For whom and how is a ligamentotomy performed?

A man with a small penis may opt for 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 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 they are cut, the inner part of the penis is stretched to 3-5 cm.During the operation, a device is used - an extension cord.

Indications for surgery

The main indication for ligamentotomy is a penis length of 12 cm during full arousal.The most common cause of a small penis is anatomical structure (congenital micropenis).But the operation is also performed in other cases:

• size reduction 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 offers alternative methods to increase the size of the penis.For example:

1. Using a vacuum pump.
2. Wearing the extension is temporary.
3. Special exercises.
4. Folk recipes.
5. Phallus prosthesis surgery (an artificial implant is inserted).
6. Lipofilling (own biological material is introduced).
7. Injection of hyaluronic acid, gels or synthetic prostheses into the genitals.

Each method has its advantages and disadvantages, but none can compare with ligamentotomy, as it has the following advantages:

1. In contrast to other surgical techniques, ligamentotomy is plastic surgery, not 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. Its main feature is that there is no need to insert or implant various devices into the genitals - 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 the intervention.
5. During the operation, it is possible to further eliminate congenital and acquired abnormalities, as well as to increase not only the length, but also the thickness of the penis.
6. Minimal number of side effects.

Although the surgery gives a 100% guarantee of penis enlargement, the final result may vary.One man's penis grows by 5 cm, and the other only by 2.However, the result depends to a large extent on the anatomical structure of the given organism.

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

Preparation

This plastic surgery requires special preparation, which consists of a preliminary examination of the patient.The following diagnostics are prescribed for this:

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

What the patient should do:

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

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

Executing the operation

The process of the operation consists of several stages:

• the patient is placed on a sterile couch;
• spinal anesthesia is used;
• monitors the body's reaction;
• the surgeon makes a small incision;
• palpate the ligament;
• he dissects it with a scalpel;
• with slow and careful movements, the penis stretches to the maximum length of the band (different for each person);
• the incision is sutured;
• bandage is applied.

Ligamentotomy can be performed according to the standard method, but in modern medicine, another type of it is used - by introducing adipose tissue into the cavity to increase the diameter of the penis.In addition, plastic surgery differs depending on the type of excision - through the scrotum or vulva.

Excision in the scrotal area

This technique is the most modern and safest.If previously access to the tape was through the vulva, now it is through the scrotum, which opens up new possibilities:

• Operating time is reduced to 10-20 minutes;
• no scar;
• soft tissue trauma is reduced;
• it became possible to perform surgical interventions with a large amount of fatty tissue;
• maximum pain relief after and during surgery.

Features of the procedure:

• the skin is cut in the area of the scrotum (the upper part of the scrotum), then the soft tissues are pulled apart;
• access to the tape device is opened;
• the superficial ligament is transected;
• the suspensory band highlighted;
• hemostasis is performed.

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

Dissection of the pubic area

This is the first method to enlarge the penis.Its distinguishing feature is the following:

• an incision is made in the pubic area;
• large scars remain;
• high level soft tissue trauma;
• surgical difficulties if the patient is overweight;
• long rehabilitation period;
• the formed scar in many cases does not allow the penis to take its direction completely upwards.

Despite the fact that there are many disadvantages for the patient, this method is considered easier for the surgeon, since after the incision in the pubic area there is full access to the tape apparatus.

Duration and cost of the operation

The duration of surgical interventions depends on the type of surgery.If the excision is performed through the vulva, the time varies from 50 minutes to an hour.10-20 minutes is sufficient for scrotum-type surgery.

Ligamentotomy is not performed in public institutions, but mainly in private clinics.The cost of surgery depends to a large extent on the region, the level of training of the surgeon and the clinic, and 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 causes physical dissatisfaction, not psycho-emotional;
• In case of skin diseases, the operation should be postponed, as there is a risk of infection;
• infectious diseases of the urogenital system;
• mental instability confirmed by a psychotherapist.

Consequences and possible complications of surgery

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

• inflammatory processes under the skin in the area of the incision;
• initially painful intercourse;
• suppuration of sutures;
• pain during urination;
• in the first month - decreased erection;
• infection;
• bleeding;
• swelling;
• reduced sensitivity;
• scar formation;
• tissue necrosis;
• curvature of the penis;
• deformation of the phallus;
• prolapse of the scrotum.

Complications occur for various reasons:

• unprofessionalism of the surgeon;
• lack of proper sterility during surgery;
• non-compliance of the patient during the rehabilitation period;
• with various means to speed up the healing process independently (without medical consultation).

Rehabilitation

Not only the quality of the operation affects the result, but also the actions of the person during the recovery period.

What does rehabilitation include:

1. The extension can only be applied on the second day, not earlier.The wearing time is only a few hours.As it recovers, the duration of wearing the device gradually increases, reaching 8 hours.
2. Sexual contact in any form is strictly prohibited for 2 weeks.Intimacy must be permitted by the attending physician after a preliminary examination.Otherwise, various complications will develop.
3. Magnetic resonance imaging is required after surgery to clarify effectiveness.
4. If the patient uses an expander, it is necessary to visit the doctor frequently for monitoring (the time of the visit is determined by the doctor on an individual level).
5. Special attention is paid to intimate hygiene, which prevents infection.
6. Do not apply ointments and creams to the scars.
7. The sterile dressing is changed three times a day.
8. Physical activity is excluded.
9. The rules of a healthy diet must be followed.
10. You can't drink alcohol or drugs.

Reviews

• "I had a ligamentotomy through the pubic bone 3 years ago. The operation was successful, but an ugly scar remained, although it did not cause any particular discomfort. The only problem is that the penis does not rise completely when fully erect, but in bed it does not matter. Anyway, I increased the size by 3.7 cm."
• "My wife and I had problems in bed, my length was not enough for her, although my length in erection is 16 cm (seemingly normal). Since I had no other problems, we decided to have the operation. We went to a private clinic. The price suited me, but the doctors didn't really want to accept it, since there was no difference, but I operated several times, and did it several times. diagnosis, but the operation was completed in 15 minutes.As a result, the penis grew by almost 3 cm, the intimate life improved, there are no scars."
• "I did a ligamentotomy. The price is not small, of course, but it's worth it. An incision was made on the scrotum. The result is excellent, +5 cm. However, during the rehabilitation period, there was severe discomfort in the perineal area, and I accidentally got an infection, but I immediately ran to the clinic. In general, after 3 weeks, I continued to try only touching. I was free to have sex. But I warn you that for about a few weeks theerectile sensitivity slightly decreased, but my wife liked that there was no ejaculation for a long time.Everything got better after that."

If you decide to enlarge your penis, go for a ligamentotomy, which has many advantages.But before that, weigh all the pros and cons so you don't regret it later, and be sure to find a clinic where real professionals work.