Patients opt for this type of surgery for a variety of 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 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: increasing the length of the penis, lengthening the penis) is a surgical operation to cut the suspensory ligament of the penis. The operation is aimed at increasing the visible part of the penis.
The essence of the operation is as follows: in ordinary life, only the outer part of the cavernous bodies of the penis, which we see visually, participates in the erection. However, there is also a perineal part of the cavernous bodies of the penis, which visually does not participate in the erection, because strong ligaments protect it from enlargement. The crossing of the ligaments of the penis allows the perineal part of the cavernous bodies to participate in the erection, which significantly increases the length of the penis and improves its blood supply.
When is ligamentotomy really necessary?
Penis enlargement surgery is suitable for a wide range of patients and conditions. If you suffer from small penis syndrome, curved penis, 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, which is why it is also available as 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 pronounced deformation of the penis with a decrease in its length;
- cavernous fibrosis;
- "Hidden" penis or, as it is also called, micropenis.
Aesthetic indications:
- A man's desire to improve his attractiveness;
- A man's desire to increase his self-esteem;
- Penile dysmorphophobia is a general dissatisfaction with the appearance, shape or size of the penis.
A length of 12 cm is considered the lower limit of the average size of an erect penis, and a size smaller than 12 cm can be considered the reason for this operation.
How much can you enlarge your penis?
After crossing the ligaments, the length of the penis during erection increases by 2-3 cm. The result should be ensured by active wearing of the extender for a month after the operation for 2-3 hours a day and passive traction for 24 hours. To achieve the maximum effect, the duration of wearing the extender is not limited, because after crossing the ligaments, nothing prevents the stretching of the corpora cavernosa.
How to lengthen the penis using ligamentotomy:
The operation is performed under anesthesia. A skin incision is made in the middle of the scrotum, through which the surgeon gains access to the suspensory ligament of the penis, which is cut. Absorbable sutures are placed on the skin of the scrotum.
Preoperative preparation consists of a simple examination, including:
- Consultations with a urologist;
- Clinical and biochemical blood test;
- Blood for HIV, syphilis and hepatitis;
- EKG;
- Consultations with an anesthesiologist.
How is the penis enlargement surgery performed?
- 5-7 days before surgery, the patient undergoes a preoperative examination; hospitalization occurs on the day of surgery;
- Anesthesia - intravenous or spinal;
- The doctor makes an incision in the skin along the seam of the scrotum (2-3 cm) with access to the ligaments of the penis and cuts them. A vacuum drain is placed, which is removed after 12 hours, and an intradermal absorbable cosmetic suture is placed. Working time - 20 minutes;
- The next morning - drain removal, learning to wear the extender, a fiery send off.
Duration of penis enlargement surgery
The operation usually lasts from 20 to 30 minutes.
If the "invisible" transscrotal ligamentotomy did not bring the expected result due to weak stretching of the suprapubic skin with an extender, you can supplement the already performed ligamentotomy with transverse-longitudinal minimally invasive plastic surgery of the skin in the suprapubic region, which will add an additional 2-3 cm to the performed operation. In total, based on the results of the two stages, you can gain +5-6 centimeters.
What is the recovery period after ligamentotomy?
The thread heals in 5-7 days. Before discharge, the patient undergoes a consultation with a urologist, during which the need to wear the extender for 3-4 months is explained to him. Subsequent rehabilitation includes wearing an extender. The patient gets behind the wheel or starts working in 2-3 days. Return to sexual activity in one month.
What is the result of a ligamentotomy?
As a rule, the operation adds +2-3 cm in the upright position. In a calm state, in the cold - minus 2 cm due to lack 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 cavernous bodies.
Possible complications after penis 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%.
More 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 cavernous bodies, as well as the elasticity of the blood vessels and urethra.
The effectiveness of ligamentotomy is significantly higher than any other method for increasing the length of the penis. Folk methods for penis enlargement, such as the Jelq method, the Indian Sadhu technique, self-hypnosis, etc. , have no evidence base and are practically ineffective.
Ligamentotomy in the clinic
Penis enlargement surgery is a serious matter for any man. For best results, choose an experienced specialist affiliated with a major medical center.
The modern clinic is proud of its specialists: professional urologists have been successfully working with patients from all over the world for a long time. Their experience and the advanced equipment of the clinic will allow you to spend minimal time getting rid of the unaesthetic defect and return to normal life, looking at your reflection with pride!
We offer a complete range of medical services:
- full consultations on the preparation and performance of plastic surgery, discussion of the chosen method and possible contraindications for the operation;
- all preoperative examinations - examinations, specialist doctor's examinations, anesthesiologist services;
- performing the operation;
- postoperative hospital support - observation by a doctor, dressing, comfortable rooms with meals;
- further consultations and a rapid rehabilitation program.
Ligamentotomy prices
Ligamentotomy prices can vary widely. It depends on various factors and only a doctor can tell you the exact cost.