Ligamentotomy is one of the most popular methods of penis enlargement. Despite the fact that the operation is complicated by the rehabilitation period, it is quite effective. After the operation, the phallus increases by 2-5 cm in length. These indicators can be achieved only with strict adherence to the surgeon's recommendations and constant wearing of the extender.
Indications for surgery
The main indication for ligamentotomy is the length of the penis up to 12 cm at full arousal. The most common cause of a small penis is the anatomical structure (congenital micropenis). But the operation is 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 split);
- replacement of the corpora cavernosa of the organ with connective tissue (cavernous fibrosis);
- hereditary diseases - Kalman or Klinefelter syndrome.
Contraindications to ligamentotomy
- Presence of mental illness at every stage;
- The location of the malignant tumor in the genital area;
- Presence of uncontrolled hypertension:
- Individual resistance of the patient to painkillers, anticoagulants, the presence of allergic reactions to the metal suture, 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 in the lower body.
Preparation for ligamentotomy
The duration of the ligamentotomy depends on the method and takes 20-60 minutes. Before the operation, the man undergoes a standard examination, which includes:
- Consultation with urologist-surgeon and psychiatrist.
- Blood tests (clinical and biochemical).
- General urine analysis.
- Smear from the urethra.
- Blood test for syphilis, HIV infection and hepatitis.
- Electrocardiogram.
- Fluorography.
- Examination by an anesthesiologist.
Preparation for surgery begins 10 hours before, the patient is advised not to eat or drink, his inguinal area is shaved.
How to enlarge the penis by ligamentotomy?
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which 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 process of operation includes several stages:
- the patient is placed on a sterile couch;
- spinal anesthesia is applied; 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 gentle movements to the maximum length of the ligament (it is different for each person);
- the incision is sutured; a bandage is placed.
Ligamentotomy can be performed by the standard method, but in modern medicine another version is used - with the introduction of adipose tissue into the cavity to increase the diameter of the penis. Also, plastic differs in the types of cut - through the scrotum or pubis.
Excision in the scrotum
This technique is considered the most modern and safe. If they used to open access to the ligament through the pubis, now they do it through the scrotum, which opens up new possibilities:
- the operation 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 adipose tissue;
- maximum painlessness after and during surgery.
Characteristics of the procedure:
- the skin is cut in the scrotum (upper part of the seminal vesicle), after which the soft tissues are displaced;
- opens access to the ligament apparatus;
- the sling-like surface ligament is stopped;
- the supporting ligament is released;
- hemostasis is performed.
During excision of the scrotum, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and seminal vesicles.
Incision in the pubic area
This is the first method used to enlarge the penis. Its distinctive feature is the following:
- excision is performed in the pubic area;
- large scars remain;
- high level of soft tissue trauma;
- difficulty working with an overweight patient;
- long period of rehabilitation;
- the scar formed in many cases does not allow the penis to fully take upward direction.
Differences in methods
The sensations of pain in these two methods differ: in the first option, the exit through the scrotal area 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 cut the ligament through an incision over the pubic area, but this promises pain to the patient.
Plastic surgery is performed under local anesthesia. The duration of the operation is about 50 minutes. A bandage is placed at the end of the postoperative area. The sutures are removed after 2 weeks.
Rehabilitation after ligamentotomy. Extension cord
The dilator is a device that is a prerequisite after 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 a day. It is generally accepted that most of the extension 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, there is an elongation of the penis, but these figures barely reach 2-3 cm. For example, if the length of the penis of a normal person barely reaches 12-13 cm, then after cutting the supporting ligament will increase by 4 cm. this does not mean that this result will be for anyone who does a ligamentotomy.
In this case, further wearing of the extender plays an important role. If you wear it in strict accordance with the scheme prepared 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 trunk, 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 everyone 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. First, it 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 extension cord.
For obvious reasons, any urology center that respects the patient and performs ligamentotomy provides detailed information about this intimate operation on the website. Plastic lengthening of the penis by cutting 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 operate or try to solve the problem not so radically.
How Much Does Penis Enlargement Cost?
The cost of the operation depends on the qualification of the operating doctor. You should understand that this does not include consultation with a specialist, his examination, hospital stay, necessary medications, postoperative monitoring.