Patients choose this type of surgery for various reasons. Some people want to increase the size of their penis to improve their sex life. Others do it to boost their self-confidence, which then leads to further benefits in other areas of their lives. For some it is a medical necessity, for others it is a form of cosmetic surgery.
Ligamentotomy (alternative names: penile lengthening, penile lengthening) is a surgical procedure to cut the suspensatory ligament of the penis. The operation is aimed at enlarging the visible part of the penis.
The essence of the operation is as follows: in ordinary life, only the external part of the corpora cavernosa of the penis, which we see visually, participates in erection. However, there is also a perineal part of the corpus cavernosum of the penis, which visually does not participate in erection, because the powerful ligaments prevent it from widening. Crossing the ligaments of the penis allows the perineal section of the corpora cavernosa to participate in the erection, which significantly increases the length of the penis and improves blood supply.
When is ligamentotomy really necessary?
Penis enlargement surgery is suitable for a wide range of patients and conditions. If you suffer from small penis syndrome, curved penis syndrome, indented penis syndrome, or have suffered a penile injury, the procedure can help you increase the size of your penis. Some people choose penis enlargement for personal or aesthetic reasons rather than medical reasons, which is why it is also available as cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for penile enlargement surgery:
Medical indications:
- Peyronie's disease, in which pronounced deformation of the penis with a decrease in its length may occur;
- Cavernous fibrosis;
- "Hidden" penis or, as it is also called, micropenis.
Aesthetic indications:
- A man's desire to improve his attractiveness;
- A man's desire to increase self-esteem;
- Penile dysmorphophobia is a general dissatisfaction with the appearance, shape, or size of one's penis.
The lower limit of the average size of the erect penis is considered to be the length of 12 cm, a size less than 12 cm can be considered a reason for this operation.
How much can you enlarge your penis?
After passing through the ligaments, the length of the penis during erection increases by 2-3 cm. The result should be guaranteed by actively wearing the extender for a month after the operation for 2-3 hours a day and passive traction 24 hours a day 24. To achieve maximum effect, the duration of use of the extensor is not limited, becauseafter passing through the ligaments, nothing prevents the stretching of the corpora cavernosa.
How to lengthen the penis through ligamentotomy:
The operation is performed under anesthesia. A skin incision is made in the center of the scrotum, through this incision the surgeon accesses the suspensatory ligament of the penis, which is cut. Absorbable sutures are placed on the skin of the scrotum.
Preoperative preparation consists of undergoing a simple examination, including:
- Consultation with a urologist;
- Clinical and biochemical blood test;
- Blood for HIV, syphilis and hepatitis;
- ECG;
- Consultation with an anesthesiologist.
How is penis enlargement surgery performed?
- 5-7 days before surgery, the patient undergoes a preoperative examination; hospitalization takes place on the day of surgery;
- Anesthesia: intravenous or spinal;
- The doctor makes a skin incision along the seam of the scrotum (2-3 cm) with access to the ligaments of the penis and intersects them. A vacuum drain is placed, which is removed after 12 hours, and an intradermal absorbable cosmetic suture is placed. Operating time - 20 minutes;
- The next morning: drain removal, learning to wear an extension cord, a fiery send-off home.
Duration of penis enlargement surgery
The operation usually lasts 20 to 30 minutes.
If the "invisible" transscrotal ligamentotomy did not bring the expected result due to poor stretching of the suprapubic skin with an extensor, it is possible to supplement the already performed ligamentotomy with a transverse-longitudinal minimally invasive skin plastic in the suprapubic region, which will add an additional 2- 3 cm to the operation performed. In total, based on the results of the two stages, you can get +5-6 centimeters.
What is the recovery period like after ligamentotomy?
The suture heals in 5-7 days. Before discharge, the patient undergoes a consultation with a urologist, during which the need to wear an extender for 3-4 months is explained to him. Subsequent rehabilitation involves the use of an extender. The patient gets behind the wheel or starts working in 2-3 days. Return to sexual activity in one month.
What is the result of ligamentotomy?
As a rule, the operation adds +2-3 cm in the erect state. In a calm state, in the cold - minus 2 cm due to the lack of ligaments.
Full results – within 4-6 months. : You notice a noticeable increase in length, an increase in the volume of the head of the penis due to the vacuum attachment of the extensor, a longer erection even after ejaculation due to changes in the blood supply to the corpora cavernosa.
Possible complications after penis enlargement surgery
Complications of ligamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. The incidence of complications does not exceed 0. 1%.
Additional Information
The potential for increasing penis size through ligamentotomy in combination with the use of an extender is 3-5 cm. The specific result depends on the individual characteristics of the patient's body: the size of the hidden part of the corpora cavernosa, as well as the distensibility of the vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than any other method of increasing penis length. Popular methods of penis enlargement, such as the Jelq method, Indian Sadhu technique, self-hypnosis, etc. , have no evidence base and are virtually ineffective.
Ligamentotomy in clinic
Penis enlargement surgery is a serious matter for any man. For best results, choose an experienced professional affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have long been successfully working with patients from all over the world. Their experience and advanced equipment of the clinic will allow you to spend a minimum of time eliminating an unsightly defect and returning to normal life, looking at your reflection with pride!
We offer a full range of medical services:
- comprehensive consultation on the preparation and performance of plastic surgery, discussion of the chosen method and possible contraindications to the operation;
- all preoperative examinations - tests, examinations by specialized doctors, anesthesiologist services;
- perform surgery;
- postoperative hospital support - observation by the attending physician, dressings, comfortable rooms with meals;
- further consultations and a rapid rehabilitation program.
Prices for ligamentotomy
Prices for ligamentotomy can vary widely. It depends on various factors and only a doctor can tell you the exact cost.