For whom and how is ligamentotomy performed?

A man whose genital organ is small may decide to resort to radical treatment methods such as surgery.In this case, the best way to enlarge the penis is ligamentotomy, which you will talk about in this article.

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Ligamentotomy refers to a surgical procedure 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 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 positioned incorrectly;
• curvature of the penis (Peyronie's disease);
• epispadias (the upper wall of the urethra is completely or partially divided);
• replacement of the organ's corpora cavernosa with connective tissue (cavernous fibrosis);
• hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

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

1. Using a vacuum pump.
2. Wearing an extender is temporary.
3. Special exercises.
4. Popular recipes.
5. Phallus prosthetic surgery (an artificial implant is installed).
6. Lipofilling (own biological material is introduced).
7. Introduction of hyaluronic acid, gel or synthetic implants into the genital organ.

Each method has its pros and cons, but none can be compared in terms of effectiveness with ligamentotomy, because it has the following advantages:

1. Unlike other surgical techniques, ligamentotomy is plastic surgery, not reconstruction, and is therefore considered a safer method.
2. General anesthesia is excluded, which may represent a contraindication for many men.Local anesthesia is used to reduce sensitivity.
3. The main feature is that it is not necessary to insert or implant various devices into the genital organ: prostheses, pumps, gels, frames, etc., which can harm the body.But only a “harmless” extension of the rehabilitation period.
4. Durability of the effect and short recovery period after surgery.
5. During the operation it is possible to further 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 guarantees 100% penis enlargement, the final result may vary.In one man, the penis increases by 5 cm, and in another only by 2. But the result largely depends on the anatomical structure of a particular organism.

Another disadvantage is the risk of infection and 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 sampling for general analyses, level of coagulation of the biological fluid, presence of infections;
• general urine collection to identify urinary and other bacteria;
• chest fluorography and cardiac electrocardiogram;
• tests to detect an allergic reaction to anesthetics;
• ultrasound examination of the pelvic organs;
• consultation with a psychologist to identify anomalies.

What the patient should do:

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

Before surgery, the surgeon must inform the patient about the progress of the operation.Some doctors show a drawn diagram.

Execution of the operation

The course of the operation includes several stages:

• the patient is placed on a sterile bed;
• spinal anesthesia is administered;
• monitor the body's reaction;
• the surgeon makes a small incision;
• palpate the connective ligament;
• he dissects it with a scalpel;
• with slow and careful movements, stretch 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 performed according to 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.Also, plastic surgery differs depending on 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 occurred through the pubis, now it occurs through the scrotum, which opens up new possibilities:

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

Characteristics 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 separated;
• access to the ligament system is opened;
• the superficial ligament of the sling is severed;
• the suspensatory ligament is highlighted;
• 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.

Dissection in the pubic area

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

• the excision is carried out in the pubic area;
• large scars remain;
• high level of soft tissue trauma;
• difficulty operating if the patient is overweight;
• long rehabilitation period;
• the scar formed in many cases does not allow the penis to completely take the upward direction.

Despite the many disadvantages for the patient, this method is considered easier for the surgeon, since after the incision in the pubic part complete access to the ligament 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 varies from 50 minutes to an hour.For scrotal type surgery 10-20 minutes are sufficient.

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 qualification of the surgeon and the clinic itself, as well as the type of surgery.

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, not psycho-emotional, dissatisfaction;
• The operation will have to be postponed in case of skin diseases, since 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 the 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:

• lack of professionalism of the surgeon;
• lack of adequate 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.

What is included in rehabilitation:

1. The extender can be applied only on the second day, not earlier.Usage time is only a couple of hours.As you recover, the duration of use of the device gradually increases, reaching 8 hours.
2. Sexual contact in any form is strictly prohibited for 2 weeks.Intimacy should be allowed by the attending physician after a preliminary examination.Otherwise various complications develop.
3. After surgery, MRI is required to clarify the effectiveness.
4. When a patient uses an expander, it is necessary to visit a doctor frequently for monitoring (the duration of the visit is established by the doctor on an individual level).
5. Particular attention is paid to intimate hygiene, which prevents 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 respect the rules of healthy eating.
10. You cannot drink alcohol or drugs.

Reviews

• "I underwent a pubic ligamentotomy 3 years ago. 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, 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 erection my length is 16 cm (apparently normal). Since there were no other problems, we decided to operate. We went to a private clinic. The price suited me, but the doctors didn't really want to take it, since I had no deviations, but we convinced him. Before the operation, I had to do a lot of tests and make various diagnoses, but thethe operation was completed in 15 minutes.As a result, the penis increased by almost 3 cm, intimate life 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 reacted quickly. In general, I tried not to touch the wound further.After only 3 weeks I was freely having sex.But I warn you that for about a couple of weeks the erectile sensitivity was slightly reduced, but my wife liked that ejaculation did not occur for a long time.After all, it got better."

If you decide to enlarge your penis, perform ligamentotomy, which has many advantages.But first, weigh all the pros and cons so as not to regret it later and be sure to find a clinic where real professionals work.