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Who and how is ligamentotomy performed?

A man whose genital organ is small may opt for drastic treatment methods such as surgery.In this case, the best way to enlarge the penis is ligamentotomy, which you will learn about in this article.

Ligamentotomy refers to a surgical procedure to enlarge the male genital organ.The method is based on the intersection of the supporting ligaments of the penis, located deep in the pelvis.After cutting them, the inner part of the penis is extended to a distance of 3-5 cm.During the operation, a device is used - an extender.

Surgical indications

The main indication for ligamentotomy is penis length up to 12 cm in full arousal.The most common reason for a small penis is the anatomical structure (congenital micropenis).But the operation is also carried out in other cases:

  • reduction in size after injury;
  • hypospadias, in which the urethral opening is poorly located;
  • curvature of the penis (Peyronie's disease);
  • epispadias (the upper wall of the urethra is completely or partially split);
  • replacement of the corpus cavernosum of the organ with connective tissue (cavernous fibrosis);
  • hereditary diseases - Kallman or Klinefelter syndrome.

Advantages and disadvantages

Ligamentotomy offers alternative methods to increase penis size.For example:

  1. Using a vacuum pump.
  2. Wearing an extension cord is temporary.
  3. Special exercises.
  4. Folk recipes.
  5. Prosthetic surgery of the phallus (an artificial implant is placed).
  6. Lipofilling (the own biological material is introduced).
  7. Introduction of hyaluronic acid, gels or synthetic prostheses into the genital organ.

Each method has its advantages and disadvantages, but none can compare in effectiveness to ligamentotomy, as it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is a plastic surgery and not a reconstruction and is therefore considered a safer method.
  2. General anesthesia is excluded, which may constitute a contraindication for many men.Local anesthesia is used to reduce sensitivity.
  3. The main feature is that there is no need to insert or implant various devices into the genital organ - prostheses, pumps, gels, frames, etc., which can harm the body.But only a “harmless” extension of the rehabilitation period.
  4. Durability of the effect and short recovery period after the intervention.
  5. During the operation, it is possible to additionally eliminate congenital and acquired defects and increase the penis not only in length, but also in thickness.
  6. Minimal number of adverse effects.

Although the operation offers a 100% guarantee of penis enlargement, the end result may vary.For one man, the penis increases by 5 cm, and for another - only 2. But the result largely depends on the anatomical structure of a particular organism.

Another disadvantage is the risk of infection, as well as the development of complications.But again, it depends on the patient's body and the professionalism of the surgeon.

Preparation

This plastic surgery requires special preparation which consists of a prior examination of the patient.For this, the following diagnostics are prescribed:

  • blood sampling for general analysis, level of coagulation of biological fluid, presence of infections;
  • general urine collection to identify urinary and other bacteria;
  • chest fluorography and cardiac electrocardiogram;
  • test to detect an allergic reaction to anesthetics;
  • ultrasound examination of the pelvic organs;
  • consultation with a psychologist to detect anomalies.

What should the patient do:

  • the day before the surgical procedure, do not take alcoholic beverages or drugs;
  • for three days do not take certain groups of medications (most often anticoagulants that inhibit the clotting of blood fluid);
  • 6 hours before the surgical procedure, do not eat or drink;
  • carefully shave the groin area;
  • swim.

Before the surgical procedure, the surgeon must inform the patient of the progress of the operation.Some doctors show a drawn diagram.

Carrying out the operation

The operation consists of several stages:

  • the patient is placed on a sterile couch;
  • spinal anesthesia is administered;
  • monitor the body's reaction;
  • the surgeon makes a small incision;
  • palpate the connective ligament;
  • dissects it with a scalpel;
  • with slow, careful movements, stretch the penis to the maximum length of the ligament (this is different for each person);
  • the incision is sutured;
  • a dressing is applied.

Ligamentotomy can be performed according to the standard method, but in modern medicine another type is used - with the introduction of fatty tissue into the cavity to increase the diameter of the penis.In addition, plastic surgery differs depending on the type of excision - through the scrotum or pubis.

Performing a ligamentotomy – penis enlargement surgery

Excision in the scrotal area

This technique is considered the most modern and safest.If previously access to the ligament was via the pubis, it is now via the scrotum, which opens up new possibilities:

  • Operating time is reduced to 10-20 minutes;
  • there is no scar;
  • soft tissue trauma decreased;
  • it became possible to carry out surgical manipulations with a large amount of fatty tissue;
  • Maximum painlessness after and during surgery.

Features of the procedure:

  • the skin is cut at the level of the scrotum (the upper part of the seminal sac), after which the soft tissues are separated;
  • access to the ligamentous apparatus is open;
  • the superficial sling ligament is severed;
  • the suspensory ligament is highlighted;
  • hemostasis is achieved.

During scrotal excision, the surgeon pays attention to the mobilization of the ligaments located next to the branches of the dorsal vein and the spermatic cords.

Dissection in the pubic area

This is the first penis enlargement method used.Its particularity is as follows:

  • excision is performed in the pubic area;
  • large scars remain;
  • high level of soft tissue trauma;
  • difficulties in operation if the patient is overweight;
  • long rehabilitation period;
  • In many cases, the scar formed does not allow the penis to completely take the upward direction.

Despite many inconveniences for the patient, this method is considered easier for the surgeon, since after an incision in the pubic part, full access to the ligamentous apparatus is available.

Duration and cost of the operation

The duration of surgical interventions depends on the type of operation.If the excision is performed through the pubis, the duration varies from 50 minutes to an hour.For the scrotal type of operation, 10 to 20 minutes is enough.

Ligamentotomy is not performed in government institutions, but mainly in private clinics.The cost of the operation largely depends on the region, the qualification level of the surgeon and the clinic itself, as well as the type of surgical intervention.

Contraindications

Ligamentotomy is prohibited in the following cases:

  • if the size of the genital organ is larger than normal (12 cm);
  • in cases where the normal length of the phallus creates physical and not psycho-emotional dissatisfaction;
  • The operation must be postponed in the event of skin diseases, as there is a risk of infection;
  • infectious diseases of the genitourinary system;
  • mental instability confirmed by a psychotherapist.

Consequences of the operation and possible complications

Ligamentotomy is a safe surgical procedure, but in some cases the following consequences occur:

  • inflammatory processes under the skin in the excision area;
  • painful intercourse at first;
  • suppuration of sutures;
  • pain when urinating;
  • during the first month – decrease in erection;
  • infection;
  • bleeding;
  • swelling;
  • decreased sensitivity;
  • scar formation;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • scrotal prolapse.

Complications arise for various reasons:

  • lack of professionalism of the surgeon;
  • lack of proper sterility during surgery;
  • non-compliance of the patient during the rehabilitation period;
  • use various means to speed up the healing process on your own (without consulting a doctor).

Rehabilitation

Not only the quality of the operation affects the result, but also the actions of the person during the recovery period.

Consultation with a doctor about rehabilitation after penis enlargement by ligamentotomy

What is included in rehabilitation:

  1. The extension can only be put in place on the second day, not earlier.The shipping time is only a few hours.As you recover, the time you wear the device gradually increases, reaching 8 hours.
  2. For 2 weeks, any sexual contact in any form is strictly prohibited.Privacy must be authorized by the attending physician after a preliminary examination.Otherwise, various complications develop.
  3. After surgery, magnetic resonance imaging is necessary to clarify the effectiveness.
  4. When a patient uses an expander, it is necessary to frequently visit a doctor for control (the time of the visit is set individually by the doctor).
  5. Particular attention is paid to intimate hygiene, which will prevent infections.
  6. Do not apply ointments and creams to scars yourself.
  7. The sterile dressing is changed three times a day.
  8. Physical activity is excluded.
  9. It is necessary to follow the rules of healthy eating.
  10. You cannot drink alcohol or drugs.

Notice

  • "3 years ago I underwent pubic ligamentotomy. The operation was successful, but I got an ugly scar, although it did not cause any special discomfort. The only thing is that when a full erection occurs, the penis does not rise completely, but in bed it does not matter. By the way, I increased the size by 3.7 cm.
  • "My wife and I had problems in bed; my length was not enough for her, although in an erect state my length is 16 cm (apparently normal). Since there were no other problems, we decided to have an operation on me. We went to a private clinic. The price suited me, but the doctors didn't really want to accept it, because I had no deviations, but we persuaded him. Before the operation, I had to go througha lot oftests and make various diagnostics, but the operation was completed in 15 minutes.Result: the penis has increased by almost 3 cm, intimate life has improved, there are no more scars.
  • "I made a ligamentotomy. The price, of course, is not small, but it's worth it. An incision was made on the scrotum. The result is excellent, +5 cm. During the rehabilitation period, however, there was severe discomfort in the perineal area, and I also accidentally got an infection, but I immediately ran to the clinic. It's good that you reacted quickly. In general, I tried not todo not touch the wound further.After just 3 weeks, I was having sex freely.But I warn you that for about a few weeks erectile sensitivity was slightly reduced, but my wife liked that ejaculation did not occur for a long time.Afterwards, everything got better.”

If you decide to enlarge your penis, have a ligamentotomy, which has many advantages.But before that, weigh the pros and cons so as not to regret it later, and be sure to find a clinic where real professionals work.