The penis has traditionally been seen as a symbol of male strength, so its size has always been a source of concern for men. Many of them still believe that a large penis is the main sign of sexual and sexual superiority. Normally, the length of the penis at rest varies from 7 to 13 cm, with an erection the length reaches 12-20 cm. If the size of the penis is less than 12 cm, it is considered a small penis, and if the length is less than 2-3 cm of micropenis.
Insufficient penis length very often leads to a decrease in a man's self-esteem, and in some cases to serious problems in intimate life (up to the complete inability to have sex).
To solve this delicate problem, surgeons suggest performing a ligamentotomy - an operation to increase the length of the penis.
Penis length enlargement consists of two stages:
- Stage 1 - surgery (ligamentotomy). During the operation, the urologist dissects the supporting ligament of the penis.
- Stage 2 - using the extender for at least 2-3 hours a day for 4-6 months.
Indications
As a rule, the small penis does not impair function and does not lead to infertility. In such cases, the penis enlargement operation is performed exclusively at the request of the man and for aesthetic reasons. In the presence of abnormalities in the development of an organ (for example, with a micropenis), ligamentotomy is performed for medical reasons.
Contraindications
Penis lengthening surgery, like any surgical manipulation, has a number of contraindications: bleeding disorders, cancer, diabetes mellitus, infectious and inflammatory processes in the body, etc.
The possibility of surgery is determined by the doctor on the basis of the results of the preoperative examination.
Preparation for ligamentotomy
To exclude contraindications to the operation, it is necessary to undergo preoperative preparation (perhaps at our place or in any suitable place for the patient):
- clinical blood test;
- general urinalysis;
- 4 compulsory tests (syphilis, HIV, hepatitis B, C);
- biochemical blood test (glucose, AST, ALT, creatinine, total bilirubin);
- coagulogram No. 1;
- ECG (before intravenous anesthesia for patients over 45 years of age or with chronic heart disease).
In some cases, you may additionally need the conclusion of narrowly specialized specialists (for example, an endocrinologist, if you suspect diabetes mellitus).
The course of the surgical procedure
The operation can be performed under local anesthesia or under combined intravenous anesthesia. The second option is used much more often to exclude unpleasant sensations during ligamentotomy.
The essence of the operation is to lengthen the penis by dissecting the ligament and redistributing the length of the penis in the direction of increasing the hanging part.
During the operation, the surgeon dissects the suspension (support) ligament of the penis, the function of which is to keep part of the penis inside the body. The operation can be performed through the scrotal or pubic route. The duration of all stages of the operation is usually 30 to 60 minutes.
The result of the operation
As a result of the ligamentotomy, the length of the hanging part of the penis increases by 3-5 cm. The end result depends on the anatomical characteristics of the patient's body structure (the size of the latent part of the penis) and physiological properties (extensibility and elasticity of the tissues). For optimal results after surgery, it is necessary to wear a stent for 4-6 months, 2-3 hours per day.
Features of the rehabilitation period
Penis lengthening surgery is considered minimally invasive, the patient is under the supervision of medical personnel for several hours after the operation, and then he can leave the clinic on his own.
Before discharge, urologists give all the necessary recommendations on wearing a stent to improve the outcome of the operation, as well as on genital care, dressings and follow-up visits. The rehabilitation period after ligamentotomy is only 2-3 weeks. After this time, the wound heals completely and the postoperative suture becomes completely invisible.
The most frequently asked questions in plastic surgery about penis enlargement surgery:
How much does the length of the penis increase after ligamentotomy?
The final result of the operation directly depends on the anatomical and physiological characteristics of the man. After the operation and subject to the daily wearing of the extender (2 to 3 hours per day), the length of the penis increases on average by 3 to 5 cm both at rest and in a state of sexual arousal.
How long should you abstain from sex after the operation?
Due to tissue trauma, intercourse can be painful for several days. Complete healing of the wound occurs after 2-3 weeks, after which the man can resume his sex life.
Can reproductive problems occur after a ligamentotomy?
After the operation, there are no side effects in the form of impaired potency or male reproductive function, because when performing the ligamentotomy, the surgeon does not affect the anatomical structures responsible forerection.
How much does a ligamentotomy cost?
The cost of ligamentotomy differs from clinic to clinic depending on various factors.
The total cost of penis enlargement includes:
- Primary consultation with a urologist;
- Analyzes before surgery;
- Operation - Ligamentotomy;
- Anesthesia (local anesthesia or intravenous anesthesia);
- Extender (the patient himself buys, taking into account the recommendations of the urologist).
- Postoperative visit to the urologist (2-3 visits).
The final cost of penis enlargement surgery can only be stated by a doctor after consultation and examination.