Every year, more than 11 thousand penis enlargement operations are performed in the world, and the number continues to grow.The surgical intervention itself lasts no more than half an hour, and after three weeks a man can start an active sex life.Most operations are performed in Thailand, a world leader in plastic surgery.This text contains a story about how penis enlargement surgery occurred.
Plastic surgery around the world is more psychotherapy than a solution to a real problem.This also applies to penis enlargement surgery.Many men believe that their penis is smaller than it should be, while doctors believe that most people underestimate its size.Why does this happen?Paradoxically, the idea that the penis is too small is often formed in childhood, when mental comparisons with fathers or older brothers can naturally discourage us.
It is believed that men often misunderstand the size of their 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 the reflection of your whole body.According to research on more than 15 thousand people, the average size of an erect penis is around 13 centimeters.Medium size limits range from 11 to 18 centimeters.Doctors diagnose a small penis if it measures less than eight centimeters when erect.
How does a patient decide to have surgery?
A wide variety of problems can push a man to surgery: unsuccessful sexual experience, internal beliefs, misinformation in open sources on the Internet.Plastic surgeon, Doctor of Medical Sciences, Professor of the Department of Plastic Surgery says:
"Now is the era of the Internet: people look at images without really investigating where they come from and how they correspond to reality. Often, people come to the surgeon with images from the Internet, indicating that they want "exactly as shown here."
Just imagine if you constantly received spam emails “Erection iron and a hundred other fantastic ways to enlarge your penis.”At this point, even a normal, reasonable person would start to think: maybe there is something wrong with him if he keeps getting “You have to do this!”I often think of the movie “The Man from the Boulevard des Capucines”, when following a certain culture changed people's behavior completely.First, they stop being bullies, drink milk, and act like gentlemen.And then, after watching enough other movies, they start causing chaos, drinking, and shooting.And here it's the same: society influences people, and certain people, films, cultural patterns give rise to some ideas.
In general, male patients who want to enlarge their penis are no different to other plastic surgery patients - for example women who want to improve the size or shape of their breasts or undergo intimate plastic surgery, improving the shape of their ears or nose.”
Is it possible to do without surgery?
There are many procedures and products that manufacturers say can increase the length and diameter of the penis: lotions, dietary supplements, exercise, vacuum pumps, polymer gel injections.However, most of these treatments have not been proven to be effective, and some of them can actually cause damage to the penis.If you feel that you need additional funds, it is better to consult a specialist: a urologist, andrologist or plastic surgeon - to discuss whether this or that method is worth using.
There are tablets and lotions.Usually contains vitamins, minerals, herbs and hormones.However, there is no research that confirms that all of these methods work.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They can only visually increase size temporarily, but too frequent or prolonged use can cause tissue damage and reduce the quality of erections.
There is a practice that has been developed over centuries among some peoples: the jelqa method is used by Sudanese boys from 9–11 years of age.The movement is simple: you need to move your hand from the base of the penis to the head while holding back ejaculation.It sounds safe enough, but it can actually cause pain, cause scar tissue, and change the shape of the genitals.
There are also injections, but the risks are very high and their effectiveness is questionable.The entry of polymeric, polyacrylamide gel under the skin of the penis can almost cause disability, doctors warn.The polymer cannot survive - under the influence of gravity, due to physical activity, the gel migrates, often causing inflammation, this can be followed by infection and so on up to tissue necrosis with partial or complete loss of the penis.
There is a way to enlarge the penis using lipofilling, namely adipose tissue is injected under the skin through a puncture.However, the effect is visible only immediately after the procedure, then the fat is absorbed (and often unevenly), turning into seals and irregularities.The consequences are corrected in the operating room.
There is only one non-surgical penis enlargement method that has been shown to be effective - long-term use of an extender.These are two rods of adjustable length that fit between the head and base of the penis.The barbell needs to be moved gradually, little by little, stretching the penis - it turns out like an Ilizarov apparatus, only without spokes.The extender must be worn for a long time;the result of using it is an increase in penis length by several centimeters.
Does size matter?
From a physiological point of view, no.But sex is not a mechanical struggle between two partners, but a very complex human experience.Self-confidence, the desire to make your partner happy, sexual habits, and much more play a role there.
"The problem is that the spread in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, say plastic surgeons. — Size matters in the sense that a lot depends on the partner, his adaptation and sexual experience. And it's not about the size of the penis that your partner's man had before, but also about his reactions and expectations. In women, receptors can be concentrated in different parts of the genital organ: in the clitoris, the entrance to the vagina, its anterior surface, or somewhere nearby the cervix. The diameter of the penis is important if the receptors are concentrated inentrance or along the walls of the vagina, length - if around the cervix And this means that the skill, position, understanding of the man between partners is as important as size.
How does the operation work?
“Usually a man comes and says: “Doctor, I wish I had a big one.”Then we chat, discuss everything in detail, and always talk about sexual needs."Sometimes people think about having surgery because they are unable to fulfill their sexual dreams or fantasies: for example, having sex with a woman with an extraordinary figure," the doctor said.
It is very important, as with any plastic surgery, to adequately assess whether the operation will help achieve certain goals.Every doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the actual possibility of surgery or the doctor's actions are ineffective, the specialist believes.
With the help of surgery, you can increase the length and diameter of the penis.
The length is easiest.This operation is scientifically called ligamentotomy, which means cutting the suspensory ligament of the penis.
“Currently, ligamentotomy is the main operation we offer to lengthen the penis,” said the surgeon."From my point of view, this is optimal in terms of the level of risk for the patient, the degree of trauma and the results obtained. Although, in reality, this does not apply to a real lengthening operation. We simply increase the angle between the penis and the pubis, cutting the ligaments. 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 avoid scarring, the doctor will recommend that the patient wear an extender before and after the operation in combination with the use of drugs that affect tissue stretching.
That is, the timing is as follows: 2 months before the ligamentotomy they start wearing the device, then a half-hour operation, and then another three weeks with the extender.Total - less than 3 months for everything.
With diameter, things become 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.There are two methods that are widely used.The first, most common is from the patient's own tissue.
It works like this: a piece of muscle tissue is taken from the back or rectus abdominis muscle and transplanted to the penis.In fact, the penis is wrapped with a piece of muscle, and then the blood vessels are sutured to restore the blood supply - this is called revascularization.
This type of surgery is classified as microsurgery.After that, the patient needs to rest for a week.
The second method looks like this: they take a dermofat patch from the groin area and place it along the cavernous bodies.In other words, they wrap the penis like a muscle tissue transplant, but in this case, doctors do it without microsurgical equipment, so the recovery period is easier: strict bed rest is not required, and the patient only spends a few days in the clinic.
There is a way to increase the girth of the penis using silicone implants - penile augmentation replacement.This is the least traumatic method, and the operation itself resembles breast surgery, only the implants are individual, created specifically for the patient.
In all cases, the choice of method depends solely on the patient's preferences.The doctor is obliged to warn about where the scar is located, what complications and consequences may occur, so that the person can make the right decision.
What are the risks?
Despite the simplicity of the operation and the ease of recovery, in addition to the standard risks that accompany any surgical intervention, there is a risk of serious complications: if the doctor gets too carried away or acts carelessly, he can damage the arteries, thereby causing the patient to experience impotence.Therefore, choosing a clinic and doctor that guarantees results is the most important part of the surgery.
The main thing you should pay attention to when choosing a clinic is a balanced conversation with your doctor.He has no right to promise a three-fold increase in penis size or simply say how many centimeters the penis will increase in size.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic area;together, these provide the best effect in overweight patients.The doctor said that based on his personal experience, patients are more likely to be satisfied with penis lengthening surgery.As for the possibility of repeated operations, such a need often arises when surgical lengthening is combined with an increase in diameter, and usually such a desire arises in patients in the late postoperative period.
However, in addition to health risks, patients are also concerned about their own reputation and the anonymity of the operation performed.Plastic surgeons are convinced that this problem can be solved simply: "In addition to the law protecting patients, which states that doctors should not advertise any interventions, there is also an important point of contact between the patient and the doctor. Is there trust between you? Do you think the doctor has such good moral qualities that in principle it would not allow him to talk about the operation? Did he tell you in detail about other patients? Did he name them? Or just give examples similar to yours? By default, your doctor is not allowed to discuss your operation with anyone. However, if the patient is too worriedthis case, then from the perspective of psychological comfort, he can specifically say that he is not interested in advertising this story.”