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Who and how is ligamentotomy performed?

A man with small genitals may decide on radical treatments such as surgery. In this case, the best way to enlarge the penis is through 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 in the depth of the pelvis. After cutting them, the inner part of the penis is stretched a distance of 3-5 cm. During the operation, a device is used - an expander.

Surgical indications

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 carried out in other cases:

  • reduction in size after injury;
  • hypospadias, in which the urethral opening is not located correctly;
  • 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.

Advantages and disadvantages

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

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

Each method has its advantages and disadvantages, but none can compare in effectiveness to ligamentotomy, as 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 can be a contraindication for many men. Local anesthesia is used to reduce sensitivity.
  3. The main feature is that there is no need to introduce and implant various devices into the penis - prostheses, pumps, gels, frames, etc. , which can damage the body. And only a "harmless" extender for the rehabilitation period.
  4. Lasting effect and short recovery time after surgery.
  5. During the operation, you can additionally eliminate congenital and acquired defects, increase the penis not only in length, but also in thickness.
  6. The minimum number of side effects.

Although the operation gives a 100% guarantee of penis enlargement, the final result may vary. In one man, the penis increases by 5 cm, while in another - by only 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 body of the patient and the professionalism of the surgeon.

Coaching

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

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

What the patient should do:

  • the day before the operation, do not take alcoholic drinks or medication;
  • for three days do not drink certain groups of medicines (most often anticoagulants, which inhibit the clotting of blood fluid);
  • do not eat or drink 6 hours before the operation;
  • carefully shave the groin area;
  • bathing.

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

Operation

The operative process consists of several stages:

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

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, the plastic differs in the type of excision - through the scrotum or the pubis.

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Excision in the scrotal region

This technique is considered to be the most modern and the safest. If previously they opened access to the ligament through the pubis, now they do so through the scrotum, which opens up new opportunities:

  • operating time is reduced to 10-20 minutes;
  • there is no scar;
  • decrease in soft tissue trauma;
  • it became possible to perform 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 seminal sac), after which the soft tissues are pushed aside;
  • access to the link device is open;
  • the superficial sling ligament is crossed;
  • the supporting ligament is highlighted;
  • hemostasis is achieved.

In scrotal excision, the surgeon is attentive to the mobilization of the ligaments located near the branches of the dorsal vein and the spermatic cords.

Pubic dissection

It is the first penis enlargement method used. Its particularity is as follows:

  • excision is done in the pubic region;
  • large scars remain;
  • a high level of soft tissue trauma;
  • difficulties in operating with an overweight patient;
  • long period of rehabilitation;
  • the scar formed in many cases does not allow the penis to fully take the upward direction.

Despite such a number of inconveniences for the patient, for the surgeon this method is considered easier, since after the incision of the pubic part, 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 excision is performed through the pubis, the time is 50 minutes to an hour. With the type of scrotal operation, 10-20 minutes is enough.

Ligamentotomy is not performed in government agencies, but mainly in private clinics. The cost of the operation 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 penis size is larger than normal (12 cm);
  • in cases where the normal length of the phallus creates physical, and not psycho-emotional dissatisfaction;
  • the operation will have to be postponed for skin diseases, since there is a risk of infection;
  • diseases of an infectious nature 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 excision area;
  • early intercourse pain;
  • suppuration of the seams;
  • pain when urinating;
  • in the first month - decrease in 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 the requirements by the patient during the rehabilitation period;
  • the use of various means to speed up the healing process on your own (without consulting a doctor).

Rehabilitation

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

Medical consultation on rehabilitation after enlargement of the penis by ligamentotomy

What is included in rehabilitation:

  1. The extender 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, reaching 8 hours.
  2. For 2 weeks, sexual intercourse in any form is strictly prohibited. Privacy must be authorized by the attending physician after a preliminary examination. Otherwise, various complications develop.
  3. After the operation, magnetic resonance imaging is mandatory to clarify the effectiveness.
  4. When the patient uses the expander, it is necessary to visit the doctor frequently for control (the visit time is fixed by the doctor at the individual level).
  5. Particular attention is paid to personal hygiene, which will prevent infection with infections.
  6. Ointments and creams cannot be applied to scars on their own.
  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 healthy eating.
  10. You can't use alcoholic drinks, drugs.

Comments

  • "I did a ligamentotomy 3 years ago through the pubis. The operation was successful, but I still have a nasty scar, although it doesn't cause any particular inconvenience. The only thing is that when a full erection occurs, the penis does not fully rise, but in bed it does not matter. Besides, I increased the size by 3. 7 cm. "
  • "My wife and I had problems in bed, my length was not sufficient for her, although in an erect state I have 16 cm (as the norm). Since there were no other problems, we decided to have me operated. We went to a private clinic. The price was good, but the doctors didn't really want to take it, because I have no deviation, but we persuaded. Before the operation I had to do a lot of tests, do various diagnoses, but the operation was completed in 15 minutes. As a result, the penis has increased by almost 3 cm, intimate life has improved, there are no scars. "
  • "I did a ligamentotomy. The price, of course, isn't small, but it's worth it. 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, and I accidentally brought infection, but immediately ran to the clinic. It's good that I reacted quickly. Usually I tried not to touch the wound any more. After 3 weeks he had free sex. But I warn you that for a few more weeks the erectile sensitivity was slightly reduced, but my wife liked that the ejaculation did not come for a long time. Afterwards, everything was sorted out. "

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