A ligamentotomy is a surgical procedure to cut the suspensory ligament of the penis, which causes the organ to increase in length. This is done only according to indications, and the main thing is that the length of the penis at the time of awakening is less than 12 cm.
The surgeon can make an incision in the scrotum or along the pubis, but the first option is considered less dangerous. During rehabilitation, it is necessary to wear an expander every day - in fact, a special device to lengthen the penis. The final results can be evaluated only 6-10 months after the operation.
The cost of 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 expander.
Ligamentotomy - what is it?
Ligamentotomy is an operation to increase the length of the penis, the essence of which is the cutting of the suspensory ligament. In almost every case, men note an increase in the length of the penis by at least 2 cm, but this type of 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 lengthens only after 6-10 months.
Instructions for use
Ligamentotomy is performed at the request of the man, the main indication for manipulation is that the length of the penis is up to 12 cm at the peak of sexual arousal. This problem is most often associated with the anatomical features of the structure of the congenital organ - the micropenis. But there are other direct instructions for cutting a hanging garden:
- progressive cavernous fibrosis (the cavernous bodies of the penis are replaced by connective tissue);
- received injuries that caused a decrease in the length of the penis;
- hereditary Klinefelter and Kallman syndromes were diagnosed;
- incorrect location of the urethral opening (hypospadias);
- complete or partial splitting of the upper wall of the urethra (epispadias);
- Peyronie's disease, severe curvature of the penis.
Contraindications
Ligamentotomy has clear medical contraindications:
- infectious diseases of the genitourinary system;
- the size of the penis in the state of excitement is more than 12 cm;
- 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 genital organ is 12 cm and it does not bring physiological satisfaction, even if the psychological satisfaction is at an adequate 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 stable remission stage, and only then the man can be allowed to undergo surgery.
What results can be expected before and after ligamentotomy?
Before and after ligamentotomy, the penis looks different from the root - usually there is an increase in size of 3-5 cm, but the result can be less "impressive". To get the desired effect, a man must strictly follow all the recommendations of doctors:
- complete preparation - passing tests, examination by a cardiologist and andrologist, visiting a psychotherapist, etc. ;
- treat the wound during the rehabilitation period;
- abstaining from sexual intercourse for a certain period of time;
- regularly use an extender - a device to lengthen the penis.
Ligamentotomy: cost
The price of the ligamentotomy operation is quite high, and this is a significant drawback of the method of increasing the length of the penis, but it is also considered the most effective, in some clinics they even guarantee the maximum result.
Pros and cons of ligamentotomy surgery
Ligamentotomy surgery has the following advantages:
- the safety of the procedure, because it is plastic surgery, not reconstruction of the penis;
- use of local anesthesia rather than general anesthesia during surgery;
- minimal probability of complications and side effects;
- no need for implantation of penile support devices;
- the ability to immediately increase the width of the penis during manipulation;
- consistency of result.
However, some experts are strongly 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), the possibility of bleeding during rehabilitation is high. period, long recovery before achieving desired results.
Preparation for penis enlargement with ligamentotomy
Before prescribing penis enlargement using ligamentotomy, the patient must undergo preparation and first of all be examined to determine contraindications; the following are defined:
- general urinalysis, 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 monitoring;
- chest x-ray.
In addition, a man should visit a psychologist so that a specialist can identify mental abnormalities - they are an absolute contraindication for manipulation.
Also, as part of the preparatory period, a man is assigned:
- stop drinking alcohol at least 24 hours before the scheduled intervention date;
- stop eating and drinking 6 hours before the operation;
- exclude any drug from the anticoagulant group 3 days before ligamentotomy;
- shaving the pubic area;
- shower in the morning before the intervention.
How is penis lengthening performed with ligamentotomy?
Lengthening of the penis during ligamentotomy is carried out according to a clear algorithm:
- The man is placed on the sofa.
- The anesthesiologist does his job - he administers spinal anesthesia.
- The patient's condition is monitored - whether there is nausea or vomiting, blood pressure is measured, sensitivity in the lower back is checked.
- The surgeon makes an incision and feels the connective tissue with his fingers and immediately cuts it with a scalpel.
- Use your fingers to stretch the penis to the maximum possible length (individual index).
- The incision is sutured and a sterile dressing is placed over the surgical wound.
Often, if a simultaneous increase in the width of the penis is required, the standard course of surgery changes. In addition, the doctor can use different types of ligament - through the pubis or the scrotum.
Excision of the scrotal region
Features of ligamentotomy with excision of the scrotum:
- the surgeon cuts the upper part of the seminal vesicle and immediately pushes the soft tissues;
- After an incision, the doctor has access to the entire garden apparatus;
- crossed the slingshot;
- suspensory ligament is cut.
This method of manipulation is considered the safest and at the same time has clear advantages:
- The doctor's working time is reduced to 10 minutes (in some cases - up to 20 minutes);
- no scars after complete rehabilitation;
- soft tissue trauma is minimized;
- After the operation, the patient feels practically no pain.
The excision in the scrotal area made it possible to perform a ligamentotomy for overweight men - a standard operation that is not performed when there is a large amount of adipose tissue.
Splitting in the pubic region
This method is considered classic, the doctor makes an incision in the pubis, which facilitates his work - an area is opened for free isolation and cutting of the suspensory ligament. However, ligamentotomy in the pubic region has many disadvantages:
- even after complete rehabilitation, large scars remain on the pubis, which later turn into rough scars;
- soft tissues are seriously damaged, which increases the rehabilitation period;
- surgery is not possible in men with a large amount of adipose tissue;
- due to compression of the tissues by the scar after the procedure, the penis cannot take the exact upper position at the moment of awakening.
The operation to increase the length of the genital organ by making an incision in the groin lasts at least 60 minutes.
Recovery after endoscopic ligamentotomy
Endoscopic ligamentotomy involves a long rehabilitation period, during which:
- wearing an expander - a special device that can be worn only on the second day after the operation;
- compliance with the duration of wearing the extender - for the first days no more than 2 hours in a row, gradually increase this number to 8 hours;
- you should refrain from sexual intercourse for at least 2 weeks;
- you must strictly observe the rules of personal hygiene to prevent infection;
- the patient must visit the doctor regularly to monitor recovery;
- change the dressing on the surgical wound three times a day.
It is strictly forbidden for a man to apply ointments, creams and any medicine to the stitches that is not prescribed by the attending physician. The patient should refrain from physical activity for 4 weeks, then it should be extremely moderate.
Possible complications
The most common complications after ligamentotomy:
- changes in a man's sexual abilities - only the surgeon is to blame for this;
- the presence of severe pain during the recovery period;
- swelling and hematomas in the perineal region, which disappear by themselves 4-6 days after the operation;
- surgical site infection;
- bleeding - the blame falls on the patient who does not follow the rules of rehabilitation.
If an infectious agent enters the surgical wound, then the process of suppuration, the formation of adhesions, and the development of inflammation in the tissues of the testicles and its appendages (orchiepididymitis) are possible.
Implications for patients
The patient can evaluate the final result of the ligamentotomy only 6-10 months after the operation, when the course of wearing the extender is over and the growth has reached 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 that the quality of sex life has improved.
Ligamentotomy is the most effective way to increase the length of the penis, surgical intervention and a long rehabilitation period. If the patient strictly follows the doctor's recommendations and uses the extender correctly, the results will definitely be positive.