For whom and how is 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 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, which are located deep in the pelvis. After cutting them, the inside of the penis is stretched a distance of 3 to 5 cm. During operation, a device is used - an extender.

Indications for surgery

The main indication for ligamentotomy is a penis length of up to 12 cm during full 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, where the urethral opening is not correctly located;
• curvature of the penis (Peyronie's disease);
• epispadias (the upper wall of the urethra is fully or partially divided);
• replacement of the organ's cavernous bodies with connective tissue (cavernous fibrosis);
• Hereditary diseases - Kallman or Klinefelter syndrome.

Pros and cons

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

Using a vacuum pump.

The use of an extender is temporary.

Special exercises.

Popular recipes.

False prosthesis surgery (an artificial implant is installed).

Lipofilling (own biological material is introduced).

The introduction of hyaluronic acid, gels or synthetic prostheses in the genitals.

Each method has its pros and cons, but none compares in efficiency to ligamentotomy, as it has the following advantages:

Unlike other surgical techniques, ligamentotomy is a plastic surgery, not a reconstruction, and is therefore considered a safer method.

General anesthesia is excluded, which may be a contraindication for many men. Local anesthesia is used to reduce sensitivity.

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 cause damage to the body. And just a "harmless" extender for the rehabilitation period.

Durability of effect and short recovery time after intervention.

During the operation, you can also eliminate birth defects and acquired, increase the penis not only in length but also in thickness.

The minimum number of adverse reactions.

Although the operation gives a 100% penis enlargement guarantee, the end result may vary. In one man, the penis increases 5 cm, while in another - only 2. But the result depends largely on the anatomical structure of a specific 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 surgeon's professionalism.

Training

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

• blood collection for general analysis, level of coagulability of biological fluid, 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;
• psychologist consultation for detecting deviations.

What the patient should do:

• on the eve of surgery, do not drink alcohol or drugs;
• for three days, do not drink some groups of medications (most often anticoagulants, which inhibit the clotting of blood fluid);
• do not eat or drink 6 hours before the operation;
• carefully scrape the groin area;
• 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 steps:

• 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;
• performs his dissection with a scalpel;
• stretches the penis with slow, careful movements to the maximum length of the ligament (it's 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, 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 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;
• reduction in soft tissue trauma;
• made it possible to carry out surgical manipulations with large amounts of adipose tissue;
• maximum pain relief after and during surgery.

Characteristics of the procedure:

• the skin is cut in the scrotal area (the upper part of the seminal sac), after which the soft tissues are separated;
• access to the connecting device 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 ligaments located close to the dorsal vein branches and the spermatic cords.

pubic dissection

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

• excision is made in the pubic region;
• large scars remain;
• a high level of soft tissue trauma;
• difficulties in operating an overweight patient;
• long period of rehabilitation;
• the scar formed in many cases does not allow the penis to go all the way up.

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

Operation duration and cost

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 depends a lot 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 penis size is larger than normal (12 cm);
• in cases where the normal length of the phallus creates physical rather than psycho-emotional dissatisfaction;
• the operation must 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 excision area;
• pain during intercourse at the beginning;
• 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;
• prolapse of the scrotum.

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 outcome, but also a person's actions during the recovery period.

What is included in rehabilitation:

The extender can only be used on the second day, not earlier. At the same time, the usage time is just a few hours. As you recover, the usage time of the device gradually increases, reaching 8 hours.

For 2 weeks, sexual intercourse in any form is strictly prohibited. Intimacy must be allowed by the attending physician after a preliminary examination. Otherwise, various complications will develop.

After the operation, MRI is mandatory to clarify the effectiveness.

When the patient uses the expander, it is necessary to go to the doctor frequently for control (the appointment time is defined by the individual doctor).

Special attention is paid to intimate hygiene, which will prevent infections with infections.

Ointments and creams cannot be applied to scars on their own.

The sterile dressing is changed three times a day.

Physical activity is excluded.

It is necessary to follow the rules of healthy eating.

You cannot use alcoholic beverages, drugs.

Assessments

• "I had a ligamentotomy 3 years ago in the pubis. The operation was successful, but I still have an ugly scar, although it doesn't cause any particular discomfort. The only thing is, when a full erection occurs, the penis doesn't fully lift, but in bed it 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 an erection state I was 16 cm (as the norm). As there were no other problems, we decided to have an operation on me. We went to a clinic. The price was good, but the doctors didn't want to accept it, since I don't have deviations, but we persuaded. Before the operation, I had to do several tests, several diagnoses, but the operation was completed in 15 minutes. the penis has increased by almost 3 cm, intimate life has improved, there are no scars".
• "I had 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, I felt great discomfort in the perineal region , and 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 anymore. After 3 weeks, he had free sex. erectile sensitivity was slightly reduced, but my wife liked that the ejaculation didn't come for a long time.

If you decide to enlarge your penis, have a ligamentotomy, which has many advantages. But first, weigh the pros and cons, so you don't regret it later, and make sure you find a clinic where real professionals work.