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Who and how is 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 that aims to enlarge the male genital organ.The method is based on the intersection of the supporting ligaments of the penis, which are located deep in the pelvis.After cutting them, the internal part of the penis is extended to a distance of 3 to 5 cm.During the operation, a device is used - an extender.

Indications for surgery

The main indication for ligamentotomy is penile length 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 performed in other cases:

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

Pros and cons

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

  1. Using a vacuum pump.
  2. The use of an extender is temporary.
  3. Special exercises.
  4. Popular recipes.
  5. Phallic prosthetic surgery (an artificial implant is installed).
  6. Lipofilling (own biological material is introduced).
  7. Introduction of hyaluronic acid, gels or synthetic prostheses into the genital organ.

Each method has its pros and cons, but none can be compared in effectiveness with ligamentotomy, because it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is plastic surgery, not reconstruction, so it is considered a safer method.
  2. General anesthesia is excluded, which may be a contraindication for many men.Local anesthesia is used to reduce sensitivity.
  3. The main feature is that it is not necessary to insert or implant various devices in the genital organ (prostheses, pumps, gels, mounts, etc.) that can harm the body.But only a "harmless" extender for 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 girth.
  6. Minimum number of adverse reactions.

Although the operation offers a 100% guarantee of penis enlargement, the final 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, this depends on the patient's body and the professionalism of the surgeon.

Preparation

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

  • blood collection 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;
  • Consult a psychologist to detect abnormalities.

What should the patient do?

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

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

Carrying out the operation

The course of the operation includes several stages:

  • the patient is placed on a sterile stretcher;
  • spinal anesthesia is administered;
  • control the body's reaction;
  • the surgeon makes a small incision;
  • palpate the connective ligament;
  • he dissects it with a scalpel;
  • with slow and careful movements, stretch the penis 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 type is used: with the introduction of adipose 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 through the pubis.

Performing ligamentotomy – penis enlargement surgery

Excision in the scrotal area.

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

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

Features of the procedure:

  • the skin in the area of the scrotum (the upper part of the seminal sac) is cut, after which the soft tissues are separated;
  • access to the ligamentous apparatus is opened;
  • the superficial ligament of the sling is sectioned;
  • the suspensory ligament is highlighted;
  • Hemostasis is performed.

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 that was used.Its distinctive feature is the following:

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

Despite so many disadvantages 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 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 operation, 10 to 20 minutes are sufficient.

Ligamentotomy is not performed in government institutions but mainly in private clinics.The cost of the operation largely depends on the region, the level of qualification 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 generates physical, not psycho-emotional, dissatisfaction;
  • The operation will have to be postponed in case of skin diseases, since 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 sexual intercourse at first;
  • suppuration of sutures;
  • pain when urinating;
  • in the first month – decreased erection;
  • infection;
  • bleeding;
  • swelling;
  • decreased sensitivity;
  • scar formation;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • scrotal prolapse.

Complications arise for several reasons:

  • lack of professionalism of the surgeon;
  • lack of adequate sterility during surgery;
  • non-compliance by the patient during the rehabilitation period;
  • using various means to accelerate the healing process on your own (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.

Consult a doctor about rehabilitation after penis enlargement through ligamentotomy.

What is included in rehabilitation:

  1. The extender can be placed only on the second day, not before.Use time is only a couple of hours.As you recover, the duration of use of the device gradually increases, reaching 8 hours.
  2. For 2 weeks, sexual contact in any form is strictly prohibited.The treating doctor should allow intimacy after a preliminary examination.Otherwise, various complications develop.
  3. After surgery, an MRI is required to clarify the effectiveness.
  4. When a patient uses an expander, it is necessary to visit the doctor frequently for follow-up (the visit time is set by the doctor on an individual level).
  5. Special attention is paid to intimate hygiene, which will prevent infections.
  6. Do not apply ointments or creams on scars yourself.
  7. The sterile dressing is changed three times a day.
  8. Physical activity is excluded.
  9. It is necessary to comply with the rules of healthy eating.
  10. You cannot drink alcohol or drugs.

Reviews

  • "3 years ago I had a ligamentotomy through the pubis. The operation was successful, but I was left with an ugly scar, although it did not cause me any special discomfort. The only thing is that when a full erection occurs, the penis does not rise completely, but in bed this 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 surgery. We went to a private clinic. The price suited me, but the doctors did not really want to take it on, since I had no deviations, but we convinced them. Before the operation, I had to do a lot of tests and various diagnoses, but the operation was completed in 15minutes.As a result, the penis has increased by almost 3 cm, intimate life has improved and there are no scars.”
  • "I had a ligamentotomy. The price, of course, is not small, but it is worth it. An incision was made in the scrotum. The result is excellent, +5 cm. During the rehabilitation period, however, I felt strong discomfort in the perineal area, and I also accidentally got an infection, but I immediately ran to the clinic. It's good that you responded quickly. In general, I tried not to touch the wound anymore. After only 3weeks, I was having sex freely.But I warn you that for a couple of weeks or so the erectile sensitivity was slightly reduced, but my wife liked that ejaculation did not occur for a long time.After that everything got better."

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