Ligamentotomy is a surgical procedure for the removal of the suspensory ligament of the penis, which leads to an increase in the length of the organ. It is performed only according to indications and the main thing is that the length of the penis is less than 12 cm at the moment of awakening.
The surgeon can make an incision in the scrotum or along the pubis, but the first option is considered less risky. During rehabilitation, you have to wear an extender every day - a special device for lengthening, in fact, the penis. The final results can be evaluated only 6-10 months after the operation.
The cost of ligamentotomy ranges from 330-2800 dollars and depends on the price policy of the clinic, services provided and equipping the man with an extender.
Ligamentotomy - what is it?
Ligamentotomy is an operation to increase the length of the penis, the essence of which is the removal of the suspensory ligament. In almost every case, men notice an increase in the penis by at least 2 cm in length, but such a surgical intervention is not suitable for everyone - there are clear contraindications.
The operation itself does not lead to an immediate increase in the length of the penis; the patient must constantly use an extender during the rehabilitation period - the organ stretches only after 6-10 months.
Indications for use
Ligamentotomy is performed at the request of the man; the main indicator for manipulation is the length of the penis up to 12 cm in the state of maximum sexual arousal. This problem is most often associated with the anatomical features of the structure of a congenital organ - the micropenis. But there are other direct indications for removing the suspensory ligament:
- progressive cavernous fibrosis (the cavernous corpuscles of the penis are replaced by connective tissue);
- suffered injuries that led to a decrease in the length of the penis;
- diagnosed Klinefelter and Kallman syndromes of hereditary origin;
- incorrect location of the opening of the urethra (hypospadias);
- complete or partial rupture 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 for:
- infectious diseases of the genitourinary system;
- the size of the penis is more than 12 cm in a state of excitement;
- skin pathologies with localization of symptoms in the perineum, groin;
- instability of the psycho-emotional background (this condition must be confirmed by a psychotherapist).
Surgeons refuse to perform an operation even if the length of the penis is 12 cm and does not bring physiological satisfaction, while the psychological satisfaction is at the right level.
Infectious diseases and skin lesions are considered conditional contraindications. Doctors will first conduct a course of therapy, achieve complete recovery or enter the chronic form of the pathology into a phase of stable remission, and only after that the man can be allowed to undergo surgery.
What results can you expect before and after ligamentotomy?
Before and after ligamentotomy, the penis looks radically different - usually there is an increase in its size by 3-5 cm, but the result can be less "extraordinary". To achieve the desired effect, a man must strictly follow all the recommendations of doctors:
- undergo full preparation - taking tests, examination by a cardiologist and andrologist, visit to a psychotherapist, etc.
- treat the wound during the rehabilitation period;
- refuse sexual relations for a certain period;
- regularly use an extender - a device for stretching the penis.
Ligamentotomy: price
The price of the 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, and even in some clinics it guarantees the maximum result.
Pros and cons of ligamentotomy surgery
Ligamentotomy surgery has its advantages:
- the safety of the procedure, because it is not the reconstruction of the penis, but its plastic surgery;
- the use of local anesthesia instead of general anesthesia during surgery;
- minimum probability of complications and side effects;
- no need to implant support devices in the penis;
- the ability to immediately increase the width of the penis during manipulation;
- stability 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, the need to abstain from sexual intercourse for several weeks (sometimes months), a high probability of bleeding already in rehabilitation. period, long recovery before getting the desired result.
Preparation for penis enlargement with ligamentotomy
Before penile enlargement using ligamentotomy is prescribed, the patient must undergo preparation and first of all be examined to identify contraindications; are described:
- general analysis of urine, bacterial culture;
- biochemical and general blood tests;
- allergy test to determine the body's reaction to antibiotics;
- ultrasound examination of pelvic organs;
- electrocardiogram, blood pressure control;
- chest x-ray.
In addition, a man should visit a psychologist so that the specialist can identify mental abnormalities - they are an absolute contraindication to manipulation.
Also, as part of the preparatory period, a man is described:
- 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 anticoagulant group 3 days before ligamentotomy;
- shave the groin area;
- shower in the morning before the intervention.
How is penis lengthening performed with ligamentotomy?
Penis lengthening during ligamentotomy is performed according to a clear algorithm:
- The man is placed on the sofa.
- The anesthesiologist does his job - gives spinal anesthesia.
- The patient's condition is monitored - if there is nausea or vomiting, the blood pressure is measured and the sensitivity in the area below the waist is checked.
- The surgeon makes an incision and feels the connective ligament with his fingers and immediately cuts it with a scalpel.
- Use your fingers to stretch the penis to the maximum possible length (individual indicator).
- The incision is sutured and a sterile bandage is applied to the surgical wound.
More often, the standard course of surgery changes if a simultaneous increase in the width of the penis is required. In addition, the doctor can use different types of ligament removal - through the pubis or the scrotum.
Excision in the scrotal area
Features of ligamentotomy with excision in the scrotum area:
- the surgeon cuts the upper part of the seminal vesicle and immediately removes the soft tissue;
- After an incision, the doctor has access to the entire ligamentous apparatus;
- the sling ligament is cruciate;
- the suspensory ligament is removed.
This method of manipulation is considered the safest, and also has clear advantages:
- The doctor's working time is reduced to 10 minutes (in some cases - up to 20 minutes);
- there is no scar after complete rehabilitation;
- soft tissue trauma is minimized;
- After the operation, the patient practically does not feel pain.
Excision in the scrotal area made it possible to perform a ligamentotomy for those men who are overweight - a standard operation is not performed if there is a large amount of adipose tissue.
Dissection in the pubic area
This method is considered classic; the doctor makes an incision in the pubis, which makes his work easier - a field is opened for isolation and free removal 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;
- it is impossible to perform the operation on men with a large amount of adipose tissue;
- after the procedure, the penis cannot take the correct upward position at the moment of awakening due to tissue compression from the scar.
The operation to increase the length of the penis with dissection in the pubic area takes 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 on the second day after surgery;
- compliance with the duration of wearing the extender - the first days no more than 2 hours in a row, gradually increase this figure to 8 hours;
- you must abstain from sexual intercourse for at least 2 weeks;
- you must strictly observe the rules of personal hygiene to avoid infection;
- the patient must visit the doctor regularly to monitor recovery;
- change the surgical wound dressing three times a day.
A man is strictly forbidden to apply ointments, creams and any medication that has not been prescribed by the doctor participating in the stitching. The patient should refrain from physical activity for 4 weeks, then he should be extremely moderate.
Possible complications
The most common complications after ligamentotomy are:
- changes in a man's sexual abilities - the surgeon is only to blame for this;
- the presence of severe pain during the recovery period;
- swelling and hematoma in the perineal area, which disappear on their own 4-6 days after the operation;
- infection of the operation area;
- bleeding - the blame falls on the patient who does not respect the rules of rehabilitation.
If an infectious agent enters the surgical wound, then the process of suppuration, the formation of adhesions and the progression of inflammation in the tissues of the testicles and its appendages (orchiepididymitis) are possible.
The effect on patients
The patient can evaluate the final result of the ligamentotomy only 6-10 months after the operation, when the course of wear of the extender is completed and 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 features of the structure of the penis. But almost every patient claims an improvement in the quality of sexual life.
Ligamentotomy is the most effective method for increasing the length of the penis, which involves surgery and a long period of rehabilitation. If the patient strictly follows the doctor's recommendations and uses the extender correctly, the results will definitely be positive.