Ligamentotomy is one of the most popular methods for penis enlargement. Although the operation is complicated by the rehabilitation period, it has a fairly high efficiency. After surgery, the phallus grows 2-5 cm in length. These indicators can only be achieved if the surgeon's recommendations are strictly followed and the extender is worn constantly.
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 performed in other cases:
- size reduction after injury;
- hypospadias, in which the opening of the urethra is incorrectly placed;
- penile curvature (Peyronie's disease);
- epispadias (the upper wall of the urethra is completely or partially separated);
- replacement of the cavernous bodies of the organ with connective tissue (cave fibrosis);
- hereditary diseases - Kallman or Klinefelter syndrome.
Contraindications to ligamentotomy
- Presence of mental illness at any stage;
- Location of 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 coating, disinfectant solutions;
- Advanced infection of bacterial etiology;
- inflammatory processes in the genital area;
- Presence of diseases characterized by poor blood clotting;
- Previously transferred operations in this area and genital injuries;
- The presence of sexually transmitted diseases, infectious and inflammatory processes of the lower body.
Preparing for ligamentotomy
The duration of ligamentotomy depends on the method and lasts 20-60 minutes. Before the operation, the husband undergoes a standard examination, which includes:
- Consultation of urologist-surgeon and psychiatrist.
- Blood tests (clinical and biochemical).
- General urine analysis.
- A stain from the urethra.
- Blood test for syphilis, HIV infection and hepatitis.
- Electrocardiogram.
- Fluorography.
- Examination by an anesthesiologist.
Preparation for surgery begins 10 hours before, the patient is advised not to eat or drink, his inguinal region is shaved.
How is a penis lengthened with a ligamentotomy?
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which the surgeon gains access to the suspension ligament of the penis, which is cut with a scalpel. The duration of the operation is 0. 5-1 hours. Absorbable sutures are placed on the skin of the scrotum.
operation
The course of operation includes several phases:
- the patient is placed in a sterile bed;
- spinal anesthesia is given; monitor the body's reaction;
- the surgeon makes a small incision;
- connecting ligament probe;
- makes his dissection with a scalpel;
- stretches the penis with slow and careful movements up to the maximum length of the ligament (it is different for each person);
- the cut is sewn; a bandage is applied.
Ligamentotomy can be performed according to the standard method, but in modern medicine another version of it is also used - by inserting adipose tissue into the cavity to increase the diameter of the penis. Also, plastic varies in the types of excision - through the scrotum or pubis.
Excision in the scrotal region
This technique is considered the most modern and safest. If before they opened the entrance 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;
- reduction of soft tissue trauma;
- it became possible to perform surgical manipulations with a large amount of adipose tissue;
- without maximum pain after and during surgery.
Characteristics of the procedure:
- the skin is cut into the scrotum (the upper part of the seminal sac), after which the soft tissue is dispersed;
- opens the entrance to the ligament apparatus;
- the superficial ligament like the sling is stopped;
- the supporting ligament is released;
- hemostasis is performed.
When removing the scrotum, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and the spermatic cords.
Incisions in the pubic region
This is the first penis enlargement method that has been used. Its distinctive feature is as follows:
- excision is done in the pubic area;
- large wounds remain;
- high level of soft tissue trauma;
- difficulty operating with an overweight patient;
- long rehabilitation period;
- the scar formed in many cases does not allow the penis to fully take the direction upwards.
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 difficulty for the surgeon. In the second option, the doctor finds it easier to remove the ligament through an incision over the pubic region, but this promises the patient pain.
Plastic surgery is performed under local anesthesia. The duration of the operation is about 50 minutes. Finally a bandage is applied to the area after surgery. Sutures are removed after 2 weeks.
Rehabilitation after ligamentotomy. extender
Extender 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 should be used for more than 3 months for 4 or more hours a 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 can not 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 normal condition barely reaches 12-13 cm, then after the removal of the supporting ligament will increase to 4 cm But this does not mean that this result will be for all those who doligamentotomy.
In this case, the further extension of the extender plays an important role. If you wear it in strict accordance with the scheme designed by the doctor, then the growth of the phallus will be much more noticeable than when you deviate from it. Ligamentotomy, the results of which depend directly on the individual structural features 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 every person is able to use the device every day.
Is a ligamentotomy worth it?
So to do or not to do? Not every man can decide on a ligamentotomy. First, this is a responsible decision, and second, it is quite expensive. In the territory of our country, the cost of ligamentotomy can reach impressive 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 extender.
For obvious reasons, any urological center that respects the patient and performs ligamentotomy provides detailed information about this intimate surgery on the website. Plastic lengthening of the penis by cutting the suspending ligament is considered a simple and relatively safe operation. But no clinic will give an absolute guarantee. Therefore, the choice is yours - to have an operation or try to solve the problem not so radically.
How much does penis enlargement cost?
The cost of the operation depends on the qualifications of the operative doctor. You should understand that this does not include consultation with a specialist, his examination, hospital stay, necessary medications, post-operative monitoring.