Ligatotomy is one of the most popular methods of penis lengthening. Although the surgery is complicated by the rehabilitation period, it is quite efficient. After the operation, the length of the penis increased by 2-5 cm. These metrics can only be achieved if the surgeon's recommendations are strictly followed and the extender is constantly worn.
Indications for surgery
The main indication for a ligamentotomy is a penis up to 12 cm in length during full arousal. The most common cause of a small penis is anatomy (congenital micropenis). But do it in other cases:
- Reduced size after injury;
- hypospadias, in which the opening of the urethra is not positioned correctly;
- Curvature of the penis (Peyronie's disease);
- extraspadias (complete or partial tearing of the upper wall of the urethra);
- Replacement of the corpus cavernosum of an organ with connective tissue (cavernous fibrosis);
- Genetic disorders - Kallman or Klinefelter syndrome.
Contraindications for ligamentotomy
- Mental illness at any stage;
- the location of the malignant tumor in the genital area;
- Uncontrolled high blood pressure is present:
- Individual patient tolerance to pain relievers, anticoagulants, allergic reactions to metal joints, disinfectant solutions;
- Advanced infection of bacterial etiology;
- Inflammatory processes in the genital area;
- The presence of a disorder characterized by poor blood clotting;
- Previous manipulations and genital injuries transferred in the area;
- The presence of sexually transmitted diseases, infections and inflammatory processes in the lower body.
Preparation for ligamentotomy
The duration of the ligamentotomy depends on the method and takes 20-60 minutes. Before the surgery, the man underwent standard tests, which included:
- Consultation of urologist and psychiatrist.
- Blood tests (clinical and biochemical).
- General urinalysis.
- urethral smear.
- Blood tests for syphilis, HIV infection and hepatitis.
- Electrocardiogram.
- Fluoroscopy.
- Checked by an anesthesiologist.
Preparations for surgery began 10 hours before the patient was advised not to eat or drink, and the groin area was shaved.
How does a ligamentotomy lengthen the penis?
Surgery is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which the surgeon can access the suspensory ligament cut with a scalpel. The operation time is 0. 5-1 hours. Absorbable sutures are placed on the skin of the scrotum.
Operation
The operation process consists of several stages:
- The patient is placed on a sterile sofa;
- give spinal anesthesia; monitor the body's response;
- the surgeon makes a small incision;
- Probe the connective ligaments;
- dissect it with a scalpel;
- Stretch the penis to the maximum length of the ligament in slow and careful movements (every person is different);
- The incision is sutured; a bandage is used.
Ligatotomy can be performed according to the standard method, but in modern medicine, another version is also used - the introduction of fatty tissue into the cavity to increase the diameter of the penis. Also, the plastic is removed differently - through the scrotum or the pubic bone.
Resection of the scrotum area
This technology is considered the most modern and safest. If earlier they opened the ligament through the pubic bone, now they do it through the scrotum, which opens up new possibilities:
- The operation time is reduced to 10-20 minutes;
- no scars;
- Reduce soft tissue trauma;
- Surgery can be performed on large amounts of adipose tissue;
- Maximum pain relief after and during surgery.
Features of this program:
- Cut the skin in the scrotum (upper part of the seminal vesicles) and separate the soft tissue;
- open the channel of the ligament device;
- The superficial suspensory ligament stops;
- The supporting ligaments are released;
- Perform hemostasis.
During a scrotumectomy, the surgeon pays attention to the activity of the ligaments located near the dorsal vein and the spermatic cord branches.
pubic area incision
This was the first penis enlargement method used. Its salient features are as follows:
- Resection in the pubic region;
- leave large scars;
- High degree of soft tissue damage;
- Difficulty working with overweight patients;
- long recovery period;
- The scar that forms in many cases does not allow the penis to have a full upward orientation.
Differences in methods
Pain is felt differently between the two methods: in the first option, withdrawal through the scrotal area is safe and painless for the patient, but presents certain difficulties for the surgeon. In the second option, it is easier for the doctor to remove the ligament through an incision just above the pubic bone, but this is painful for the patient.
Plastic surgery is performed under local anesthesia. The operation time is approximately 50 minutes. Finally, a bandage is applied to the postoperative area. The stitches were removed after 2 weeks.
Rehabilitation after ligamentotomy. expander
The extender is a necessary device after ligamentotomy, without it, there is no postoperative effect, and the operation is futile.
The device must be used 4 or more hours per day for more than 3 months. It is generally accepted that most of the extension process occurs in the third to sixth month.
Results: Before and after ligamentotomy
There is no one way to guarantee 100% penis enlargement. Even men who decide to undergo surgery cannot boast about the results they expect. In most cases, elongation of the penis is observed, but these figures hardly reach 2-3 cm. For example, if a person's normal penis length is only 12-13 cm, it will increase to 4 cm after removal of the supporting ligaments. But that doesn't mean this result applies to everyone who has a ligamentotomy.
In this case, further wear of the extender plays an important role. If you wear it strictly according to the regimen prescribed by your doctor, the growth of the penis will be much more noticeable than when it deviates. The results of ligamentotomy directly depend on the individual structural characteristics of the penis, and it is an effective method to enlarge the penis, but at the same time, the effectiveness of the operation depends on the patient's patience and diligence. After all, wearing an extender every day for months on end is difficult. Not everyone can use the device every day.
Is Ligatotomy Worth It?
So, to do or not to do? Not everyone can decide on a ligamentotomy. First, it was a responsible decision, and second, it was quite expensive. In our country, ligamentotomy costs tens of thousands of rubles, which is determined by the qualifications of the plastic surgeon, the rating of the clinic and the price of the extender.
For obvious reasons, any urology center that respects the patient and performs a ligamentotomy will provide details about this intimate procedure on their website. Elongation of penile plasticity by transection of the suspensory ligament is considered a simple and relatively safe procedure. But no clinic will give an absolute guarantee. So the choice is yours - go for surgery or try to fix the problem less thoroughly.
How much does penis enlargement cost?
The cost of the surgery depends on the qualifications of the surgeon. You need to understand that this does not include consultation with a specialist, his examination, hospitalization, necessary medications, postoperative monitoring.