Every year, more than 11 thousand penis enlargement operations are performed in the world, and their number is constantly growing.The surgical intervention itself lasts no more than half an hour, and after three weeks a man can begin an active sex life.Most of the operations take place in Thailand, the world leader in plastic surgery.This text contains a history of how penis enlargement surgery comes about.
Plastic surgery around the world is more of a psychotherapy than a solution to real problems.This also applies to penis enlargement surgery.Many men believe that their penis is smaller than it should be, while doctors are convinced that most people underestimate their size.Why is this happening?Paradoxically, the idea that the penis is too small is often formed in childhood, when mental comparison with a father or older brother can be naturally discouraging.
It is believed that men often have a false idea of the size of their own genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To adequately assess the size, it is better to undress in front of a mirror where you can see your reflection in full length.According to a study of more than 15 thousand people, the average size of an erect penis is about 13 centimeters.Medium-sized edges vary from 11 to 18 centimeters.Doctors diagnose a small penis if its size is less than eight centimeters in the erect state.
How does a patient decide to have surgery?
A fairly wide range of problems can make a man undergo an operation: unsuccessful sexual experience, internal beliefs, incorrect information in open sources on the Internet.Plastic surgeon, doctor of medical sciences, professor at the department of plastic surgery says:
"Now is the age of the Internet: people look at pictures without really delving into where they come from and how they correspond to reality. Most often people come to surgeons with pictures from the Internet showing that they want 'exactly as shown here.'
Imagine if you constantly receive spam emails "Iron erections and a hundred more amazing ways to enlarge your penis."At this point, even a normal, sane person will begin to think: maybe there is something wrong with him if he constantly receives letters "You must do this!"I often remember the movie "The Man from the Boulevard des Capucines" when following a certain culture completely changes people's behavior.First they stop being bullies, drink milk and act like gentlemen.And then, after watching enough of other movies, they start causing mayhem, drunkenness and shootings.And here it is the same: society influences people, and specific people, films, cultural patterns give rise to some ideas.
In general, male patients who want to enlarge their penis are no different from other plastic surgery patients - for example, from women who want to improve the size or shape of their breasts or undergo intimate plastic surgery, correct the shape of their ears or nose."
Is it possible to do without surgery?
There are many procedures and products that, according to the manufacturers, can increase the length and diameter of the penis: lotions, dietary supplements, exercises, vacuum pumps, polymer gel injections.However, most of these remedies have not been proven to be effective, and some of them can actually cause damage to the penis.If you think that additional means are needed, it is better to consult a specialist: a urologist, andrologist or a plastic surgeon - to discuss whether this or that method is worth using.
There are tablets and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies to confirm that any of this works.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They can only temporarily visually increase the size, but too frequent or prolonged use can lead to tissue damage and reduce the quality of erection.
There are exercises that have been developed for centuries among some peoples: the jelqa method is used by Sudanese boys from the age of 9-11.The movements are simple: you have to move your hand from the base of the penis to the head and hold back the ejaculation.It sounds quite safe, but it can actually cause pain, lead to scarring and change the shape of the genitals.
There are also injections, but the risk is very high and the effectiveness is questionable.The introduction of polymer, polyacrylamide gels under the skin of the penis can almost lead to disability, doctors warn.The polymer does not last - under the influence of gravity, the gel migrates due to physical activity, which often causes inflammation, this can be followed by infection and so on until tissue necrosis with complete or partial loss of the penis.
There is a way to enlarge the penis using lipofilling, when fat tissue is injected under the skin through punctures.However, the effect is only visible immediately after the procedure, then the fat is absorbed (and often unevenly), resulting in compactions and irregularities.The consequences are corrected in the operating room.
There is only one non-surgical method of penis enlargement that has proven its effectiveness - long-term use of an extender.These are two rods of adjustable length that are installed between the head and base of the penis.The barbells must be moved apart very gradually, little by little, and stretch the penis - it turns out something like an Ilizarov apparatus, only without the spokes.The extender must be worn for a long time;the result of wearing it will be an increase in the length of the penis by a few centimeters.
Does size matter?
From a physiological point of view, no.But sex is not a mechanical grinding between two partners, it is a whole complex of human experiences.Self-confidence, the desire to make your partner happy, sexual habits and much more play a role.
"The fact is that the spread in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, says the plastic surgeon. - The size matters in the sense that a lot depends on the partner, his adaptation and sexual experience. And it is not about what size penis your partner's ex-husband had, but also about her reactions and expectations. In women, the genital parts can be concentrated in the organs: the genital parts of women. clitoris, the entrance to the vagina, itsfront surface or somewhere near the cervix.The diameter of the penis matters if the receptors are concentrated at the entrance or along the walls of the vagina, and this means that a man's skill, position, understanding between partners is as important as a woman's size.
How does the operation work?
"As a rule, a man comes and says: "Doctor, I want to have a big one." Then we talk, discuss everything in detail and always talk about sexual needs. It happens that people think about surgery because they are not able to realize their dreams or sexual fantasies: for example, to have sex with a woman in a unique shape," says the doctor.
It is very important, as with other plastic surgeries, to adequately assess whether surgery will help achieve a particular goal.Every doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the real options for surgery, or that the doctor's actions will be ineffective, believes the specialist.
With the help of surgery, you can increase both the length and the diameter of the penis.
The length is easiest.This operation is scientifically called ligamentotomy, and it means cutting the suspensory ligament of the penis.
"Today, ligamentotomy is the most important operation we offer to lengthen the penis," says the surgeon."From my point of view, it is optimal in terms of the degree of risk to the patient, the level of trauma and the result achieved. Although it does not actually apply to true lengthening operations. We simply increase the angle between the penis and the pubis, cut the ligament. In this way, the penis simply moves forward and creates an enlargement effect."
The effectiveness of this operation depends greatly on the flexibility of the tissue, so to increase the chances of success and to avoid scarring, doctors will recommend that the patient wear an extender before and after the operation in combination with taking medication that affects the stretching of the tissue.
That is, the timing is as follows: 2 months before the ligamentotomy, they start wearing the device, then half an hour of surgery, and then another three weeks with an extender.In total - a little less than 3 months in total.
With diameter, everything is more complicated for the patient, but more interesting for the reader.
You can increase the diameter of the penis by 2 centimeters, which is quite significant.Two methods are widely used.The first, most common, is from the patient's own tissue.
It works like this: A fragment of muscle tissue is taken from the back or rectus abdominis muscle and transplanted onto the penis.In fact, the penis is wrapped with a piece of muscle, and then the vessels are sewn to restore the blood supply - this is called revascularization.
This type of surgery is classified as microsurgical.After that, the patient needs rest for a week.
The second method looks like this: they take dermofat flaps from the groin area and place them along the corpora cavernosa.In other words, they wrap the penis like a muscle tissue transplant, but in this case the doctors do without microsurgical equipment, so the recovery period is easier: strict bed rest is not necessary, and the patient spends only a few days in the clinic.
There is a way to increase the thickness of the penis using silicone implants - augmentation penis replacement.This is the least traumatic method, and the operation itself is similar to breast surgery, only the implants are individual, they are made specifically for the patient.
In all cases, the choice of method depends solely on the patient's preferences.The doctor is obliged to warn where the scar will be, what complications and consequences are possible, so that the person can make an informed decision.
What are the risks?
Despite the apparent simplicity of the operation and easy recovery, in addition to the standard risks that accompany any surgical intervention, there is a risk of a serious complication: if the doctor gets too carried away or acts carelessly, he can damage the artery and thereby condemn the patient to impotence.Therefore, choosing a clinic and a doctor who guarantees results is the most important part of the operation.
The most important thing to pay attention to when choosing a clinic is a balanced conversation with your doctor.He has no right to promise a tripling of the size of the penis or to tell directly how many centimeters it will grow.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic area;together, this gives the best effect in obese patients.The doctor says that based on his personal experience, patients are more likely to be satisfied with penile lengthening surgeries.As for the likelihood of repeated operations, such a need often arises when prolongation of the operation is combined with an increase in diameter, and usually such a desire arises in the patient in the late postoperative period.
But in addition to health risks, patients are also concerned about their own reputation and the anonymity of the operation.The plastic surgeon is convinced that this problem can be solved quite simply: "In addition to the law that protects the patient, which says that the doctor cannot advertise any intervention, there is also an important point of contact between the patient and the doctor. Has there been trust between you? Do you think that the doctor has worthy moral qualities that, in principle, will not allow him to talk about the operation in detail? Does he care about their patients? Or does he just tell about their patients? Similar examplesyours, your doctor is not allowed to discuss your surgery with anyone by default, but if the patient is overly concerned about this, he can specifically say that he is not interested in advertising this story.