To whom and how is a ligamentotomy performed?

A man whose genitals are small may decide on radical treatment 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 connections of the penis, which are located in the depth of the pelvis. After cutting them, the inner part of the penis is stretched at a distance of 3 to 5 cm. During the operation, an extension device is used.

Indications for surgery

The main indication for ligamentotomy is the length of the penis up to 12 cm at 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 in which the opening of the urethra is not located correctly;
• penile curvature (Peyronie's disease);
• epispadias (the upper wall of the urethra is completely or partially split);
• replacement of the corpora cavernosa of the organ with connective tissue (cavernous fibrosis);
• hereditary diseases - Kallman or Klinefelter syndrome.

Advantages and disadvantages

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

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

Each method has its pros and cons, but no one can compare the effectiveness of a ligamentotomy because it has the following advantages:

1. Unlike other surgical techniques, ligamentotomy is a plastic rather than a reconstruction and is therefore 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 insert and implant various devices in the penis - prostheses, pumps, gels, frames, etc. , which can harm the body. And only a "harmless" extension cord for the rehabilitation period.
4. Durability of the effect and short recovery time after the intervention.
5. During the operation you can further remove congenital and acquired defects, increase the penis not only in length but also in thickness.
6. The minimum number of side effects.

Although surgery provides a 100% guarantee of penis enlargement, the end result can 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 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 purpose the following diagnostics is appointed:

• blood sampling for general analysis, the level of coagulation of biological fluid, the presence of infections;
• general collection of urine to detect urinary and other bacteria;
• chest fluorography and cardiac electrocardiogram;
• test to identify an allergic reaction to anesthetics;
• ultrasound examination of the pelvic organs;
• consultation with a psychologist to detect abnormalities.

What the patient should do:

• the day before the operation do not take alcoholic beverages, drugs;
• do not take certain groups of drugs for three days (most often anticoagulants that inhibit blood clotting);
• do not eat or drink 6 hours before surgery;
• gently shave the groin area;
• I swim.

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

Operation

The operational process includes several stages:

• the patient is placed on a sterile sofa;
• spinal anesthesia is applied;
• monitors the body's response;
• the surgeon makes a small incision;
• probes the connective ligament;
• makes his dissection with a scalpel;
• stretches the penis with slow and careful movements to the maximum length of the connection (it is different for each person);
• the dissection is sutured;
• a bandage is applied.

Ligamentotomy can be performed by 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 cut - through the scrotum or pubis.

Excision in the scrotal area

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

• the operation time is reduced to 10-20 minutes;
• no scar;
• reduced soft tissue trauma;
• it became possible to perform surgical manipulations with a large amount of adipose tissue;
• maximum painlessness after and during the operation.

Characteristics of the procedure:

• the skin is cut in the area of the scrotum (upper part of the seminal vesicle), after which the soft tissues are separated;
• access to the communication device is opened;
• the sling-like surface ligament intersects;
• the supporting ligament is emphasized;
• hemostasis is performed.

In excision of the scrotum, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and the seminal ligaments.

Public dissection

This is the first method used to enlarge the penis. Its distinctive feature is the following:

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

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

Duration and cost of the operation

The duration of surgical procedures depends on the type of operation. If the incision is made through the pubis, then the time is from 50 minutes to an hour. In the scrotal type of operation, 10-20 minutes are 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 operation.

Contraindications

Ligamentotomy is prohibited in the following 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 rather than psycho-emotional;
• surgery will have to be postponed for skin diseases as there is a risk of infection;
• infectious diseases 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 occur:

• inflammatory processes under the skin in the area of the incision;
• soreness from sexual intercourse in the beginning;
• heating the seams;
• pain when urinating;
• in the first month - reduced erection;
• infection;
• bleeding;
• swelling;
• reduced sensitivity;
• scars;
• tissue necrosis;
• penile curvature;
• phallus deformity;
• scrotal prolapse.

Complications occur for various reasons:

• non-professional surgeon;
• lack of proper sterility during surgery;
• non-compliance with the requirements of the patient during the rehabilitation period;
• the use of various means to accelerate the healing process alone (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 extension cord can be worn only on the second day, not earlier. At the same time, the wearing time is only a few hours. With recovery, the wearing time of 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, magnetic resonance imaging is mandatory to clarify the effectiveness.
4. When the patient uses the dilator, it is necessary to visit a doctor often for control (the time of the visit is determined by the doctor on an individual level).
5. Particular attention is paid to intimate hygiene, which will prevent infection.
6. Ointments and creams cannot be applied alone on scars.
7. The sterile dressing is changed three times a day.
8. Physical activity is excluded.
9. You need to adhere to the rules of a healthy diet.
10. You can not use alcohol, drugs.

Reviews

• "I had a ligamentotomy 3 years ago through the pubis. The operation was successful, but I still have an ugly scar, although it does not cause much inconvenience. The only thing is that when a full erection occurs, the penis does not rise completely upwards, but in bed it 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 I have an erection of 16 cm (as the norm). Since there were no other problems, we decided to have surgery. We went to a private clinic. The price was good, but the doctors did not want to take it, as I have no deviations, but we were convinced. Before the operation I had to do a lot of tests, do different diagnoses, but the operation ended in 15 minutes. As a result, 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, there was severe discomfort in the perineal area and I accidentally brought an infection, but I immediately ran to the clinic. Good thing 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 a few more weeks the erectile sensitivity was slightly reduced, but my wife liked that the ejaculation did not come for a long time. Then it all worked out. "

If you decide to enlarge your penis, do a ligamentotomy, which has many advantages. But before that, weigh the pros and cons so that you do not regret it later and be sure to find a clinic that employs true professionals.