phallus by an average of 1 cm. The product is made from high-quality synthetic material and is implanted under the skin of the phallus. The matrix activates the division of penis cells, due to which the organ increases in volume. Using this method, the organ can be enlarged up to 6 mm.
The disadvantage of matrix therapy is abstinence from sexual activity for two calendar months.
Folk remedies
Massage is performed at home. The procedure is safe when compared with medications and mechanical devices. In this case, it will be possible to increase the diameter by 1-2 cm.
However, such a result will not be achieved soon. Sometimes, in order to see the first results, you have to do massage for 6 months or more.
Enlarge the penis using baking soda and apple cider vinegar. Dilute 1 tbsp into 200 ml of liquid. flowability. Carry out the procedure every 3 hours, lightly rubbing the product into the skin. The solution is also added to the baths. Take a bath for 15 minutes.
Conclusion
There are many traditional medicine recipes. However, they are not always effective. Therefore, you should not self-medicate, but rather consult a doctor.
Injections
With the help of gel injections, the penis can become several centimeters thicker. The main possible complication is the formation of scars, which reduce skin mobility and can cause pain during erection. Severe complications can not only shrink the organ, but also lead to erectile dysfunction.
The procedure is performed under local anesthesia and hyaluronic acid is injected using a cannula or needle. Takes approximately 10 minutes. The enlargement effect lasts up to 1.5 years, then the injection is repeated in smaller doses.
Contraindications are the same as for any other interventions:
- Presence of temperature
- Acute infectious process
- Diabetes
- Serious pathologies of internal organs and systems
Possible complications:
- Narrowing of the urethra
- Probability of risks of erectile dysfunction
- Disorders of the innervation of the penis
- Inflammatory process
- Transplant rejection
Instead of an increase in size due to an acute adverse reaction of the body, the opposite effect occurs.
Restoring erectile function
Penile prosthetics
With the normal functioning of the sexual organ during an erection, blood fills the cavernous bodies; if this does not happen, we speak of erectile dysfunction.
In cases where it is not possible to solve the problem with conservative medical methods, the only way to maintain a full sexual life is penile prosthesis.
But this procedure is a radical relief from impotence, the result is irreversible, the corpora cavernosa are not restored after the introduction of prostheses into them.
What types of prostheses are there?
One-component bendable prostheses in the form of silicone cylinders with a flexible frame inside are mounted in the body of the penis. An erection occurs due to upward bending. The simplest prosthesis.
The main disadvantage of such a prosthesis: the organ is constantly in an erect state, circulatory disorders in the tissues, loss of the implant, and difficulties during endoscopic procedures of the genitourinary system are possible.
The hydraulic three-component prosthesis consists of hollow cylinders that are mounted in the cavernous bodies. When you press the pump button, hidden inside the folds of the scrotum, the cavities are filled, a full erection occurs, which lasts for the required time, then the liquid is returned to the reservoir. Advantages: sexual intercourse is as natural as possible, the penis is relaxed when at rest.
Indications for surgery
- Erectile dysfunction as a result of pelvic surgery
- Unsuccessful penile surgery
- Consequences of injuries
- Uncontrollable impotence
Contraindications:
- Sexually transmitted infections
- Pustules and sores on the penis
- Inflammatory diseases of the genitourinary system
- Oncology
- Exacerbation of chronic diseases, including cardiovascular and respiratory systems
- Recent heart attack or stroke
- Immunity disorders
Possible complications:
- Fibrosis of soft tissues around the prosthesis
- Bleeding from the urethra
- Problems with the prosthesis
- Implant rejection
Complications can be caused by infectious genitourinary diseases, alcohol abuse, diabetes mellitus, obesity, taking certain medications, and endoscopic procedures on the pelvic organs.
Preservation measures and possible surgical treatment of the penis
When performing surgical treatment of the male reproductive organ, the doctor tries to preserve its integrity as much as possible. For injuries and scalping of skin flaps of the penis (lack of skin), skin from the scrotum can be used. If this is not possible, skin grafts may be removed from the pubic area or lower abdomen.
For phalloplasty, skin flaps taken from the surface of the (inner) thighs can be used. In case of crushing of the penis and the presence of necrotic changes in the tissues, their complete excision is carried out, followed by suturing.
Any surgical intervention on the penis should be aimed at restoring its functionality.
We advise you to read: why men are circumcised
Rehabilitation
It is most difficult in the first days after the procedure, with pronounced discomfort in the area of the penis and scrotum that increases when walking.
Immediately after the end of the operation, the surgeon activates the prosthesis, during the first dressing it is deflated, the drainage from the scrotum is removed, a rather painful procedure. Gradually the pain decreases, the stitches are removed after 10-12 days.
Patient reviews
Nikolai, 50 years old.
Eternal erection made me self-confident. In sex, you can realize all your fantasies and positions. There is no loss in length, it seems to me that the penis has even become thicker. Very pleased with the results.
Roman, 47 years old.
For a long time I could not decide to carry out the operation; I did not have enough money for a modern prosthesis, and I did not want to purchase a simple one due to the constant presence of the penis in an erect state. I'm glad, I think I made the right choice.
