Patients choose this type of surgery for a variety of reasons. Some people want to enlarge their penis to improve their sex life. Others do it as a way to boost their self-confidence, which leads to additional benefits in other areas of their lives. For some it is a medical necessity and for others it is cosmetic surgery.
Ligamentotomy (alternative names: penile lengthening, penile lengthening) is a surgical operation to cut the suspensory ligament of the penile organ. The operation is aimed at enlarging the visible part of the genital organ.
The essence of the operation is as follows: in ordinary life, only the outer part of the cavernous bodies of the penis, which we see visually, is involved in the erection. However, there is also a perineal part of the cavernous bodies of the penis, which is visually not involved in erection, because it is protected from growth by strong ligaments. Crossing of the ligaments of the penis allows the perineal part of the cavernous bodies to participate in the erection, which significantly increases the length of the penis and improves its blood supply.
When is a ligamentotomy really necessary?
Penis enlargement surgery is suitable for a variety of patients and conditions. If you suffer from small penis syndrome, a curved penis, an indented penis, or have suffered a penile injury, this procedure can help increase penis size. Some people choose to have penis enlargement for personal or aesthetic reasons rather than medical reasons, so it is also available as cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for penis enlargement surgery:
Medical indications:
- Peyronie's disease can be an open deformation of the penis with a decrease in length;
- cavernous fibrosis;
- "Hidden" penis or micropenis as it is called.
Aesthetic features:
- The desire to increase the attractiveness of a man;
- Desire to increase a man's self-esteem;
- Penile dysmorphophobia is a general dissatisfaction with the appearance, shape or size of the penis.
The lower limit of the average size of the penis in an erect position is considered to be 12 cm long. A size smaller than 12 cm can be considered the reason for this operation.
How big can you make your penis?
After passing through the ligaments, during erection, the length of the genital organ increases by 2-3 cm. The result should be ensured by actively wearing an extensor for 2-3 hours a day and passive traction around the clock for a month after the operation. To achieve the maximum effect, the duration of wearing the expander is not limited, because after passing the ligaments, nothing prevents the cavernous bodies from stretching.
How to lengthen the penis with ligamentotomy:
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which the surgeon has access to the severed penile suspensory ligament. Absorbable sutures are placed on the skin of my scrotum.
Preoperative preparation consists of 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 the operation, the patient undergoes a preoperative examination; hospitalization occurs 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 cuts them. A vacuum drain is placed, removed after 12 hours, and an intradermal absorbable cosmetic suture is applied. Operating time - 20 minutes;
- The next morning - drain removal, learning to wear a dilator, a fiery send home.
Duration of penis enlargement surgery
The operation usually takes 20-30 minutes.
If the "invisible" transscrotal ligamentotomy did not give the expected result due to poor stretching of the suprapubic skin with the expander, you can complete the already performed ligamentotomy with transverse-longitudinal minimally invasive skin plasty in the suprapubic region, which will add2-3 cm to the operation. In general, based on the results of two stages, you can get +5-6 centimeters.
What is the recovery period after a ligamentotomy?
The suture heals within 5-7 days. Before discharge, the patient undergoes a consultation with a urologist, during which it is explained to him the need to wear a dilator for 3-4 months. Further rehabilitation involves wearing an expander. The patient gets behind the wheel or starts working after 2-3 days. After one month, return to sexual activity.
What is the result of ligamentotomy?
As a rule, the operation adds +2-3 cm in the upright position. At rest, in the cold - minus 2 cm due to the absence of ligaments.
Full results - within 4-6 months. : there is a noticeable increase in length, an increase in the volume of the penis head due to the vacuum closure of the dilator, a long erection even after ejaculation due to a change in the blood supply to the cavernous bodies.
Possible complications after penis enlargement surgery
Complications of ligamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. The frequency of complications does not exceed 0. 1%.
additional information
The potential to increase the size of the penis by ligamentotomy in combination with the insertion of an expander is 3-5 cm. A special result depends on the individual characteristics of the patient's body - the size of the hidden part of the cavernous bodies, as well as the expansion of the vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than any other method to increase the length of the penis. Folk methods for penis enlargement, such as Jelg method, Indian Sadhu technique, self-hypnosis, etc. , has no evidence base and is practically ineffective.
Ligamentotomy in the clinic
Penis enlargement surgery is a serious matter for every man. For best results, choose an experienced practitioner affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have been working successfully with patients from all over the world for a long time. Their experience and the advanced equipment of the clinic will allow you to look at your reflection with pride and spend a minimum of time to get rid of an unaesthetic defect and return to a normal life!
We offer a full range of medical services:
- full consultation on the preparation and conduct of plastic surgery, discussion of the chosen method and possible contraindications to the operation;
- all pre-operative examinations - tests, examinations by specialized doctors, anesthetist services;
- conduct an operation;
- postoperative inpatient support - observation of the attending physician, bandages, comfortable rooms with meals;
- additional counseling and a rapid rehabilitation program.
Ligamentotomy prices
Ligamentotomy prices can vary greatly. It depends on various factors and only the doctor can tell you the exact value.