Patients choose this type of surgery for various reasons. Some people want to increase the size of their penis to improve their sex life. Others do it as a way to boost their self-confidence, which then leads to additional benefits in other areas of their lives. For some it is a medical necessity, and for others it is a form of cosmetic surgery.
Ligamentotomy (alternative names: penile lengthening, penile lengthening) is a surgical operation to cut the suspensory ligament of the penis. The operation aims to enlarge the visible part of the penis.
The essence of the operation is as follows: in ordinary life, only the outer part of the corpora cavernosa of the penis, which we see visually, takes part in the erection. However, there is also a perineal section of the cavernous bodies of the penis, which visually does not participate in the erection, because it is not enlarged by powerful ligaments. The crossing of the ligaments of the penis allows the perineal section of the corpora cavernosa to participate in the erection, which significantly increases the length of the penis and improves its blood supply.
When is ligamentotomy really necessary?
Penile enlargement surgery is suitable for a wide range of patients and conditions. If you suffer from small penis syndrome, a curved penis, a sunken penis or have suffered a penile injury, then the procedure can help increase the size of the penis. Some people choose penis enlargement for personal or aesthetic reasons rather than medical reasons, so it is also available as a cosmetic surgery.
Indications for ligamentotomy:
There are 2 groups of indications for penis enlargement surgery:
Medical indications:
- Peyronie's disease, in which there may be a pronounced deformation of the penis with a decrease in its length;
- Cavernous fibrosis;
- The "hidden" penis or, as it is called, the micropenis.
Aesthetic indications:
- A man's desire to increase his attractiveness;
- A man's desire to increase self-esteem;
- Penile dysmorphophobia is a general dissatisfaction with the appearance, shape or size of the penis.
The lower limit of the average penis size in an erect state is considered to be a length of 12 cm. A size smaller than 12 cm may be considered a reason for this operation.
How big can you make your penis?
After crossing the ligaments, the length of the penis during erection increases by 2-3 cm. The result should be ensured by actively wearing the extender for a month after the operation for 2-3 hours a day and passive traction around the clock. To achieve the maximum effect, the duration of wearing the extender is not limited, because after passing the ligaments, nothing prevents the stretching of the corpora cavernosa.
How to lengthen the penis through ligamentotomy:
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through this incision the surgeon gains access to the suspensory ligament of the penis, which is cut. Absorbable sutures are placed on the skin of the scrotum.
Preparation before surgery consists of performing 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 the 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 layer of the scrotum (2-3 cm) with access to the penile ligaments and crosses them. A vacuum drain is placed, which is removed after 12 hours, and an intradermal absorbable cosmetic suture is placed. Operating time - 20 minutes;
- The next morning - drain removal, learning to wear an extender, a fiery delivery home.
Duration of penis enlargement surgery
The operation usually takes 20 to 30 minutes.
If the "invisible" transscrotal ligamentotomy did not bring the expected result due to poor stretching of the suprapubic skin with an extender, you can supplement the already performed ligamentotomy with minimally invasive transverse longitudinal skin plasty in the suprapubic region, which will add aextra extra. 2-3 cm from the performed operation. In total, based on the results of the two stages, you can get +5-6 centimeters.
What is the recovery period after ligamentotomy?
The stitch heals in 5-7 days. Before discharge, the patient undergoes a consultation with a urologist, during which the need to wear an extender for 3-4 months is explained. Subsequent rehabilitation involves wearing an extender. The patient stays behind the wheel or starts working after 2-3 days. Return to sexual activity after one month.
What is the result of ligamentotomy?
As a rule, the operation adds +2-3 cm in the raised state. In a calm state, 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 head of the penis due to the vacuum attachment of the extender, a longer erection even after ejaculation due to changes in the blood supply of the corpora cavernosa.
Possible complications after penile enlargement surgery
Complications of lmigamentotomy are extremely rare. The most common are bleeding and suppuration of the postoperative suture. The incidence of complications does not exceed 0. 1%.
additional information
The potential for increasing the size of the penis through ligamentotomy in combination with wearing an extender is 3-5 cm. The specific result depends on the individual characteristics of the patient's body - the size of the hidden part of the corpora cavernosa, as well as the expansion of the vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than any other method for increasing the length of the penis. Popular methods for penis enlargement, such as the Jelq method, the Indian Sadhu technique, autohypnosis, etc. , have no evidence base and are practically ineffective.
Ligamentotomy in the clinic
Penis enlargement surgery is a serious matter for every man. For best results, choose an experienced professional who is 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 advanced clinic equipment will allow you to spend a minimum of time to get rid of an unaesthetic defect and return to normal life, looking at your reflection with pride!
We offer a full range of medical services:
- full consultation for the preparation and performance of plastic surgery, discussion of the chosen method and possible contraindications for the operation;
- all examinations before surgery - tests, examinations by specialized doctors, anesthesiological services;
- performing the operation;
- Postoperative hospital support - observation by the attending physician, clothing, comfortable rooms with meals;
- further counseling and a rapid rehabilitation program.
Prices for ligamentotomy
Prices for ligamentotomy can vary widely. It depends on various factors and only a doctor can tell you the exact cost.