Ligamentotomy is one of the most popular methods of lengthening the penis. Although the operation is complicated by the rehabilitation period, it has a very high efficiency. After surgery, the phallus increases by 2-5 cm in length. These indicators can only be achieved if the surgeon's recommendations are strictly followed and the extender is used constantly.
Indications for surgery
The main indication for ligamentotomy is a penis length of up to 12 cm during full arousal. The most common cause of a small penis is the anatomical structure (congenital micropenis). But the operation is carried out in other cases:
- size reduction after injury;
- hypospadias, where the urethral opening is incorrectly located;
- penile curvature (Peyronie's disease);
- epispadias (the upper wall of the urethra is totally or partially divided);
- replacement of the cavernous bodies of the organ with connective tissue (cavernous fibrosis);
- hereditary diseases - Kallman or Klinefelter syndrome.
Contraindications for ligamentotomy
- The presence of mental illness at any stage;
- The location of the malignant tumor in the genital area;
- Presence of uncontrolled hypertension:
- Individual patient resistance to analgesics, anticoagulants, presence of allergic reactions to metallic seams, disinfectant solutions;
- Advanced infection of bacterial etiology;
- Inflammatory processes in the genital area;
- The presence of diseases characterized by poor blood clotting;
- Previously transferred operations in this area and injuries to the genitals;
- The presence of sexually transmitted diseases, infectious and inflammatory processes of the lower body.
Preparation for ligamentotomy
The duration of the ligamentotomy depends on the method and takes from 20 to 60 minutes. Before the operation, the man undergoes a standard examination, which includes:
- Consultation of a urologist-surgeon and a psychiatrist.
- Blood tests (clinical and biochemical).
- General analysis of urine.
- A swab from the urethra.
- Blood test for syphilis, HIV infection and hepatitis.
- Electrocardiogram.
- Fluorography.
- Examination by the anesthesiologist.
Preparation for the operation begins 10 hours before, the patient is recommended not to eat or drink, his inguinal region is shaved.
How is the penis lengthened by ligamentotomy?
The operation is performed under anesthesia. An incision is made in the skin in the middle of the scrotum, through this incision the surgeon has access to the suspensory ligament of the penis, which is cut with a scalpel. The duration of the operation is 0. 5 to 1 hour. Absorbable sutures are placed on the skin of the scrotum.
Operation
The course of operation includes several steps:
- the patient is placed on a sterile stretcher;
- spinal anesthesia is administered; monitor the body's reaction;
- the surgeon makes a small incision;
- probe the connective ligament;
- performs his dissection with a scalpel;
- stretches the penis with slow and careful movements to the maximum length of the ligament (it is different for each person);
- the incision is sutured; a bandage is applied.
Ligamentotomy can be performed according to the standard method, but in modern medicine another version is also used - with the introduction of fatty tissue into the cavity to increase the diameter of the penis. Also, plastic differs in the types of excision - through the scrotum or pubis.
Excision in the scrotal region
This technique is considered the most modern and safe. If before they opened access to the ligament through the pubis, now they do it through the scrotum, which opens up new possibilities:
- operation time is reduced to 10-20 minutes;
- there is no scar;
- reduced soft tissue trauma;
- it became possible to perform surgical manipulations with large amounts of adipose tissue;
- maximum painless after and during the operation.
Procedure features:
- the skin is cut in the scrotum (upper part of the seminal sac), after which the soft tissues are separated;
- opens access to the ligament apparatus;
- the sling-like superficial ligament is interrupted;
- the supporting ligament is released;
- hemostasis is performed.
During scrotal excision, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and the spermatic cords.
Incision in the pubic region
This is the first penis enlargement method that has been used. Its distinguishing feature is as follows:
- excision is performed in the pubic region;
- great scars remain;
- high level of soft tissue trauma;
- difficulties in operating with an overweight patient;
- long period of rehabilitation;
- the scar formed in many cases does not allow the penis to fully take the upward direction.
Differences in methods
Pain sensations with these two methods differ: in the first option, the exit through the scrotal region is characterized by safety and painlessness for the patient, but certain difficulties for the surgeon. In the second option, it is easier for the doctor to excise the ligament through an incision above the pubic area, but this promises pain to the patient.
Plastic surgery is done under local anesthesia. The duration of the operation is about 50 minutes. At the end, a bandage is applied to the postoperative area. The sutures are removed after 2 weeks.
Rehabilitation after ligamentotomy. extender
An extender is a device that is a prerequisite after a ligamentotomy, without which there will be no post-operative effect and the operation will be in vain.
The device must be used for more than 3 months for 4 or more hours daily. It is generally accepted that most of the stretching process takes place in the third to sixth month.
Results: before and after ligamentotomy
Neither method can guarantee 100% penis enlargement. Even men who decide to have the surgery cannot boast of the result they expected. In most cases, an elongation of the penis is observed, but these figures barely reach 2-3 cm. For example, if the length of a man's penis in the normal state reaches only 12-13 cm, after excision of the supporting ligament, it will increase to 4 cm, but this does not mean that this result will be for everyone who does a ligamentotomy.
In this case, additional wear on the extender plays an important role. If you use it in strict accordance with the scheme drawn up by the doctor, the growth of the phallus will be much more noticeable than when you deviate from it. Ligamentotomy, the results of which depend directly on the individual structural characteristics of the penis, is an effective way to increase the axis, but at the same time, the effectiveness of the procedure is determined by the patient's patience and diligence. After all, using an extender every day for many months is difficult. Not all people can use the device every day.
Is a ligamentotomy worth it?
So to do or not to do? Not every man can decide on a ligamentotomy. Firstly, this is a responsible decision, and secondly, it is quite expensive. In the territory of our country, the cost of ligamentotomy can reach impressive amounts of tens of thousands of rubles, such a difference is determined by the qualifications of the plastic surgeon, the classification of the clinic and the price of the extender.
For obvious reasons, any urological center that respects the patient and performs ligamentotomy provides detailed information about this intimate operation on the website. Plastic lengthening of the penis by transection of the suspensory ligament is considered a simple and relatively safe operation. But no clinic will give an absolute guarantee. So the choice is yours - do an operation or try to solve the problem in a not-so-radical way.
How much does penis enlargement cost?
The cost of the operation depends on the qualifications of the operating physician. You need to understand that this does not include consultations with a specialist, your exam, being in a hospital, necessary medications, post-op monitoring.