The operation of penis enlargement: the technology and the transaction price

One of the most popular topics in our time is the question of the possibilities of penis enlargement. In the vastness of the boarding school in this regard, there are many topics on different ways, but the most effective is surgery to increase penis. Unlike any ointments, pills, massages and other operations are guaranteed to increase the visible length of your penis.

But there is and its dangers in the form of complications and functional disorders of the genitourinary system.

About how the operation is safe, what are the risks to a bear, indications and contraindications, as well as whether it is necessary to carry out the operation - described in this article. And finally, a list of clinics and their prices for the operation of Russia's and women's opinion on the length of the male member.

Whether such an operation is required

Any surgeon is trying to figure out whether the surgery the patient is really needed in the first place. After images of pornography and mass culture make a huge amount of men unfounded complexes.

• Often these problems can be solved much less radical.
• In addition, each woman their thoughts about what is normal and sexual size and what is not.

The fair sex, ready to be seen as full partners only men with big member, themselves often suffer from psychological problems.

Member, larger than average, often turns out to be not worth, as in a real lack of sex proximity - are unavailable, many postures, movements have to limit, so as not to traumatize partner.

But there are times when size really becomes an obstacle for the normal life of a man, even if the actual medical evidence no. In such cases, the patient's request may also be assigned to plastic surgery to increase member.

real evidence

The majority of patients attending to the surgeon with the request produces an increase in the member by an operation of a purely psychological difficulties. Seeing this, the surgeon advises view video man how in the present operation passes.

Many patients then discarded. However, there are situations, when to do surgery penis enlargement is necessary from a medical point of view. Among these indications:

• Genetic urethra deformation;
• Abnormal structure of a member;
• Too penis curve;
• Too dense cavernous body, complicating an erection;
• Hiding under the penis fat array;
• Micropenis or penis hidden within the body;
• Membrane between the testicles and penis.

Contraindications

The problem is exclusively plastic surgery. If the doctor and the patient deliberated and decided that surgery is still a necessary measure, will have to undergo blood and urine tests. Doctors also examine blood infections and viruses, check whether the man's heart can withstand the operation.

The plastic surgeon may consider that the operation is not permitted for the following reasons:

• Minor age;
• When a member is worth, it reaches an average length;
• The patient is psychologically inadequate;
• Present cancer;
• Diabetes;
• Inflammation of the urinary and genital apparatus;
• STDs and HIV;
• Dermatological defects on the penis;
• Hematologic Disorders.

After treatment, in what would be the method it has not been done, it takes some time to refuse sex. Up to six months would be unacceptable load, power sports and contact martial arts. It should also refrain from visiting Russian bath and sauna, reduce smoking and drinking. Important in this period - be careful not to cause injury male member.

As a member of the surgeon increases

There are several techniques you can use to increase manhood. Immediately before any of them need to have a talk with a urologist and anesthesiologist. Evening before surgery need to open the bowels with enemas. After that, it is not recommended to consume food and water. How much can increase the penis? Usually - two to four centimeters.

With each technique can increase the penis or the length or the width.

Ligamentotomiya

This is the most popular and simple operation, during which a member is increased. In the area of ​​spinal anesthetic is administered, the patient remains conscious. Rapid intervention, and it does not take hours. With this technique it is possible to increase the advantage of only in length.

As a result of successful operation the penis will increase by an average of three centimeters. This happens due to the fact that there will be trimmed bunch. This ligament is normal captures the inside of the penis under the skin and fat. When fixing disappears manhood fed out.

The operation is painless, home after it is possible to return in a couple of days. In the first few days of a man should consume medication painkillers. Two weeks a man should avoid intimate contact.

Unfortunately, in the groin after such surgery remains a small scar. But usually it is not too conspicuous. Price - about 1-1,5 thousand dollars.

lipofilling

Such an operation is lipofilling, will help increase the term in width. For this purpose, the subcutaneous space manhood administered dense organic substance or synthetic origin.

In order to prevent rejection, and the body is easy to take the substance, commonly used body weight of the patient.

Initially, it is pumped, diluted with specific medicines. And then pumped into the subcutaneous region of the penis. Fat cells become part of the penis, if things happen without difficulties. The downside is that sooner or later the fat cells begin to disappear.

• You have to repeat the surgery, possibly within six months.
• Artificial substances to increase the absorbed much more slowly, but the risk that there will be complications in the form of inflammation, much more.
• As a result, the member becomes wider on one or two centimeters.
• A man can safely leave the hospital two days later.

During the months after lipofillinga to exclude sex. The cost of approximately 1,5-2,5 thousand dollars.

The inner skin transplantation

This is the most modern technique. It may be difficult to find it capable to perform plastic surgery, and many seem inflated price tag.

For such a surgical intervention is mandatory require general anesthesia, and the whole process takes at least 180 minutes. Skin at the base of the penis is cut and shrinks down, like a sock.

In humans, the pre-cut small pieces of skin from the area of ​​the armpits and belly. Wrap them around the corpus cavernosum of the male nude advantages, and then put back the foreskin and sutured.

By the diameter of the penis as soon as a few centimeters is added after the surgery, depending on the patient's wishes and the surgeon's capabilities.

Rehabilitation period long, it takes about six weeks. Traumatic surgery, need a few days to keep bed rest, leave the hospital will be allowed at least one week.

Pain persisted for at least 15 days. The price will be about 3500 dollars.

prosthetic phallus

Such surgery can be allowed only to change sex, either real medical needs (e.g., where a man is not completely able to sexual intercourse, for example, due to injury). To simply increase the plastic member not get a hold of prosthetic phallus.

As prosthetic material used cartilage or synthetic elastic materials.

• The operation is very difficult for the expert and traumatic for the patient.
• Hard enough to find a clinic, where it is carried out - so, in the territory of the Russian Federation in Moscow and St. Petersburg, conducted similar operations.
• It is unacceptable to carry out the operation, if the patient is suffering from chronic diseases.
• Preferred penile implant technique - using implantable mechanisms that can be inflated.

Using this device, you can manage an erection and satisfy a loved one. But inflatable implants - the most expensive. The price of an average of 18 thousand dollars.

stojak.ru

operation ligamentotomiya

The essence of the operation ligamentotomii - eliminate cords, which fixes the inner hidden part of the penis to the pelvic bones. Ligamentotomiya operation to a lengthening of the penis does not, because the penis remains in its place.

This operation is only an auxiliary character and without subsequent use of the extender does not really matter.

Ligamentotomiya necessary only in order to improve the final result of the elongation of the penis on the unit.

• The fact that the extension of the result depends entirely on the original length of the penis, and only prolongs the ligamentotomiya the length of which will be extended on the unit, that is, allows the extenders work on the inside of the sexual member.
• Initially, the operation was carried out through an incision in the pubic area. It would seem that this approach allows a quick and easy to access bundle. However, it is not.
• Ligamentotomiya through pubic access lasts a long time, associated with a large incision and noticeable scar in the womb, excessive tissue trauma and subcutaneous fat, and most importantly, makes it difficult to follow the wearing apparatus.

Currently ligamentotomiyu made to pass through the access to the scrotum area of ​​its middle seam, slightly more difficult for the surgeon, but it is much easier tolerated. Exquisite technique, access is minimal, and the incision heals, leaving little trace.

After operation

After surgery, it is imperative to use extender.

The device should be used for a few months (3 or more) every day for a few hours (4 or more). Typically, the elongation occurs in a period of 3 to 6 months.

The extender is a structure that does not require special care. However, it is reasonable to periodically rinse the pad strap with warm soapy water, and the base rod and cleaned with alcohol.

Particular attention should be paid to the underwear. Briefs must be free. If the extender is directed downward, the tight pants can pull it, reducing its tension rods.

• In addition, narrow pants is difficult or impossible to wear the extender up.
• Pants should be free. If the extender used at work, it makes sense to wear a costume pants.
• hospitalization period is 2-3 days.
• Term total rehabilitation - 8-10 days.

Intercourse can be practiced almost immediately, only disadvantage is the presence of the dressing on the scrotum and slight pain in the womb.

ichilov.net

testimony

In addition to those he wants to increase the length of your penis, ligamentotomiya carried out on a number of specific indications:

• Standard size of the penis in erection is considered to be 12-16 cm, if the penis is smaller, shown holding ligamentotomii.
• Also penis length is less than the norm in pathological conditions such as hypospadias and epispadias, Peyronie's disease and cavernosal fibrosis.
• Shows the operation in the case member due to reduction of traumatic factors.
• Heredity or age-related processes in the male body can also become an indication for ligamentotomii.

In addition, the indications for surgical penis enlargement can act Kallmann syndrome and other diseases.

Training

Similar operations are made simple, so the patient must be consulted a qualified plastic surgeon, in the specialization of intervention which are similar kind. To identify possible contraindications to surgery and general anesthesia is necessary to pass a simple man preoperative diagnostic examination, which will appoint a urologist and will do or not do ligamentotomiyu.

Patients prescribed standard procedures such as:

• Biochemistry and general blood tests;
• Research krovesvertyvayuschey function;
• Analysis and Rh group;
• Diagnose Hepatitis C, and HIV infection, syphilis;
• General laboratory examination of urine;
• electrocardiogram;
• Consultation with the anesthesiologist.

On the day before surgery the patient needs to shave the vegetation in the groin area. 12 hours before the procedure is necessary to refuse from food, but to-day operations - from any drinks, not even water.

operation

Ligamentotomiya is carried out using a general type of anesthesia and takes about 0.5-1 hours. During surgery, the surgeon dissects the bundle, which is suspended from the penis. Under normal conditions, this bunch keeps cock inside the male body.

Surgical intervention can be carried out in two ways:

• After pubis;
• Through the scrotum.

The surgeon makes an incision at the desired region (on the scrotum or pubic), then gently undercuts ligament (ligament) parallel to the body of the penis. Then the doctor pulls member and fix it in a new anatomical position. This is the standard operation. But it is possible to conduct intervention and more refined way, involves the movement of the patient's fatty tissue.

This operation is in fact no different from a standard intervention, the only difference is that with the new fixing the vacated space is filled by a bunch of fat tissue. This eliminates the risk of adhesive processes and provides a painless healing of postoperative sutures.

Adipose tissue painlessly distributed in a new place, and rehabilitation is much faster and without complications. Seam heals quickly as groin perfectly supplied with blood, and already becomes almost invisible through a couple of weeks. Another day the patient will spend in the clinic all the time will observe professionals behind it.

rehabilitation

The most important stage of treatment is postoperative rehabilitation, because the extended penis can get back into position. To avoid this, the patient needs for some time after surgery wearing a special device - vytyazhitel (extender). Start using it only after the scar scarring.

• First appliance worn only for a couple of hours a day, gradually increasing length.
• Gradually the length of wearing is increased to 8 hours.
• The duration of wearing it as a whole may take 3-6 months.

Detailed rules for the use of the product to the patient tells the doctor because they can vary slightly according to the individual clinical picture. After surgery the patient needs some sexual rest for at least three weeks.

Effects

On male sexuality does not affect the operation, except that the sexual rest for three weeks can cause discomfort. In addition, one can not exclude the usual risks that are typical of any surgery.

These include surgical trauma and infection. Immediately after the intervention in the operated area appears edema, which in a few days will come on their own.

• To the likely consequences can also be attributed, and the lack of effect.
• This is possible if too short ligaments that support the penis or in violation when wearing expander.
• Also after ligamentotomii lost erectile angle t. E. penis in the excited state is sent down, rather than up and down.

To minimize complications and to avoid unpleasant consequences, it is recommended to take seriously the selection of a specialist and the clinic. The higher the qualification of the specialist, the greater the chance of success of the operation and the absence of complications.

gidmed.com

Increasing the thickness of the penis

The essence of all surgical methods for increasing the thickness of the penis is to ensure that the place between the cavernous bodies and skin layer, which will create an additional volume.

At the same time we must remember that the sexual act in a mechanical manifestation is an intensive massage member. Therefore puts the interlayer has steadfastly withstand such loads.

As the implantable material is either rectus segments on a standalone bloodstream or artificial biokollagenovye matrix.

1. In the first case the implantation is more natural because the tissue is "living" uses natural circulation. But the risk of dying of the transplanted tissue. Therefore, a long period of rehabilitation, which involves many restrictions.
2. In the second case, with the installation of biokollagenovoy matrix takes 2-3 months to narosli tissue around the matrix, which will create an additional volume. There is also the risk of rejection of the implant as a foreign body. Much depends on the state of the human immune system.

In any case, after surgery to increase penis for at least 2 months to exclude sex.

estetmedicina.ru

Complications of surgical lengthening of the penis

Known major disadvantages and complications operations lengthening of the penis:

The absence or minimum elongation

• All existing methods of penis elongation are carried out without any objective prediction result of the operation.
• The surgeon before the operation to inform the patient that the extension can be unpredictable, as the doctor may not be aware of all the anatomical features of the structure of surgical coverage.
• Predict the result of the extension is possible only after a preliminary study of the structure options supporting ligament and its length by the method of magnetic resonance imaging or computer tomography.

Rough postoperative scarring, deformity of the penis.

Often, patients concerned about rough postoperative scarring in surgical area, which can not always be fully covered with pubic hair.

They can lead to scar contracture of the skin of the penis with erectile deformation development and, even with a decrease in the length of the original members.

Scars appear after suppuration, necrosis of the skin with prolonged wound healing. prevention method - the use of minimally invasive techniques, sparing surgical technique.

Bringing down of pubic hair to the root of the penis

Offset pubic hair as a result of members of indigenous V-Y techniques body lengthening actually not a complication, but an unavoidable consequence of the use of a typical V-Y plastics skin.

• The penis gets an extra on the basis of the trunk scalp.
• This feature can deliver cosmetic patient discomfort, though, as a rule, men and their partners, even like this new opportunity to further sexual stimulation.
• When the patient's persistent desire to remove hair from the base of the penis can recommend waxed.

Necrosis of the skin flap

Possible necrosis of the triangular flap of skin, a cut too narrow, thin and, therefore, deprived of proper nutrition. In addition, there may be marginal necrosis of the superficial and deep in the seams on the edges of skin wounds, the various sections of the flap and the shaft of the penis.

Skrotalizatsiya - this complication during the elongation of the penis. Appears in the excessive dissection of the supporting ligaments and the type of fixation at low cavernosa penis and results in a low position of the penis in the scrotum, his entourage stem of the soft fabrics.

This fact entails mainly functional discomfort, since it leads to instability (excessive deviant) penis during coitus.

Contrary to skrotalizatsii - retraktilny penis (Reverse retraction of the penis under the pubic articulation, due to substitution of the remaining cavity under the pubic bone scar tissue).

Appears when insufficient filling formed after ligamentotomii under pubis cavity, insufficient application postoperatively original JES Extender, suppuration the surgical wound.

www.urogid.ru

Table. Compare prices for penis enlargement procedure

Title	Price
Ligamentotomiya	12-85 thousand. rub.
falloprotezirovanie	15-20 thousand. dollars
lipofilling	80-150 thousand. rub.
Microsurgical muscle transplantation	2500-4000 y. e.

egosila.ru

Prices in Moscow

Medical Center of Reform

from 201 000 ₽

Surgical Scrubs (Family)	from 82200
CM-clinic on the street. Yaroslavl	from 43,650
Clinic MedTsentrServis m. Medvedkovo	from 30,000
Multidisciplinary Clinic Miracle Doctor	49 500
Orange Clinic Medical Center (Clinic of Orange)	from 41500
Multidisciplinary medical center DeltaKlinik	53 000
VESSEL CLINICS - WikiMed - multiprofile medical center	of 42 500
Best Medical Center Clinics m. River Station	37 950

medbooking.com

penis enlargement Clinic	Ligamentotomiya price in rubles.	Lipofilling, the price in rubles.	Microsurgery muscles, the price in USD
Dr. miracle	49500	95000	2100
MDC Kututzovsky	10000	25000	1800
clinic BIOSS	45000	93000	2300
KLINIKMID	23400	50000	1500
DeVito	30000	57000	1600
Moscow Dr.	50000	110000	3200
Volyn Hospital	15000	35000	900
FMBC named after AI Burnazyan	33000	70000	2400
MEDSI	73120	140000	3500
CDS clinics	49500	100000	3200
mont Blanc	185000	250000	3950
clinic of Andrology	34000	65000	2400
NLTS Russian Ministry of Health	12000	20000	1020
Institute of Urology	3500	10000	950
FSI FBMSE	50000	96000	3100
Poppy-Med	45000	92000	2950
Wellness City	19000	35000	1620
City Honey	30000	65000	2370
Intime	45000	91000	2980
MC Reproductive Antrologii	66000	123000	3500

St. Petersburg

to increase member Clinic	Ligamentotomiya price in rubles.	Lipofilling, the price in rubles.	Microsurgery muscles, the price in USD
GrandMed	38500	80000	2500
Aestima	23000	51000	2300
Atribeaute Clinique	42000	87000	2100
Breast Health	38500	60000	2180
CapitaMedClinic	40000	57000	2320
Geneva	50000	96000	3150
MadSwiss	33000	60000	2200
Parada	65000	92000	3750
Abia	39000	95000	3360
Abriell	65000	87000	3850
academy	34000	65000	2500
Apogee	28000	40000	1920
Intercession City Hospital	15000	27000	1200
GrandMed	40000	86000	2970
KlinikEstetik	45000	88000	3050
transformation	36000	62000	1620
Its clinic	45000	71000	2970
SPIC	45000	76000	2880
your planet	42000	80000	3420

In the regions of Russia

Clinic penis enlargement	Ligamentotomiya price in rubles.	Lipofilling, the price in rubles.	Microsurgery muscles, the price in USD
Attention and understanding	31000	43000	2120
Cosmetology Center ECX	38000	72000	1900
Vita	38500	56000	2200
Samara State Medical University Plastic Surgery	29000	38000	2600
Renaissance	42000	83000	3210
Aesthetic medicine	28000	47000	2240
Watercolor	31200	58000	3200
Neo-clinics	57300	83200	3640
Aesthetic Med	35100	83000	2360
Isabel	52000	73000	3600
Clinic Kudzaeva	32000	57000	1850

brutal.guru

Prices in Israel:

• Surgeon Consultation - $ 300-400
• Liposuction is one portion (pubic area) - $ 1500-2000
• Faloplastika from $ 1500

medesas.com

Questions and answers

Question:"I ask you to answer one question. When conservative methods of penile lengthening using the extender (without surgery intervention) shown on your site increase only occurs at rest or in excited, too? "

expert answer:

The purpose of wearing extender - lengthen the penis in erection, which is achieved due to the tunica of growth of the penis due to mechanical action.

The length of the penis at rest depends entirely on other factors - ambient temperature, the psycho-emotional state and etc.

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Question: "I have a penis in erection 11/10 (length / circle), relaxed 6/8.
As long as I do not have the financial capacity to carry out the operation to extract extra centimeters. But I'm seriously thinking about how to increase penis extender using (at least 2-3 cm), and I have a number of questions to you and I beg you to answer each one of them

1. 1. The increase in length during erection will be equal to the increase in the length of the relaxed state or not?

• It does not decrease during stretching of the thickness of the penis? I have it and so small (10 cm in circumference => problems with condom use)?
• My length of 5-6 cm penis relaxed, does it mean that he is less likely to elongate than the standard penis (9-11 cm)?

I hope that you will answer my questions. For me, they are all very important. "

expert answer:

to let your short answer questions.

1. Not certainly in that way. The purpose of the operation and the subsequent wearing extender - extend the penis during erection. It depends on the ability to stretch the corpora cavernosa, which is caused by the growth of tunica when wearing the device.
   The length of the penis at rest depends on many parameters such as the ambient temperature, the psycho-emotional state.
   The degree of elongation in erection does not reflect the degree of elongation in the quiescent state, and vice versa.
2. Not. The penis does not stretch like rubber, and growing.
3. No, it does not.

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Question:"We need your advice.
7 cm length of a member at an erection, low testosterone levels. Problems in dealing with women (physiological). Do elongation actually even up to 12 cm without the aid of surgery only using the extender? "

expert answer:

The penis, which you describe is fairly short outer part, and when worn elongation extender will be just due to stretching and, as a consequence, the tunica albuginea growth namely the outer part.

I would not recommend this to lengthen the penis only by traction on the apparatus. In your case, it demonstrates the use of all methods - and surgery, and hormone treatment.

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Question:"On one site is described here, this extension method:
Standard ligamentotomiya - dissection of the suspensory ligament (with plastic skin pubis).

This method gives only a visual effect and increases the penis only in a relaxed state. In your answers you write in the forum to increase the member in erection at 2-4cm.

Perhaps I do not understand something or made a mistake. If possible, please comment. "

expert answer:

There are the following in mind:
Standard ligamentotomiya conducted through access at the bottom of the pubic area, there is at the base of the penis is performed dermatology and plastic surgery - V-Y - plastic, which allows both to visually increase the size of penis relaxed state.

We have long since abandoned the V-Y - plastics in connection with a large number of poor results.

According to our methodology, ligamentotomiya done via scrotal access, thereby reducing the time of surgery, minimize postoperative complications, and apply traction penis extender immediately after operations.

The use of traction device is a must, since it reinforces the positive result of the operation, as well as It promotes further lengthening of the penis due to growth of its tunica albuginea due to mechanical impact apparatus.

Due to this, it manages to lengthen the penis is erect.

Performing ligamentotomii without subsequent application of the traction device is not advisable.

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Question:"My question is: Are there any restrictions for the operation of lengthening the member in connection with its relaxed length state (in the state of erection -. a little more than 10 cm), if there are, what length should be at rest for this the operation? "

expert answer:

The length of the penis in erection of 10 cm is not a contraindication to the operation of its elongation.

Contraindications are skin diseases in the penis, inflammatory diseases urethra, and smoothed the coronal sulcus (it impossible to wear the device extension).

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Question:"Does the extension of the thickness of the penis?"

expert answer:

Extension does not affect the thickness of the penis in a negative way - it does not become thinner. On the contrary, the penis can only become thicker. The fact is that by stretching the penis increases the surface area of ​​its membranes, that is, in fact, its volume increases.

During strong erection blood is equally strong pressure on all the walls of the penis, that is, upon its extension and possibly some thickening, but not the loss of thickness.

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Question:"Dear doctor, I'm interested in what the efficiency of the vacuum pump for a member if you can increase penis size, and thus whether there is no contraindication to the use of vacuum pump. "

expert answer:

In order conservative elongation penis stretching device normally used -ekstender.

• If the unit is holding up well, it can be worn while exercising their business and even go to work.
• Apply vacuum circuit pump to lengthen the penis is inappropriate.
• I've seen in the literature are few reports on the use of the pump for the purpose of lengthening the penis, reported the extension of up to 2 cm in daily 2-hour use of the pump during the year.

Ask yourself whether you are able to spend 2 hours each day for classes with fanfare.

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Question:"Please tell me what size the scar left on the skin after surgery cut ligaments and how he then noticed?"

expert answer:

No scar will remain, that is, do not be apparent that the operation done.

Access to a bunch of not performed through an incision in the pubic area, and through a small incision in the scrotum through its natural "seam". Such incision heals without leaving any trace.

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Question:"I am 16.5 years old, my problem is that I have a small penis (13 cm during erection), because of this I The complex and very shy to get close with the girl, and she does not understand why I avoid having sex with her. I beg you to help me, and then I'm depressed. "

expert answer:

The length of your penis is within normal limits. However, if you experience an aesthetic discomfort, you are entitled to have an operation to lengthen the penis.

Before age 18, any surgery is performed with the consent of the parents.

You can also purchase a special apparatus for lengthening the penis - extender and use it.

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Question:"Dear Michael Myronovych, do you think, does it make sense nositne is only after the surgery, but also to her?"

expert answer:

If you plan anyway to do the operation, the sense of wearing the device before the operation there.

However, you can purchase the device and try to lengthen the penis conservatively. If the elongation achieved is not enough, you can in the future to do the surgery and use the device again.

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Question:"Can we do something in 27 years at mikrofallii and what exactly?
If the operation, what and how much is this treatment? "

expert answer:

Everything depends on the size of the penis.

• According to the recommendations of the European Association of Urology, micropenis called penis whose length in erection is less than 10 cm.
• If the length of the penis in erection is, for example, 9 cm, it is possible to perform operation lengthening of the penis in conjunction with subsequent hormone therapy and wearing extender.
• However, if the penis length of 2-3 cm, it is necessary to start with hormonal treatment.

If you are basically interested in this question, I would recommend you to come to me on consultation to discuss all the details and prospects of treatment.

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Question:"Hello! I'm interested in two questions:

1. 1. When extending the penis by surgery for dissection of the suspensory ligament and further wear Penis Extender will increase the length of 4-5 cm in erection, or what?

• I want to straighten the penis, but without losing any of 1 cm. Please tell us about the performance of plastics tunica section of the greater saphenous vein. "

expert answer:

If you want to lengthen and straighten the penis and, first you need to spend it elongation.

At least, on which you can rely - extension 1 cm in erection after the operation and extension of the penis with the help of the device. Our patients report an extension of 2-5 cm after 6 months extension on the unit.

As for the straightening of the penis, it is possible that it will happen in the course of its extension.

If that is not enough, the second step will be to perform plastic tunica of the penis using a vein area, then you will not lose a single centimeter.

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Question:"Over the pubic bone has a body fat," concealing "the true size of the penis. Thickness is approximately 3-4 cm. Is it possible to remove this fat, using, for example, liposuction? Is this procedure is effective for the purpose of increasing the length of the penis without surgery ligamentotomii? "

expert answer:

In our practice we use liposuction pubic area in order to achieve "visual" lengthening of the penis.

The procedure is very effective for achieving aesthetic results.

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Question:"If you do the surgery to lengthen the penis by means of undercutting the suspensory ligament, how he then stands or hanging in the erect state. After a bunch of apparently it supports it in a state of erection? "

expert answer:

The angle of erection of the penis is not determined by the cords, and its physiological bend, when he gets out of the womb. erection angle or does not change or changes only slightly.

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Question:

1. 1. "What form of the penis is considered anatomically" correct ": the diameter of the head of the penis larger trunk diameter, or vice versa, or these two measures should be the same?

• What are the normal ranges DIAMETER penis? How to measure it?
• What are the average norm of most indicators of the penis head (diameter and length)?
• What are the average norm of penis length (at rest and in a state of erection)? How to measure it: the lower edge, the upper edge or side view? If the upper or lateral edge of whether a firm line need to apply to the pubic bone, considering the presence of fat "cushion"?

expert answer:

1. This is not a criterion. There are always some anatomical variations.
2. Diameter: 12 cm in erection and 9 cm in a relaxed state.
3. This is not a criterion. Such studies also have not met me.
4. 15 cm in erection, 9.5 cm at rest. Measured at rest, the maximum stretched state and in a state of erection of penopubikalnogo angle ruler on the back of the penis.

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Question:"The size of my penis is above average (length at rest - 18 cm. at a thickness of 45 mm.). But my wife likes huge cocks, and I love her.
I am 37 years, I am well assured, I work at a respected position and it is giving a report of his words. Ready for any operation.
Question. Is it possible to increase the length of the penis up to 25-30 cm. Thanks."

expert answer:

If you have a penis in the flaccid state is 18 cm, then you have very good prospects in terms of extension (if initially a large penis the result is always better).

It is difficult to judge whether it is feasible to extend the penis in your case, but it can be thickened considerably.

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Question:

1. 1. "After the surgery to lengthen, while wearing the extender can we do once a month break for 2-3 days (not wear)?

• What consequences? The entire result to nothing? Or have to wear longer.

It is clear that, ideally - without interruption.
Please answer fully. Thanks in advance."

expert answer:

Let me nevertheless briefly to answer your questions:

1. Of course you can.
2. There will be no consequences. Just you lose 2-3 days in the "program" to lengthen their penis.

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Question:"You have repeatedly mentioned that the large elongated member than the small (on average according to statistics).
My penis in erection of 12 cm, and 5 cm in less (measured from the pubis to the tip of the head). Of these 5 cm 2 cm of the head on which the extender is not valid.

Does this mean that, more likely, lengthening it by using the extender will be 0.5-1 cm (unlike 1.5 cm for the average member of that 8-10 cm in the rest of them fall to 6-7 cm trunk)?

Just with regards to the operation: Does this mean that the most probable figure for me when operations are 3 cm and less?
And anyway, why a big dick for the operation is more convenient? "

expert answer:

You are more wrong. If the penis is in a relaxed state 5 cm, and the head of which is 2 cm, this does not mean that the corpora cavernosa length 3 cm, as cavernous bodies are also located under the head.

• This does not mean that the extension is only using the extender will be 0.5-1 cm, since it will determined not only by the original length of the penis, but also the mode and period apparatus.
• With regard to the operation, in my opinion, it is advisable to do it. In this case, the elongation by the apparatus will be more effective, because the unit will work as well on the inside of the penis.
• "Convenient" for the operation of a large penis is considered to be because it is easier to operate (of course, this does not mean that some technical difficulties when there are operations on a small penis). This judgment is quite subjective.

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Question:"When a member of the erection length 11-12 cm. Do I need to have surgery to lengthen? "

expert answer:

If you experience discomfort, aesthetic and psychological problems related to the size of your penis, you will show the operation of its elongation.

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Question:"My penis is excited about 10cm, if a good pull - the same. Operation do not want to do.
Tell me, is it possible to use the extender with se size of the penis? "

expert answer:

The extender can be applied without surgery in combination with hormonal stimulation. If the penis is initially small, then in this case it is advisable to do the surgery, which will very successfully carry out the subsequent elongation of using the apparatus.

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Question:"What determines the chances of penis enlargement?"

expert answer:

The degree of elongation depends on the following factors:

1. The initial length of the penis.
   Long penis easily extended. Therefore, with a small penis it is always advisable to first do the surgery, although in any case the penis elongation occurs much more effective after the operation.
2. The presence or absence of hormonal problems.
3. The patient's age.
4. From wearing mode of the device - at least 4-6 hours a day.

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The operation to a lengthening of the penis (ligamentotomiya) with an extender

The operation to a lengthening of the penis - the most effective way to increase the size of the penis. On average, it becomes longer than 2-4 cm penis after it. Regular use of an extender for a few months will increase the size of another 2-4 cm. The final result depends on the individual characteristics of the male body and the source data.

Lengthening the penis surgeons of our department in most cases carried out by the men's request. Among the medical indications for surgical treatment - congenital diseases and injuries. However, many men experience psychological discomfort due to the small, in their opinion, the size. Dissatisfaction with the length of a member can lead to sexual problems and reduced quality of life. Eliminate the negative factors and regain self-confidence will help simple operation for penis elongation.

The methodology of the

To lengthen the penis carrying out an operation on the suspensory ligament. During surgery, it is dissected, and then sutured. This procedure allows you to push the penis out of the pubic bone, thereby increasing its length.

ligamentous apparatus tissues have the capacity for rapid regeneration. If the patient does not comply with the recommendations of experts, a bunch grows together and the effect of the extension will be gone. To fix the result, it is necessary for several months wearing a pulling extender. It is made for every patient individually.

Surgical lengthening of the member takes about half an hour, performed under general anesthesia. Access to the tissues of the surgeon gets through a small incision in the scrotum, which heals quickly, leaving no scars. In a hospital the patient is two or three days, after which the doctor explains to him wearing extender rules and develops an individual rehabilitation program.

The operation to a lengthening of the penis (ligamentotomiya) without extender

Surgical Penis Extension It is shown with a length of less than 12 centimeters of the penis in erection. It is believed that this figure is lower at limit of normal. Surgical solution allows to gain confidence, get rid of complexes and feel a full-fledged man.

Operation called ligamentotomiya. During the procedure, the surgeon intersects supporting ligament of the penis, it goes deep into the pelvic bone is fixed at its either fixes a bundle via implant. The next stage is drawing the inside of the penis.

Professionals working in andrology department perform surgical lengthening of a member of the new method. It requires a high level of professionalism, is more complicated than a standard procedure. However, our doctors performed many surgeries can guarantee safety and efficiency.

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As is the operation to increase the male-esteem

The operation takes 30-40 minutes and is performed using special microsurgical techniques, to provide visualization of nerves and blood vessels.
The patient remains in the hospital for a day.

When using a resorbable suture removal of sutures is required.

It is recommended to abstain from sexual intercourse for 2 weeks after surgery.

The result can be evaluated by at least a few months after surgery.

From what the result depends on the length of penis enlargement

The use of a stretcher makes the effect of the intervention is much more pronounced. However, for best results, you need to take into account relevant factors.

• • • Original member length - the larger it is, the stronger the effect obtained.
    • phallus anatomy - how good will be fixed stretcher, it depends for its effectiveness.
    • Normal hormones - some patients may be
      It recommended hormonal therapy.

The result of the increase manhood surgically with proper compliance with all recommendations preserved forever.

rehabilitation period

After surgery for penile elongation stretcher must be worn every day for 2 hours, gradually bringing the time to 6-8 hours a day.

Incorrect use of the device can cause complications, such as paraphimosis, so you need to carefully comply with all recommendations of doctors. Upon successful completion of the rehabilitation course you can count on lengthening manhood 3-5 cm.

Between the cavernous bodies of the penis and the bones of the pelvis is located a few strands of connective tissue, in which the body "suspended" to the bone structure. During ligamentotomii penis make a cut one of these cords. As a result, the visible part of the penis increases. This is due to the elimination of the forces that pulled him into the soft tissue.

Procedural steps:

• • • anesthesia. It can be carried out using an epidural or general anesthesia. In the first case, the patient is in the minds of: after a special injection in the region of the back "off" pain sensitivity below the belt. In the second - the patient is unconscious and wakes up already by the end of the operation.
    • Carrying incision on the scrotum. This access is the most non-traumatic. Discomfort after surgery and the postoperative scar size in this case is low.
    • The intersection of the suspensory ligament with a scalpel. Damage to nerves and blood vessels, as well as a violation of erectile function excluded. Tissue of the penis are affected.
    • Suturing of postoperative wound cosmetic seams, which will later be completely indistinguishable. The doctor may use a conventional surgical thread (in this case the joints need to be removed), or bioresorbable, which do not require removal.

Depending on the individual patient intervention lasts hours (maximum), constituting an average of 30-40 minutes.

Hospital stay is typically less than 1-2 days, during which the general condition and controlled dynamics postoperative wound area.

Immediately after surgery, to increase body member is elongated approximately 2-2.5 cm. In order to improve the result even a few centimeters, for several months after ligamentotomii must periodically carry vytyazhitel - extender.

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five minutes of operation

The most simple plastic surgery is a plastic penis frenulum. If you have a short frenulum of the prepuce, and it causes discomfort, you should not live with it and hope that everything will cost. Simply turn to the surgeon and andrologist for half an hour to solve this problem.

The narrowing of the foreskin - phimosis - in a state of neglect can lead to very dire consequences. However, as the ancient world circumcision or circumcision, it is a simple and effective way to solve this problem.

Change of size

In fact, the vast majority of men is quite satisfied with the size of their own sexual organs, even if they are small at rest or hide under the pubic fat folds. At the same time, about 80% of men in principle, would not mind a couple of them to increase, while a small group of people dissatisfaction with the view and the size of his own penis may even cause severe erectile dysfunction (impotence).

For increasing the length of the penis use surgical and so called conservative methods. If in respect of the operation of surgical methods are, in principle, is clear, it is necessary to explain about the conservative principle. This mechanical elongation of the penis using a JES-extender device. Such a unit must be worn without removing, for several months, gradually increasing the distance between the "rods".

For thickening of the penis Various techniques are used, consisting, usually implanted under the skin of the penis additional tissues. This may be either different synthetic materials (silicone biogel et al.), Or a person's own tissue.

prosthetics

In recent years, developed a mass of plastic surgery procedures to correct a curvature or deformation of the penis (including those due to congenital defects of the urethra (Urethra).

Prosthetics are also actively used in birth defects or injuries of the scrotum. For example, in the absence of testicular it may be substituted by special prosthesis does not differ from the natural body of elasticity.

falloprotezirovanie (Gr. phallos - penis + prosthesis - connection, attachment) - a surgical prosthetic penis. Dentures are used when other treatments do not help and can not provide the patient the restoration of erectile function. Surgical prosthesis is made in injuries or damage to the penile nerve pathways that ensure an erection, for gross violations of blood supply to the penis, after radical surgical treatment of tumors of the pelvic organs and et al.

If the patient's problem is that he can not perform sexual act, after it lost the ability prosthetics returned to it. Moreover, before the man opened a truly unlimited sexual opportunities, because the prosthesis allows you to make multiple sexual acts of any duration.

Prostheses come in different types:

• Hard dentures - the most simple and least comfortable dentures, as this penis is constantly in tension and, as it were, in a state of erection. It is somewhat difficult to everyday human life, because now these prostheses are not practically used.
• plastic prostheses in contrast to the hard, have a plastic memory, which allows you to save any position attached to the penis. Thus, the penis has a natural appearance, while maintaining its function. Plastic memory of this type of prosthesis provides a metal bar located in the center of the prosthesis.
• inflatable Prostheses are of variable rigidity and are currently the most advanced, as variable stiffness to simulate the physiological condition of the penis at rest, and when erection.

In a separate group include sex change surgery. They require serious study and, as a rule, such an operation is preceded by long work with a psychologist and a psychiatrist. At the same time, in some cases, these operations provide a tremendous success, that is, lead to a complete human adaptation. So, it can even completely give up alcohol, drugs, and the way of life, which is often accompanied by disturbances of sexual self-determination.

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