Both men and women occasionally wish to have their genitals altered through surgical means. In women it is usually vaginal surgery, surgery of labia minora or majora or hymen reconstruction surgery. Men usually wish to have the size and volume of their penis changed, or perhaps circumcision.
Generally speaking vaginoplasty is the modification of the female vagina. The most frequent procedure is the narrowing of the vaginal opening. This specific narrowing of the vagina can lead to it becoming more firm.
The goal of this surgical procedure is to provide the patient with a better sex life.
This surgery is usually performed in middle-aged women who have given birth. The vagina and vaginal opening has loosened because of the birthing process and increasing age.
The procedure is performed under general anesthesia and usually lasts 45 minutes. It is performed using the following technique: In the area of the vaginal opening, on its back side, an excision of tissue in various sizes (according to the wish of the patient, anatomical findings, etc.) is made. Then the wound is sutured. It is better to make the extent of the excision bigger and therefore narrow the opening more because it is common that the vaginal opening will widen slightly again.
If the incision is expanded even to the back of the vaginal wall and in different lengths, we can contract the whole vagina in this way. This surgery is also performed under general anesthesia, it takes about 1.5 hours.
The surgery does not only involve the mucosa, but it enters into the muscular layer of the vaginal wall. First, the vaginal mucosa is excided in the needed (chosen) extent; next, the muscular layer of the vagina is firmed and shortened. The last phase of the surgery is to suture the vaginal mucosa. The same procedure is valid regarding the extent of the excision as is mentioned in the correction of the vaginal opening. During this surgery, the prudence and experience of the surgeon is critical because of the vagina’s proximity to the terminal part of colon. This is necessary to prevent the creation of a so-called rectovaginal pouch.
Both methods of surgeries use absorbable suturing material. Following the surgery, it is recommended to avoid sexual intercourse for up to six weeks. More information about vaginoplasty abroad can be found here.
This term refers to the surgical modification of the inner and outer lips of a woman’s vagina.
The labia minora in women often protrudes between the labia majora and may reach an unbelievable size. The goal of this surgery is to reduce the protruding inner lips, and in severe cases, sometimes even almost completely remove them. Because of their function we do not recommend their total removal.
The surgery is not especially difficult; it can be performed under local anesthesia, analgosedation, or if needed, under general anesthesia. We use absorbable material for the sutures and don’t recommend sexual intercourse for about one month.
There are several solutions:
It is possible to perform all the above surgeries under local anesthesia, although it is better under analgosedation or general anesthesia. More information about labiaplasty abroad can be found here.
This most often occurs in young women. There are also several solutions:
Much could be written about the reasons women decide to undergo this surgery.
There are several methods, although it is impossible to fully reconstruct the real hymen. The only goal of this surgery is bleeding during sexual intercourse so the man believes he was the first man for his partner.
Usually, a thin, short and small flap of mucosa is separated from the vaginal wall (approximately 1/3 of vaginal width.) It is then sewed very gently to the opposite vaginal wall. In this way, the vagina is not blocked too much to interfere with menstruation; but at the same time, the woman will bleed during sexual intercourse.
The surgery is not difficult for an experienced surgeon. It is better to perform the surgery under general anesthesia. More information about hymenoplasty abroad can be found here.
– Total (complete) removal of the penis’ foreskin; the foreskin is removed to the extent that the glans penis is uncovered. The sutured surgical wound is under the glans penis. More information about circumcision abroad can be found here.
Common reasons for this surgery include:
– An incomplete foreskin removal that is combined with the enlargement of the opening of the foreskin flap for the glans penis.
This type of procedure is usually done for medical reasons:
It is possible to perform both types of surgeries under general anesthesia with several hours or a one day stay in hospital. It can also be performed under local anesthesia as an out-patient procedure, when the patient goes home after surgery. The sutures are not removed as they are from an absorbable material. Sexual abstinence is necessary for approximately 3 to 4 weeks.
Many men have questions relating to the possibility of a penis enlargement or extension. It is necessary to keep in mind that this surgical procedure has its difficulties; and the risk for complications is great. If complications do occur, they can lead to irredeemable penis damage, not only anatomically but also functionally (penis deformation, erection defects, etc.)
– And perhaps even enlargement of the penis in volume. It involves several procedures; usually a combination is best.
It is necessary to wear a special weighted bandage to retain the achieved state for several weeks after this procedure. If this bandage is not worn, the penis could shorten back to its original size during the healing process.
The most advantageous method is to use one’s own tissue – usually a fat tissue:
The tissue is taken from the lower abdomen (for example) and is injected with subcutaneous injections into the penis.
This tissue is taken from the area of the lower border of the buttocks – elliptic tissue excision from both sides. The wound is sewn; the resulting scar is hidden in the fold under the buttocks.
This method comes with a high risk of necrosis of implanted tissue, purulence and so on; on one or both sides. An adequate cool and calm mode is necessary for 4 to 8 weeks. The effect is more visible and longer lasting. More information about penis enlargement abroad can be found here.
It is always necessary for doctors to know precisely what the patient has in mind; regarding both the result and the reasons for the desired surgery. Knowing this, we can hopefully meet the patient’s expectations; or inform them of the true possibilities. This is true for all cosmetic procedures.
Penis length and size enlargement is becoming a more and more frequent request to urologists and plastic surgeons.
One of the most used and oldest methods of enlargement is the release of ligaments in the penis combined with the release of fibers in the penis. Both these suspensor ligaments attach the penis to the pubic bone and essentially contribute to the arch between the root and the body of a flaccid penis.
After the release, the organ droops downwards and the root-body angle of the penis is balanced. This causes optical and real penis enlargement. The average length change after the procedure is usually around 2 to 3cm. The optical effect is perceived as being many times greater thanks to the associated hair removal.
The diagnosis is always relative and it must be considered very carefully. The average penis length of a European man is set from 12 to 16cm during erection and 6 to 10cm when flaccid. There are not many male individuals that differ from this average. In the case of an inborn small penis (micropenis) this procedure is not a sufficient solution. We also need to take into consideration the fact that the average vagina length is between 10 to 13cm and that the largest amount of sensitive endings is around the vaginal opening. So the length of the penis should not be a determining factor for a good sex life.
In order to ensure a trouble-free relationship between the surgeon and the patient, only men without psychological problems and with a normal ability to have sex before the procedure should be considered. The patient must be very well-informed and willing to accept the possible risks of the surgical procedure (see risks and disadvantages below.) The indication is to a great extent dependent on the personal courage of the surgeon; even when these rules are followed and the surgeon cooperates with a psychologist and sexologist.
A half-moon incision is made on the dorsum of the penis in the place where it joins the pubic bone. Alternatively, two shorter side incisions may be made in this area. There isn’t proof if one or two incisions are better. There are arguments for both cases for a better preservation of nerves or the vascular bundle.
After choosing the surgical procedure, tissues from the given place are carefully removed and we continue in the direction of the pubic bone attachment. We have to strictly preserve the arteria dorsalis penis on both sides, the dorsal penile veins and the nervus dorsalis penis on both sides. For this phase of the surgery some doctors recommend using microsurgical optics, especially glasses. This is followed by a partial or total release of suspensor ligaments of the penis, which attaches the penis to the pubic bone. We also release the ligament fibers of the penis that encircle the penis and erect it upwards. We stop any light bleeding and then sew the subcutis and the skin. We sterilely cover the treated area; the sutures are removed seven days after the procedure.
Compared to commercially recommended approaches such as treating the penis with ointments or extending it using various devices, we can, in most cases, expect objective penis enlargement in its flaccid phase to the above mentioned length. Together with hair removal, it can present at least partial satisfaction for many clients.
There is a risk of nerve damage, a risk of damage to the dorsal penile arteries and veins with all consequences. A big disadvantage is the relatively small length effect of the procedure. There is also the disadvantage of increased penis mobility in a circular degree when erect and an associated worsening ability to hold the penis in the right direction in the vagina during intercourse.
The procedure does not solve pre-operative unknown sexual dysfunctions or pre-operative unknown psychological issues of the client! Even with an experienced and well-performed procedure, it is hard to face unnecessary complaints from clients of a not improved or worse sexual life; impairment of erection; reduction of the sensitiveness of penis and so on.