Ligamentotomy is one of the most popular methods of lengthening the penis. Despite the fact that the operation is complicated by the recovery period, it has a relatively high efficiency. After surgery, the phallus grows 2-5 cm in length. This indicator can be achieved only if the surgeon’s recommendations are strictly adhered to and the extender is always worn.
Indications for surgery
The main indication for ligamentotomy is a length of the penis up to 12 cm during full stimulation. The most common cause of a small penis is its anatomical structure (congenital micropenis). But the operation is carried out in other cases:
- size reduction after injury;
- hypospadias, in which the opening of the urethra is located incorrectly;
- penile curvature (Peyronie's disease);
- epispadias (upper wall of urethra split completely or partially);
- replacement of cavernous organs with connective tissue (cavernous fibrosis);
- hereditary diseases - Kallman or Klinefelter syndrome.
Contraindications to ligamentotomy
- The presence of mental illness at any stage;
- Location of malignant tumors in the genital area;
- Presence of uncontrolled hypertension:
- Individual patient resistance to painkillers, anticoagulants, the presence of allergic reactions to metal sutures, disinfectant solutions;
- Advanced infections of bacterial etiology;
- Inflammatory processes in the genital area;
- The presence of a disease characterized by poor blood clotting;
- Previously transferred surgery in this area and injuries to the genitals;
- The presence of sexually transmitted diseases, infectious processes and inflammation of the lower body.
Preparation for ligamentotomy
The duration of the ligamentotomy depends on the method and takes 20-60 minutes. Prior to surgery, the man underwent standard examinations, which included:
- Consultation of urologists-surgeons and psychiatrists.
- Blood tests (clinical and biochemical).
- General urine analysis.
- One smear from the urethra.
- Blood tests for syphilis, HIV infection and hepatitis.
- Electrocardiogram.
- Fluorography.
- Examination by an anesthesiologist.
Preparation for surgery begins 10 hours before that, the patient is recommended not to eat or drink, his inguinal area is shaved.
How is the penis lengthened by ligamentotomy?
The operation was performed under anesthesia. A skin incision is made in the center of the scrotum, through this incision the surgeon gains access to the suspensory ligament of the penis, which is cut with a scalpel. The duration of operation is 0. 5-1 hours. Absorbable sutures are placed on the skin of the scrotum.
Operation
The operation course includes several levels:
- the patient is placed on a sterile sofa;
- spinal anesthesia is given; monitor the body's response;
- the surgeon makes small incisions;
- investigate the connective ligaments;
- make his surgery with a scalpel;
- stretch the penis with slow and careful movements to the maximum length of the ligaments (it is different for each person);
- stitched slices; bandages are applied.
Ligamentotomy can be performed according to standard methods, but in modern medicine, another version is also used - with the introduction of adipose tissue into the cavity to increase the diameter of the penis. Also, plastics differ in the type of isolation - through the scrotum or pubis.
Excision in the scrotal region
This technique is considered the most modern and safe. If previously they opened access to the ligaments through the pubis, now they do so through the scrotum, which opens up new possibilities:
- operating time is reduced to 10-20 minutes;
- no scars;
- reduce soft tissue trauma;
- it becomes possible to perform surgical manipulations with large amounts of adipose tissue;
- maximum pain after and during surgery.
Procedure characteristics:
- the skin is cut in the scrotum (the top of the seminal sac), after which the soft tissue is removed;
- opening access to the ligament apparatus;
- superficial sling -like ligaments are stopped;
- the supporting ligaments are released;
- hemostasis is performed.
During scrotal isolation, the surgeon pays attention to the mobilization of ligaments located near the branches of the dorsal vein and spermatic cord.
Incision in the genital area
This is the first method of penis enlargement that has been used. Its special features are as follows:
- incisions are made in the genital area;
- large scars remain;
- high traumatic levels of soft tissues;
- difficulties in surgery with overweight patients;
- long recovery period;
- the scars that form in many cases do not allow the penis to take an upward direction completely.
Method differences
The sensation of pain with these two methods is different: in the first option, the exit through the scrotal area is characterized by safety and pain not for the patient, but a certain difficulty for the surgeon. In the second option, it is easier for the doctor to remove the ligament through an incision above the genital area, but this promises pain to the patient.
Plastic surgery is performed under local anesthesia. The duration of the operation is about 50 minutes. Finally, a bandage is applied to the postoperative area. Sutures were removed after 2 weeks.
Recovery after ligamentotomy. Extender
The extender is a device that is a prerequisite after ligamentotomy, without which there will be no postoperative effect, and the operation will be futile.
The device must be used for more than 3 months for 4 hours or more per day. It is generally accepted that most of the lengthening process occurs from the third to the sixth month.
Results: before and after ligamentotomy
There is no method that can guarantee 100% penis enlargement. Even men who decide to undergo surgery cannot be proud of the results they expect. In most cases, elongation of the penis is observed, but this figure barely reaches 2-3 cm. For example, if the length of the male penis in normal conditions barely reaches 12-13 cm, then after cutting the supporting ligament it will increase to 4 cm. But this does not mean that this decision is for everyone who performs a ligamentotomy.
In this case, further application of the extender plays an important role. If you wear it strictly according to the scheme prepared by the doctor, then the growth of the phallus will be more noticeable than when deviating from it. Ligamentotomy, the results of which directly depend on the individual structural features of the penis, is an effective way to enlarge the shaft, but at the same time, the effectiveness of the procedure is determined by the patient’s patience and perseverance. After all, wearing an extender every day for months is difficult. Not everyone can use the device every day.
Is a ligamentotomy worth it?
So, do you want to do it or not? Not every man can decide on a ligamentotomy. First, this is a responsible decision, and second, it is quite expensive. In the territory of our country, the cost of ligamentotomy can reach an impressive amount of tens of thousands of rubles, the difference is determined by the qualifications of plastic surgeons, clinical ratings and the price of the extender.
For obvious reasons, any urology center that respects patients and performs ligamentotomy provides detailed information about this intimate operation on its website. Plastic elongation of the penis through suspensory ligament transection is considered a simple and relatively safe operation. But no clinic will give an absolute guarantee. So the choice is yours - to undergo surgery or try to solve a problem is not so radical.
How Much Does Penis Enlargement Cost?
The cost of surgery depends on the qualifications of the surgeon. You need to understand that this does not include consultation with a specialist, his examination, being in the hospital, the necessary medications, postoperative monitoring.