For whom and how is ligamentotomy performed?

A man whose genital organ is small 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.

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Ligamentotomy refers to a surgical procedure that aims to enlarge the male genital organ.The method is based on the intersection of the ligaments supporting the penis, 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 operation, a device is used - an extender.

Indications for surgery

The main indication for ligamentotomy is a penis length of 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:

• size reduction 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 organ's cavernous bodies with connective tissue (cavernous fibrosis);
• hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

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

1. Using a vacuum pump.
2. Using an extender is temporary.
3. Special exercises.
4. Popular recipes.
5. Prosthetic phallus 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 compares in effectiveness to ligamentotomy, as it has the following advantages:

1. Unlike other surgical techniques, ligamentotomy is plastic surgery and not reconstruction, which is why 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 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 just a “harmless” extension of 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. 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 specific 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, biological fluid coagulation level, presence of infections;
• general urine collection to identify urinary and other bacteria;
• chest fluorography and cardiac electrocardiogram;
• test to detect allergic reaction to anesthetics;
• ultrasound examination of the pelvic organs;
• consultation with a psychologist to detect abnormalities.

What the patient should do:

• the day before surgery, do not drink alcohol or drugs;
• for three days do not take certain groups of medications (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 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 table;
• spinal anesthesia is administered;
• monitor the body's reaction;
• the surgeon makes a small incision;
• palpate the connective ligament;
• dissects with scalpel;
• with slow and careful movements, stretches the penis to the maximum length of the ligament (it is different for everyone);
• the incision is sutured;
• a bandage is applied.

Ligamentotomy can be performed using 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.Furthermore, plastic surgery differs according to the type of excision - through the scrotum or pubis.

Excision in the scrotal area

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

• Operating time is reduced to 10 to 20 minutes;
• there is no scar;
• soft tissue trauma has decreased;
• it became possible to carry out surgical manipulations with a large amount of adipose tissue;
• maximum absence of pain after and during surgery.

Features of the procedure:

• the skin is cut in the scrotum area (upper part of the seminal sac), after which the soft tissues are separated;
• access to the ligamentous apparatus is open;
• the superficial sling ligament is divided;
• the suspensory ligament is detached;
• hemostasis is achieved.

During scrotal excision, the surgeon pays attention to the mobilization of the ligaments located close to the branches of the dorsal vein and spermatic cords.

Dissection in the pubic region

This is the first penis enlargement method used.Its distinctive feature is as follows:

• excision is made in the pubic region;
• large scars remain;
• high level of soft tissue trauma;
• difficulties in operation if the patient is overweight;
• long period of rehabilitation;
• The scar formed in many cases does not allow the penis to fully assume an upward direction.

Despite so many disadvantages for the patient, this method is considered easier for the surgeon, as 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 made through the pubis, the time varies from 50 minutes to one hour.For 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 generates physical, and not psycho-emotional, dissatisfaction;
• The operation should be postponed in case of skin diseases, as there is a risk of infection;
• infectious diseases of the genitourinary system;
• mental instability confirmed by 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;
• prolapse of the scrotum.

Complications arise for several reasons:

• lack of professionalism of the surgeon;
• lack of adequate sterility during surgery;
• patient non-adherence 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.

What is included in rehabilitation:

1. The extender can only be placed on the second day, not before.Usage time is just a few hours.As you recover, the time you use the device gradually increases, reaching 8 hours.
2. For 2 weeks, sexual contact in any form is strictly prohibited.Intimacy must be allowed by the attending physician after a preliminary examination.Otherwise, various complications will develop.
3. After surgery, an MRI is required to clarify the effectiveness.
4. When the patient uses an expander, it is necessary to consult the doctor frequently for follow-up (the appointment time is defined by the doctor individually).
5. Particular attention is paid to intimate hygiene, which will prevent infections.
6. Do not apply ointments and creams to scars.
7. The sterile dressing is changed three times a day.
8. Physical activity is excluded.
9. It is necessary to follow the rules of healthy eating.
10. You cannot drink alcohol or drugs.

Reviews

• "I had a ligamentotomy 3 years ago on the pubis. The operation was successful, but I was left with an ugly scar, although it did not cause 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. In fact, 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 on me. We went to a private clinic. The price suited me, but the doctors didn't really want to take on it, as I had no deviations, but we convinced him. Before the operation, I had to take a lot of tests and make several diagnoses, but the operation wascompleted in 15 minutes.As a result, the penis increased by almost 3 cm, intimate life improved, there are no scars.”
• "I had a ligamentotomy. The price, of course, is not small, but it's worth it. An incision was made in the scrotum. The result is excellent, +5 cm. During the rehabilitation period, however, there was 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 just 3 weeks I was having sex freely. Butnotice that for about a few weeks the erectile sensitivity decreased slightly, 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, undergo 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.