To whom and how is a ligamentotomy performed?

A person with small genitals can decide on radical treatments such as surgery. In this case, the best way to enlarge the penis is a ligamentotomy, which you will learn in this article.


Ligamentotomy is a surgical procedure aimed at enlarging a man's penis. The method is based on the intersection of the supporting ligaments of the penis located deep in the pelvis. After cutting them, the inside of the penis stretches from 3 to 5 cm. During the operation, a device is used - an extension.

Tips 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). However, the operation is carried out in other cases:

  • reduction in size after injury;
  • hypospadias with incorrect location of the urethral opening;
  • curvature of the penis (Peyronie's disease);
  • episodes (the upper wall of the urethra is completely or partially divided);
  • replacement of cavernous bodies of the body with connective tissue (cavernous fibrosis);
  • Hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

Ligamentotomy has alternative methods to enlarge the size of the penis. For example:

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

Each method has its advantages and disadvantages, but none of them can be compared with the effectiveness of ligamentotomy, because it has the following advantages:

  1. Unlike other surgical methods, ligamentotomy is plastic, not reconstruction, and is therefore considered a safer method.
  2. General anesthesia, which may be contraindicated for many men, is excluded. Local anesthesia is used to reduce sensitivity.
  3. The main feature is the various devices on the penis - prostheses, pumps, gels, frames, etc. , which can damage the body. No need to enter and place. And it's just a "harmless" extension for the rehabilitation period.
  4. Duration of effect and a short recovery time after the intervention.
  5. During the operation, you can additionally eliminate congenital and acquired defects, increase the penis not only in length but also in thickness.
  6. Minimum number of adverse reactions.

Although surgery guarantees 100% penis enlargement, the end result may be different. In one man the penis grows 5 cm, in another only 2. However, the result largely depends on the anatomical structure of a particular organism.

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

Training

This plastic surgery requires special training consisting of an initial examination of the patient. To do this, the following diagnostics are assigned:

  • blood collection for general analysis, level of biological fluid coagulation, presence of infections;
  • general urine collection to detect urine and other bacteria;
  • chest fluorography and cardiac electrocardiogram;
  • test to determine an allergic reaction to anesthesia;
  • ultrasound examination of the pelvic organs;
  • consult a psychologist to detect abnormalities.

What the patient should do:

  • do not take alcohol or medication the day before surgery;
  • do not take certain groups of drugs for three days (in most cases, anticoagulants that prevent blood clotting);
  • do not eat or drink 6 hours before surgery;
  • shave the groin area carefully;
  • to swim

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

Operation

The operational process consists of several stages:

  • the patient is placed on a sterile couch;
  • spinal anesthesia is applied;
  • monitor the body's reaction;
  • the surgeon makes a small incision;
  • examines connecting bonds;
  • splits with a scalpel;
  • extends the penis to the maximum length of the ligament with slow and careful movements (different for each person);
  • dissection is sutured;
  • bandage is applied.

Ligamentotomy can be performed according to the standard method, but in modern medicine another type is used - with the penetration of adipose tissue into the cavity to increase the diameter of the penis. It also differs depending on the type of plastic incision - through the scrotum or pubis.

Ligamentotomy - penis enlargement surgery

Excision in the scrotal region

This technique is considered the most modern and safe. If previously the ligament was opened through the pubis, now they open up new possibilities using the scrotum:

  • operation time is reduced to 10-20 minutes;
  • no wounds;
  • reduction of soft tissue trauma;
  • it was possible to perform surgical manipulations with a large amount of adipose tissue;
  • maximum pain after surgery and during surgery.

Features of the procedure:

  • the skin is cut in the scrotal region (upper part of the seminal sac), after which the soft tissues are separated;
  • access to the communication device is opened;
  • the garden was closed like a slingshot;
  • the supporting garden is emphasized;
  • hemostasis is performed.

During scrotal excision, the surgeon focuses on the movement of the ligaments located near the branches of the dorsal vein and spermatic cords.

Pubic dissection

This is the first penis enlargement method used. Its distinctive features are:

  • excision is performed in the pubic region;
  • large scars remain;
  • high-grade soft tissue trauma;
  • difficulties in surgery with an overweight patient;
  • long rehabilitation period;
  • In many cases, the resulting wound does not allow the penis to move completely upwards.

Despite the many disadvantages for the patient, this method is considered easier for the surgeon, because after the incision of the pubic area, full access to the garden apparatus is opened.

Duration and cost of the operation

The duration of surgical procedures depends on the type of operation. If the incision is made through the pubis, the time is from 50 minutes to an hour. 10-20 minutes with scrotal surgery is enough.

Ligamentotomy is performed not in government agencies, but mainly in private clinics. The cost of the operation depends mainly on the region, the level of specialization of the surgeon and the clinic itself, as well as the type of operation.

Contraindications

Ligamentotomy is prohibited in the following cases:

  • if the size of the penis is larger than normal (12 cm);
  • in cases where the normal length of the phallus causes physical dissatisfaction, not psycho-emotional;
  • surgery for skin diseases will have to be postponed because there is a risk of infection;
  • infectious diseases of the genitourinary system;
  • mental instability confirmed by a psychotherapist.

Outcomes of the operation and possible complications

Ligamentotomy is a safe surgery, but in some cases the following results appear:

  • inflammatory processes under the skin in the area of excision;
  • primarily sexual pain;
  • swelling of the seams;
  • pain when urinating;
  • in the first month - a decrease in erection;
  • infection;
  • bleeding;
  • swelling;
  • decreased sensitivity;
  • scar;
  • tissue necrosis;
  • curvature of the penis;
  • deformation of the phallus;
  • prolapse of the scrotum.

Complications occur for various reasons:

  • non-professional surgeon;
  • lack of proper sterility during surgery;
  • non-compliance of the patient with the requirements during rehabilitation;
  • use of various means to accelerate the healing process alone (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.

Doctor's consultation on ligamentotomy rehabilitation after penis enlargement

Rehabilitation includes:

  1. The extension can only be worn on the second day, not earlier. At the same time, the duration of use is only a few hours. As it recovers, the time to wear the device gradually increases to 8 hours.
  2. Sexual intercourse in any form for 2 weeks is strictly prohibited. After the initial examination, intimacy should be approved by the attending physician. Otherwise, various complications develop.
  3. Postoperative magnetic resonance imaging is mandatory to determine the effectiveness.
  4. When 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 at the individual level).
  5. Particular attention is paid to intimate hygiene, which will prevent infection.
  6. Ointments and creams can not be applied to the scars on their own.
  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 use alcohol or drugs.

Reviews

  • "I had a ligamentotomy through the pubis 3 years ago. The operation was successful, but although it did not cause any particular discomfort, I still have an ugly scar. The only thing is that when a full erection occurs, the penis does not rise completely, but in bed it does not matter. no. By the way, I increased the size by 3. 7 cm. "
  • "My wife and I had problems in bed, I was not tall enough, although I have an erection of 16 cm (as normal). We decided to operate on me because there were no other problems. We went to a private clinic. The price was good, but the doctors reallyThey did not want to take it, because I have no deviations, but we agreed. Before the operation I had to go through many tests, various diagnoses, but the operation was completed in 15 minutes. As a result, the penis grew by about 3 cm, intimate life improved, no scars. "
  • "I did a ligamentotomy. Of course, the price is not small, but it's worth it. I had an incision in the scrotum. The result is excellent, +5 cm. During rehabilitation, I had serious discomfort in the perineal area and accidentally brought an infection, but immediately ran to the clinic. I reacted. In general, I tried not to touch the wound more. After 3 weeks, I had free sexual intercourse. fell. "

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