To whom and how is the ligamentotomy performed?

A man whose genitals are small may opt for radical treatments 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 aims to enlarge a man’s penis. 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 extends 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 cause of a small penis is its anatomy (congenital micropenis). But the operation is performed in other cases:

  • size reduction after injury;
  • hypospadias, in which the opening of the urethra is not placed correctly;
  • curvature of the penis (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 (cavernous fibrosis);
  • hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

Ligamentotomy has alternative methods of enlarging the penis in 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 (inserts its biological material).
  7. Insertion of hyaluronic acid, gel or synthetic prostheses into the genitals.

Each method has its pros and cons, but none can be compared effectively to ligamentotomy because it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is a plastic, 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 it is not necessary to insert and place various devices on the penis - prostheses, pumps, gels, frames, etc. , Which can harm the body. And just a "harmless" extender for the rehabilitation period.
  4. Stability of effect and short recovery time after intervention.
  5. During surgery, you can also eliminate congenital and acquired defects, increase the penis not only in length but also in thickness.
  6. Minimum number of adverse reactions.

Although surgery gives a 100% guarantee of penis enlargement, the end result may vary. In one man, the penis grows by 5 cm, while in another - by only 2. But the result depends mainly on the anatomical structure of a particular organism.

Another disadvantage is the risk of infection as well as the development of complications. But again, it depends on the patient's body and the surgeon's professionalism.

training

This plastic surgery requires special training, which consists of a preliminary examination of the patient. For this, the following diagnostics are assigned:

  • blood collection for a general analysis, the level of coagulation of biological fluid, the presence of infections;
  • general urine collection for detection of urinary and other bacteria;
  • chest fluorography and electrocardiogram of the heart;
  • test to identify an allergic reaction to anesthetics;
  • ultrasound examination of the pelvic organs;
  • consulting a psychologist to detect deviations.

What should the patient do:

  • the day before surgery, do not take alcoholic beverages, medications;
  • for three days, do not take certain groups of medications (most often anticoagulants, which inhibit blood clotting);
  • do not eat or drink 6 hours before surgery;
  • carefully shave the hip area;
  • notes.

Before surgery, the surgeon should tell the patient about the course of the surgery. Some doctors show a drawn diagram.

Operation

The operation process includes several stages:

  • the patient is placed in a sterile bed;
  • spinal anesthesia is administered;
  • monitor body response;
  • the surgeon makes a small incision;
  • investigates the connecting ligament;
  • does its disassembly with scalpel;
  • stretches the penis with slow and careful movements to the maximum length of the ligament (it is different for each person);
  • the dissection is stitched;
  • a bandage is applied.

Ligamentotomy can be performed according to the standard method, but in modern medicine another type of it is used - by inserting adipose tissue into the cavity to increase the diameter of the penis. Also, plastic varies in the type of incision - through the scrotum or pubis.

Ligamentotomy - surgery to enlarge the penis

Incision in the scrotal region

This technique is considered more modern and safer. If before they opened access to the ligament through the pubis, now they do it through the scrotum, which opens up new possibilities:

  • operating time is reduced to 10-20 minutes;
  • there is no scar;
  • reduced 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 in the area of the scrotum (the upper part of the seminal sac), after which the soft tissue is displaced;
  • access to the connecting device is opened;
  • the sling-like surface ligament is crossed;
  • the supporting ligament is stressed;
  • hemostasis is performed.

In scrotal removal, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and the spermatic cords.

Public dissection

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

  • removal is done in the pubic area;
  • large wounds remain;
  • a 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 upward direction.

Despite such a number of disadvantages for the patient, for the surgeon this method is considered easier, as after cutting the pubic area, full access to the ligament apparatus is opened.

Duration and cost of the operation

The duration of surgical procedures depends on the type of surgery. If the removal is performed through the pubis, then the time is from 50 minutes to an hour. With the type of scrotal surgery, 10-20 minutes are enough.

Ligamentotomy is not performed in government agencies, but mainly in private clinics. The cost of the operation depends mainly 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 such cases:

  • if the size of the penis is larger than normal (12 cm);
  • in cases where the normal length of the phallus creates physical dissatisfaction, rather than psycho-emotional;
  • surgery will have to be postponed for skin diseases, as there is a risk of infection;
  • diseases of an infectious nature of the genitourinary system;
  • mental instability, confirmed by a psychotherapist.

Consequences of surgery and possible complications

Ligamentotomy is a safe surgical procedure, but in some cases the following consequences arise:

  • inflammatory processes under the skin in the incision area;
  • early relationship pain;
  • corrosion of sutures;
  • pain when urinating;
  • in the first month - decreased erection;
  • infection;
  • bleeding;
  • swelling;
  • decreased sensitivity;
  • scars;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • scrotal prolapse.

Complications arise for various reasons:

  • non-professional surgeon;
  • lack of proper sterility during surgery;
  • non-compliance with patient requirements during the rehabilitation period;
  • use of various means to speed up the healing process itself (without consulting a doctor).

reHabiLitatiON

Not only the quality of the operation affects the outcome but also the actions of a person during the recovery period.

Consultation with a doctor for rehabilitation after penis enlargement using the ligamentotomy method

What is involved in rehabilitation:

  1. The extension can be worn only on the second day, not earlier. At the same time, the dressing time is only a few hours. As you recover, the wearing time of the device gradually increases, reaching 8 hours.
  2. For 2 weeks, sexual intercourse in any form is strictly forbidden. Intimacy should be allowed by the attending physician after a preliminary examination. Otherwise, various complications develop.
  3. After surgery, magnetic resonance imaging is mandatory to clarify effectiveness.
  4. When the patient uses the extender, it is necessary to visit the doctor often for control (the time of the visit is set by the doctor at the individual level).
  5. Particular attention is paid to intimate hygiene, which will prevent infection with infections.
  6. Oils and creams cannot be applied to wounds themselves.
  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 a healthy diet.
  10. You can not use alcoholic beverages, drugs.

reviews

  • "I had a ligamentotomy 3 years ago through the pubis. The operation was successful, but I still have an ugly scar, though it does not cause any particular concern. The only thing is that when a full erection occurs, the penis does not rise completely"up, but in bed it does not matter. By the way, I increased the size by 3. 7 cm. "
  • "My wife and I had problems in bed, my height was not enough for her, although in an erect state I have 16 cm (as the norm). Since there were no other problems, we decided to have surgery on me. We wentin a private clinic. The price was good, but the doctors did not really want to take it, as I have no deviations, but we convinced. Before the operation, I had to do a lot of tests, do various diagnoses, but the operation ended in"As a result, the penis has grown by almost 3 cm, intimate life has improved, there are no wounds. "
  • "I did a ligamentotomy. The price, of course, is not small, but it is worth it. An incision was made in the scrotum. The result is excellent, +5 cm. However, during the rehabilitation period, there was severe discomfort in the perineal area, and I accidentally brought an infection but immediately ran to the clinic. Good that I reacted quickly. In general, I tried not to touch the wound further. After 3 weeks he had free sex. But I warn you that for a few weeks"Other, the erectile sensitivity decreased, but my wife liked that the ejaculation did not come for a long time. After that everything worked out. "

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