Ligamentotomy is one of the most popular penis enlargement 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 only be achieved if the surgeon's recommendations are strictly followed and the extender is worn permanently.
Indications for surgery
The main indication for ligamentotomy is the length of the penis up to 12 cm in full excitement. The most common cause of a small penis is the anatomical structure (congenital micropenis). But the operation is performed in other cases:
- size reduction 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 cavernous bodies of the organ with connective tissue (cavernous fibrosis);
- hereditary diseases - Kallman or Klinefelter syndrome.
Contraindications to ligamentotomy
- The presence of mental illness at any stage;
- The location of the malignant tumor in the genital area;
- Presence of uncontrolled hypertension:
- Individual resistance of patients to painkillers, anticoagulants, the presence of allergic reactions to metal seams, 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 to this area and injuries to 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 area 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 accesses 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.
Transaction
The course of the operation consists of 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;
- probe the connective ligament;
- does his dissection with a scalpel;
- stretches the penis with slow, careful movements 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 version of it is also used - with the introduction of fatty tissue into the cavity to increase the diameter of the penis. Also, plastic differs in the types of excision - through the scrotum or pubis.
Excision in the scrotal area
This technique is considered the most modern and safe. If before they opened access to the ligament through the pubis, now they do it through the scrotum, which opens up new possibilities:
- operation time is reduced to 10-20 minutes;
- there is no scar;
- reduced soft tissue trauma;
- it became possible to perform surgical manipulations with a large amount of fatty tissue;
- maximum painless 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 pushed aside;
- opens access to the ligament apparatus;
- the superficial sling ligament is stopped;
- the supporting ligament is released;
- hemostasis is achieved.
During scrotal excision, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and the spermatic cords.
Incision in pubic area
It was the first method of penis enlargement that was used. Its particularity is as follows:
- excision is done in the pubic region;
- large scars remain;
- high level of soft tissue trauma;
- difficulties in operating with an overweight patient;
- long period of rehabilitation;
- the scar formed 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 some 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 expander is an indispensable device 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 hours or more per day. 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, an elongation of the penis is observed, but these figures hardly reach 2-3 cm. For example, if the length of a man's penis in a normal state barely reaches 12-13 cm, then after excision of the supporting ligament it will increase to 4 cm, but this does not mean that this resultwill be for anyone who performs a ligamentotomy.
In this case, the subsequent wearing of the expander plays an important role. If you wear it strictly in accordance with the scheme established by the doctor, the growth of the phallus will be much more noticeable than if you deviate from it. Ligamentotomy, the results of which directly depend on the individual structural features of the penis, is an effective way to enlarge the rod, 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 several months is difficult. Not everyone is able to use the device every day.
Is a ligamentotomy worth it?
So, to do or not to do? Not all men can decide on a ligamentotomy. Firstly, it is a responsible decision, and secondly, it is quite expensive. On the territory of our country, the cost of ligamentotomy can reach impressive sums 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 expander.
For obvious reasons, any urological center that respects the patient and performs ligamentotomy provides detailed information about this intimate operation on the site. 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 undergo an operation or to try to solve the problem in a less drastic way.
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, hospital stay, necessary medications, postoperative follow-up.