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 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:
- reduction in size after injury;
- hypospadias, in which the urethral opening is located incorrectly;
- 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 with connective tissue (cavernous fibrosis);
- hereditary diseases - Kallman's or Klinefelter's 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 the patient 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 to the genitals;
- The presence of sexually transmitted diseases, infectious and inflammatory processes of 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 of a surgeon-urologist and a psychiatrist.
- Blood tests (clinical and biochemical).
- General urine analysis.
- A spot from the urethra.
- Blood test for syphilis, HIV infection and hepatitis.
- Electrocardiogram.
- Fluorography.
- Examination of the anesthetist.
Preparation for the operation begins 10 hours earlier, the patient is recommended not to eat or drink, his groin region is shaved.
How is the penis lengthened with a 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.
Operation
The course of the operation involves several phases:
- the patient is placed on a sterile bed;
- spinal anesthesia is administered; monitor the reaction of the body;
- the surgeon makes a small incision;
- probes the connective ligament;
- does its dissection with a scalpel;
- lengthen 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 is also used, with the introduction of fatty tissue into the cavity to increase the diameter of the penis. In addition, the plastic differs in the types of excision, through the scrotum or the pubis.
Excision in the scrotal region
This technique is considered the most modern and safe. If before they opened access to the ligament through the pubis, now they do so 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 adipose tissue;
- maximum painless after and during the operation.
Features of the procedure:
- the skin is cut into the scrotum (upper part of the seminal sac), after which the soft tissues are pushed away;
- opens access to the ligament apparatus;
- the superficial sling ligament is stopped;
- the supporting ligament is released;
- hemostasis is performed.
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 the pubic region
This is the first penis enlargement method that has been used. Its distinguishing feature is as follows:
- excision is performed in the pubic area;
- large scars remain;
- high level of soft tissue trauma;
- difficulty in working with an overweight patient;
- long rehabilitation period;
- 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, the 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 remove the ligament through an incision over the pubic region, but this promises pain to the patient.
Plastic surgery is performed under local anesthesia. The duration of the operation is approximately 50 minutes. Finally, a bandage is applied to the postoperative area. The sutures are removed after 2 weeks.
Rehabilitation after ligamentotomy. Extender
An extensor 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 per day. It is generally accepted that most of the stretching process takes place from the third to the sixth month.
Results: before and after the ligamentotomy
None of the methods can guarantee 100% penis enlargement. Even men who decide to undergo surgery cannot boast of the result they expected. In most cases, an elongation of the penis is observed, but these figures barely reach 2-3 cm. For example, if the length of a boy's penis in the normal state barely reaches 12-13 cm, after excision of the ligament of support will increase it to 4 cm. But this does not mean that this result will be for everyone who performs a ligamentotomy.
In this case, the additional wear and tear of the extender plays an important role. If you wear it in strict accordance with the pattern worked out by the doctor, the growth of the phallus will be much more noticeable than when it deviates from it. Ligamentotomy, the results of which directly depend on the individual structural characteristics of the penis, is an effective way to widen the shaft, but at the same time the effectiveness of the procedure is determined by the patient's patience and diligence. After all, wearing an extender every day for many months is difficult. Not all people are able to use the device every day.
Is a ligamentotomy worth doing?
So, to do or not to do? Not all men 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 staggering amounts of tens of thousands of rubles, such a difference is determined by the qualifications of the plastic surgeon, the evaluation of the clinic and the price of the extensor.
For obvious reasons, any urological center that respects the patient and performs the 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 undergo an operation or try to solve the problem in a not so radical way.
How much does penis enlargement cost?
The cost of the operation depends on the qualifications of the operating doctor. It is necessary to understand that this does not include consultations with a specialist, his examination, stay in the hospital, the necessary medications, postoperative monitoring.