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To whom and how is a ligamentotomy performed?

A man whose genital organ is small can opt for radical 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 aimed at enlarging the male genital organ.The method is based on the section of the supporting ligaments of the penis, which are located deep in the pelvis.After their cutting, the inner part of the penis is extended to a distance of 3 to 5 cm.During work, a device - an extender - is used.

Indications for surgery

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

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

Pros and cons

Ligamentotomy has alternative methods to increase the size of the penis.for example:

  1. Using a vacuum pump.
  2. Wearing an extender is temporary.
  3. Special exercises.
  4. Folk recipes.
  5. Phallus prosthetic surgery (an artificial implant is inserted).
  6. Lipofilling (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 of them can be compared to ligamentotomy in terms of efficiency, because it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is plastic surgery, not reconstruction, and is therefore considered a safer method.
  2. General anesthesia is excluded, which can be 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" extender for the rehabilitation period.
  4. Durability of the effect and a short recovery period after the intervention.
  5. During the operation, it is possible to additionally remove congenital and acquired defects and increase the penis not only in length, but also in thickness.
  6. Minimal number of adverse reactions.

Although the operation gives a 100% guarantee for penis enlargement, the final result may vary.For one man, the penis increases by 5 cm, and for another - only by 2. But the result largely depends on the anatomical structure of a certain 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 surgeon's professionalism.

Preparation

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

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

What the patient should do:

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

Before the operation, the surgeon must inform the patient about the course of the operation.Some doctors show a drawn diagram.

Performing an operation

The course of the operation includes several stages:

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

Ligamentotomy can be performed using the standard method, but in modern medicine, another type is used - by introducing fatty tissue into the cavity to increase the diameter of the penis.Also, plastic surgery differs according to 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 done through the pubis, now it is done through the scrotum, which opens up new possibilities:

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

Features of the procedure:

  • the skin is cut in the scrotal area (the upper part of the scrotum), after which the soft tissues are pulled;
  • access to the ligament apparatus is opened;
  • the superficial sling ligament is cut;
  • the suspensory ligament is prominent;
  • hemostasis is performed.

During the excision of the scrotum, the surgeon pays attention to the mobilization of the ligaments located along the branches of the dorsal vein and the spermatic cord.

Dissection in the pubic area

This is the first used method of penis enlargement.Its characteristic feature is the following:

  • excision is performed in the pubic area;
  • large scars remain;
  • high level of soft tissue trauma;
  • difficulties in surgery if the patient is overweight;
  • long rehabilitation period;
  • the formed scar in many cases does not allow the penis to fully move upwards.

Despite such disadvantages for the patient, this method is considered easier for the surgeon, because after the incision in the pubic part, full access to the ligamentous apparatus is available.

Duration and price of the operation

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

Ligamentotomy is not performed in state institutions, but mostly in private clinics.The price of the operation largely depends on the region, the level of qualifications 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 dissatisfaction, not psycho-emotional;
  • The operation will have to be postponed in case of skin diseases, because there is a risk of infection;
  • infectious diseases of the genitourinary system;
  • psychological instability confirmed by a psychotherapist.

Consequences of surgery and possible complications

Ligamentotomy is a safe operation, 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;
  • in the first month – reduced erection;
  • infection;
  • bleeding;
  • swelling;
  • reduced sensitivity;
  • formation of scars;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • prolapse of the scrotum.

Complications arise for various reasons:

  • unprofessionalism of the surgeon;
  • lack of appropriate sterility during surgery;
  • non-compliance by the patient during the rehabilitation period;
  • using various means to independently accelerate the healing process (without consulting a doctor).

Rehabilitation

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

Consultation with a doctor about rehabilitation after penis enlargement using ligamentotomy

What is included in rehabilitation:

  1. The extender can be inserted only on the second day, not earlier.Wear time is only a few hours.As you recover, the duration of wearing the device gradually increases, reaching 8 hours.
  2. Sexual contact in any form is strictly prohibited for 2 weeks.Intimacy should be allowed by the attending physician after a preliminary examination.Otherwise, various complications develop.
  3. After surgery, an MRI is needed to clarify the effectiveness.
  4. When a patient uses an expander, it is necessary to visit the doctor frequently for monitoring (the time of the visit is determined by the doctor on an individual level).
  5. Special attention is paid to intimate hygiene, which will prevent infection.
  6. Do not apply ointments and creams to the 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 a healthy diet.
  10. You cannot drink alcohol or drugs.

Reviews

  • "I had a ligamentotomy 3 years ago through the pubis. The operation was successful, but an ugly scar remained, although it did not cause any particular discomfort. The only thing is that when there is a full erection, the penis does not rise completely, but in bed it does not matter. Otherwise, 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 upright position my length is 16 cm (seemingly normal). Since there were no other problems, we decided to operate on me. We went to a private clinic. The price suited me, but the doctors did not really want me to take it, since I had no deviations, but I did various tests before. diagnostics, but the operation was completed in 15minutes.As a result, the penis increased by almost 3 cm, the intimate life improved, there are no scars.”
  • "I performed a ligamentotomy. The price, of course, is not small, but it is worth it. An incision was made on the scrotum. The result is excellent, +5 cm. During the rehabilitation period, however, there were severe complaints in the perineal area, and I accidentally got an infection, but I immediately ran to the clinic. I reacted quickly to the general clinic. I reacted quickly to the general. After only 3week I had free sex.But I warn that for about a few weeks the erectile sensitivity was slightly reduced, but my wife liked that ejaculation did not take a long time.After that, everything got better."

If you decide to enlarge the penis, perform a ligamentotomy, which has numerous advantages.But before that, weigh all the pros and cons so you don't regret it later and be sure to find a clinic where real professionals work.