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To whom and how is ligamentotomy performed?

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

Ligamentotomy refers to a surgical procedure aimed at enlarging the male genital organ.The method is based on crossing the supporting ligaments of the penis, which are located deep in the pelvis.After cutting them, the inner part of the penis is extended 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 reason for a small penis is the anatomical structure (congenital micropenis).But the operation is also performed in other cases:

  • reduction in size after injury;
  • hypospadias, in which the opening of the urethra is incorrectly located;
  • curvature of the penis (Peyronie's disease);
  • epispadias (the upper wall of the urethra is completely or partially separated);
  • replacement of the cavernous bodies of the organ with connective tissue (cavernous fibrosis);
  • hereditary diseases - Kallman or Klinefelter syndrome.

The good and the bad

Ligamentotomy has alternative methods for increasing the size of the penis.For example:

  1. Using a vacuum pump.
  2. Wearing an extender is temporary.
  3. Special exercises.
  4. Popular recipe.
  5. Prosthetic surgery of the phallus (an artificial implant is placed).
  6. Lipofilling (own biological material is inserted).
  7. Insertion of hyaluronic acid, gel or synthetic prostheses in the genital organ.

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

  1. Unlike other surgical techniques, ligamentotomy is a plastic surgery, not a reconstruction, and is therefore 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 there is no need to insert or implant various devices in the genital organ – prostheses, pumps, gels, frames, etc., which can harm the body.But only a "harmless" extension of the rehabilitation period.
  4. Durability of the effect and short recovery period after the intervention.
  5. During the operation, it is also possible to eliminate congenital and acquired defects, and to increase the penis not only in length, but also in thickness.
  6. The minimum number of adverse reactions.

Although the operation provides a 100% guarantee for penis enlargement, the final result may vary.For one man, the penis grows by 5 cm, and for another - only by 2. But the result depends mainly 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.

Preparation

This plastic surgery requires special preparation, which consists in the preliminary examination of the patient.For this, the following diagnoses are described:

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

What the patient should do:

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

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

Performing the operation

The course of the operation includes several stages:

  • the patient is placed on a sterile bed;
  • spinal anesthesia is given;
  • monitor the body's reaction;
  • the surgeon makes a small incision;
  • affects the connective ligament;
  • he dissects it with a scalpel;
  • with slow and careful movements, stretches the penis to the maximum length of the ligament (it is different for each person);
  • the cut is sewn;
  • 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, plastic surgery differs according to the type of excision - through the scrotum or pubis.

Carrying out a ligamentotomy - surgery to enlarge the penis

Excision in the scrotal area

This technique is considered more modern and safer.If previously access to the ligament was through the pubis, now it is through the scrotum, which opens up new possibilities:

  • Operating time is reduced to 10-20 minutes;
  • there is no scar;
  • soft tissue trauma is reduced;
  • it became possible to carry out surgical manipulations with a large amount of fatty tissue;
  • without maximum pain after and during the operation.

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;
  • access to the ligamentous apparatus is opened;
  • the superficial ligament of the sling is cut;
  • the suspensory ligament is emphasized;
  • hemostasis is performed.

During the scrotal excision, the surgeon pays attention to the mobilization of the ligaments located near the branches of the dorsal vein and spermatic cords.

Dissection in the pubic area

This is the first method of penis enlargement that has been used.Its distinguishing feature is as follows:

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

Despite so many disadvantages for the patient, this method is considered easier for the surgeon, since after an incision in the pubic part, full access to the ligamentous apparatus is available.

Duration and cost of the operation

The duration of surgical procedures depends on the type of operation.If the excision is performed through the pubis, the time varies from 50 minutes to an hour.For this type of scrotal surgery, 10-20 minutes are enough.

Ligamentotomy is not performed in state institutions, but mainly in private clinics.The cost of the operation depends mainly on the region, the level of qualifications of the surgeon and the clinic itself, as well as the type of surgical intervention.

Contraindications

Ligamentotomy is prohibited in the following cases:

  • if the size of the genital organ is larger than normal (12 cm);
  • in cases where the normal length of the phallus creates physical dissatisfaction, not psycho-emotional;
  • The operation will have to be postponed in case of skin diseases, as there is a risk of infection;
  • infectious diseases of the genitourinary system;
  • mental instability confirmed by a psychotherapist.

Consequences of surgery and possible complications

Ligamentotomy is a safe surgical procedure, but in some cases the following consequences occur:

  • inflammatory processes under the skin in the excision area;
  • painful intercourse at first;
  • suppuration of stitches;
  • pain during urination;
  • in the first month - decrease in erection;
  • infection;
  • bleeding;
  • swelling;
  • decreased sensitivity;
  • scar formation;
  • tissue necrosis;
  • penile curvature;
  • deformation of the phallus;
  • prolapse of the scrotum.

Complications arise for various reasons:

  • unprofessionalism of the surgeon;
  • lack of proper sterility during surgery;
  • disrespecting the patient during the rehabilitation period;
  • using various means to speed up the healing process itself (without consulting a doctor).

reHabiLitatiON

Not only the quality of the operation affects the result, but also the person's actions during the recovery period.

Consultation with a doctor for rehabilitation after penis enlargement using ligamentotomy

What is included in rehabilitation:

  1. The extender can be applied only on the second day, not earlier.Wear time is only a few hours.With recovery, the duration of device usage increases gradually, reaching 8 hours.
  2. For 2 weeks, sexual contact in any form is strictly prohibited.Intimacy must be allowed by the attending physician after a preliminary examination.Otherwise, various complications develop.
  3. After the operation, magnetic resonance is required to clarify the effectiveness.
  4. When a patient uses a dilator, it is necessary to visit a doctor often for monitoring (the time of the visit is determined by the doctor at the individual level).
  5. Special attention is paid to intimate hygiene, which will prevent infection.
  6. Do not self-apply ointments and creams to wounds.
  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 healthy eating.
  10. You cannot drink alcohol or drugs.

evaluations

  • "I had a ligamentotomy 3 years ago through the pubis. The operation was successful, but I was left with an ugly scar, although it did 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 height was not enough for her, although in an erect state my height is 16 cm (seemingly normal). Since there were no other problems, we decided to operate on me. We went to a private clinic, the price suited me, but the doctors did not want to take it, since I had no deviations, but I had done many tests, before the operation. diagnosis, but the operation was completed in 15 minutes. As a result, the penishas grown by almost 3 cm, 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. However, during the rehabilitation period there were strong discomforts in the perineal area and I also accidentally got an infection, but I immediately ran to the clinic. I tried not to touch the wound any further quickly. I was having sex freely. But I warn you that for about a couple of weeks,the sensitivity of the erection decreased a little, but my wife liked that the ejaculation did not happen for a long time.After that, everything got better."

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