Who and how is the ligamentotomy performed?

A man whose genitals are small may opt for radical treatments such as surgery. In this case, the best way to enlarge the penis is the ligamentotomy, which he 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, which are located deep in the pelvis. After cutting them, the inner part of the penis is stretched to a distance of 3 to 5 cm. During the operation, a device is used - an extender.

Indications for surgery

The main indication for ligamentotomy is penis length 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 fully or partially divided);
• replacement of the corpora cavernosa of the organ 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 instance:

1. Using a vacuum pump.
2. Using an extender is temporary.
3. Special exercises.
4. Popular recipes.
5. Phallus prosthesis surgery (an artificial implant is installed).
6. Lipofilling (own biological material is introduced).
7. The introduction of hyaluronic acid, gels or synthetic prostheses in the genitals.

Each method has its pros and cons, but none can compare in efficiency to a ligamentotomy, because it has the following advantages:

1. Unlike other surgical techniques, the ligamentotomy is a plastic, not a reconstruction, and is therefore considered a safer method.
2. General anesthesia, which may be a contraindication for many men, is excluded. Local anesthesia is used to reduce sensitivity.
3. The main feature is that it is not necessary to insert and implant various devices in the penis: prostheses, pumps, gels, frames, etc. , which can harm the body. And only a "harmless" extender for the rehab period.
4. Durability of the effect and short recovery time after the intervention.
5. During the operation, you can also eliminate congenital and acquired defects, increase the penis not only in length, but also in thickness.
6. The minimum number of adverse reactions.

Although the operation offers a 100% guarantee of penis enlargement, the end result may vary. In a 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, which consists of a preliminary examination of the patient. For this, the following diagnoses are assigned:

• collection of blood for general analysis, the level of coagulability of the biological fluid, the presence of infections;
• general urine collection for the detection of urinary and other bacteria;
• 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 should the patient do:

• the day before surgery, do not drink alcoholic beverages, drugs;
• for three days, do not drink some groups of drugs (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;
• to swim.

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

Operation

The operational process includes several stages:

• the patient is placed on a sterile stretcher;
• spinal anesthesia is administered;
• monitor the body's response;
• the surgeon makes a small incision;
• explore the connective ligament;
• makes its dissection with a scalpel;
• stretch the penis with slow and careful movements to the maximum length of the ligament (it 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 adipose tissue into the cavity to increase the diameter of the penis. Also, plastic differs in the type of excision: through the scrotum or the pubis.

Excision in the scrotal region

This technique is considered the most modern and safe. If before they opened access to the ligament through the pubis, now they do it through the scrotum, which opens up new opportunities:

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

Procedure characteristics:

• the skin in the scrotum area (the upper part of the seminal sac) is cut, after which the soft tissues are separated;
• access to the link apparatus is opened;
• the superficial ligament is crossed in the form of a sling;
• the supporting ligament is highlighted;
• Haemostasis is performed.

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

Pubic dissection

This is the first penis enlargement method used. Its distinctive feature is as follows:

• excision is performed in the pubic area;
• 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 so many disadvantages for the patient, for the surgeon this method is considered easier, since after the incision of the pubic part, full access to the ligamentous apparatus is opened.

Duration and cost of the operation

The duration of surgical procedures depends on the type of surgery. If the excision is done through the pubis, the time is 50 minutes to an hour. With the scrotal type of operation, 10-20 minutes is sufficient.

Ligamentotomy is not performed in government agencies, but mainly in private clinics. The cost 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 surgery.

Contraindications

Ligamentotomy is prohibited in such cases:

• if the size of the penis is larger than normal (12 cm);
• in cases where the normal length of the phallus creates physical and not psycho-emotional dissatisfaction;
• the operation should be postponed due to skin diseases, as 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 arise:

• inflammatory processes under the skin in the area of excision;
• pain from sexual intercourse at first;
• suppuration of the seams;
• pain when urinating;
• in the first month - decreased erection;
• infection;
• bleeding;
• swelling;
• decreased sensitivity;
• scars
• tissue necrosis;
• curvature of the penis;
• deformation of the phallus;
• scrotum prolapse.

Complications arise for several reasons:

• non-professional surgeon;
• lack of adequate 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.

What is included in the rehabilitation:

1. The extender can only be used on the second day, not before. At the same time, the wearing time is only a couple of hours. As you recover, the duration of use of the device gradually increases, reaching 8 hours.
2. For 2 weeks, sexual intercourse in any form is strictly prohibited. The treating physician should allow privacy after a preliminary examination. Otherwise, various complications develop.
3. After the operation, MRI 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 set by the doctor on an individual level).
5. Particular attention is paid to intimate hygiene, which will prevent infection from 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 a healthy diet.
10. You cannot consume alcoholic beverages, drugs.

Reviews (2)

• "I did a ligamentotomy 3 years ago through the pubis. The operation was successful, but I still have an ugly scar, although it does not cause any particular inconvenience. The only thing is that when a full erection occurs, the penis does not rise completely but in bed that doesn't 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 a state of erection I have 16 cm (as the norm). As there were no other problems, we decided to operate. We went to a private clinic. The price it was fine, but the doctors really did not want to take it, as I have no deviations, but we persuaded. Before the operation, I had to do a lot of tests, make 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, is not small, but it is worth it. An incision was made in the scrotum. The result is excellent, +5 cm. During the rehabilitation period, however, there were serious discomfort in the perineal area, and I accidentally brought an infection, but immediately ran to the clinic. It is good that I reacted quickly. In general, I tried not to touch the wound anymore. After 3 weeks she had free sex. But I warn you that for a couple After weeks, the erectile sensitivity was slightly reduced, but my wife liked that the ejaculation did not come for a long time. After that, everything went well. "

If she decides to enlarge her penis, get a ligamentotomy, which has many benefits. But before that, weigh the pros and cons, so you don't regret it later, and make sure you find a clinic where real professionals work.