Ligamentotomy is one of the most popular penis lengthening methods. Despite the fact that the operation is complicated by the rehabilitation period, it has a fairly high efficiency. After surgery, the phallus increases by 2-5 cm in length. These indicators can be achieved only if the surgeon's recommendations are strictly followed and the extender is constantly worn.
Indications for surgery
The main indication for ligamentotomy is the length of the penis 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, in which the urethral opening is located incorrectly;
- penis curvature (Peyronie's disease);
- epispadias (the upper wall of the urethra is completely or partially split);
- 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 painkillers, anticoagulants, the presence of allergic reactions to the metal seam, 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 on this area and injuries of the genitals;
- The presence of sexually transmitted diseases, infectious and inflammatory processes of the lower body.
Preparation for ligamentotomy
The duration of ligamentotomy depends on the method and takes 20-60 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 urine analysis.
- A smear 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. A skin incision is made in the middle 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 the operation is 0. 5-1 hour. Absorbable sutures are placed on the skin of the scrotum.
Operation
The course of operation includes several stages:
- the patient is placed on a sterile couch;
- spinal anesthesia is administered; monitor the reaction of the body;
- the surgeon makes a small incision;
- probes the connective ligament;
- makes its 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 of it is also used - with the introduction of adipose tissue into the cavity to increase the diameter of the penis. Also, the 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 earlier they opened access to the ligament through the pubis, now they do it through the scrotum, which opens up new possibilities:
- the time of the operation is reduced to 10-20 minutes;
- there is no scar;
- reduced traumatization of soft tissues;
- it became possible to perform surgical manipulations with a large amount of fatty tissue;
- maximum painlessness after and during the operation.
Features of the procedure:
- the skin is cut in the scrotum (upper part of the seminal sac), after which the soft tissues are moved apart;
- opens access to the ligamentous apparatus;
- the superficial sling-like ligament is stopped;
- the supporting ligament is released;
- hemostasis is performed.
During scrotal excision, the surgeon pays attention to the mobilization of ligaments located near the branches of the dorsal vein and the spermatic cords.
Incision in the pubic region
This is the first method of penis enlargement that has been used. Its distinctive feature is the following:
- excision is done in the pubic area;
- large scars remain;
- high level of traumatism of soft tissues;
- difficulties in operating with an overweight patient;
- long rehabilitation period;
- the formed scar 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, 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 region, but this promises the patient pain.
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 postoperative 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 lengthening process occurs from the third to the sixth month.
Results: before and after ligamentotomy
None of the methods can guarantee 100% penis enlargement. Even men who decide to have surgery cannot boast of the result they expected. In most cases, elongation of the penis is observed, but these figures barely reach 2-3 cm. For example, if a guy’s penis length in the normal state barely reaches 12-13 cm, then after excision of the supporting ligament it will increase to 4 cm. But this does not meanthat this result will be for everyone who does a ligamentotomy.
In this case, the further wearing of the extender plays an important role. If you wear it in strict accordance with the scheme drawn up by the doctor, then the growth of the phallus will be much 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 patience and diligence of the patient. After all, wearing an extender every day for many months is difficult. Not every person is able to 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. On 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 rating 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. Therefore, the choice is yours - to have an operation or to try to solve the problem not so radically.
How much does penis enlargement cost?
The cost of the operation depends on the qualifications of the operating doctor. You need to understand that this does not include consultations with a specialist, his examination, being in a hospital, necessary medications, postoperative monitoring.