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Who and how is the ligamentotomy performed?

A man whose genitals are small can decide on radical treatments such as surgery. In this case, the best way to enlarge the penis is the ligamentotomy, which you will learn 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 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 divided);
  • replacement of the cavernous bodies of the organ with connective tissue (cavernous fibrosis);
  • hereditary diseases - Kallman's or Klinefelter's syndrome.

pros and cons

Ligamentotomy has alternative methods of increasing penis size. For instance:

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

Each method has its pros and cons, but none can be compared in terms of efficiency to 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 can 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 in the penis: prostheses, pumps, gels, frames, etc. , Which can harm the body. It is just a "harmless" extender for the rehabilitation period.
  4. Duration of 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 adverse reactions.

Although the operation gives a 100% guarantee on penis enlargement, the final result may 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 drawback 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 diagnostics are assigned:

  • blood sampling for general analysis, level of coagulability of the biological fluid, presence of infections;
  • general urine collection for the detection of urinary and other bacteria;
  • chest fluorography and cardiac electrocardiogram;
  • tests 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 certain groups of drugs (most often anticoagulants, which inhibit blood fluid clotting);
  • do not eat or drink 6 hours before the operation;
  • carefully shave the groin area;
  • swim.

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

operation

The operational process involves several stages:

  • the patient is placed on a sterile bed;
  • spinal anesthesia is administered;
  • monitor the body's response;
  • the surgeon makes a small incision;
  • probes the connective ligament;
  • does its dissection with a scalpel;
  • lengthen the penis with slow and careful movements to the maximum length of the ligament (it is different for each person);
  • 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 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 pubis.

Ligamentotomy - penis enlargement surgery

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 so through the scrotum, which opens up new opportunities:

  • the operation 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 adipose tissue;
  • maximum painless after and during surgery.

Features of the procedure:

  • the skin is cut in the scrotum area (the upper part of the seminal sac), after which the soft tissues are pulled away;
  • access to the connection apparatus is open;
  • the superficial sling 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 spermatic cords.

pubic dissection

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

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

Despite such a number of disadvantages for the patient, for the surgeon this method is considered simpler, 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 the surgical procedures depends on the type of surgery. If the excision is performed through the pubis, 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 surgery.

Contraindications

Ligamentotomy is prohibited in these cases:

  • if the penis size 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 for 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;
  • soreness of the relationship at the beginning;
  • 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;
  • prolapse of the scrotum.

Complications arise for various reasons:

  • unprofessional surgeon;
  • lack of adequate sterility during surgery;
  • failure of the patient to comply with the requirements during the rehabilitation period;
  • the use of various means to accelerate the healing process on their 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.

Consultation of the doctor on rehabilitation after penis enlargement by the method of ligamentotomy

What is included in the rehabilitation:

  1. The extender can only be worn on the second day, not earlier. At the same time, the usage time is only a couple of hours. As you recover, the duration of wearing the device gradually increases, 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, MRI is mandatory to clarify the effectiveness.
  4. When the patient uses the expander, it is necessary to visit the doctor frequently for the check-up (the time of the visit is set by the doctor individually).
  5. Particular attention is paid to intimate hygiene, which will prevent infection with infections.
  6. Ointments and creams cannot be applied to scars alone.
  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. It is not possible to 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 discomfort. The only thing is that when a full erection occurs, the penis does not fully rise, 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 am 16 cm (like the norm). Since there were no other problems, we decided to have an operation. We went in 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 ourselves. Before the operation, I had to do a lot of tests, make various diagnoses, but the operation is 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 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 was severe discomfort in the perineal area and I accidentally brought an infection, but I immediately ran to the clinic. It is 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, the erectile sensitivity was slightly reduced, but my wife liked that the ejaculation didn't come for a long time. After that it all worked out. "

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