True permanent penis enlargement using ligamentotomy

Penis enlargement surgery has become increasingly popular in recent years. Male enhancement is possible through an outpatient procedure, which lasts no more than an hour and a half and is performed under local anesthesia. Patients can go home immediately after surgery. He will need to consult with a doctor for another month. Often, many men don't need any surgery at all. Patients suffering from micropenis syndrome or penile deformation phobia require only one session of psychotherapy. Men sometimes just think their penises are small.To solve the tough problem, various organ enlargement drugs recommended by doctors are very suitable. They can be purchased on the Internet or in pharmacies without any problems. However, there are some situations where expanding membership is still necessary:

• Medical problems (hypospadias, epispadias, cavernous fibrosis, micropenis, consequences of injury, Peyronie's disease);
• Functional problems (loss of penis elasticity, increased subcutaneous fat layer, hidden or webbed penis).

To understand the nature of these diseases, you can look at photos from medical sources.

Penis enlargement surgery: all the pros and cons

To understand how male penis enlargement surgery works, you should refer to information about the anatomy of this organ. Therefore, the penis is supported by the pelvic area and is connected to it by special ligaments called ligaments. The purpose of the surgery is to change the size of the ligaments, thereby increasing the size of the penis.It seems that this technology allows us to solve multiple problems that arise due to smaller masculinity (physical and psychological). However, there are some risk factors for such manipulation that should be considered:

• The possibility of injury to the patient or infection of the body during surgery.
• If the ligament is too short, the intervention will not have the desired effect.
• A penis without ligament support is hypermobile. Additionally, compression of the ligaments can cause the penis to point downward during an erection, rather than forward or upward as it normally would.
• Experts cannot completely predict the results of the operation, since a lot depends on the patient's body and his compliance with the rules of the recovery period.

Indications for ligament incision

Since penis enlargement surgery is a plastic surgery, there are no strict and clear indications for its performance. However, in some cases, genital enlargement is simply required, and its indications can be divided into two subgroups: medical and cosmetic.Medical indications:

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

penis structure
Aesthetic indications:

• Men crave increased self-esteem.
• Desire to increase one's attractiveness.
• Penile dysmorphia phobia. This condition includes dissatisfaction with one's appearance, including the penis.

The lower limit of male genital size is 12 cm (including erection). Smaller values can be considered the cause of ligament dissection.

type

The urologist rubs his hands quietly while performing a series of plastic surgery procedures on the penis.

circumcision

This group includes frenulum reconstruction trimming (frenotomy) and circumcision itself (circumcision). The surgery was performed on an outpatient basis without any particular technical difficulties. This process takes approximately 30 minutes. Recovery is quick and pain is moderate.

size correction

Here you can work in two directions - increasing thickness and length. In the first case, this problem can only be solved by autologous transplant surgery. In the second case, doctors treat surgically (no transplant required) or conservatively (vacuum pump, extender).Such plastic surgery is a response to the need for a small penis and the man's own dissatisfaction.

shape correction

This procedure uses modern technology to straighten the penis. This is a plastic surgery procedure that helps poor people with Peyronie's disease, localized fibrosis, and congenital curvatures. If serious abnormalities occur, surgeons decide to introduce a synthetic prosthesis.

Penile reconstruction surgery (phalloplasty)

The most complex and delicate microsurgery. An artificial structure or autograft is implanted into the penis. Reconstruction involves the repair, aesthetics, and function of the urethra. Reconstruction is part of sex reassignment surgery and is an option for men who have lost their penis after surgery, illness or injury.

penile prosthesis

Necessary steps to obtain a stable artificial erection. Surgeons take structures—synthetic prosthetics—and introduce them into the torso. They differ in the way the penis transitions into a state of relaxation and arousal. We talked about procedures, and the classification of procedures is conditional. In practice, they are often combined with each other and performed sequentially on the same operating table.

Contraindications

There are several contraindications to genital enlargement surgery, including:

• mental illness;
• diabetes;
• Impaired coagulation function.

Symptoms of these conditions may worsen after male penis enlargement surgery. More information about the cost of penis enlargement surgery in clinics in our country can be found in our material.

Surgery progress

There are two types of penis enlargement surgery. One of them is characterized by a classic implementation, the other involves the addition of elements of fatty tissue. However, according to expert reviews, the second type of prolongation is much less frequent than the first. Often, blood flow in the tissues is slow, leading to various infectious complications.Additionally, ligamentotomies are divided according to access type. At this point, it is much easier for the orthopedic surgeon to remove the ligament above the pubic bone. However, intervention through the scrotum is considered more painless and less risky. Penis enlargement surgery using this method may take longer, involve larger incisions, and leave significant scarring in the pubic area. Furthermore, this intervention can damage tissue and fat tissue, making it difficult to continue wearing the assistive device. Surgery through the scrotum is more expensive, but the risk of complications is minimal and postoperative scarring is minimal. Surgeons and urologists talk about the nuances of penis enlargement surgery and the post-operative period.Ligamentotomy is performed under anesthesia (general or epidural). The total time from the time the surgeon begins the procedure until the patient emerges from anesthesia is 40-50 minutes. Place a bandage over the incision area. It is thought that eliminating the ligaments that secure the hidden interior of the penis does not directly lead to enlargement of the reproductive organ itself. The penis remains in place, and it is necessary to cut the ligaments only with the help of a special device (extender) to subsequently improve the result. Therefore, the ligamentotomy is only adjunctive in nature and will require the use of an extender in the future. It's also worth considering that the results depend on the initial length of the penis. In other words, a ligamentotomy helps increase the size of the penis, which is adjusted by an extender that works on the inside of the penis.

Which doctor should I contact?

If the decision to surgically enlarge the penis is well-thought-out, hard-won, and irreversible, then patients will turn to plastic surgery clinics.Large clinics offer cosmetic surgery or private plastic surgery. First, you need to meet with your doctor.
If the doctor finds your argument convincing, he will recommend you to undergo examinations and tests, which, by the way, you will have to pay for. Tests that need to be completed (there are a lot of them, so set aside some free time to complete them:

• General blood analysis;
• coagulation test;
• General urinalysis;
• Blood type and Rh factor analysis;
• Test for HIV infection, hepatitis B and C;
• RW blood test;
• Electrocardiogram.

In addition to a surgeon, you will also need to consult a urologist and an andrologist. After receiving the results of the examination, the plastic surgeon will conclude whether there are contraindications. Then they do plastic penis enlargement or not.

recovery

The day after the ligament incision, a special device called a stretcher is applied to the surgical organ. Unlike extenders, it can be used continuously until the sutures are completely removed after 12-14 days. During the first three weeks after penis enlargement surgery, men should follow the following recommendations:

• Refusal to sex, exercise and strenuous physical activity.
• Always wear a stretcher or a special weight - this method does not allow the penis to return to its original position.
• After scarring has formed (about 1-2 months later), continue stretching the penis with the help of an extender, which can last up to six months.

The extender is used gradually for longer periods of time. The first tangible and visually trackable results can be observed six months after surgery.

Advice on using extenders

After the ligament incision, an extender is placed on the penis to avoid pain and discomfort. Another function of the device is to ensure the necessary tension of the penile muscles and ligaments. A new area of connective tissue forms to replace the severed ligament. Their future size depends largely on compliance with recommendations during the postoperative period, including systematic wearing of extenders. In order for your device to work properly and get the most out of it, there are some usage tips you should consider:

• The extender is worn on the penis only during the day; it must be removed at night.
• Initially, wear the device for 1. 5-2 hours per day. The time gradually increases to 5-6 hours.
• The extender wears until new ligaments form and replace the severed ligaments. Generally, this takes 3 to 7 months.

Modern extenders are made of latex or hypoallergenic plastic. As a result, they are comfortable to wear, practical and virtually invisible.

penis enlargement technology

There are several ways to enhance male function. Each involves the use of different implants, which are materials composed of spongy tissue. It attaches to the base of the penis using a special sponge wand that:

• When erect, they fill with blood;
• Can increase organ size.

Another technique involves enlarging the penis by "wrapping" skin tissue taken from other areas, such as the buttocks. Such operations are very simple, and the likelihood of subsequent unsuccessful results is negligible. The skin covering the penis is unique in nature. Unlike all integuments, this skin has no body connections at all to the reproductive organs via nerve endings. Because of this, surgeons have perfected this technique. By the way, the reviews after ligamentotomy are very good, the patient noted an enlargement of the penis. It happens that doctors transplant the tissue along with the vascular bundle and then:

• They merged with native ships;
• Extra penis enlargement.

This surgery can enlarge the organ by up to 1 centimeter. When men want bigger results, they resort to microsurgery. This type of intervention is very similar to the techniques described above. However, in this case, not only skin but also muscle tissue is transplanted.

This technique will help achieve a relatively larger penis size, but it will also increase the likelihood of complications after surgery.

Possible complications

A qualified specialist who has performed penis enlargement surgery, through his professional action, eliminates all risks of possible problems after ligament incision. In extremely rare individual cases, the following complications are observed after such intervention:

• bleeding;
• Penis deformation (it can also straighten at an atypical angle or partially rise);
• Suture suppuration after surgery;
• testicular infection;

• development of scars and adhesions;
• Unstable erection;
• Impaired sensitivity of the scrotum or penis.

Most experts in the field of urology consider ligamentotomy to be a completely safe procedure. At the same time, no possible problems were identified during surgery or during recovery.

Benefits of penis correction surgery

The main advantages of penis enlargement surgery include:

• The effect is long-lasting.
• The recovery speed is relatively fast.
• Not only can it increase the length of your penis, but it can also increase its thickness.
• Also eliminates the possibility of pathological changes or defects of the penis (acquired and congenital).
• There is no negative impact on reproductive function and the quality of male sexual performance.
• The operation time is short.

glans plastic surgery without sutures and sutures

Glanoplasty is the most popular surgical procedure performed on the male genital area. These include:

• Circumcision is the removal of the narrow foreskin by circumcision. This simple procedure allows you to prevent a host of problems associated with phimosis. Complete or partial circumcision was chosen based on clinical indications. In many countries around the world, this procedure is performed for hygienic or religious purposes. In order to ensure complete cleaning of the glans penis in a natural way, it is necessary to perform a penile plastic surgery for phimosis without suturing. If the foreskin is narrowed, smegma can accumulate under the foreskin, which is a perfect breeding ground for disease-causing microbiota. Failure to address the problem promptly can lead to ongoing inflammation and scarring on the surface of the penis and within the urethra.
• Another common problem that can be solved with simple surgery is the frenulum. This feature of the organ can not only cause pain and discomfort, but can also lead to dangerous bleeding through rupture. The frenulum lengthening surgery is performed under local anesthesia and takes approximately 20 minutes. The surgery involves making transverse incisions in the frenulum, stretching it to its normal size and applying cosmetic sutures. The complete recovery process takes 2 weeks.

Features of penis straightening surgery

A more complex surgery is penis straightening surgery. Three different techniques can be used to correct penile deviation. They all begin with removal of the foreskin and incision of the skin along the coronal sulcus approximately 5 mm from the glans. Some doctors do not practice circumcision. This is necessary in order to be able to release the tunica albuginea of the penile shaft to its base.After that, they start using one of these methods to straighten the penis.

• Shorten the tunica albuginea on the side of the penis opposite to the curvature and secure it. There are many types of this technique. If the penis needs to be straightened 30-45°, plication is performed with non-absorbable sutures. If the deviation exceeds 45°, elliptical resection is used. Since the surgery causes the organ to shrink by 0. 5-2 centimeters, this surgery is only suitable for men with larger penises.
• The tunica albuginea of the corpora cavernosa on the flexural side is lengthened using biological material (the patient's own skin or veins). In most cases, this method allows you to retain the original size of your penis and sometimes even increase its size.
• The penis is corrected by inserting a prosthesis. This method is more commonly used in men suffering from incurable erectile dysfunction, making it possible to get rid of two problems at the same time.

Once you have decided to correct your male deformity or change its appearance, you need to find out what options modern surgery offers to solve the problem, research reviews of specific clinics, and make sure the asking price is adequate.

When can the results of surgery be assessed?

The results of the intervention can only be assessed after complete tissue healing, removal of sutures (if artificial sutures were used), and resolution of edema:

• After hyaluronic acid injection, the enlargement effect can be seen after 4 days, at which time the characteristic swelling will disappear on its own.
• Lipofilling is an intervention that involves quick results (judging from the fact that it is an invasive procedure). The effect is obvious within 2 weeks.
• The success of the ligamentotomy can only be assessed after 2 months (this is the average time).
• Microsurgical muscle grafting requires a 3-week recovery period. After this period, you can determine how successfully the process was completed.
• The effect of the penile prosthesis cannot be evaluated until 2-3 weeks after surgery.

Only the average recovery period is shown. In general, regeneration after surgery depends on the individual characteristics of the skin and physical condition.

Plastic Surgery Preparation

The first phase is personal acquaintance with the surgeon, history collection, and mandatory interviews. All the interesting facts related to mental and physical health will be pulled out of you. Apart from this, you have to undergo a series of consultations with endocrinologists, andrologists, urologists, therapists, cardiologists.When does a good doctor say no to surgery? - Only if there is a psychogenic problem. You can resolve this yourself or consult a doctor. But intervention was still performed in 99. 9% of cases. This will happen on X days:

• You will not be allowed to drink water - complications may arise from fluid splashing into the stomach while immersed in anesthesia. It is recommended that you abide by this rule and endure hunger to the end;
• The nurse shaved his pubic hair without shame;
• To control, they will screen the blood for sugar and hemoglobin;
• The anesthesiologist and surgeon will stop by for a friendly chat and parting words;
• The doctor will make a mark on the thigh - this will indicate the length of the penis before surgery. Then you can check how many centimeters your best friend has gained.

postoperative period

We want to warn you that this operation is just the beginning. After the intervention, it takes maximum courage to go through the recovery phase. The process takes about six months, but you'll be ready for sex within two weeks.To ensure results, you must:

• Regularly bandage, disinfect, and apply penis ointment;
• Wear the extender - use the device for at least 8 hours a day. It will be worn immediately after surgery. This will eliminate the possibility of excessive scarring and curvature.

recovery period

Recovery time after surgical intervention depends on individual characteristics, the chosen method, the traumatic nature of the surgery, and the initial parameters of the organ. Reviews of injectable penis enlargement surgery indicate that the recovery period is quick, taking only a few days, hematoma and damage are rare, and there is no discomfort.During the tissue regeneration process after radical surgery, patients must regularly change dressings and maintain personal hygiene in the treatment room. Abstinence from sexual contact and restriction of physical activity is required at this time. Loose-fitting cotton or special compression garments must be used on the advice of your doctor.In the first few days after the visit, the patient should take antibiotics as prescribed by the doctor; this will help prevent the inflammatory process and avoid purulent abscesses and other life-threatening complications.

When should genital surgery be performed?

Our reproductive surgeon explains that size correction surgery is considered plastic surgery. This means it cannot be recommended, prescribed or directed. First for those who want it!Indications for iron surgery:

• small penis
  – Congenital hypoplasia. Such a penis should not exceed 10 centimeters when erect. This fact can only arouse the sympathy of doctors. From a medical point of view, men are healthy and can urinate, and their penis will not affect their life span. In fact, the cause of events is always the desire of the master himself;
• Decreased due to damage and injuries
  - Anything can happen in life, even to Kamath members who move.

Possible risks and complications

The most common adverse reactions include:

• Hematomas and bruising of the skin and mucous membranes (small bruises may occur even with injections; they usually disappear on their own after a few days).
• Injury to the corpus cavernosum and damaged blood vessels may lead to unstable erections and complete impotence.
• Painful urination and erections for the first few weeks.
• Impaired sensitivity in the head, resulting in weak sensations during orgasm.
• Premature ejaculation.
• In rare cases, the normal anatomical shape of the penis is violated (due to the unqualified behavior of the surgeon).

Note: In order to prevent most complications, it is necessary to adopt a responsible attitude in choosing a specialist. Only trust reputable doctors with your health who regularly improve their credentials and have positive reviews from other patients.