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On whom and how is a ligamentotomy performed?

A person whose genital organ is small in size may decide to apply 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.

Ligamentotomy refers to a surgical procedure that is aimed at enlarging the male genital organ.The method is based on crossing the supporting ligaments of the penis, which are located deep in the pelvis.After cutting them off, the inner part of the penis is extended to a distance of 3 to 5 cm. During the operation, a device - an extender - is used.

Indications for surgery

The main indication for ligamentotomy is the length of the penis up to 12 cm at full arousal.The most common cause of 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 opening of the urethra is incorrectly located;
  • 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 - Kallmann 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. Wearing an extender is temporary.
  3. Special exercises.
  4. Folk recipes.
  5. Phallus prosthesis operation (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 no one can compare in effectiveness with ligamentotomy, as 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 be a contraindication for many men.Local anesthesia is used to reduce sensitivity.
  3. The main feature is that it is not necessary to place or implant various devices in the genital organ - prostheses, pumps, gels, frames, etc., which can harm the body.But only a "harmless" extension for the rehabilitation period.
  4. Durability of the effect and a 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. Minimal number of side effects.

Although the surgery provides a 100% guarantee of penis enlargement, the final result may vary.In one man, the penis increases by 5 cm, and in another - by only 2. But the result largely depends on the anatomical structure of an 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 expertise.

Preparation

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

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

What the patient should do:

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

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

Conducting the operation

The course of the operation includes several stages:

  • the patient is placed on a sterile couch;
  • spinal anesthesia is administered;
  • monitor the body's reaction;
  • the surgeon makes a small incision;
  • palpate the connective tissue;
  • cuts it open with a scalpel;
  • with slow and careful movements, stretches the penis to the maximum length of the ligament (it is different for each person);
  • the incision is sutured;
  • a dressing is required.

Ligamentotomy can be performed according to the standard method, but in modern medicine another type is used - with the introduction of fatty tissue into the cavity to increase the diameter of the penis.Also, plastic surgery differs according to the type of excision - through the scrotum or pubis.

Performing a ligamentotomy - an operation to enlarge the penis

Excision in the scrotal area

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

  • Operation time is reduced to 10-20 minutes;
  • no scar;
  • soft tissue trauma is reduced;
  • it became possible to carry out surgical manipulations with a large amount of fatty tissue;
  • maximum painlessness after and during surgery.

Features of the procedure:

  • the skin is cut in the area of the scrotum (the upper part of the scrotum), after which the soft tissues are pulled apart;
  • access to the ligament apparatus is opened;
  • the superficial sling ligament is transected;
  • the suspensory ligament is highlighted;
  • hemostasis is performed.

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

Dissection in the pubic region

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

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

Despite so many disadvantages for the patient, this method is considered easier for the surgeon, since after an incision in the pubic part there is full access to the ligamentous apparatus.

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 the scrotal type of operation, 10-20 minutes are sufficient.

Ligamentotomy is not performed in state institutions, but mostly in private clinics.The price 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 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 creates physical dissatisfaction, not psycho-emotional;
  • The operation will have to be postponed in case of skin diseases, as 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 incision;
  • painful intercourse at first;
  • suppuration of sutures;
  • pain when urinating;
  • in the first month – reduced erection;
  • infection;
  • bleeding;
  • swelling;
  • reduced sensitivity;
  • scar formation;
  • tissue necrosis;
  • penile curvature;
  • deformity of the phallus;
  • prolapse of the scrotum.

Complications arise for various reasons:

  • unprofessionalism of the surgeon;
  • lack of proper sterility during surgery;
  • non-compliance by the patient during the rehabilitation period;
  • using various means to independently accelerate the healing process (without consulting a doctor).

Rehabilitation

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

Consultation with a doctor for rehabilitation after penis enlargement by ligamentotomy

What rehabilitation involves:

  1. The extender can be placed only on the second day, not earlier.Wear time is only a few hours.As you recover, the duration of wearing the device increases gradually, reaching 8 hours.
  2. For 2 weeks, sexual contact in any form is strictly prohibited.Intimacy must be permitted by the attending physician after a preliminary examination.Otherwise, various complications develop.
  3. After the operation, a nuclear magnetic resonance is needed to clarify the effectiveness.
  4. When the patient uses an expander, it is necessary to visit a doctor often for monitoring (the time of the visit is determined by the doctor at the individual level).
  5. Particular attention is paid to intimate hygiene, which will prevent infection.
  6. Do not apply ointments and creams to the scars yourself.
  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

  • "3 years ago I had a ligamentotomy through the pubis. The operation was successful, but I was left with an ugly scar, although it did not cause much discomfort. The only thing is that with a full erection, the penis does not rise completely, 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 length was not enough for her, although in an erect state my length is 16 cm (seemingly normal). Since there were no other problems, we decided to operate on me. We went to a private clinic. The price suited me, but the doctors did not want to accept it, since I had no deviations, but we convinced him. Before the operation, I had to take many tests and various diagnostics, but the operation was completed in 15minutes.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. 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. It's good that you reacted quickly. In general, I tried not to touch the wound anymore. After just 3 weeks, I was free to have sex. But youI warn that for about a few weeks the erectile sensitivity was slightly reduced, but my wife liked that ejaculation did not occur for a long time.Everything was fine after that."

If you decide to enlarge your penis, do 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.