Who and how is the ligamentotomy performed?

A man with small genitals may opt for radical treatments like surgery. In this case, the best method for penis enlargement is 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 ligaments of the penis, which are located in the depth of the pelvis. After cutting, the inner part of the penis is stretched to a distance of 3 to 5 cm. A device is used during the operation - an extender.

Indications for surgery

The main indication for a ligamentotomy is the length of the penis up to 12 cm when fully aroused. The most common cause of a small penis is its anatomy (congenital micropenis). But the operation is carried out in other cases:

• Shrinkage after injury;
• hypospadias, in which the urethral opening is not properly located;
• Curvature of the penis (Peyronie's disease);
• Epispadia (the upper wall of the urethra is wholly or partially split);
• Replacement of the organ's erectile tissue with connective tissue (corporal fibrosis);
• Hereditary Diseases - Kallman or Klinefelter Syndrome.

advantages and disadvantages

Ligamentotomy has alternative methods of enlarging the penis. For example:

1. Use of a vacuum pump.
2. Wearing an extender is temporary.
3. Special exercises.
4. Folk recipes.
5. Phallic prosthetic surgery (an artificial implant is inserted).
6. Lipofilling (own biological material is introduced).
7. The introduction of hyaluronic acid, gels or synthetic prostheses into the genitals.

Each method has its advantages and disadvantages, but none can compete with ligamentotomy in terms of efficiency because it has the following advantages:

1. Unlike other surgical techniques, the ligamentotomy is a plastic, 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 and implant various devices in the penis - prostheses, pumps, gels, frames, etc. , which can harm the body. And just a "harmless" extender for the rehabilitation period.
4. Longevity of the effect and short recovery time after the procedure.
5. In addition, during the operation you can get rid of congenital and acquired defects, increase the penis not only in length, but also in thickness.
6. The minimum number of side effects.

Although the surgery offers a 100% guarantee of penis enlargement, the end result may vary. In one man the penis grows by 5 cm, in another only by 2. However, 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 that consists of a preliminary examination of the patient. The following diagnoses are assigned to this:

• Blood collection for a general analysis, coagulability of the biological fluid, presence of infections;
• general urine collection for detection of urinary and other bacteria;
• Breast fluorography and cardiac electrocardiogram;
• Test to identify an allergic reaction to anesthetics;
• Ultrasound examination of the pelvic organs;
• Consultation with a psychologist to identify any discrepancies.

What the patient should do:

• do not take alcoholic beverages or medication the day before the operation.
• not drinking some groups of drugs for three days (most often anticoagulants, which inhibit the clotting of blood fluid);
• Do not eat or drink anything 6 hours before the operation;
• carefully shave the groin area;
• swim.

Before the operation, the surgeon must inform the patient about the course of the operation. Some doctors show a drawn chart.

business

The operating process consists of several phases:

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

Ligamentotomy can be performed using the standard method, but a different type of it is used in modern medicine - with the introduction of fatty tissue into the cavity to increase the diameter of the penis. Plastic also differs in the type of excision - through the scrotum or pubic bone.

Excision in the scrotal area

This technology is considered to be the most modern and safest. In the past, they opened access to the ligament via the pubic bone, now they do so via the scrotum, which opens up new possibilities:

• the operating time is reduced to 10-20 minutes;
• there is no scar;
• decreased soft tissue trauma;
• it became possible to perform surgical manipulations on a large amount of adipose tissue;
• maximum freedom from pain after and during the operation.

Features of the procedure:

• the skin is cut in the area of the scrotum (the upper part of the seed sac), after which the soft tissues are moved apart;
• access to the connection set is opened;
• the superficial loop-like band is crossed;
• the support band is highlighted;
• Bleeding is performed.

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

Shame dissection

This is the first method of penis enlargement. Its peculiarity is the following:

• the excision is made in the pubic area;
• large scars remain;
• high levels of soft tissue trauma;
• Difficulty operating on an overweight patient;
• long rehabilitation period;
• the scar that is formed does not, in many cases, allow the penis to take the full upward direction.

Despite such a number of disadvantages for the patient, this method is considered to be simpler for the surgeon, since full access to the ligamentous apparatus is opened after incision of the pubic area.

Duration and cost of the operation

The duration of the surgical interventions depends on the type of operation. If the excision is made through the pubic bone, the time is 50 minutes to an hour. For scrotal surgery, 10-20 minutes are enough.

The ligamentotomy is not performed in government agencies, but mainly in private clinics. The cost of the operation depends heavily on the region, the skill level of the surgeon and the clinic itself, and the type of operation.

Contraindications

Ligamentotomy is prohibited in such cases:

• when the penis is larger than normal (12 cm);
• in cases where the normal length of the phallus creates physical dissatisfaction and is not psychoemotional;
• in the case of skin diseases, the operation must be postponed as there is a risk of infection;
• diseases of an infectious nature 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 excision;
• Painful intercourse initially;
• Suppuration of the seams;
• Painful urination;
• in the first month - decreased erection;
• Infection;
• Bleeding;
• Swelling;
• decreased sensitivity;
• Scarring;
• Tissue necrosis;
• Curvature of the penis;
• Deformation of the phallus;
• Prolapse of the scrotum.

Complications arise for several reasons:

• unprofessional surgeon;
• Lack of adequate sterility during surgery;
• Non-compliance by the patient with the requirements during the rehabilitation period;
• the use of 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 a person's actions during the recovery period.

What is included in the rehabilitation:

1. The extender can only be worn on the second day, not earlier. At the same time, the wearing time is only a few hours. As you recover, the time the device is worn increases gradually, reaching 8 hours.
2. Sexual intercourse in any form is strictly forbidden for 2 weeks. Intimacy should be permitted by the attending physician after a preliminary examination. Otherwise, various complications will arise.
3. After the operation, a magnetic resonance tomography is absolutely necessary to clarify the effectiveness.
4. If the patient uses the expander, it is necessary to visit the doctor frequently for control (the visit time is determined by the doctor individually).
5. Special attention is paid to intimate hygiene, which prevents infection with infections.
6. Ointments and creams cannot be applied to scars alone.
7. The sterile bandage is changed three times a day.
8. Physical activity is excluded.
9. It is necessary to adhere to the rules of a healthy diet.
10. You can not use alcoholic beverages, drugs.

reviews

• "I did a ligamentotomy through the pubic bone 3 years ago. The operation was successful, but I still have an ugly scar, although it does not cause any particular inconvenience. The only thing is that with a full erection, the penis doesn't protrude all the way up, but it doesn't matter in bed. Incidentally, 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 am 16 cm when erect (like the norm). Since there were no other problems, we decided to have an operation. We were in a private clinic. The price was okay, but the doctors didn't really want to take it as I don't have any deviations, but we convinced. Before the operation, I had to do a lot of tests, make various diagnoses, but the operation was completed in 15 minutes. As a result, the penis has grown by almost 3 cm, the intimate life has improved, there are no scars. "
• "I did a ligamentotomy. The price isn't cheap, of course, but it's worth it. An incision was made in the scrotum. The result is excellent, +5 cm. During the rehabilitation phase, however, there were severe discomfort in the perineal area and I accidentally brought an infection with me, but immediately ran to the clinic. It's good that I reacted quickly. In general, I tried not to touch the wound any further. After 3 weeks he had free sex. But I warn you that erectile sensitivity was slightly reduced for more weeks, but my wife liked that ejaculation did not come for a long time. After that everything worked out. "

If you decide to enlarge your penis, perform a ligamentotomy, which has many advantages. But beforehand weigh the pros and cons, so as not to regret it later, and find a clinic where real professionals work.