A ligamentotomy is a surgical procedure to cut the suspensory ligament of the penis, which causes the organ to grow in length. It is performed only according to indications and the main thing is that the length of the penis during arousal is less than 12 cm.
The surgeon can make an incision in the scrotum or along the pubis, but the first option is less dangerous. During rehabilitation, you have to wear an extender every day - a special device, in fact, to lengthen the penis. The final results can be evaluated only 6-10 months after the operation.
The cost of ligamentotomy ranges from $330-2800 and depends on the price policy of the clinic, the services provided and the provision of a male extender.
Ligamentotomy - what is it?
Ligamentotomy is an operation to increase the length of the penis, the essence of which is the excision of the suspensory ligament. In almost all cases, men report a penis growth of at least 2 cm in length, but such surgical intervention is not suitable for everyone - there are obvious contraindications.
The operation itself does not cause an immediate increase in the length of the penis, during the rehabilitation period the patient must constantly use the extender - the organ is stretched only after 6-10 months.
Indications for use
Ligamentotomy is performed at the request of a man, the main indication for manipulation is the length of the penis up to 12 cm in the state of peak sexual arousal. This problem is most often related to the anatomical features of the micropenis structure. But there are other direct indications for excision of the suspensory ligament:
- progressive cavernous fibrosis (cavernous corpuscles of the penis are replaced by connective tissue);
- received injuries that caused a reduction in the length of the penis;
- Hereditary Klinefelter and Kallmann syndromes are diagnosed;
- incorrect location of the opening of the urethra (hypospadia);
- complete or partial separation of the upper wall of the urethra (epispadias);
- Peyronie's disease, which is a severe curvature of the penis.
Contraindications
Ligamentotomy has clear medical contraindications:
- infectious diseases of the urogenital system;
- The size of the penis in an excited state is more than 12 cm;
- Skin pathologies with localization of symptoms in the perineum, groin area;
- Instability of the psycho-emotional background (this condition must be confirmed by a psychotherapist).
Surgeons refuse to operate even if the length of the penis is 12 cm and does not bring physiological satisfaction, and the psychological satisfaction is at an appropriate level.
Infectious diseases and skin damage are considered conditional contraindications. Doctors will first of all conduct a course of therapy, achieve complete recovery or put the chronic form of the pathology into a stable remission stage, and only then the man can be allowed to undergo surgery.
What results can be expected before and after a ligamentotomy?
Before and after ligamentotomy, the penis looks radically different - it usually increases in size by 3-5 cm, but the result can be less "remarkable". To achieve the desired effect, a man must strictly follow all the recommendations of the doctor:
- To undergo full preparation - taking analyses, examination by a cardiologist and andrologist, visiting a psychotherapist, etc. Sh.
- wound treatment during the rehabilitation period;
- to refuse sexual intercourse for a certain period of time;
- Regularly use an extender - a device for stretching the penis.
Ligamentotomy: price
The price of ligamentotomy operation is quite high, and this is a significant disadvantage of the method of increasing the length of the penis, but it is also considered the most effective, in some clinics they even guarantee the maximum result.
Advantages and disadvantages of ligamentotomy surgery
Ligamentotomy surgery has its advantages:
- the safety of the procedure, because it is not a reconstruction of the penis, but its plastic surgery;
- use of local anesthesia instead of general anesthesia during surgery;
- minimal probability of complications and side effects;
- It is not necessary to implant auxiliary devices into the penis;
- the ability to immediately increase the width of the penis during manipulation;
- Durability of the result.
But some experts are categorically against ligamentotomy, because it has many disadvantages: the cost of the surgeon's work is very high, abstinence from sexual intercourse for several weeks (sometimes months), high probability of bleeding already during rehabilitation. Period, long recovery before getting the desired result.
Preparation for penis enlargement by ligamentotomy
Before the appointment of penis enlargement using ligamentotomy, the patient must be prepared and first of all examined to identify contraindications, the following is prescribed:
- general urine analysis, bacterial culture;
- biochemical and general blood tests;
- Allergy test to determine the body's reaction to antibiotics;
- Ultrasound examination of pelvic organs;
- electrocardiography, blood pressure control;
- X-ray of the chest.
In addition, a man should consult a psychologist so that a specialist can identify mental disorders - they are an absolute contraindication to manipulation.
Also, within the preparatory period, a man is prescribed:
- Stop drinking alcoholic beverages at least 24 hours before the scheduled date of the intervention;
- stop eating and drinking 6 hours before surgery;
- exclude any medication from the group of anticoagulants 3 days before ligamentotomy;
- Shave the groin area;
- Take a shower the morning before the intervention.
How is penis lengthening done by ligamentotomy?
During ligamentotomy, the penis is lengthened according to a clear algorithm:
- The man is standing on the couch.
- The anesthesiologist does his job - he administers spinal anesthesia.
- The patient's condition is monitored - whether there is nausea or vomiting, blood pressure is measured, sensitivity in the lower back is checked.
- The surgeon makes an incision and feels the connective tissue with his fingers and immediately cuts it with a scalpel.
- Use your fingers to stretch the penis to its maximum length (individual indication).
- The wound is sutured and a sterile bandage is applied to the surgical wound.
Most often, the standard course of surgery is changed if a simultaneous increase in the width of the penis is required. In addition, the doctor can use different types of excision of the ligament - through the pubis or the scrotum.
Excision in the scrotal area
Features of ligamentotomy with excision in the area of the scrotum:
- The surgeon cuts the upper part of the scrotum and immediately removes the soft tissue;
- After one incision, the doctor has access to the entire ligament apparatus;
- The sling ligament is crossed;
- The suspensory ligament is excised.
This method of manipulation is considered the safest, and it also has obvious advantages:
- The doctor's working time is reduced to 10 minutes (in some cases - to 20 minutes);
- After complete rehabilitation, there is no scar;
- Soft tissue trauma is minimized;
- After the operation, the patient practically does not feel pain.
Excision of the chest made it possible to perform a ligamentotomy for men who are overweight - the standard operation is not performed if there is a large amount of fatty tissue.
Dissection in the pubic area
This method is considered classical, the doctor makes an incision on the pubis, which facilitates his work - the field is opened for free isolation and excision of the suspensory ligament. But ligamentotomy in the pubic area has many disadvantages:
- Even after complete rehabilitation, large scars remain on the pubis, which later turn into rough scars;
- soft tissues are severely damaged and this increases the rehabilitation period;
- Surgery cannot be performed on men with a large amount of fatty tissue;
- After the procedure, due to the compression of the tissues by the scar, the penis cannot take the exact upward position at the moment of arousal.
The operation to increase the length of the penis with an incision in the pubic area lasts at least 60 minutes.
Recovery after endoscopic ligamentotomy
Endoscopic ligamentotomy involves a long period of rehabilitation, during which:
- Wearing an extender - a special device that can be worn only the day after the operation;
- Maintaining the duration of wearing the extender - in the first days no more than 2 hours in a row, gradually increase this figure to 8 hours;
- You need to refrain from sexual intercourse for at least 2 weeks;
- Personal hygiene rules must be strictly followed to prevent infection;
- The patient should visit the doctor regularly to monitor recovery;
- Change the dressing on the surgical wound three times a day.
A man is strictly forbidden to apply ointments, creams and any medicine on the stitches, which is not prescribed by the attending physician. The patient should refrain from physical activity for 4 weeks, then it should be extremely moderate.
Possible complications
The most common complications after ligamentotomy are:
- Changes in men's sexual abilities - only surgery is to blame for this;
- the presence of severe pain during the recovery period;
- swelling and hematomas in the perineum area, which disappear by themselves 4-6 days after the operation;
- infection of the operative site;
- Bleeding - the blame lies with the patient who does not follow the rules of rehabilitation.
If an infectious agent is introduced into the surgical wound, then the process of suppression, the formation of adhesions and the progression of inflammation in the tissues of the testicle and its appendages (orchiepididymitis) are possible.
effect on patients
The patient can evaluate the final result of ligamentotomy only 6-10 months after the operation, when the course of wearing the extender is over and the growth reaches its maximum. Usually, the length of the penis increases by 2-7 cm, it all depends on the individual characteristics of the male body and the anatomical characteristics of the structure of the penis. But almost all patients report an improvement in the quality of their sexual life.
Ligamentotomy is the most effective method of increasing the length of the penis, which involves surgery and a long rehabilitation period. If the patient strictly follows the doctor's recommendations and uses the extender correctly, the result will definitely be positive.