To whom and how is a ligamentotomy performed?

A man whose genitals are small may opt for radical treatments like surgery. In this case, the best way to enlarge the penis is a ligamentotomy, which you will learn about in this article.

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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 located in the depth of the pelvis. After cutting, the inner part of the penis is stretched to a distance of 3 to 5 cm. An extension cord is used during the operation.

Indications for surgery

The main indication for ligamentotomy is the length of the penis up to 12 cm during complete 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 properly located;
• penile curvature (Peyronie’s disease);
• epispadias (the upper wall of the urethra is completely or partially split);
• replacement of cavernous organs with connective tissue (cavernous fibrosis);
• hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

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

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

Each method has its advantages and disadvantages, but none of them can be compared to a ligamentotomy in terms of efficiency, 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 introduce and implant various devices into the penis - prostheses, pumps, gels, frames, etc. Which can harm the body. And only a "harmless" extender for the rehabilitation period.
4. Durability of effect and short recovery time after intervention.
5. During the operation you can additionally remove congenital and acquired defects, increase the penis not only in length but also in thickness.
6. Minimum number of side effects.

Although surgery provides a 100% guarantee of penis enlargement, the end result can vary. In one man, the penis increases by 5 cm, while 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, as well as the development of complications. But again, it depends on the patient’s body and the professionalism of the surgeon.

Training

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

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

What the patient should do:

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

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

Operation

The operational process includes several stages:

• the patient is placed on a sterile couch;
• spinal anesthesia is applied;
• monitor the body's response;
• the surgeon makes a small incision;
• probes the ligament;
• performs dissection with a scalpel;
• stretches the penis with slow and careful movements to the maximum length of the ligament (this is different for each person);
• dissection is sutured;
• a bandage is placed.

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

Excision in the scrotal region

This technique is considered the most modern and safest. If they used to open access to the ligaments through the pubis, now they do so through the scrotum, which opens up new possibilities:

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

Process characteristics:

• the skin is cut in the area of the scrotum (upper part of the seminal vesicle), after which the soft tissues separate;
• access to the communication device is open;
• the superficial ligament resembling a belt is crossed;
• the supporting ligament is prominent;
• hemostasis is performed.

When excising the scrotum, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and sperm.

Pubic dissection

This is the first method of penis enlargement used. Its characteristic is as follows:

• excision is performed in the pubic area;
• large scars remain;
• high level of soft tissue trauma;
• difficulty in surgery with an overweight patient;
• long period of rehabilitation;
• the scar formed in many cases does not allow the penis to fully move upwards.

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

Duration and cost of the operation

The duration of surgery depends on the type of surgery. If the excision is performed through the pubis, the time is from 50 minutes to an hour. In the scrotal type of operation, 10-20 minutes is enough.

Ligamentotomy is not performed in government agencies, but mostly in private clinics. The cost of surgery depends largely 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 penis is larger than normal (12 cm);
• in cases where the normal length of the phallus creates physical dissatisfaction rather than psychoemotional;
• surgery will have to be postponed due to skin diseases, as there is a risk of infection;
• infectious diseases 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 occur:

• inflammatory processes under the skin in the area of excision;
• pain in intercourse at first;
• fertilization of seams;
• pain when urinating;
• in the first month - reduced erection;
• infection;
• bleeding;
• swelling;
• decreased sensitivity;
• scars;
• tissue necrosis;
• curvature of the penis;
• phallus deformity;
• scrotal prolapse.

Complications occur for various reasons:

• non-professional surgeon;
• lack of adequate sterility during surgery;
• non-compliance with the patient's requirements during the rehabilitation period;
• using various means to speed up the healing process yourself (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.

What is involved in rehabilitation:

1. The extension cord can only be worn on the second day, not earlier. At the same time, the wearing time is only a few hours. As you recover, the wearing time of the device gradually increases and reaches 8 hours.
2. For 2 weeks, sexual intercourse in any form is strictly forbidden. The attending physician should allow intimacy after prior examination. Otherwise, various complications develop.
3. After surgery, magnetic resonance imaging is mandatory to clarify efficacy.
4. When the patient uses an expander, it is necessary to visit the doctor often for control (the time of the visit is set by the doctor on an individual level).
5. Special attention is paid to intimate hygiene which will prevent infection by infections.
6. Ointments and creams cannot be applied to scars on their own.
7. The sterile bandage 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 cannot use alcoholic beverages, drugs.

Reviews

• "I did a ligamentotomy 3 years ago through the pubis. The surgery was successful, but I still have an ugly scar, although it doesn't cause much discomfort. The only thing is that when a full erection occurs, the penis doesn't lift completely, but in bed it's notBy 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 the state of erection I have 16 cm (as well as the norm). As there were no other problems, we decided to have surgery. We went to a private clinic. The price iswas good, but the doctors didn't want to take it, because I don't have any deviations, but we were convinced. Before the operation I had to do many tests, do various diagnostics, but the operation was completed in 15 minutes. intimate life has improved, there are no scars. "
• "I did a ligamentotomy. The price, of course, is not small, but it pays off. An incision was made in the scrotum. The result is excellent, +5 cm. During the rehabilitation period, however, there was severe discomfort in the perineal area, so I accidentally brought an infection, but I immediately ran to the clinic. It's 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 more weeks erectile sensitivity was a little reduced, but my wifeI liked that ejaculation didn't 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 advantages and disadvantages so that you don't regret it later, and be sure to find a clinic where real professionals work.