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To whom and how is ligamentotomy performed?

A man whose genital organ is small in size may decide on 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 is aimed at enlarging 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 inner 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 the length of the penis 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 urethral opening 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 cavernous bodies of the organ with connective tissue (cavernous fibrosis);
  • hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

Ligamentotomy has alternative methods for increasing penis size.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 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 compare in effectiveness with ligamentotomy, because it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is a plastic surgery, not a reconstruction, and is therefore 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 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 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 thickness.
  6. Minimal number of adverse reactions.

Although the operation provides a 100% guarantee of penis enlargement, the end 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 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 diagnostics 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;
  • consultation with a psychologist to detect abnormalities.

What should the patient do:

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

Before surgery, the surgeon must tell 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 couch;
  • spinal anesthesia is administered;
  • 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, stretches 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 carried out according to the standard method, but in modern medicine another type of it is used - with the introduction of adipose 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.

Carrying out ligamentotomy – penis enlargement surgery

Excision in the scrotal area

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

  • The 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 fatty tissue;
  • maximum painlessness after and during surgery.

Features of the procedure:

  • the skin is cut in the area of the scrotum (the upper part of the seminal sac), after which the soft tissues are pulled apart;
  • access to the ligamentous apparatus is opened;
  • the superficial sling ligament is transected;
  • 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 method of penis enlargement that was used.Its distinctive feature is the following:

  • excision is made 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 formed scar in many cases does not allow the penis to fully 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, 10-20 minutes are enough.

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 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, as 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 area of excision;
  • painful 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;
  • prolapse of the scrotum.

Complications arise for various reasons:

  • unprofessionalism of the surgeon;
  • lack of proper sterility during surgery;
  • non-compliance by the patient during the rehabilitation period;
  • using various means to speed up 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.

Consultation with a doctor on rehabilitation after penis enlargement using ligamentotomy

What is included in rehabilitation:

  1. The extender can be put on only on the second day, not earlier.The wearing time is only a couple of hours.As you recover, the duration of wearing the device increases gradually, reaching 8 hours.
  2. For 2 weeks, sexual contact in any form is strictly prohibited.Intimacy should be permitted by the attending physician after a preliminary examination.Otherwise, various complications develop.
  3. After surgery, magnetic resonance imaging is required to clarify the effectiveness.
  4. When a patient uses an expander, it is necessary to visit a doctor frequently for monitoring (the visit time is set by the doctor on an individual level).
  5. Particular attention is paid to intimate hygiene, which will prevent infection.
  6. Do not apply ointments and creams to scars yourself.
  7. The sterile dressing is changed three times a day.
  8. Physical activity is excluded.
  9. It is necessary to adhere to the rules of healthy eating.
  10. You cannot drink alcohol or drugs.

Reviews

  • “I had a ligamentotomy 3 years ago through the pubis.The operation was successful, but I was left with an ugly scar, although it did not cause any particular discomfort.The only thing is that when a full erection occurs, the penis does not rise completely up, 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 (seemingly normal).Since there were no other problems, we decided to have surgery on me.We went to a private clinic.The price suited me, but the doctors didn’t really want to take it on, since I had no deviations, but we persuaded it.Before the operation, I had to take a lot of tests and do various diagnostics, but the operation was completed in 15 minutes.As a result, the penis has increased by almost 3 cm, intimate life has improved, there are no scars.”
  • “I did a ligamentotomy.The price, of course, is not small, but it's worth it.An incision was made on the scrotum.The result is excellent, +5 cm. During the rehabilitation period, however, there was severe 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 further.After just 3 weeks I was freely having sex.But I warn you that for about a couple of weeks, 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 ligamentotomy, which has many advantages.But before that, weigh all the pros and cons so that you don’t regret it later, and be sure to find a clinic where real professionals work.