A ligamentotomy is a surgical procedure for cutting 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 time of excitement.
The surgeon can make an incision in the scrotum or along the vulva, but the first option is less dangerous. During rehabilitation, you will need to wear an extender every day - a special device to lengthen the penis. The final result can only be evaluated 6-10 months after the operation.
The cost of a ligamentotomy ranges from $330 to $2, 800 and depends on the clinic's pricing policy, services provided, and whether the man is provided with an extender.
Ligamentotomy - what is it?
Ligamentotomy is an operation aimed at increasing the length of the penis, the essence of which is the excision of the suspensory ligament. In almost all cases, men notice an increase in the penis of at least 2 cm, but such 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, during the rehabilitation period the patient must constantly use an extender - the organ will lengthen only after 6-10 months.
Indications for use
Ligamentotomy is performed at the request of the man, the main indication for the manipulation is a penis length of up to 12 cm in the state of peak sexual excitement. This problem is most often related to the anatomical features of the structure of an innate organ - the micropenis. But there are other direct indications for excision of the suspensory ligament:
- progressive cavernous fibrosis (the cavernous cells of the penis are replaced by connective tissue);
- suffered injuries that led to a reduction in the length of the penis;
- hereditary Klinefelter and Kallman syndromes have been diagnosed;
- incorrect location of the urethral opening (hypospadias);
- complete or partial splitting 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 is more than 12 cm when excited;
- 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 operate even if the length of the penis is 12 cm and does not bring physiological satisfaction, while the psychological satisfaction is at an adequate level.
Infectious diseases and skin lesions are conditional contraindications. Doctors first carry out a therapeutic course, achieve complete recovery or introduce the chronic form of the pathology into the stage of stable remission, and only after that they can allow male surgery.
What results can you expect before and after ligamentotomy?
Before and after ligamentotomy, the penis looks radically different - it usually increases in size by 3-5 cm, but the result is less "outstanding". In order to achieve the desired effect, a man must strictly follow all the doctor's recommendations:
- you have to undergo full preparation - take tests, examination by a cardiologist and andrologist, a visit to a psychotherapist and so on;
- treat the wound during the rehabilitation period;
- refuses sexual contact for a certain period of time;
- 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 penis lengthening method, but at the same time it is considered the most effective, in some clinics even the maximum result is guaranteed.
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 plastic surgery;
- use of local anesthesia instead of general anesthesia during surgery;
- minimum probability of complications and side effects;
- there is no need to implant supporting devices into the penis;
- the ability to instantly increase the width of the penis during manipulation;
- durability of the result.
However, some experts are categorically against ligamentotomy because it has many disadvantages: the cost of the surgeon's work is too high, you have to abstain from sexual relations for several weeks (sometimes months), there is a high probability of bleeding already during rehabilitation. period, long recovery before achieving the desired result.
Preparation for penis enlargement with ligamentotomy
Before enlarging the penis by ligamentotomy, the patient must be prepared and, above all, check the contraindications; the following are prescribed:
- general urinalysis, bacterial culture;
- biochemical and general blood tests;
- allergy test to determine the body's reaction to antibiotics;
- ultrasound examination of the pelvic organs;
- electrocardiogram, blood pressure control;
- Chest X-ray.
In addition, the man should visit a psychologist so that the specialist can identify mental disorders - these are absolute contraindications to manipulation.
In addition, as part of the preparatory period, a man is required to:
- stop drinking alcoholic beverages at least 24 hours before the scheduled time of the intervention;
- stop eating and drinking 6 hours before surgery;
- exclude all drugs from the anticoagulant group 3 days before ligamentotomy;
- shave the groin area;
- shower in the morning before the procedure.
How is the penis lengthened by ligamentotomy?
During the ligamentotomy, the penis is lengthened according to a clear algorithm:
- The man is laid on the couch.
- The anesthesiologist does his job - gives spinal anesthesia.
- The patient's condition is monitored - whether there is nausea, vomiting, blood pressure measurement, and the sensitivity of the area below the lumbar region is checked.
- The surgeon makes an incision and feels the ligament with his fingers, then immediately cuts it with a scalpel.
- Use your fingers to stretch the penis to its maximum length (individual pointer).
- The incision is sutured, and a sterile bandage is placed on the surgical wound.
Most often, the usual course of surgery is changed if it is necessary to increase the width of the penis at the same time. In addition, the doctor can apply different types of tape - through the vulva or through the scrotum.
Excision in the scrotal area
Features of ligamentotomy with excision in the scrotal area:
- the surgeon cuts the upper part of the scrotum and immediately pushes the soft tissue apart;
- After an incision, the doctor has access to the entire ligament;
- the webbing is crossed;
- the hanging tape is cut out.
This method of manipulation is considered the safest and has clear advantages:
- The doctor's working time is reduced to 10 minutes (in some cases up to 20 minutes);
- after complete rehabilitation, there is no scar;
- trauma to the soft tissues is minimized;
- After the operation, the patient practically does not feel pain.
Excision in the area of the scrotum made it possible to perform ligamentotomy for overweight men - the usual operation is not performed if there is a large amount of fatty tissue.
Dissection of the pubic area
This method is considered classic, the doctor makes an incision on the pubic bone, which makes his work easier - a field opens 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 vulva, which later turn into rough scars;
- soft tissues are seriously injured, and this prolongs the rehabilitation period;
- it is impossible to perform the operation in men with a large amount of adipose tissue;
- after the procedure, the penis cannot exactly assume the upward position at the moment of excitement, as the scar compresses the tissues.
Surgery to increase the length of the penis takes at least 60 minutes during dissection of the pubic area.
Recovery after endoscopic ligamentotomy
Endoscopic ligamentotomy involves a long rehabilitation period during which:
- wearing an extender - a special device that can be worn only on the second day after surgery;
- compliance with wearing the extension - in the first days no more than 2 hours in a row, gradually increase this number to 8 hours;
- you must abstain from sexual intercourse for at least 2 weeks;
- to avoid infection, you must strictly follow the rules of personal hygiene;
- the patient must visit the doctor regularly to monitor recovery;
- change the dressing three times a day.
It is strictly forbidden for men to use ointments, creams and medicines that have not been prescribed by the attending physician on the stitches. The patient should refrain from physical activity for 4 weeks, after which it should be extremely moderate.
Possible complications
The most common complications after ligamentotomy are:
- changes in the man's sexual abilities - therefore the surgeon is solely to blame;
- the presence of severe pain during the recovery period;
- swelling and hematomas in the perineal area, which disappear on their own 4-6 days after the operation;
- infection of the surgical site;
- bleeding - the blame falls on the patient who does not follow the rules of rehabilitation.
If an infectious agent is introduced into the surgical wound, suppuration, the formation of adhesions and the progression of inflammation in the tissues of the testicle and its appendages (orchiepididymitis) are possible.
Impact on patients
The patient can only evaluate the final result of the ligamentotomy 6-10 months after the operation, when the extension is finished and the growth reaches its maximum. In general, 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 all patients claim that the quality of their sexual life has improved.
Ligamentotomy is the most effective method to increase 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 filler correctly, the results will definitely be positive.