To whom and how is ligamentotomy performed?

A man whose penis is small may decide on such radical methods of treatment as surgery. In this case, the best way to enlarge the penis is ligamentotomy, which you will learn about from 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 in the depth of 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 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.

Pros and cons

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

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

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

1. Unlike other surgical techniques, ligamentotomy is a plastic, not a reconstruction, and therefore is 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 the effect and 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. The minimum number of adverse reactions.

Although the operation gives a 100% guarantee of enlargement of the penis, the end 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 patient's body and the professionalism of the surgeon.

Training

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

• collection of blood for a general analysis, the level of coagulability of the biological fluid, the presence of infections;
• general collection of urine for the detection of urinary and other bacteria;
• chest fluorography and heart 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 surgery, do not take alcoholic beverages, drugs;
• for three days, do not drink some groups of drugs (most often anticoagulants, which inhibit the coagulation of blood fluid);
• do not eat or drink 6 hours before the operation;
• carefully shave the groin area;
• swim.

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

Operation

The operating process includes 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;
• makes its dissection with a scalpel;
• stretches 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 of it 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 pubis.

Excision in the scrotal region

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

• the operation time is reduced to 10-20 minutes;
• there is no scar;
• decreased trauma to soft tissues;
• it became possible to perform surgical manipulations with a large amount of adipose 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 moved apart;
• access to the liaison apparatus is opened;
• the superficial sling-like ligament is crossed;
• the supporting ligament is highlighted;
• hemostasis 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 the following:

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

Despite such a number of disadvantages for the patient, this method is considered easier for the surgeon, 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 performed through the pubis, then the time is from 50 minutes to an hour. With the scrotal type of operation, 10-20 minutes is enough.

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 surgical intervention.

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 dissatisfaction, and not psychoemotional;
• the operation will have to be postponed in case of 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 arise:

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

Complications arise for various reasons:

• unprofessional 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 accelerate 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 rehabilitation:

1. The extender can only be worn on the second day, not earlier. At the same time, the wearing time is only a couple of hours. As you recover, the duration of wearing the device increases gradually, reaching 8 hours.
2. For 2 weeks, sexual intercourse in any form is strictly prohibited. Intimacy should be allowed 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 set by the doctor at the individual level).
5. Particular attention is paid to intimate 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 a healthy diet.
10. You can not use alcoholic beverages, drugs.

Reviews

• "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 comes, the penis does not rise fully up, but in bed this 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 a state of erection I have 16 cm (like the norm). As there were no other problems, we decided to have an operation on me. We went to a private clinic. The price was fine, but the doctors did not really want to take it, since I have no deviations, but we persuaded. Before the operation, I had to take many tests, do various diagnostics, but the operation was completed in 15 minutes. As a result, the penis has increased by almost 3 cm, the intimate life has improved, there are no scars. "
• "I made a ligamentotomy. The price, of course, is not 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 an infection, but 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 another couple of weeks, erectile sensitivity was slightly reduced, but my wife liked that ejaculation did not come for a long time. After that everything worked out. "

If you decide to enlarge your penis, do a ligamentotomy, which has a lot of advantages. But before that, weigh the pros and cons, so as not to regret it later, and be sure to find a clinic where real professionals work.