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To whom and how is a ligamentotomy performed?

A man whose genitals are small can decide on radical treatment such as surgery. In this case, the best way to enlarge the penis is a ligamentotomy, which you will learn in this article.

Ligamentotomy refers to a surgical procedure aimed at enlarging the male penis. This method is based on the intersection of the supporting ligaments of the penis, which are located at the depth of the pelvis. After cutting it, the inside of the penis is stretched to a distance of 3 to 5 cm. During operation, a tool is used - an extender tool.

Indications for surgery

The main indication for a ligamentotomy is a penis length of up to 12 cm during full arousal. The most common cause of small penis is anatomy (congenital micropenis). But the operation was performed in other cases:

  • size reduction after injury;
  • hypospadias, in which the opening of the urethra is not located properly;
  • penile curvature (Peyronie's disease);
  • epispadias (upper wall of the urethra split completely or partially);
  • replacement of cavernous organ bodies with connective tissue (cavernous fibrosis);
  • hereditary diseases - Kallman or Klinefelter syndrome.

Advantages and disadvantages

Ligamentotomy has an alternative method of enlarging the size of the penis. For example:

  1. Using a vacuum pump.
  2. Wearing an extender is temporary.
  3. Special training.
  4. Folk recipes.
  5. Phallus prosthetic surgery (artificial implants installed).
  6. Lipofilling (self -introduced biological material).
  7. Introduction of hyaluronic acid, gels or synthetic prostheses into the genitals.

Each method has pros and cons, but no one can compare efficiency with ligamentotomy, as it has the following advantages:

  1. Unlike other surgical techniques, ligamentotomy is plastic, not reconstructive, and is therefore considered a safer method.
  2. General anesthesia is excluded, which may be a contraindication for many men. Local anesthesia is used to reduce sensitivity.
  3. Its main feature is that there is no need to insert and implant various devices into the penis - prostheses, pumps, gels, frames, etc. , which can harm the body. And only "harmless" extensions for the recovery period.
  4. Impact resistance and short recovery time after intervention.
  5. During the operation, you can also get rid of congenital and acquired defects, increasing the penis not only in length, but also its thickness.
  6. Minimum number of adverse reactions.

Although surgery guarantees 100% penis enlargement, the end result may be different. In one man, the penis increases by 5 cm, while in others - by only 2. But the result depends a lot 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 professionalism of the surgeon.

Exercise

This plastic surgery requires special training, which consists in the initial examination of the patient. For this, the following diagnostics are set:

  • blood collection for general analysis, degree of coagulation of biological fluids, the presence of infection;
  • general urine collection to detect urine and other bacteria;
  • chest fluorography and cardiac electrocardiogram;
  • tests to identify allergic reactions to anesthetics;
  • ultrasound examination of the pelvic organs;
  • consult a psychologist to detect abnormalities.

What the patient should do:

  • the day before surgery, do not drink alcoholic beverages, medications;
  • for three days, do not take certain groups of drugs (most often anticoagulants, which prevent the clotting of blood fluids);
  • do not eat or drink 6 hours before surgery;
  • shave the groin area thoroughly;
  • swim.

Prior to surgery, the surgeon must inform the patient about the course of the operation. Some doctors show drawn diagrams.

Operation

The operating process includes several stages:

  • the patient is placed on a sterile sofa;
  • spinal anesthesia is given;
  • monitor the body's response;
  • the surgeon makes small incisions;
  • investigate the connective ligaments;
  • make surgery with a scalpel;
  • stretch the penis with slow and careful movements to maximum ligament length (different for each person);
  • sutured surgery;
  • bandages are applied.

Ligamentotomy can be performed according to standard methods, but in modern medicine another type is used - with the introduction of adipose tissue into the cavity to increase the diameter of the penis. Also, plastics differ in the type of excision - through the scrotum or pubis.

Ligamentotomy - penis enlargement surgery

Excision in the scrotal region

This technique is considered the most modern and safe. If previously they opened access to the ligaments through the pubis, now they do so through the scrotum, which opens up new opportunities:

  • operating time is reduced to 10-20 minutes;
  • no scars;
  • decreased trauma to soft tissues;
  • it becomes possible to perform surgical manipulations with large amounts of adipose tissue;
  • maximum pain after and during surgery.

Procedure characteristics:

  • the skin is cut in the scrotal area (the top of the seminal sac), after which the soft tissues are separated;
  • access to the connecting device is opened;
  • superficial sling -like ligaments are crossed;
  • supporting ligaments highlighted;
  • hemostasis is performed.

In scrotal excision, the surgeon observes the mobilization of ligaments located near the branches of the dorsal vein and spermatic cord.

Genital surgery

This is the first penis enlargement method used. Its special features are as follows:

  • excision is performed in the genital area;
  • large scars remain;
  • high degree soft tissue trauma;
  • difficulty operating with overweight patients;
  • long recovery period;
  • the scars that form in many cases do not allow the penis to take an upward direction completely.

Although there are a large number of shortcomings for patients, for surgeons this method is considered easier, because after the amputation of the genital part, full access to the ligament apparatus is opened.

Duration and cost of operation

The duration of the surgical procedure depends on the type of surgery. If the excision is done through the pubis, then the time is from 50 minutes to an hour. With this type of scrotal surgery, 10-20 minutes is enough.

Ligamentotomy is not performed in government agencies, but mainly in private clinics. The cost of surgery is highly dependent on the region, the level of qualification of the surgeon and the clinic itself, as well as the type of surgery.

Contraindications

Ligamentotomy is prohibited in cases such as:

  • if the penis size is larger than normal (12 cm);
  • in cases where the normal length of the phallus provokes physical, rather than psychoemotional, dissatisfaction;
  • surgery must be delayed because of skin diseases, as there is a risk of infection;
  • infectious diseases of the genitourinary system;
  • mental instability, confirmed by a psychotherapist.

Consequences of surgery and possible complications

Ligamentotomy is a safe surgical procedure, but in some cases the following consequences arise:

  • inflammatory processes under the skin in the excision area;
  • sexual pain at first;
  • seam support;
  • pain when urinating;
  • in the first month - decreased erection;
  • infection;
  • bleeding;
  • swollen;
  • decreased sensitivity;
  • scars;
  • tissue necrosis;
  • curvature of the penis;
  • change the shape of the phallus;
  • scrotal prolapse.

Complications arise for various reasons:

  • unprofessional surgeons;
  • lack of proper infertility during surgery;
  • non -compliance with patient needs during the recovery period;
  • the use of various methods to speed up the healing process itself (without consulting a doctor).

Recovery

It is not only the quality of the operation that influences the outcome, but also a person’s actions during the recovery period.

Physician consultation on recovery after penis enlargement using ligamentotomy method

What is included in the recovery:

  1. Extenders can only be worn on the second day, not earlier. At the same time, the wear time is only a few hours. As you recover, the duration of wearing the device increases gradually, reaching 8 hours.
  2. For 2 weeks, sexual intercourse in any form is strictly prohibited. Kindness should be justified by the attending physician after the initial examination. Otherwise, various complications develop.
  3. After surgery, magnetic resonance imaging is mandatory to clarify its effectiveness.
  4. When patients use distributors, it is necessary to see a doctor regularly to be monitored (visit times are set by the doctor at an individual level).
  5. Particular attention is paid to intimate hygiene, which will prevent infection with infection.
  6. Ointments and creams should not be used for the scars themselves.
  7. Sterile gowns are changed three times a day.
  8. Physical activity is not included.
  9. It is necessary to adhere to the rules of a healthy diet.
  10. You must not use alcoholic beverages, drugs.

Reviews

  • "I did a ligamentotomy 3 years ago through the pubis. The operation was successful, but I still have ugly scars, although it doesn't cause any particular inconvenience. The only thing is that when a full erection occurs, the penis doesn't go up completely, but in this bedIt doesn't matter. By the way, I increased the size by 3. 7 cm. "
  • "My wife and I had problems in bed, my length was not enough for her, even in an erection state I had 16 cm (as usual). Since there were no other problems, we decided to have surgery on me. We went to a private clinic. The price was fine, but the doctors didn't really want to take it, because I had no aberrations, but we persuaded. Before the operation, I had to undergo many tests, do various diagnostics, but the operation was completed in 15 minutes. As a result, the penishas increased almost 3 cm, intimate life has improved, there are no scars. "
  • "I made a ligamentotomy. The price, of course, is not small, but very worth it. An incision was made in the scrotum. The result was very good, +5 cm. However, during the recovery period, there was severe discomfort in the perineum area, and I accidentally brought the infection. , but immediately ran to the clinic. Good I was quick to respond. In general, I try not to touch the wound further. After 3 weeks he had free sex. But I warn you that for a few more weeks, the sensitivity of the erection is slightly reduced, but my wife likes that ejaculation doesn't happen in a long time. After that everything works out. "

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